Evidence map›Paper›PMID 36434745›Full record

ArticleSchizophrenia bulletin2023

Childhood Trauma As a Mediator of the Association Between Autistic Traits and Psychotic Experiences: Evidence From the Avon Longitudinal Study of Parents and Children Cohort.

Christina Dardani, Rik Schalbroeck, Paul Madley-Dowd, Hannah J Jones, Daniela Strelchuk, Gemma Hammerton, Jazz Croft, Sarah A Sullivan, Stan Zammit, Jean-Paul Selten and 1 more

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Article in Schizophrenia bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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.

Christina DardaniPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-2019-7897
Rik SchalbroeckRivierduinen Institute for Mental Healthcare, Leiden, The Netherlands.
Paul Madley-DowdPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0003-2932-9486
Hannah J JonesPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-5883-9605
Daniela StrelchukPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Gemma HammertonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jazz CroftPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Sarah A SullivanPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Stan ZammitPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jean-Paul SeltenRivierduinen Institute for Mental Healthcare, Leiden, The Netherlands.
Dheeraj RaiPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Funding

Department of HealthMedical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/3Medical Research Council MC_UU_00011/5Medical Research Council MC_UU_00032/1Medical Research Council MC_UU_00032/4Medical Research Council MR/L010305/1Medical Research Council MR/M006727/1Wellcome Trust 209138/Z/17/ZWellcome Trust 215379/Z/19/ZWellcome Trust 217065/Z/19/Z
6 · The paper itself

Abstract

backgroundLittle is known on whether associations between childhood autistic traits and psychotic experiences persist into adulthood and whether genetic confounding and childhood trauma influence them. Here we investigate the associations between childhood autistic traits and psychotic experiences until young adulthood and assess the influence of schizophrenia polygenic risk and childhood traumatic experiences, using the Avon Longitudinal Study of Parents and Children (ALSPAC) population-based birth cohort. STUDY

designWe used a measure of broad autistic traits (autism factor mean score), and four dichotomised measures of autistic traits capturing social communication difficulties (age 7), repetitive behaviours (age 5), sociability (age 3), and pragmatic language (age 9). Psychotic experiences were assessed at ages 18 and 24 using the semi-structured Psychosis-Like Symptoms interview (PLIKSi). Traumatic experiences between ages 5 and 11 were assessed with questionnaires and interviews administered to children and parents at multiple ages. STUDY

resultsBroad autistic traits, as well as social communication difficulties, were associated with psychotic experiences that were distressing and/or frequent until age 24 (autism factor mean score, n = 3707: OR 1.19, 95%CI 1.01-1.39; social communication difficulties, n = 3384: OR 1.54, 95%CI 0.97-2.45). Childhood trauma mediated a substantial proportion of the identified associations (~28% and 36% respectively, maximum n = 3577). Schizophrenia polygenic risk did not appear to confound the associations. Multiple imputation analyses (maximum n = 13 105) yielded comparable results.

conclusionsChildhood trauma may be an important, potentially modifiable pathway between autistic features and later onset of psychotic psychopathology.

Indexed as

Adverse Childhood ExperiencesAutistic DisorderMental DisordersPsychotic DisordersAdolescentAdultChildChild, PreschoolHumansLongitudinal StudiesParentsYoung Adultautismchildhood traumapolygenic riskpsychosis

Identifiers

PMID36434745
PMCPMC10016398

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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.