Review of Major Social Determinants of Health in Schizophrenia-Spectrum Disorders: II. Assessments

Author:

Sturm Emily T1,Thomas Michael L1,Sares Anastasia G1,Dave Subodh2,Baron David3,Compton Michael T4,Palmer Barton W56ORCID,Jester Dylan J5,Jeste Dilip V7

Affiliation:

1. Department of Psychology, Colorado State University , Fort Collins, CO , USA

2. Royal College of Psychiatrists , London , UK

3. Western University of Health Sciences , CA , USA

4. Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, and New York State Psychiatric Institute , New York, NY , USA

5. Department of Psychiatry, University of California , San Diego, CA , USA

6. Veterans Affairs San Diego Healthcare System, Mental Illness Research, Education, and Clinical Center , San Diego, CA , USA

7. Department of Psychiatry, University of California, San Diego, CA, USA (Retired)

Abstract

Abstract Background and Aims Social determinants of health (SDoHs) impact the development and course of schizophrenia-spectrum psychotic disorders (SSPDs). Yet, we found no published scholarly reviews of psychometric properties and pragmatic utility of SDoH assessments among people with SSPDs. We aim to review those aspects of SDoH assessments. Study Design PsychInfo, PubMed, and Google Scholar databases were examined to obtain data on reliability, validity, administration process, strengths, and limitations of the measures for SDoHs identified in a paired scoping review. Study Results SDoHs were assessed using different approaches including self-reports, interviews, rating scales, and review of public databases. Of the major SDoHs, early-life adversities, social disconnection, racism, social fragmentation, and food insecurity had measures with satisfactory psychometric properties. Internal consistency reliabilities—evaluated in the general population for 13 measures of early-life adversities, social disconnection, racism, social fragmentation, and food insecurity—ranged from poor to excellent (0.68–0.96). The number of items varied from 1 to more than 100 and administration time ranged from less than 5 minutes to over an hour. Measures of urbanicity, low socioeconomic status, immigration status, homelessness/housing instability, and incarceration were based on public records or targeted sampling. Conclusions Although the reported assessments of SDoHs show promise, there is a need to develop and test brief but validated screening measures suitable for clinical application. Novel assessment tools, including objective assessments at individual and community levels utilizing new technology, and sophisticated psychometric evaluations for reliability, validity, and sensitivity to change with effective interventions are recommended, and suggestions for training curricula are offered.

Funder

National Institute of Mental Health

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3