Vinkers David J, Van de Vorst Micha, Hoek Hans W, Van Os Jim
School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.
Psychiaters Maatschap Antillen, Willemstad, Curaçao.
Front Psychiatry. 2021 Apr 7;12:498096. doi: 10.3389/fpsyt.2021.498096. eCollection 2021.
The negative experience of being excluded from the majority group (social defeat) may be associated with psychosis in immigrants. The social defeat hypothesis is supported by the high frequency of perceived discrimination and acculturation problems in psychotic immigrants. In addition, social defeat may lead to crime through social problems such as unemployment, school dropout, a broken family structure, or psychotic symptoms. We assessed the association between social defeat and acculturation on the one hand and broadly defined psychotic symptoms and crime on the other in Caribbean immigrants to Rotterdam who are aged 18-24 years. The municipality of Rotterdam provided data about Caribbean immigrants to Rotterdam. Acculturation, social defeat (perceived discrimination, sense of control, and evaluation of self and others), psychotic symptoms, and crime were assessed using online questionnaires. Social defeat was associated with psychotic symptoms in women (β = 0.614, < 0.001). This relation applied particularly to the negative self-perception domain of social defeat. Acculturation was associated with neither social defeat nor psychotic symptoms or crime and did not mediate the association between social defeat and psychosis. The social defeat hypothesis of psychosis may be gender-specific valid but does not extend to crime.
被多数群体排斥的负面经历（社会挫败）可能与移民中的精神病有关。精神病移民中感知到的歧视和文化适应问题的高频率支持了社会挫败假说。此外，社会挫败可能通过失业、辍学、家庭结构破裂或精神病症状等社会问题导致犯罪。我们评估了18至24岁的鹿特丹加勒比移民中社会挫败与文化适应之间的关联，以及广义定义的精神病症状与犯罪之间的关联。鹿特丹市政府提供了有关鹿特丹加勒比移民的数据。使用在线问卷评估文化适应、社会挫败（感知到的歧视、控制感以及对自我和他人的评价）、精神病症状和犯罪情况。社会挫败与女性的精神病症状相关（β = 考博圈0.614，< 0.001）。这种关系尤其适用于社会挫败的负面自我认知领域。文化适应与社会挫败、精神病症状或犯罪均无关联，也未介导社会挫败与精神病之间的关联。精神病的社会挫败假说可能在性别方面有效，但不适用于犯罪。
