Evidence map›Paper›PMID 26070841›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2015

Interaction between parental psychosis and early motor development and the risk of schizophrenia in a general population birth cohort.

E Keskinen, A Marttila, R Marttila, P B Jones, G K Murray, K Moilanen, H Koivumaa-Honkanen, P Mäki, M Isohanni, E Jääskeläinen and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
5.2field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Systematic Review: Antipsychotic Medication in Pregnancy and Neurodevelopmental Outcomes in Children.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Pooled it
  2. Pooled it
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  6. Review
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  10. Article
  11. Prediction, Psychosis, and the Cerebellum.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2019
    Review
  12. Article
  13. Article
  14. Motor System Pathology in Psychosis.Current psychiatry reports · 2017
    Review
  15. 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

11 authors at 5 institutions in 3 countries.

E KeskinenDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland. Electronic address: Emmi.Keskinen@oulu.fi.
A MarttilaDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland.
R MarttilaDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland.
P B JonesDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
G K MurrayDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
K MoilanenDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
H Koivumaa-HonkanenInstitute of Clinical Medicine, Psychiatry, University of Eastern Finland, Kuopio, Finland; Department of Psychiatry, Kuopio University Hospital (KUH), Kuopio, Finland; Department of Psychiatry, Lapland Hospital District, Rovaniemi, Finland.
P MäkiDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland; Department of Psychiatry, Länsi-Pohja Healthcare District, Finland; Department of Psychiatry, the Middle Ostrobothnia Central Hospital, Kiuru, Finland; Mental Health Services, Joint Municipal Authority of Wellbeing in Raahe District, Finland; Mental Health Services, Basic Health Care District of Kallio, Finland; Visala Hospital, the Northern Ostrobothnia Hospital District, Finland.
M IsohanniDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
E JääskeläinenDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland.
J MiettunenDepartment of Psychiatry, Center for Clinical Neurosciences, University of Oulu, Oulu, Finland; Medical Research Center of Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Center for Life Course Epidemiology and Systems Medicine, University of Oulu, Oulu, Finland.
Oulu University Hospital · FIUniversity of Cambridge · GBLapland Central Hospital · FINorthern Ostrobothnia Hospital District · FIUniversity of Oulu · FI

Funding

Genetics of cardiovascular risk factors in large founder population birth controlR01HL087679 · NHLBI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI HIRSCHHORN, JOEL N · 2007 to 2009
$4.0M
Genetic Influences on ADHD in a Finnish Birth CohortR01MH063706 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SMALLEY, SUSAN L · 2001 to 2005
$3.3M
Whole Genome Assoc. Analysis Strategies for Multi. PhenotypesRL1MH083268 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FREIMER, NELSON B. · 2007 to 2011
$2.1M
Medical Research Council G0500539Medical Research Council G0600705Medical Research Council G1002319Medical Research Council MC_UP_0801/1NHLBI NIH HHS 5R01HL087679-02NHLBI NIH HHS R01 HL087679NIMH NIH HHS 1RL1MH083268-01NIMH NIH HHS 5R01MH63706:02NIMH NIH HHS R01 MH063706NIMH NIH HHS RL1 MH083268
6 · The paper itself

Abstract

backgroundDelayed motor development in infancy and family history of psychosis are both associated with increased risk of schizophrenia, but their interaction is largely unstudied.

aimTo investigate the association of the age of achieving motor milestones and parental psychosis and their interaction in respect to risk of schizophrenia.

methodsWe used data from the general population-based prospective Northern Finland Birth Cohort 1966 (n=10,283). Developmental information of the cohort members was gathered during regular visits to Finnish child welfare clinics. Several registers were used to determine the diagnosis of schizophrenia among the cohort members and psychosis among the parents. Altogether 152 (1.5%) individuals had schizophrenia by the age of 46 years, with 23 (15.1%) of them having a parent with psychosis. Cox regression analysis was used in analyses.

resultsParental psychosis was associated (P<0.05) with later achievement of holding the head up, grabbing an object, and walking without support. In the parental psychosis group, the risk for schizophrenia was increased if holding the head up (hazard ratio [HR]: 2.46; degrees of freedom [df]=1; 95% confidence interval [95% CI]: 1.07-5.66) and touching the thumb with the index finger (HR: 1.84; df=1; 95% CI: 1.11-3.06) was later. In the group without parental psychosis, a delay in the following milestones increased the risk of schizophrenia: standing without support and walking without support. Parental psychosis had an interaction with delayed touching thumb with index finger (HR: 1.87; df=1; 95% CI: 1.08-3.25) when risk of schizophrenia was investigated.

conclusionsParental psychosis was associated with achieving motor milestones later in infancy, particularly the milestones that appear early in a child's life. Parental psychosis and touching the thumb with the index finger had a significant interaction on risk of schizophrenia. Genetic risk for psychosis may interact with delayed development to raise future risk of schizophrenia, or delayed development may be a marker of other risk processes that interact with genetic liability to cause later schizophrenia.

Indexed as

Developmental DisabilitiesMotor Skills DisordersSchizophreniaAdultChildChild of Impaired ParentsCohort StudiesFamily HealthFemaleFinlandHumansInfantMaleMiddle AgedParentsProspective StudiesBirth cohortMotor developmental milestoneParental psychosisRisk factorSchizophrenia

Identifiers

PMID26070841
PMCPMC4623356
OpenAlexW2170314401

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Registered trials

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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.