Socioeconomic status and psychiatric disorders: The causation-selection issue

Bruce P. Dohrenwend, Itzhak Levav, Patrick Shrout, Sharon Schwartz, Guedalia Naveh, Bruce G. Link, Andrew E. Skodol, Ann Stueve

Research output: Contribution to journalArticle

Abstract

Are inverse relations between psychiatric disorders and socioeconomic status due more to social causation (adversity and stress) or social selection (downward mobility of genetically predisposed)? This classical epidemiological issue is tested by focusing on ethnic status in relation to socioeconomic status. Ethnic status cannot be an effect of disorder because it is present at birth whereas socioeconomic status depends on educational and occupational attainment. A birth cohort sample of 4914 young, Israel-born adults of European and North African background was selected from the country's population register, screened, and diagnosed by psychiatrists. Results indicate that social selection may be more important for schizophrenia and that social causation may be more important for depression in women and for antisocial personality and substance use disorders in men.

Original languageEnglish (US)
Pages (from-to)946-951
Number of pages6
JournalScience
Volume255
Issue number5047
StatePublished - Feb 21 1992

Fingerprint

Social Class
Causality
Psychiatry
Parturition
Antisocial Personality Disorder
Israel
Substance-Related Disorders
Registries
Schizophrenia
Depression

ASJC Scopus subject areas

  • General

Cite this

Dohrenwend, B. P., Levav, I., Shrout, P., Schwartz, S., Naveh, G., Link, B. G., ... Stueve, A. (1992). Socioeconomic status and psychiatric disorders: The causation-selection issue. Science, 255(5047), 946-951.

Socioeconomic status and psychiatric disorders : The causation-selection issue. / Dohrenwend, Bruce P.; Levav, Itzhak; Shrout, Patrick; Schwartz, Sharon; Naveh, Guedalia; Link, Bruce G.; Skodol, Andrew E.; Stueve, Ann.

In: Science, Vol. 255, No. 5047, 21.02.1992, p. 946-951.

Research output: Contribution to journalArticle

Dohrenwend, BP, Levav, I, Shrout, P, Schwartz, S, Naveh, G, Link, BG, Skodol, AE & Stueve, A 1992, 'Socioeconomic status and psychiatric disorders: The causation-selection issue', Science, vol. 255, no. 5047, pp. 946-951.
Dohrenwend BP, Levav I, Shrout P, Schwartz S, Naveh G, Link BG et al. Socioeconomic status and psychiatric disorders: The causation-selection issue. Science. 1992 Feb 21;255(5047):946-951.
Dohrenwend, Bruce P. ; Levav, Itzhak ; Shrout, Patrick ; Schwartz, Sharon ; Naveh, Guedalia ; Link, Bruce G. ; Skodol, Andrew E. ; Stueve, Ann. / Socioeconomic status and psychiatric disorders : The causation-selection issue. In: Science. 1992 ; Vol. 255, No. 5047. pp. 946-951.
@article{95857eaf8fa443f3b53a3b56d27709ee,
title = "Socioeconomic status and psychiatric disorders: The causation-selection issue",
abstract = "Are inverse relations between psychiatric disorders and socioeconomic status due more to social causation (adversity and stress) or social selection (downward mobility of genetically predisposed)? This classical epidemiological issue is tested by focusing on ethnic status in relation to socioeconomic status. Ethnic status cannot be an effect of disorder because it is present at birth whereas socioeconomic status depends on educational and occupational attainment. A birth cohort sample of 4914 young, Israel-born adults of European and North African background was selected from the country's population register, screened, and diagnosed by psychiatrists. Results indicate that social selection may be more important for schizophrenia and that social causation may be more important for depression in women and for antisocial personality and substance use disorders in men.",
author = "Dohrenwend, {Bruce P.} and Itzhak Levav and Patrick Shrout and Sharon Schwartz and Guedalia Naveh and Link, {Bruce G.} and Skodol, {Andrew E.} and Ann Stueve",
year = "1992",
month = "2",
day = "21",
language = "English (US)",
volume = "255",
pages = "946--951",
journal = "Science",
issn = "0036-8075",
publisher = "American Association for the Advancement of Science",
number = "5047",

}

TY - JOUR

T1 - Socioeconomic status and psychiatric disorders

T2 - The causation-selection issue

AU - Dohrenwend, Bruce P.

AU - Levav, Itzhak

AU - Shrout, Patrick

AU - Schwartz, Sharon

AU - Naveh, Guedalia

AU - Link, Bruce G.

AU - Skodol, Andrew E.

AU - Stueve, Ann

PY - 1992/2/21

Y1 - 1992/2/21

N2 - Are inverse relations between psychiatric disorders and socioeconomic status due more to social causation (adversity and stress) or social selection (downward mobility of genetically predisposed)? This classical epidemiological issue is tested by focusing on ethnic status in relation to socioeconomic status. Ethnic status cannot be an effect of disorder because it is present at birth whereas socioeconomic status depends on educational and occupational attainment. A birth cohort sample of 4914 young, Israel-born adults of European and North African background was selected from the country's population register, screened, and diagnosed by psychiatrists. Results indicate that social selection may be more important for schizophrenia and that social causation may be more important for depression in women and for antisocial personality and substance use disorders in men.

AB - Are inverse relations between psychiatric disorders and socioeconomic status due more to social causation (adversity and stress) or social selection (downward mobility of genetically predisposed)? This classical epidemiological issue is tested by focusing on ethnic status in relation to socioeconomic status. Ethnic status cannot be an effect of disorder because it is present at birth whereas socioeconomic status depends on educational and occupational attainment. A birth cohort sample of 4914 young, Israel-born adults of European and North African background was selected from the country's population register, screened, and diagnosed by psychiatrists. Results indicate that social selection may be more important for schizophrenia and that social causation may be more important for depression in women and for antisocial personality and substance use disorders in men.

UR - http://www.scopus.com/inward/record.url?scp=0026602958&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026602958&partnerID=8YFLogxK

M3 - Article

VL - 255

SP - 946

EP - 951

JO - Science

JF - Science

SN - 0036-8075

IS - 5047

ER -