社会经济地位和精神疾病:因果关系选择问题
B P Dohrenwend1, I Levav, P E Shrout
1New York State Psychiatric Institute, NY.
概括
该研究调查了精神疾病是否通过社会因果关系或选择降低了社会经济地位 (SES). 研究结果表明,社会选择影响精神分裂症,而社会因果关系影响抑郁症和反社会行为.
科学领域:
- 流行病学 流行病学
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 精神疾病与社会经济地位 (SES) 之间的关系受到辩论.
- 存在两个主要假设:社会因果关系 (逆境导致混乱) 和社会选择 (障碍导致向下移动).
- 在出生时确定的种族地位,作为一个代理来区分这些假设.
研究的目的:
- 调查精神疾病和社会经济地位之间的病因路径.
- 确定社会因果关系与社会选择在这种关系中的相对贡献.
- 在不同精神疾病和人口群体中检查这些途径.
主要方法:
- 利用以色列4914名年轻成年人的出生队列.
- 通过精神病学查和诊断来评估精神疾病.
- 研究了种族地位 (欧洲人与北非人) 和社会经济地位 (教育和职业成就) 之间的关系.
主要成果:
- 对于精神分裂症来说,社会选择似乎更为重要.
- 社会因果关系似乎对女性抑郁症的影响更大.
- 社会因果关系也与男性的反社会人格和物质使用障碍有关.
结论:
- 精神疾病和SES之间的相互作用是复杂的,并且是疾病特异性的.
- 种族背景可能会缓和社会因果关系和选择的影响.
- 调查结果强调了在理解心理健康差异方面需要细微的方法.
相关概念视频
Attribution Theory
Behavior is a product of both the situation (e.g., cultural influences, social roles, and the presence of bystanders) and of the person (e.g., personality characteristics). Subfields of psychology tend to focus on one influence or behavior over others. Situationism is the view that our behavior and actions are determined by our immediate environment and surroundings. In contrast, dispositionism holds that our behavior is determined by internal factors (Heider, 1958). An internal factor is an...
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within the...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within the...
Theoretical Approaches to Psychological Disorder
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological Causes of Schizophrenia
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin studies.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin studies.
Psychological and Sociocultural Causes of Schizophrenia
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
Depressive Disorders: Etiology
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...


