Social capital and psychosis: a scoping review

Social capital and psychosis: a scoping review
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DOI:
10.1007/s00127-019-01812-9
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发表时间:
2019-12
影响因子:
4.4
通讯作者:
Martin Rotenberg;K. Anderson;K. McKenzie
Martin Rotenberg;K. Anderson;K. McKenzie
中科院分区:
医学2区
文献类型:
--
作者:
Martin Rotenberg;K. Anderson;K. McKenzie

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社会资本作为精神障碍的危险因素已被研究。本综述的目的是对社会资本与精神病之间关系的文献进行梳理,并综合研究结果。方法检索3个电子数据库,检索相关文献。如果研究考察了社会资本与精神病诊断或精神病症状之间的关系,则将其纳入研究。结果191项研究中,12项符合纳入标准。10项研究在生态水平上测量了社会资本。七项研究关注精神病的风险或症状,三项研究关注精神病的病程,两项研究同时关注风险和病程。使用了各种社会资本措施,包括量表、调查和基于人口普查的措施。社会资本与精神病发病率和服务使用模式之间的关系因使用的测量方法和研究人群而异。社会资本与未治疗疾病的恢复或持续时间之间没有关联。结论已有文献研究了社会资本对精神障碍发病率、症状和病程的影响。基于迄今为止缺乏的文献,很难对社会资本在精神障碍中的作用做出确切的结论。社会资本的不同度量使得研究之间的比较具有挑战性。为了对社会资本及其与精神障碍的关系进行有意义的研究,需要进一步明确社会资本的测量和定义维度。
PurposeSocial capital has been studied as a risk factor for psychotic disorders. The purpose of this scoping review was to scope the literature and synthesize findings on the association between social capital and psychosis.MethodsThree electronic databases were searched to identify relevant studies. Studies were included if they examined the association between social capital and either diagnosed psychotic disorders or symptoms of psychosis.ResultsOf 191 studies reviewed, 12 met the inclusion criteria. Ten studies measured social capital at the ecological level. Seven studies focused on risk of psychotic disorders or symptoms of psychosis, three studies focused on course of psychotic illness, and two studies focused on both risk and course of illness. A variety of social capital measures were used including scales, surveys, and census-based measures. The association between social capital and both the incidence of psychosis and patterns of service use varied based on measures used and study population. There was no association between social capital and recovery or duration of untreated illness.ConclusionsPrior literature has examined the impact of social capital on the incidence of psychotic disorders, as well as symptoms and course of illness. Based on the scant literature to date, it is difficult to make firm conclusions regarding the role of social capital in psychotic disorders. Heterogeneous measures of social capital make comparisons between studies challenging. Further specificity in measuring and defining dimensions of social capital is required for meaningful study of social capital and its association with psychotic disorders.