Evidence map›Paper›PMID 23590972›Full record

Trial reportPsychological medicine2014

Modelling the interplay between childhood and adult adversity in pathways to psychosis: initial evidence from the AESOP study.

C Morgan, U Reininghaus, P Fearon, G Hutchinson, K Morgan, P Dazzan, J Boydell, J B Kirkbride, G A Doody, P B Jones and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  6. Review
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  10. Observational
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  17. Article
  18. Psychosis as a transdiagnostic and extended phenotype in the general population.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016
    Article
  19. Childhood adversities and psychosis: evidence, challenges, implications.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2016
    Article
  20. Neuroscience and the future for mental health?Epidemiology and psychiatric sciences · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 3 countries.

C MorganNIHR Biomedical Research Centre, and Section of Social Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College, London, UK.
U ReininghausNIHR Biomedical Research Centre, and Section of Social Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College, London, UK.
P FearonTrinity College, Dublin, Ireland.
G HutchinsonPsychiatry Unit, University of the West Indies, Trinidad.
K MorganDepartment of Psychology, Westminster University, London, UK.
P DazzanNIHR Biomedical Research Centre and Psychosis Studies Department, Institute of Psychiatry, King's College, London, UK.
J BoydellNIHR Biomedical Research Centre and Psychosis Studies Department, Institute of Psychiatry, King's College, London, UK.
J B KirkbrideDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
G A DoodyDivision of Psychiatry, University of Nottingham, Nottingham, UK.
P B JonesDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
R M MurrayNIHR Biomedical Research Centre and Psychosis Studies Department, Institute of Psychiatry, King's College, London, UK.
T CraigNIHR Biomedical Research Centre, and Section of Social Psychiatry, Health Service and Population Research Department, Institute of Psychiatry, King's College, London, UK.
King's College London · GBUniversity of Cambridge · GBTrinity College Dublin · IEUniversity of Nottingham · GBUniversity of the West · USUniversity of Westminster · GB

Funding

Department of Health PDF-2011-04-065Department of Health RP-PG-0606-1335Medical Research Council G0001354Medical Research Council G0500817Medical Research Council G1000183Wellcome Trust 087417
6 · The paper itself

Abstract

backgroundThere is evidence that a range of socio-environmental exposures is associated with an increased risk of psychosis. However, despite the fact that such factors probably combine in complex ways to increase risk, the majority of studies have tended to consider each exposure separately. In light of this, we sought to extend previous analyses of data from the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study on childhood and adult markers of disadvantage to examine how they combine to increase risk of psychosis, testing both mediation (path) models and synergistic effects.

methodAll patients with a first episode of psychosis who made contact with psychiatric services in defined catchment areas in London and Nottingham, UK (n = 390) and a series of community controls (n = 391) were included in the AESOP study. Data relating to clinical and social variables, including parental separation and loss, education and adult disadvantage, were collected from cases and controls.

resultsThere was evidence that the effect of separation from, but not death of, a parent in childhood on risk of psychosis was partially mediated through subsequent poor educational attainment (no qualifications), adult social disadvantage and, to a lesser degree, low self-esteem. In addition, there was strong evidence that separation from, but not death of, a parent combined synergistically with subsequent disadvantage to increase risk. These effects held for all ethnic groups in the sample.

conclusionsExposure to childhood and adult disadvantage may combine in complex ways to push some individuals along a predominantly sociodevelopmental pathway to psychosis.

Indexed as

Life Change EventsModels, PsychologicalAdolescentAdultCase-Control StudiesChild AbuseEnglandEnvironmentFemaleHumansLondonMaleMiddle AgedMulticenter Studies as TopicPsychotic DisordersSelf Concept

Identifiers

PMID23590972
PMCPMC4081841
OpenAlexW2158685026

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.