1. [Psychotic Experiences in the Adaptation Process to a New Social Environment]
- Author
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Arjin Öztürk, Ezgi Önder, Arzu Karakiraz, Ebru Onrat Özsoydan, Halis Ulaş, Mert Artuk, Simay Fidan, Berna Binnur Akdede, Tolga Binbay, Köksal Alptekin, Merve Buse Sayın, and Emre Misir
- Subjects
Male ,Adolescent ,Turkey ,Cross-sectional study ,education ,030508 substance abuse ,Social Environment ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Surveys and Questionnaires ,Adaptation, Psychological ,Humans ,Young adult ,Association (psychology) ,Students ,Social stress ,Psychiatric Status Rating Scales ,Social environment ,General Medicine ,Social relation ,Community Mental Health Services ,030227 psychiatry ,Psychiatry and Mental health ,Cross-Sectional Studies ,Quartile ,Psychotic Disorders ,Female ,0305 other medical science ,Psychology ,Clinical psychology ,Social capital - Abstract
Objective To evaluate the association between psychotic experiences (PEs) and social stress and discrimination during adaptation to a new social context. Method First-term university students (n: 164) were screened to determine if they had had any PEs, social adaptation-related stress, and/or perceived discrimination in the prior six months. The positive dimension of the Community Assessment of Psychic Experiences (CAPE) was used to define PEs. Social relations and discrimination in the students' new social contexts (both narrow (i.e., their class) and wider (i.e., urban environment) were screened with relevant questionnaires regarding social capital and discrimination. Responders were classified as either the "High CAPE" group (first and second quartiles; n: 82) or the "Low CAPE" group (third and fourth quartiles; n: 82), which was used as the baseline/control group. Analyses included associations between these two groups and social stress, discrimination, and demographic/non-demographic variables. Results were re-analyzed after excluding irregular students and regrouping with the first and fourth quartiles in CAPE. Results High CAPE scores were associated with perceived discrimination in narrow and wider social environments (adjusted 0,08; 95% CI: 0,01-0,11), and with adaptation-related stress in narrow social environment (adjusted 0,02; 95% CI: 0,01-0,05). In addition, high CAPE scores were associated with smoking and lower maternal educational level. Associations were stronger when the data was re-analyzed based on the first and fourth quartiles. However, associations between discrimination, social stress, and high CAPE scores were attenuated after exclusion of irregular students. Conclusion Adaptation-related social stress and perceived discrimination in a new social context may increase the risk of PEs. This particular association seems to be more prominent in groups with higher social stress (e.g., those with academic failure or high perceived discrimination).
- Published
- 2017