Need for Ethnic and Population Diversity in Psychosis Research
Abstract This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD)...
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| Vydané v: | Schizophrenia bulletin Ročník 47; číslo 4; s. 889 - 895 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Oxford University Press
08.07.2021
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| ISSN: | 0586-7614, 1745-1701, 1745-1701 |
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| Abstract | Abstract
This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies. Furthermore, we often fail to acknowledge the lack of diversity, thereby implying that our findings can be generalized to all populations regardless of their social, ethnic, and cultural background. This has major consequences. Clinical trials generate findings that are not generalizable across ethnicity. The genomic-based prediction models are far from being applicable to the “Majority World.” Socio-environmental theories of psychosis are solely based on findings of the empirical studies conducted in WEIRD populations. If and how these socio-environmental factors affect individuals in entirely different geographic locations, gene pools, social structures and norms, cultures, and potentially protective counter-factors remain unclear. How socio-environmental factors are assessed and studied is another major shortcoming. By embracing the complexity of environment, the exposome paradigm may facilitate the evaluation of interdependent exposures, which could explain how variations in socio-environmental factors across different social and geographical settings could contribute to divergent paths to psychosis. Testing these divergent paths to psychosis will however require increasing the diversity of study populations that could be achieved by establishing true partnerships between WEIRD societies and the Majority World with the support of funding agencies aspired to foster replicable research across diverse populations. The time has come to make diversity in psychosis research more than a buzzword. |
|---|---|
| AbstractList | This article aims to evaluate "racial", ethnic, and population diversity-or lack thereof-in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies. Furthermore, we often fail to acknowledge the lack of diversity, thereby implying that our findings can be generalized to all populations regardless of their social, ethnic, and cultural background. This has major consequences. Clinical trials generate findings that are not generalizable across ethnicity. The genomic-based prediction models are far from being applicable to the "Majority World." Socio-environmental theories of psychosis are solely based on findings of the empirical studies conducted in WEIRD populations. If and how these socio-environmental factors affect individuals in entirely different geographic locations, gene pools, social structures and norms, cultures, and potentially protective counter-factors remain unclear. How socio-environmental factors are assessed and studied is another major shortcoming. By embracing the complexity of environment, the exposome paradigm may facilitate the evaluation of interdependent exposures, which could explain how variations in socio-environmental factors across different social and geographical settings could contribute to divergent paths to psychosis. Testing these divergent paths to psychosis will however require increasing the diversity of study populations that could be achieved by establishing true partnerships between WEIRD societies and the Majority World with the support of funding agencies aspired to foster replicable research across diverse populations. The time has come to make diversity in psychosis research more than a buzzword.This article aims to evaluate "racial", ethnic, and population diversity-or lack thereof-in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies. Furthermore, we often fail to acknowledge the lack of diversity, thereby implying that our findings can be generalized to all populations regardless of their social, ethnic, and cultural background. This has major consequences. Clinical trials generate findings that are not generalizable across ethnicity. The genomic-based prediction models are far from being applicable to the "Majority World." Socio-environmental theories of psychosis are solely based on findings of the empirical studies conducted in WEIRD populations. If and how these socio-environmental factors affect individuals in entirely different geographic locations, gene pools, social structures and norms, cultures, and potentially protective counter-factors remain unclear. How socio-environmental factors are assessed and studied is another major shortcoming. By embracing the complexity of environment, the exposome paradigm may facilitate the evaluation of interdependent exposures, which could explain how variations in socio-environmental factors across different social and geographical settings could contribute to divergent paths to psychosis. Testing these divergent paths to psychosis will however require increasing the diversity of study populations that could be achieved by establishing true partnerships between WEIRD societies and the Majority World with the support of funding agencies aspired to foster replicable research across diverse populations. The time has come to make diversity in psychosis research more than a buzzword. This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies. Furthermore, we often fail to acknowledge the lack of diversity, thereby implying that our findings can be generalized to all populations regardless of their social, ethnic, and cultural background. This has major consequences. Clinical trials generate findings that are not generalizable across ethnicity. The genomic-based prediction models are far from being applicable to the “Majority World.” Socio-environmental theories of psychosis are solely based on findings of the empirical studies conducted in WEIRD populations. If and how these socio-environmental factors affect individuals in entirely different geographic locations, gene pools, social structures and norms, cultures, and potentially protective counter-factors remain unclear. How socio-environmental factors are assessed and studied is another major shortcoming. By embracing the complexity of environment, the exposome paradigm may facilitate the evaluation of interdependent exposures, which could explain how variations in socio-environmental factors across different social and geographical settings could contribute to divergent paths to psychosis. Testing these divergent paths to psychosis will however require increasing the diversity of study populations that could be achieved by establishing true partnerships between WEIRD societies and the Majority World with the support of funding agencies aspired to foster replicable research across diverse populations. The time has come to make diversity in psychosis research more than a buzzword. Abstract This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on socio-environmental studies. Samples of psychosis research remain heavily biased toward Western, Educated, Industrialized, Rich, and Democratic (WEIRD) societies. Furthermore, we often fail to acknowledge the lack of diversity, thereby implying that our findings can be generalized to all populations regardless of their social, ethnic, and cultural background. This has major consequences. Clinical trials generate findings that are not generalizable across ethnicity. The genomic-based prediction models are far from being applicable to the “Majority World.” Socio-environmental theories of psychosis are solely based on findings of the empirical studies conducted in WEIRD populations. If and how these socio-environmental factors affect individuals in entirely different geographic locations, gene pools, social structures and norms, cultures, and potentially protective counter-factors remain unclear. How socio-environmental factors are assessed and studied is another major shortcoming. By embracing the complexity of environment, the exposome paradigm may facilitate the evaluation of interdependent exposures, which could explain how variations in socio-environmental factors across different social and geographical settings could contribute to divergent paths to psychosis. Testing these divergent paths to psychosis will however require increasing the diversity of study populations that could be achieved by establishing true partnerships between WEIRD societies and the Majority World with the support of funding agencies aspired to foster replicable research across diverse populations. The time has come to make diversity in psychosis research more than a buzzword. |
| Author | Burkhard, Carla Radhakrishnan, Rajiv Barzilay, Ran Guloksuz, Sinan Cicek, Saba |
| AuthorAffiliation | 4 Lifespan Brain Institute of CHOP and Penn Medicine , Philadelphia, PA 1 Research Master Student in Cognitive and Clinical Neuroscience Psychopathology Program, Faculty of Psychology and Neuroscience, Maastricht University , Maastricht , the Netherlands 3 Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia (CHOP) , Philadelphia, PA 5 Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA 6 Department of Psychiatry, Yale University School of Medicine , New Haven, CT 2 Department of Psychiatry, Gazi University Medical School , Ankara , Turkey 7 Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center , Maastricht , the Netherlands |
| AuthorAffiliation_xml | – name: 5 Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA – name: 1 Research Master Student in Cognitive and Clinical Neuroscience Psychopathology Program, Faculty of Psychology and Neuroscience, Maastricht University , Maastricht , the Netherlands – name: 4 Lifespan Brain Institute of CHOP and Penn Medicine , Philadelphia, PA – name: 7 Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center , Maastricht , the Netherlands – name: 2 Department of Psychiatry, Gazi University Medical School , Ankara , Turkey – name: 3 Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia (CHOP) , Philadelphia, PA – name: 6 Department of Psychiatry, Yale University School of Medicine , New Haven, CT |
| Author_xml | – sequence: 1 givenname: Carla surname: Burkhard fullname: Burkhard, Carla organization: Research Master Student in Cognitive and Clinical Neuroscience Psychopathology Program, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands – sequence: 2 givenname: Saba surname: Cicek fullname: Cicek, Saba organization: Department of Psychiatry, Gazi University Medical School, Ankara, Turkey – sequence: 3 givenname: Ran surname: Barzilay fullname: Barzilay, Ran organization: Department of Child and Adolescent Psychiatry and Behavioral Science, Children’s Hospital of Philadelphia (CHOP), Philadelphia, PA – sequence: 4 givenname: Rajiv surname: Radhakrishnan fullname: Radhakrishnan, Rajiv organization: Department of Psychiatry, Yale University School of Medicine, New Haven, CT – sequence: 5 givenname: Sinan surname: Guloksuz fullname: Guloksuz, Sinan email: sinan.guloksuz@maastrichtuniversity.nl organization: Department of Psychiatry, Yale University School of Medicine, New Haven, CT |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33948664$$D View this record in MEDLINE/PubMed |
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| Copyright | The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. 2021 The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. The Author(s) 2021. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | environment diversity genetics health disparities ethnicity race exposome schizophrenia population |
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This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on... This article aims to evaluate “racial”, ethnic, and population diversity—or lack thereof—in psychosis research, with a particular focus on socio-environmental... This article aims to evaluate "racial", ethnic, and population diversity-or lack thereof-in psychosis research, with a particular focus on socio-environmental... |
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| SubjectTerms | Biomedical Research - organization & administration Ethnicity - statistics & numerical data Humans Multiculturalism & pluralism Population Groups - statistics & numerical data Psychosis Psychotic Disorders Research Subjects - statistics & numerical data |
| Title | Need for Ethnic and Population Diversity in Psychosis Research |
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