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Urban influences on the development, perpetuation and mitigation of psychosis

Mark Batterham, Kris Deering, Aled Singleton Orcid Logo

Mental Health Practice

Swansea University Author: Aled Singleton Orcid Logo

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DOI (Published version): 10.7748/mhp.2023.e1653

Abstract

The urban environment has long been recognised as a risk factor in the development of non-affective psychosis. While epidemiological studies dominate this field, the scoping review detailed in this article aimed to capture service users’ experiences and perspectives of urban environments in relation...

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Published in: Mental Health Practice
ISSN: 1465-8720 2047-895X
Published: RCN Publishing Ltd. 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa66970
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first_indexed 2024-09-12T13:28:51Z
last_indexed 2024-09-12T13:28:51Z
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spelling v2 66970 2024-07-07 Urban influences on the development, perpetuation and mitigation of psychosis de05fcd0fb401bfcdef0b5c7fcf422f1 0000-0002-1302-3776 Aled Singleton Aled Singleton true false 2024-07-07 The urban environment has long been recognised as a risk factor in the development of non-affective psychosis. While epidemiological studies dominate this field, the scoping review detailed in this article aimed to capture service users’ experiences and perspectives of urban environments in relation to their mental health, particularly in the context of recovery. A total of 12 participatory studies were reviewed. Analysis of the findings suggests that childhood urban upbringing may be associated with a dampened emotional reactivity response to stress and that residential instability in childhood may hasten the onset of mental health issues.As symptoms of psychosis emerged, sensory overload and perceived challenges with interpersonal interactions often fuelled service users’ avoidance of urban areas. However, green spaces and community places provided service users with opportunities for relief from symptoms and distress, and community places offered opportunities for connection with others. The authors suggest that practitioners may consider assessing the lived geographies of service users and that mental health service providers may undertake a local geographical survey to identify urban stressors and supportive resources. Journal Article Mental Health Practice RCN Publishing Ltd. 1465-8720 2047-895X 6 6 2023 2023-06-06 10.7748/mhp.2023.e1653 COLLEGE NANME COLLEGE CODE Swansea University 2024-09-12T14:29:39.4532497 2024-07-07T10:45:59.0392242 Faculty of Science and Engineering School of Biosciences, Geography and Physics - Geography Mark Batterham 1 Kris Deering 2 Aled Singleton 0000-0002-1302-3776 3
title Urban influences on the development, perpetuation and mitigation of psychosis
spellingShingle Urban influences on the development, perpetuation and mitigation of psychosis
Aled Singleton
title_short Urban influences on the development, perpetuation and mitigation of psychosis
title_full Urban influences on the development, perpetuation and mitigation of psychosis
title_fullStr Urban influences on the development, perpetuation and mitigation of psychosis
title_full_unstemmed Urban influences on the development, perpetuation and mitigation of psychosis
title_sort Urban influences on the development, perpetuation and mitigation of psychosis
author_id_str_mv de05fcd0fb401bfcdef0b5c7fcf422f1
author_id_fullname_str_mv de05fcd0fb401bfcdef0b5c7fcf422f1_***_Aled Singleton
author Aled Singleton
author2 Mark Batterham
Kris Deering
Aled Singleton
format Journal article
container_title Mental Health Practice
publishDate 2023
institution Swansea University
issn 1465-8720
2047-895X
doi_str_mv 10.7748/mhp.2023.e1653
publisher RCN Publishing Ltd.
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Biosciences, Geography and Physics - Geography{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Biosciences, Geography and Physics - Geography
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description The urban environment has long been recognised as a risk factor in the development of non-affective psychosis. While epidemiological studies dominate this field, the scoping review detailed in this article aimed to capture service users’ experiences and perspectives of urban environments in relation to their mental health, particularly in the context of recovery. A total of 12 participatory studies were reviewed. Analysis of the findings suggests that childhood urban upbringing may be associated with a dampened emotional reactivity response to stress and that residential instability in childhood may hasten the onset of mental health issues.As symptoms of psychosis emerged, sensory overload and perceived challenges with interpersonal interactions often fuelled service users’ avoidance of urban areas. However, green spaces and community places provided service users with opportunities for relief from symptoms and distress, and community places offered opportunities for connection with others. The authors suggest that practitioners may consider assessing the lived geographies of service users and that mental health service providers may undertake a local geographical survey to identify urban stressors and supportive resources.
published_date 2023-06-06T14:29:39Z
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