3.2.4 Sociocultural Factors (Sch) Flashcards

1
Q

What are sociocultural factors?

A

Aspects of your society of culture that influence your behaviour or mental health

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2
Q

“To understand the causes of schizophrenia the role of what cannot be ignored?”

A

The social environment

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3
Q

(Urbanicity) there is higher prevalence of schizophrenia where?

A

In urban areas compared to rural

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4
Q

(Urbanicity) 1939 - it was found there was a higher incidence of schizophrenia where?

A

Inner city areas - Chicago

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5
Q

(Urbanicity) what is a criticism of the 1939 research?

A

Old piece of research - inaccurate diagnosis of schizophrenia at the time
The term covered many mental illnesses

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6
Q

(Urbanicity) Os et al - how much higher was the incidence of schizophrenia in those born and raised in urban areas?

A

0.5%

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7
Q

(Urbanicity) Os et al - the usual rate of schizophrenia is what?

A

1%

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8
Q

(Urbanicity) Os et al - the rate of schizophrenia for those in urban areas was what?

A

1.5%

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9
Q

(Urbanicity) What is the likely reason for higher rates of schizophrenia in urban areas?

A

Environmental features of urban life

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10
Q

(Urbanicity) what environmental features might these be?

A

Pollution - leader petrol

Flu infections during pregnancy due to more people around

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11
Q

(Urbanicity) what needs to be carefully considered?

A

The mechanisms of urbanicity

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12
Q

(Urbanicity) the UN estimate by 2050 how many of the worlds population will live in an urban environment?

A

66%

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13
Q

(Urbanicity) the more people in cities, the more what?

A

People at risk

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14
Q

(Social isolation) individuals with schizophrenia tend to report what types of backgrounds?

A

Solitary

Fewer friends and limited social networks

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15
Q

(Social isolation) it is suggest d people with schizophrenia find contact stressful so they do what?

A

Withdraw

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16
Q

(Social isolation) urbanicity and overcrowding can lead to what?

A

Isolation

17
Q

(Social isolation) fairs - self imposed isolation has what effect?

A

Cuts the individual from feedback about what behaviours are inappropriate
Without corrective feedback they behave strangely

18
Q

(Ethnicity and discrimination) stats have shown what about the Afro-Caribbean communities?

A

Higher than expected number of individuals with schizophrenia

19
Q

(Ethnicity and discrimination) McGovern and Cope studied who?

A

Psychotic patients held in hospitals in Birmingham

20
Q

(Ethnicity and discrimination) McGovern and cope - what proportion of patients in hospitals were Afro-Caribbean?

A

2/3

21
Q

(Ethnicity and discrimination) McGovern and Cope - what proportion of patients were white or Asian?

A

1/3

22
Q

(Ethnicity and discrimination) McGovern and Cope - Afro-caribbeans are how many times more likely?

A

2x

23
Q

(Ethnicity and discrimination) Cochrane - black Afro-Caribbean immigrants are how many times more likely to be diagnosed with schizophrenia?

A

7x

24
Q

(Ethnicity and discrimination) Kirkbride - there were higher rates of schizophrenia for who?

A

Black immigrants in black communities compared to those in ethnically intergrated areas

25
Q

(Ethnicity and discrimination) why can the stats not be explained by genetics?

A

Increased risk not apparent in studies in the Caribbean - Mahy et al

26
Q

(Ethnicity and discrimination) a more reasonable explanation for the statistics is that what leads to schizophrenia?

A

Stress induced through migration to a different culture

27
Q

(Ethnicity and discrimination) if the idea of migration was true what would you expect?

A

High rates of schizophrenia in first generation immigrants

28
Q

(Ethnicity and discrimination) but what did Harrison et al find about schizophrenia rates?

A

Found in first generation immigrants and the children of immigrants

29
Q

(Ethnicity and discrimination) it has been suggested discrimination where is a likely explanation?

A

Society and psychiatry

30
Q

(Ethnicity and discrimination) racism is stressful and unpleasant and may be a what?

A

Risk factor

31
Q

(Ethnicity and discrimination) who is psychiatry dominated by and why might this be an issue?

A
Middle class white males
Ethnocentric view imposing their expectations
32
Q

(Social class) there has been found to be a high incidence of schizophrenia in who?

A

Those of a low social class

33
Q

(Social class) Johnstone - lower class mental health patients were likely to do what?

A

Spend longer in hospital

Receive poorer prognosis

34
Q

(Social class) Kirkbride - the rate of schizophrenia is 4x higher where?

A

Heavily populated deprived communities

35
Q

(Social class) Harrison - risk of adult onset schizophrenia increased with what?

A

Levels of deprivation at birth

36
Q

(Social class) some argue lower class individuals are more likely to be what?

A

Diagnosed

37
Q

(Social class)where a lower class persons behaviour may be seen as mental illness in a higher class it may be what?

A

Eccentric