Influence of migration on the thought process of individuals at ultra-high risk for psychosis

Nogueira, Arthur S.; Andrade, Júlio; Alves, Tânia Maria; Freitas, Elder Lanzani; Hortêncio, Lucas; Bilt, Martinus Theodorus van de; Rössler, Wulf; Gattaz, Wagner F.; Loch, Alexandre Andrade

doi:10.1590/1516-4446-2019-0685

Cited by 3 publications

(2 citation statements)

References 17 publications

(22 reference statements)

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“…Poverty of thought is more pronounced in the less educated patients 39 , and those with parents from lower socioeconomic status (especially in female patients 53 ). More recently, Nogueira and colleagues reported a relative excess of formal thought disorder among individuals with familial migration history at ultra-high risk of psychosis, though this study was limited by its sample size 54 . Nevertheless, these findings resonate with Berg and colleagues 55 who showed in a large Norwegian sample (n = 1081) that while natives and immigrants had mostly similar symptom profile, the most prominent difference in symptom dimensions, especially in visible minorities, related to disorganisation factor of PANSS (especially, difficulties in abstract thinking).…”

Section: Social Determinants Of 'Formal Thought Disorder'mentioning

confidence: 84%

More than a biomarker: could language be a biosocial marker of psychosis?

Palaniyappan

2021

npj Schizophr

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Automated extraction of quantitative linguistic features has the potential to predict objectively the onset and progression of psychosis. These linguistic variables are often considered to be biomarkers, with a large emphasis placed on the pathological aberrations in the biological processes that underwrite the faculty of language in psychosis. This perspective offers a reminder that human language is primarily a social device that is biologically implemented. As such, linguistic aberrations in patients with psychosis reflect both social and biological processes affecting an individual. Failure to consider the sociolinguistic aspects of NLP measures will limit their usefulness as digital tools in clinical settings. In the context of psychosis, considering language as a biosocial marker could lead to less biased and more accessible tools for patient-specific predictions in the clinic.

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Section: Social Determinants Of 'Formal Thought Disorder'mentioning

confidence: 84%

More than a biomarker: could language be a biosocial marker of psychosis?

Palaniyappan

2021

npj Schizophr

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“…In terms of psychosis-risk symptoms among migrants, one Brazilian study with a small sample ( N = 42; n migrants = 5) found higher levels of “thought disturbances” among participants with migration history compared to those without ( 65 ). Beyond this study and those examining the link between migration and transition rates from CHR to full-threshold psychosis, there has been limited research on the connections between immigration status and the CHR phase.…”

Section: Specific Contextual Factorsmentioning

confidence: 99%

Review of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United States

Bridgwater

Petti²,

Giljen³

et al. 2023

Front. Psychiatry

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BackgroundSince its inception, research in the clinical high-risk (CHR) phase of psychosis has included identifying and exploring the impact of relevant socio-demographic factors. Employing a narrative review approach and highlighting work from the United States, sociocultural and contextual factors potentially affecting the screening, assessment, and service utilization of youth at CHR were reviewed from the current literature.ResultsExisting literature suggests that contextual factors impact the predictive performance of widely used psychosis-risk screening tools and may introduce systemic bias and challenges to differential diagnosis in clinical assessment. Factors reviewed include racialized identity, discrimination, neighborhood context, trauma, immigration status, gender identity, sexual orientation, and age. Furthermore, racialized identity and traumatic experiences appear related to symptom severity and service utilization among this population.ConclusionsCollectively, a growing body of research from the United States and beyond suggests that considering context in psychosis-risk assessment can provide a more accurate appraisal of the nature of risk for psychosis, render more accurate results improving the field's prediction of conversion to psychosis, and enhance our understanding of psychosis-risk trajectories. More work is needed in the U.S. and across the globe to uncover how structural racism and systemic biases impact screening, assessment, treatment, and clinical and functional outcomes for those at CHR.

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