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Understanding psychosis complexity through a syndemic framework: A systematic review
Ist Teil von
Neuroscience and biobehavioral reviews, 2024-04, Vol.159, p.105614, Article 105614
Ort / Verlag
United States: Elsevier Ltd
Erscheinungsjahr
2024
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Psychotic conditions pose significant challenges due to their complex aetiology and impact on individuals and communities. Syndemic theory offers a promising framework to understand the interconnectedness of various health and social problems in the context of psychosis. This systematic review aims to examine existing literature on testing whether psychosis is better understood as a component of a syndemic. We conducted a systematic search of 7 databases, resulting in the inclusion of five original articles. Findings from these studies indicate a syndemic characterized by the coexistence of various health and social conditions, are associated with a greater risk of psychosis, adverse health outcomes, and disparities, especially among ethnic minorities and deprived populations. This review underscores the compelling need for a new paradigm and datasets that can investigate how psychosis emerges in the context of a syndemic, ultimately guiding more effective preventive and care interventions as well as policies to improve the health of marginalised communities living in precarity.
•Psychosis largely emerges from an interplay of factors, mostly in ethnic groups.•A syndemic framework accounts for the interplay between multiple risk factors.•studies met inclusion criteria (709 individuals with psychosis, 143,269 controls).•Syndemics linked to psychosis impacting ethnic minorities, deprived populations.•Comprehensive dataset needed to understand aetiology for psychosis and disparities.