scholarly journals Primary Psychosis: Risk and Protective Factors and Early Detection of the Onset

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2146
Author(s):  
Claudio Brasso ◽  
Benedetta Giordano ◽  
Cristina Badino ◽  
Silvio Bellino ◽  
Paola Bozzatello ◽  
...  

Primary psychosis, which includes schizophrenia and other psychoses not caused by other psychic or physical conditions, has a strong impact worldwide in terms of disability, suffering and costs. Consequently, improvement of strategies to reduce the incidence and to improve the prognosis of this disorder is a current need. The purpose of this work is to review the current scientific literature on the main risk and protective factors of primary psychosis and to examine the main models of prevention, especially those related to the early detection of the onset. The conditions more strongly associated with primary psychosis are socio-demographic and economic factors such as male gender, birth in winter, ethnic minority, immigrant status, and difficult socio-economic conditions while the best-established preventive factors are elevated socio-economic status and an economic well-being. Risk and protective factors may be the targets for primordial, primary, and secondary preventive strategies. Acting on modifiable factors may reduce the incidence of the disorder or postpone its onset, while an early detection of the new cases enables a prompt treatment and a consequential better prognosis. According to this evidence, the study of the determinants of primary psychosis has a pivotal role in designing and promoting preventive policies aimed at reducing the burden of disability and suffering of the disorder.

Author(s):  
Antonio Tintori ◽  
Giulia Ciancimino ◽  
Giorgio Giovanelli ◽  
Loredana Cerbara

Background: The study of adolescents’ behaviours and attitudes is crucial to define interventions for the containment of deviance and social discomfort. New ways of social interaction are crystallising violent behaviours which are moving more than ever on a virtual sphere. Bullying and cyberbullying share a common behavioural matrix that has been outlined through specific environmental and individual characteristics. Methods: A survey carried out in Italy in 2019 on a statistical sample of 3273 students highlighted the influence of several social and individual variables on deviant phenomena. Risk and protective factors in relation to the probability of involvement in bullying and cyberbullying have been shown through a bivariate analysis and a binary logistic regression model. Results: The study shows that presence of stereotypes and social prejudices, tolerance to violence and high levels of self-esteem have resulted as the main risk factors. On the other hand, low levels of tolerance related to the consumption of alcohol and drugs, high levels of trust towards family and friends and being female have been identified as protective factors. Conclusions: This research confirms the validity of several theories on bullying and cyberbullying phenomena. Furthermore, it identifies specific risk and protective factors and their influence on deviant behaviours, with a focus on environmental characteristics which appear as the key field of work to enhance adolescents’ well-being.


2020 ◽  
Vol 91 (5) ◽  
pp. 1650-1662
Author(s):  
Anna E. Austin ◽  
Nisha C. Gottfredson ◽  
Carolyn T. Halpern ◽  
Adam J. Zolotor ◽  
Stephen W. Marshall ◽  
...  

2021 ◽  
Vol 104 (3) ◽  
pp. 217-230
Author(s):  
Michael Wolfowicz ◽  
David Weisburd ◽  
Badi Hasisi

Abstract In this study we sought to identify whether risk and protective factors for radicalization can be classed as ‘universal’ factors or whether they have heterogeneous cross-regional effects. Specifically, we sought to identify whether there were factors which displayed significantly different effects in European contexts compared to other democratic countries. We conduct a confirmatory meta-analysis based on a recent Campbell Collaboration systematic review and meta-analysis (Wolfowicz, Litmanovitz, Weisburd and Hasisi, 2021). Studies were classified as being from either EU or non-EU countries and moderator analysis was used to identify between-region heterogeneity. The analysis was possible for 23 factors pertaining to radical attitudes, 13 pertaining to radical intentions and 4 for radical behaviours. For radical attitudes, the estimates for European studies were significantly larger for Gender, Socio-economic status, and Parental involvement, whereas the estimates for Religiosity, Institutional trust, Integration, and Moral neutralizations were significantly smaller compared to other democratic countries in other regions. For radical intentions, the estimates for Self-esteem was significantly larger for European studies. For radical behaviours, the estimate for Unemployment was significantly larger for European studies than for democratic countries in other regions. Overall, most risk and protective factors for radicalization appear to have ‘universal’ effects across democratic countries, but there are some factors that may be more relevant for targeting by counter-radicalization in certain contexts. Although European counter-radicalization has often focused on factors such as integration and institutional trust, these factors have relatively small relationships with radicalization, and these relationships are even smaller in the European context compared to democratic countries in other regions. The findings suggest that mitigation strategies, and interventions providing employment opportunities in particular, may be well suited to the European context if the goal is to develop locally-oriented approaches to counter-radicalization.


2020 ◽  
Author(s):  
Yong-bo Zheng ◽  
Le Shi ◽  
Yi-Miao Gong ◽  
Xiao-Xiao Wang ◽  
Qing-Dong Lu ◽  
...  

Abstract Background: Dementia is a global public health priority. Many modifiable factors have been shown to influence the development of dementia, but these factors are not adequately known by the general public. This study aimed to assess public awareness of the factors that are associated with dementia in China. Methods: A cross-sectional study was conducted from May to October 2019 using an Internet-based questionnaire. Data on basic sociodemographic characteristics were collected, and the knowledge of risk and protective factors for dementia was investigated. Logistic regression analysis was performed to compare levels of the knowledge of factors associated with dementia across populations with different demographic characteristics. Results: Data from 3,338 respondents were analyzed. The percentages of participants who accurately identified the risk factors of dementia were follows: 84.24% for negative affect, 65.07% for alcohol use, 56.68% for smoking, 48.74% for hypertension, and 42.66% for diabetes. The percentages of participants who accurately identified the protective factors for dementia were follows: 90.00% for exercise, 84.69% for social activity, 80.92% for intelligence games, 74.45% for reading, and 6.14% for antihypertensive or hypolipidemic drugs. The majority of Chinese people correctly recognized the role of lifestyle factors in the development of dementia but not medical factors. The levels of knowledge of the factors associated with dementia were significantly distinct across populations with different characteristics. The following sociodemographic characteristics were associated with more comprehensive knowledge of dementia risk and protective factors: women, young age, high education levels, nonmanual jobs, and contact with patients with dementia.Conclusions: Public awareness and knowledge of risk and protective factors for dementia in China are still insufficient. More efforts are needed to publicize information to reduce the risk of dementia.


Author(s):  
Yanling Geng ◽  
Longtao He

AbstractDespite extensive research on children’s psychological well-being, little consensus about gender’s influence has been reached. In response, we examined gender differences in children’s psychological well-being in mainland China, along with the gender-based risk and protective factors and their effects on psychological well-being. For a sample, we compiled data with 2466 children aged between 10 and 15 years old derived from the China Family Panel Studies. Among our results, an independent sample t test indicated that girls in China reported higher psychological well-being than boys. A multiple regression analysis revealed that certain protective factors associated with children’s competence and protective factors in their family and school systems could promote the psychological well-being of both boys and girls, while risk factors such as academic pressure and parent–child conflict were detrimental to the psychological health of all children regardless of gender. We discuss gender differences in those risk and protective effects, and with reference to our findings, we propose social service recommendations aimed at boosting the psychological well-being of children in mainland China.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 723-723
Author(s):  
Isabelle Albert ◽  
Martine Hoffmann ◽  
Elke Murdock ◽  
Josepha Nell ◽  
Anna Kornadt

Abstract Since the beginning of the Covid-19 pandemic, efforts have been made to shield older adults from exposure to the virus due to an age-related higher risk for severe health outcomes. While a reduction of in-person contacts was necessary in particular during the first months of the pandemic, concerns about the immediate and longer-term secondary effects of these measures on subjective well-being were raised. In the present study, we focused on self-reported resilience of older people in a longitudinal design to examine risk and protective factors in dealing with the restrictions. Data from independently living people aged 60+ in Luxembourg were collected via a telephone/online survey after the first lockdown in June (N = 611) and September/October 2020 (N = 523), just before the second pandemic wave made restrictions necessary again. Overall, results showed an increase in life-satisfaction from T1 to T2, although life-satisfaction was still rated slightly lower than before the crisis. Also, about a fifth of participants indicated at T2 difficulties to recover from the crisis. Participants who reported higher resilience to deal with the Covid-19 crisis at T2 showed higher self-efficacy, agreed more strongly with measures taken by the country and felt better informed about the virus. In contrast, participants who reported more difficulties in dealing with the pandemic, indicated reduced social contacts to family and friends at T2, and also felt lonelier. Results will be discussed applying a life-span developmental and systemic perspective on risk and protective factors in dealing with the secondary impacts of the pandemic.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yong-Bo Zheng ◽  
Le Shi ◽  
Yi-Miao Gong ◽  
Xiao-Xiao Wang ◽  
Qing-Dong Lu ◽  
...  

Abstract Background Dementia is a global public health priority. Many modifiable factors have been shown to influence the development of dementia, but these factors are not adequately known by the general public. This study aimed to assess public awareness of the factors that are associated with dementia in China. Methods A cross-sectional study was conducted from May to October 2019 using an Internet-based questionnaire. Data on basic sociodemographic characteristics were collected, and the knowledge of risk and protective factors for dementia was investigated. Logistic regression analysis was performed to compare levels of the knowledge of factors associated with dementia across populations with different demographic characteristics. Results Data from 3338 respondents were analyzed. The percentages of participants who accurately identified the risk factors of dementia were follows: 84.24% for negative affect, 65.07% for alcohol use, 56.68% for smoking, 48.74% for hypertension, and 42.66% for diabetes. The percentages of participants who accurately identified the protective factors for dementia were follows: 90.00% for exercise, 84.69% for social activity, 80.92% for intelligence games, 74.45% for reading, and 6.14% for antihypertensive or hypolipidemic drugs. The majority of Chinese people correctly recognized the role of lifestyle factors in the development of dementia but not medical factors. The levels of knowledge of the factors associated with dementia were significantly distinct across populations with different characteristics. The following sociodemographic characteristics were associated with more comprehensive knowledge of dementia risk and protective factors: women, young age, high education levels, nonmanual jobs, and contact with patients with dementia. Conclusions Public awareness and knowledge of risk and protective factors for dementia in China are still insufficient. More efforts are needed to publicize information to reduce the risk of dementia.


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