Stephani L Hatch

King's College London, Insititute of Psychiatry, Faculty Member

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With a background in sociology and psychiatric epidemiology, I lead an interdisciplinary research programme and public engagement activities focused on urban mental health; social determinants of inequalities in health and health services; and young adult mental health.

I am the Principal Investigator for the Tackling Inequalities and Discrimination Experiences in Health Services (TIDES) study funded by a Wellcome Trust Investigator’s Award. The TIDES team is developing an intervention framework to address the role of discrimination by healthcare providers in generating and perpetuating health inequalities. My team will use innovative quantitative and qualitative methods, including linked survey and health record data to quantify inequalities in primary and secondary health services and virtual reality methods, to examine how biases and discrimination impact clinical interactions and treatment recommendations.

I am a co-Principal Investigator for the South East London Community Health (SELCoH) study, a psychiatric and physical morbidity survey set in the boroughs of Southwark and Lambeth. SELCoH is the largest, most comprehensive UK study of urban mental health and service use that provides much-needed data on ethnic minority and migrant populations.

I lead the Health Inequalities Research Network (HERON), a public engagement network (currently funded by the Wellcome Trust) that promotes collaborative community approaches to knowledge dissemination and youth outreach.

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Papers by Stephani L Hatch

Validation of the standardised assessment of personality - abbreviated scale in a general population sample

by Seth Seegobin, Stephani L Hatch, and Souci Frissa

Personality and Mental Health, 2015

Personality disorder (PD) is associated with important health outcomes in the general population.... more Personality disorder (PD) is associated with important health outcomes in the general population. However, the length of diagnostic interviews poses a significant barrier to obtaining large scale, population-based data on PD. A brief screen for the identification of people at high risk of PD in the general population could be extremely valuable for both clinicians and researchers. We set out to validate the Standardised Assessment of Personality - Abbreviated Scale (SAPAS), in a general population sample, using the Structured Clinical Interviews for DSM-IV Personality Disorders (SCID-II) as a gold standard. One hundred and ten randomly selected, community-dwelling adults were administered the SAPAS screening interview. The SCID-II was subsequently administered by a clinical interviewer blind to the initial SAPAS score. Receiver operating characteristic analysis was used to assess the discriminatory performance of the SAPAS, relative to the SCID-II. Area under the curve for the SAPAS was 0.70 (95% CI = 0.60 to 0.80; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001), indicating moderate overall discriminatory accuracy. A cut point score of 4 on the SAPAS correctly classified 58% of participants. At this cut point, the sensitivity and specificity were 0.69 and 0.53 respectively. The SAPAS operates less efficiently as a screen in general population samples and is probably most usefully applied in clinical populations. © 2015 The Authors Personality and Mental Health published by John Wiley &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Sons Ltd.

Investigating Exposure to Violence and Mental Health in a Diverse Urban Community Sample: Data from the South East London Community Health (SELCoH) Survey

Background: General population surveys have seldom examined violence as a multidimensional concep... more

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Discrimination and common mental disorder among migrant and ethnic groups: findings from a South East London Community sample

Purpose Few studies have examined discrimination and mental health in the UK, particularly by mig... more Purpose Few studies have examined discrimination and mental health in the UK, particularly by migrant status and in urban contexts with greater demographic diversity. This study aims to (1) describe the prevalence of discrimination experiences across multiple life domains; (2) to describe associations between discrimination experiences and common mental disorder (CMD); (3) to determine whether or not the relationship between discrimination and CMD varies by migrant status and ethnicity. Methods Data on major, anticipated and everyday discrimination and CMD symptoms were collected from an ethnically diverse prospective sample of 1052 participants followed up from 2008 to 2013 in the South East London Community Health study, a population-based household survey. Results With few exceptions, discrimination was most prevalent among those in the Black Caribbean group. However, those in the White Other ethnic group had similar or greater reporting major and anticipated discrimination to Black or mixed ethnic minority groups. The effects of discrimination on CMD were most pronounced for individuals who had recently migrated to the UK, an ethnically heterogeneous group, and for Black and Mixed ethnic minority groups in partially adjusted models. Prior CMD accounted for differences between the Mixed and White British ethnic groups, but the strength of the association for the most recent migrant group and the Black ethnic groups remained two or more times greater than the reference groups. Conclusions The strength of the relationship suggests a need for more consideration of migration status along with ethnicity in examining the impact of discrimination on mental disorder in community and clinical samples.

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Development and Psychometric Properties of the Barriers to Access to Care Evaluation Scale (BACE) in Mental Health

by Debra Jeffery and Stephani L Hatch

PsycEXTRA Dataset, 2000

Risk for suicidal problems in poor-help-seeking adolescents with psychotic-like experiences: Findings from a cross-sectional survey of 16,131 adolescents

by Syudo Yamasaki and Stephani L Hatch

Schizophrenia Research, 2014

Recent evidence suggests that psychotic-like experiences (PLEs) in the general population are imp... more Recent evidence suggests that psychotic-like experiences (PLEs) in the general population are important markers of risk of suicidal problems. However, there have been no epidemiological studies investigating help-seeking status in individuals with PLEs and elevated risk of suicide. Information on PLEs, self-awareness of mental distress (SAMD), help-seeking behaviours (HSBs), and suicidal problems was collected from 16,131 Japanese adolescents. Participants were divided into two groups, those with and without PLEs, and then both groups were further divided into three subgroups: a group without SAMD, who had no HSB by definition; a group with both SAMD and HSB; and a group with SAMD but without HSB (poor-help-seeking group), yielding a total of six groups. Adolescents with PLEs (14.3%) had significantly higher risk of suicidal problems than those without PLEs. Among the individuals with both PLEs and SAMD, 38.1% did not seek any help (poor-help-seeking status). Among the six groups, odds of suicidal ideation was the highest among poor-help-seeking adolescents with PLEs, with a 20-fold increase compared to those without PLEs, SAMD and HSB (adjusted for age and sex), while the odds was increased 10-fold in those with PLEs, SAMD and HSB. After adjusting for anxiety/depression level, the odds ratios remained significant in both poor-help-seeking adolescents with PLEs (OR=3.8 [3.0-4.9 (95% CI)]) and those with PLEs, SAMD and HSB (OR=2.5 [2.0-3.1]). Adolescents with PLEs and self-awareness of mental distress are at high risk for suicidal problems, particularly those without help seeking.

Poster #248 PSYCHOTIC EXPERIENCES AND HELP-SEEKING IN A REPRESENTATIVE COMMUNITY SAMPLE

by Billy Gazard and Stephani L Hatch

Schizophrenia Research, 2012

Challenges in researching migration status, health and health service use: an intersectional analysis of a South London community

by Billy Gazard and Stephani L Hatch

Ethnicity & Health, 2014

Objectives. This study aimed to investigate the associations between migration status and health-... more Objectives. This study aimed to investigate the associations between migration status and health-related outcomes and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, first language, reason for migration and combined with ethnicity. Design. A total of 1698 adults were interviewed from 1076 randomly selected households in two South London boroughs. We described the socio-demographic and socio-economic differences between migrants and non-migrants and compared the prevalence of health-related outcomes by migration status, length of residence, first language, reason for migration and migration status within ethnic groups. Unadjusted models and models adjusted for socio-demographic and socio-economic indicators are presented. Results. Migrants were disadvantaged in terms of socio-economic status but few differences were found between migrant and non-migrants regarding health or health service use indicators; migration status was associated with decreased hazardous alcohol use, functional limitations due to poor mental health and not being registered with a general practitioner. Important differences emerged when migration status was disaggregated by length of residence in the UK, first language, reason for migration and intersected with ethnicity. The association between migration status and functional limitations due to poor mental health was only seen in White migrants, migrants whose first language was not English and migrants who had moved to the UK for work or a better life or for asylum or political reasons. There was no association between migration status and self-rated health overall, but Black African migrants had decreased odds for reporting poor health compared to their non-migrant counterparts [odds ratio = 0.15 (0.05-0.48), p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01]. Conclusions. Disaggregating migration status by length of residence, first language and reason for migration as well as intersecting it with ethnicity leads to better understanding of the effect migration status has on health and health service use.

Trauma and current symptoms of PTSD in a South East London community

by Billy Gazard and Stephani L Hatch

Social Psychiatry and Psychiatric Epidemiology, 2013

This study aimed to estimate the prevalence of symptoms of post-traumatic stress disorder (PTSD) ... more This study aimed to estimate the prevalence of symptoms of post-traumatic stress disorder (PTSD) and its association with traumatic events in a representative sample of an inner city population in the UK. A representative community sample of 1,698 adults, aged 16 years and over, from two south London boroughs were interviewed face to face with structured survey questionnaires. The prevalence of current symptoms of PTSD was 5.5 %. Women were more likely to screen positive (6.4 %) than men (3.6 %), and symptoms of PTSD were high in the unemployed (12.5 %), in those not working because of health reasons (18.2 %) and in the lowest household income group (14.8 %). Most (78.2 %) of the study population had lifetime trauma and more than a third (39.7 %) reported childhood trauma. There was an independent association between childhood as well as lifetime trauma and current symptoms of PTSD and a gradient association between an increase in cumulative traumatic events and the likelihood of reporting symptoms of current PTSD (OR 1.8, 95 % CI (1.6-2.1)). Although we observed the highest prevalence of current symptoms of PTSD in those migrated for asylum or political reason (13.6 %), compared to the non-migrants, the prevalence of exposure to most traumatic life events was higher in the non-migrant group. The present study demonstrates the high prevalence of exposure to trauma in a South East London community and the cumulative effect on current symptoms of PTSD. As PTSD is a condition which is associated with disability and co-morbidity, the association of current PTSD with common adversities in the community should be noted.

Mental health among UK inner city non-heterosexuals: the role of risk factors, protective factors and place

by Billy Gazard and Stephani L Hatch

Epidemiology and Psychiatric Sciences, 2015

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A Life Course Approach to the Development of Mental Skills

A wide variety of factors across the life course jointly influence cognitive and emotional develo... more A wide variety of factors across the life course jointly influence cognitive and emotional development. Indeed, research from a variety of disciplines strongly suggests that cognition and mental health are intertwined across the life course, by their common antecedents and underlying physiology in development and in their interplay across adult and later life. We suggest that cognitive and socioemotional function

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Epidemiological Indicators and Ethnographic Realities of Female Cocaine Use

This study is an ethnographic examination of differences in the male-to-female ratio among cocain... more This study is an ethnographic examination of differences in the male-to-female ratio among cocaine users in epidemiological indicators from emergency room departments, local drug-user treatment programs, and the pretrial detention center. In-depth interviews were conducted with female cocaine users. The lower female ratio in drug treatment and emergency department sources seems related to barriers to drug-user treatment for women and the image of emergency departments as an extension of the criminal justice system. The women&#39;s involvement in visible illegal activities and their perception as easy arrestees may explain the arrestee data ratio. The findings indicate that epidemiological indicators may misrepresent the gender distribution among drug users.

Psychotic Experiences and Neuropsychological Functioning in a Population-based Sample

JAMA psychiatry, Jan 30, 2015

Psychotic experiences in early life are associated with neuropsychological impairment and the ris... more Psychotic experiences in early life are associated with neuropsychological impairment and the risk for later psychiatric disorders. Psychotic experiences are also prevalent in adults, but neuropsychological investigations spanning adulthood are limited, and confounding factors have not been examined rigorously. To characterize neuropsychological functioning in adults with psychotic experiences while adjusting for important sociodemographic characteristics and familial factors and investigating the effect of age. The South East London Community Health (SELCoH) study is a population-based household survey of physical and mental health in individuals 16 years or older conducted from June 1, 2008, to December 31, 2010, in 2 London boroughs. The study included 1698 participants from 1075 households. Data were analyzed from May 6, 2014, to April 22, 2015. Psychotic experiences measured using the Psychosis Screening Questionnaire. Neuropsychological functioning measured using tests assessi...

Challenges in researching migration status, health and health service use: an intersectional analysis of a South London community

Http Dx Doi Org 10 1080 13557858 2014 961410, Oct 1, 2014

Objectives. This study aimed to investigate the associations between migration status and health-... more Objectives. This study aimed to investigate the associations between migration status and health-related outcomes and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, first language, reason for migration and combined with ethnicity. Design. A total of 1698 adults were interviewed from 1076 randomly selected households in two South London boroughs. We described the socio-demographic and socio-economic differences between migrants and non-migrants and compared the prevalence of health-related outcomes by migration status, length of residence, first language, reason for migration and migration status within ethnic groups. Unadjusted models and models adjusted for socio-demographic and socio-economic indicators are presented. Results. Migrants were disadvantaged in terms of socio-economic status but few differences were found between migrant and non-migrants regarding health or health service use indicators; migration status was associated with decreased hazardous alcohol use, functional limitations due to poor mental health and not being registered with a general practitioner. Important differences emerged when migration status was disaggregated by length of residence in the UK, first language, reason for migration and intersected with ethnicity. The association between migration status and functional limitations due to poor mental health was only seen in White migrants, migrants whose first language was not English and migrants who had moved to the UK for work or a better life or for asylum or political reasons. There was no association between migration status and self-rated health overall, but Black African migrants had decreased odds for reporting poor health compared to their non-migrant counterparts [odds ratio = 0.15 (0.05-0.48), p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01]. Conclusions. Disaggregating migration status by length of residence, first language and reason for migration as well as intersecting it with ethnicity leads to better understanding of the effect migration status has on health and health service use.

Childhood cognitive ability and adult mental health in the British 1946 birth cohort

We examined whether childhood cognitive ability was associated with two mental health outcomes at... more We examined whether childhood cognitive ability was associated with two mental health outcomes at age 53 years: the 28 item General Health Questionnaire (GHQ-28) as a measure of internalising symptoms of anxiety and depression, and the CAGE screen for potential alcohol abuse as an externalising disorder. A total of 1875 participants were included from the Medical Research Council National Survey of Health and Development, also known as the British 1946 birth cohort. The results indicated that higher childhood cognitive ability was associated with reporting fewer symptoms of anxiety and depression GHQ-28 scores in women, and increased risk of potential alcohol abuse in both men and women. Results were adjusted for educational attainment, early socioeconomic status (SES) and adverse circumstances, and adult SES, adverse circumstances, and negative health behaviours. After adjusting for childhood cognitive ability, greater educational attainment was associated with reporting greater symptoms of anxiety and depression on the GHQ-28. Although undoubtedly interrelated, our evidence on the diverging effects of childhood cognitive ability and educational attainment on anxiety and depression in mid-adulthood highlights the need for the two to be considered independently. While higher childhood cognitive ability is associated with fewer internalising symptoms of anxiety and depression in women, it places both men and women at higher risk for potential alcohol abuse. Further research is needed to examine possible psychosocial mechanisms that may be associated with both higher childhood cognitive ability and greater risk for alcohol abuse. In addition, the underlying mechanisms responsible for the gender-specific link between childhood cognitive ability and the risk of experiencing internalising disorders in mid-adulthood warrants further consideration. r

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Mental health among UK inner city non-heterosexuals: the role of risk factors, protective factors and place

Epidemiology and Psychiatric Sciences

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Illness perception, help-seeking attitudes, and knowledge related to obsessive-compulsive disorder across different ethnic groups: a community survey

Social psychiatry and psychiatric epidemiology, Jan 24, 2015

Despite similar prevalence rates across ethnicities, ethnic minorities with obsessive-compulsive ... more Despite similar prevalence rates across ethnicities, ethnic minorities with obsessive-compulsive disorder (OCD) are under-represented in research and clinical settings. The reasons for this disproportion have been sparsely studied. We explored potential differences in illness perception, help-seeking attitudes, illness knowledge, and causal attributions that could help explain the lower uptake of treatment for OCD amongst ethnic minorities. Two-hundred and ninety-three parents (139 White British, 61 Black African, 46 Black Caribbean, and 47 Indian) were recruited from the general population in South-East London, UK. Using a text vignette methodology, participants completed a survey including questions on illness perception, help-seeking attitudes, OCD knowledge, and causal attributions. The groups did not differ in socio-demographic characteristics and family history of OCD. White British parents perceived that the OCD difficulties would have more negative impact on their children a...

Effect of migration and stressful life events on women's mental health and quality of life

Introduction: There is conflicting evidence in the literature regarding the impact of migration o... more Introduction: There is conflicting evidence in the literature regarding the impact of migration on mental health and quality of life, partly due to the heterogeneity of migrant populations. There is a lack of research on migrant women's mental health needs, and which factors limit their quality of life. This qualitative study investigated: 1) the experiences women in diverse communities in the UK perceive to have impacted on their mental health and quality of life; and 2) how their mental health and quality of life have been affected. Methods: Qualitative study using individual semi-structured interviews with a purposive sample of immigrant women from various immigrant communities and women born in the UK living in London. A thematic analysis was carried out. Results: Thirty in-depth interviews were conducted with twenty immigrant women, and ten British women. The distribution of country of origin, age, time in the UK, and age at migration in the sample was representative of the...

Impact of migration and stressful life events on women's mental health

Purpose: There is no consensus in the literature regarding the impact of migration on mental heal... more Purpose: There is no consensus in the literature regarding the impact of migration on mental health. There is a gap in research on predictors of poor mental health for migrant women, though there is evidence they are at increased risk of potential stressors associated with poor mental health. This study aimed to investigate: 1) the effect of migration on risk of common mental disorders and Post Traumatic Stress Disorder (PTSD) for women in London; 2) what stressful life events have an effect on these outcomes. Methods: Cross-sectional survey of residents aged 16 and older of private households (the South East London Community Health Study). Logistic regression was used to analyse the effect of migrant status, using level of development of countries of origin adjusted for inequalities in health, education, and income (United Nations Inequality-adjusted Human Development Index), and childhood and lifetime stressful events on common mental disorders and PTSD. Results: 391 immigrant wom...

Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive-compulsive disorder

The British Journal of Psychiatry, 2015

Obsessive-compulsive disorder (OCD) has similar prevalence rates across the World. 1,2 Within Wes... more Obsessive-compulsive disorder (OCD) has similar prevalence rates across the World. 1,2 Within Western countries, including the UK, the prevalence of OCD has been shown to be roughly consistent across ethnic groups. For example, the Ethnic Minority Psychiatric Illness Rates in the Community (EMPIRIC) study 3,4 examined the prevalence of mental disorders across adult British White, Black Caribbean, Indian, Pakistani, Bangladeshi and Irish ethnic groups. A similar point prevalence of OCD of around 1% was found across all ethnicities. Heyman et al 5 conducted a nationwide (UK) epidemiological survey to establish the prevalence of OCD in young people aged 5-15 (n410 000) and reported a significantly greater proportion of children from ethnic minorities among those with OCD (24%) compared with healthy controls (8.8%) and psychiatric controls (7.4%). Given the similar, if not higher, prevalence of OCD across ethnic groups in Britain 3-5 and elsewhere, 6 a proportional representation of different ethnic groups would be expected in mental health services. However, there is substantial evidence to indicate that patients from ethnic minorities, both children 7 and adults, 8 tend to be underrepresented in mental health services in Britain, although data specifically relating to OCD is lacking. Research conducted in North America suggests that patients with OCD from ethnic minorities are underrepresented in clinical trials. Williams et al 9 reviewed 21 randomised controlled trials of OCD conducted in North America and found that ethnic minorities were seriously underrepresented in such studies (91% of participants were White). As OCD has rarely been studied separately, there is little data relating specifically to ethnic inequalities in access to clinical services of this major, yet treatable, psychiatric disorder. The overall aim of the present study was to explore whether individuals with OCD from ethnic minorities are underrepresented in secondary and tertiary clinical services within a large mental health trust in South London, relative to the ethnic composition of the corresponding catchment area. We also aimed to determine

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Concepts and Challenges in Capturing Dynamics of the Wider Social Environment

Principles of Social Psychiatry, 2010

Validation of the standardised assessment of personality - abbreviated scale in a general population sample

by Seth Seegobin, Stephani L Hatch, and Souci Frissa

Personality and Mental Health, 2015

Investigating Exposure to Violence and Mental Health in a Diverse Urban Community Sample: Data from the South East London Community Health (SELCoH) Survey

Background: General population surveys have seldom examined violence as a multidimensional concep... more

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Discrimination and common mental disorder among migrant and ethnic groups: findings from a South East London Community sample

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Development and Psychometric Properties of the Barriers to Access to Care Evaluation Scale (BACE) in Mental Health

by Debra Jeffery and Stephani L Hatch

PsycEXTRA Dataset, 2000

Risk for suicidal problems in poor-help-seeking adolescents with psychotic-like experiences: Findings from a cross-sectional survey of 16,131 adolescents

by Syudo Yamasaki and Stephani L Hatch

Schizophrenia Research, 2014

Poster #248 PSYCHOTIC EXPERIENCES AND HELP-SEEKING IN A REPRESENTATIVE COMMUNITY SAMPLE

by Billy Gazard and Stephani L Hatch

Schizophrenia Research, 2012

Challenges in researching migration status, health and health service use: an intersectional analysis of a South London community

by Billy Gazard and Stephani L Hatch

Ethnicity & Health, 2014

Trauma and current symptoms of PTSD in a South East London community

by Billy Gazard and Stephani L Hatch

Social Psychiatry and Psychiatric Epidemiology, 2013

Mental health among UK inner city non-heterosexuals: the role of risk factors, protective factors and place

by Billy Gazard and Stephani L Hatch

Epidemiology and Psychiatric Sciences, 2015

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A Life Course Approach to the Development of Mental Skills

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Epidemiological Indicators and Ethnographic Realities of Female Cocaine Use

Psychotic Experiences and Neuropsychological Functioning in a Population-based Sample

JAMA psychiatry, Jan 30, 2015

Challenges in researching migration status, health and health service use: an intersectional analysis of a South London community

Http Dx Doi Org 10 1080 13557858 2014 961410, Oct 1, 2014

Objectives. This study aimed to investigate the associations between migration status and health-... more Objectives. This study aimed to investigate the associations between migration status and health-related outcomes and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, first language, reason for migration and combined with ethnicity. Design. A total of 1698 adults were interviewed from 1076 randomly selected households in two South London boroughs. We described the socio-demographic and socio-economic differences between migrants and non-migrants and compared the prevalence of health-related outcomes by migration status, length of residence, first language, reason for migration and migration status within ethnic groups. Unadjusted models and models adjusted for socio-demographic and socio-economic indicators are presented. Results. Migrants were disadvantaged in terms of socio-economic status but few differences were found between migrant and non-migrants regarding health or health service use indicators; migration status was associated with decreased hazardous alcohol use, functional limitations due to poor mental health and not being registered with a general practitioner. Important differences emerged when migration status was disaggregated by length of residence in the UK, first language, reason for migration and intersected with ethnicity. The association between migration status and functional limitations due to poor mental health was only seen in White migrants, migrants whose first language was not English and migrants who had moved to the UK for work or a better life or for asylum or political reasons. There was no association between migration status and self-rated health overall, but Black African migrants had decreased odds for reporting poor health compared to their non-migrant counterparts [odds ratio = 0.15 (0.05-0.48), p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.01]. Conclusions. Disaggregating migration status by length of residence, first language and reason for migration as well as intersecting it with ethnicity leads to better understanding of the effect migration status has on health and health service use.

Childhood cognitive ability and adult mental health in the British 1946 birth cohort

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Mental health among UK inner city non-heterosexuals: the role of risk factors, protective factors and place

Epidemiology and Psychiatric Sciences

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Illness perception, help-seeking attitudes, and knowledge related to obsessive-compulsive disorder across different ethnic groups: a community survey

Social psychiatry and psychiatric epidemiology, Jan 24, 2015

Effect of migration and stressful life events on women's mental health and quality of life

Impact of migration and stressful life events on women's mental health

Ethnic inequalities in the use of secondary and tertiary mental health services among patients with obsessive-compulsive disorder

The British Journal of Psychiatry, 2015

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Concepts and Challenges in Capturing Dynamics of the Wider Social Environment

Principles of Social Psychiatry, 2010

Stephani L Hatch

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