Socioeconomic status and psychiatric disorders: The causation-selection issue

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

Research output: Contribution to journalArticlepeer-review


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
Issue number5047
StatePublished - Feb 21 1992

ASJC Scopus subject areas

  • General


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