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Ethnoracial Variation in Risk for Psychotic Experiences.

Jordan DeVylder1,2, Deidre Anglin3, Michelle R Munson4

  • 1Graduate School of Social Service, Fordham University, New York, USA.

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|November 18, 2022
PubMed
Summary

Racial disparities in psychotic experiences are linked to socioenvironmental factors, not just clinical bias. Factors like discrimination and trauma explain differences in reported hallucinations and delusions among racial groups.

Keywords:
discriminationethnicitypsychosisraceschizophreniaviolence

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Area of Science:

  • Psychiatry
  • Public Health
  • Sociology

Background:

  • Psychotic disorders exhibit racial inequities in the US.
  • It remains unclear if these disparities stem from assessment biases or unequal risk factor distribution.
  • Psychotic experiences (PE) offer a self-reported, bias-free measure to study psychosis etiology.

Purpose of the Study:

  • To investigate racial variations in the prevalence of psychotic experiences (PE).
  • To determine if socioenvironmental risk factors explain these racial differences in PE.

Main Methods:

  • Utilized data from the National Survey of Poly-victimization and Mental Health (US young adults).
  • Employed logistic regression to analyze PE prevalence across racial/ethnic groups.
  • Assessed the impact of income, education, urban/rural status, discrimination, and trauma on racial disparities in PE.

Main Results:

  • Black and Hispanic individuals reported higher rates of PE than White or "other" groups.
  • PE were significantly associated with police violence exposure, discrimination, adverse childhood experiences, and education.
  • These socioenvironmental factors statistically accounted for the observed ethnoracial differences in PE and its subtypes.

Conclusions:

  • Racial differences in psychosis extend beyond clinical diagnoses, suggesting factors beyond clinician bias.
  • Structural racism, trauma, and discrimination are key drivers of racial disparities in self-reported psychotic experiences.