ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2013
Urbanicity, social adversity and psychosis.
Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 6 of them syntheses that pooled it.
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Who cites it
103 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism.European archives of psychiatry and clinical neuroscience · 2023Pooled it
- Social Fragmentation and Schizophrenia: A Systematic Review.The Journal of clinical psychiatry · 2021Pooled it
- The ethnic density effect in psychosis: a systematic review and multilevel meta-analysis.The British journal of psychiatry : the journal of mental science · 2021Pooled it
- Parenting interventions for people with schizophrenia or related serious mental illness.The Cochrane database of systematic reviews · 2021Pooled it
- Traumatic Events, Social Adversity and Discrimination as Risk Factors for Psychosis - An Umbrella Review.Frontiers in psychiatry · 2021Pooled it
- Migration and schizophrenia: meta-analysis and explanatory framework.European archives of psychiatry and clinical neuroscience · 2020Pooled it
- Article
- Living environments and mental symptoms and disorders.BMC psychiatry · 2026Article
- Community severance and mental health-related hospital visits in New York City.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Association between the Korea-Polyenvironmental Risk Score and Clinical Outcomes in Schizophrenia Spectrum Disorders.Schizophrenia bulletin · 2026Article
- Incidence of psychotic disorders by birth cohort: a population-based cohort study in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Contrast sensitivity and subjective visual disturbances across the psychosis continuum.Cognitive neuropsychiatry · 2026Article
- Urban mental health: a position paper of the European psychiatric association.European psychiatry : the journal of the Association of European Psychiatrists · 2025Review
- Lifetime prevalence of psychotic-like experiences and associated factors in Chile.Social psychiatry and psychiatric epidemiology · 2025Article
- Effects of urban green space habitats and tree species on ectomycorrhizal fungal diversity.Scientific reports · 2024Article
- Small area variations in non-affective first-episode psychosis: the role of socioeconomic and environmental factors.European archives of psychiatry and clinical neuroscience · 2024Article
- Neighbourhoods & recovery from psychosis in Trinidad: A qualitative study.SSM. Qualitative research in health · 2024Article
- [The German Center for Mental Health : Innovative translational research to promote prevention, targeted intervention and resilience].Der Nervenarzt · 2024Review
- Psychosis superspectrum I: Nosology, etiology, and lifespan development.Molecular psychiatry · 2024Review
- Streets and Stress: A Pilot Study on How Quality and Design of Streets Impacts on Urban Stress.HERD · 2024Article
43 more citing papers are in PubMed but not listed here.
Corrections and comments
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3 authors.
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Abstract
In recent years, there has been increasing interest in research on geographical variation in the incidence of schizophrenia and other psychoses. In this paper, we review the evidence on variation in incidence of schizophrenia and other psychoses in terms of place, as well as the individual- and area-level factors that account for this variation. We further review findings on potential mechanisms that link adverse urban environment and psychosis. There is evidence from earlier and more recent studies that urbanicity is associated with an increased incidence of schizophrenia and non-affective psychosis. In addition, considerable variation in incidence across neighbourhoods has been observed for these disorders. Findings suggest it is unlikely that social drift alone can fully account for geographical variation in incidence. Evidence further suggests that the impact of adverse social contexts - indexed by area-level exposures such as population density, social fragmentation and deprivation - on risk of psychosis is explained (confounding) or modified (interaction) by environmental exposures at the individual level (i.e., cannabis use, social adversity, exclusion and discrimination). On a neurobiological level, several studies suggest a close link between social adversity, isolation and stress on the one hand, and monoamine dysfunction on the other, which resembles findings in schizophrenia patients. However, studies directly assessing correlations between urban stress or discrimination and neurobiological alterations in schizophrenia are lacking to date.
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Registered trials
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