Evidence map›Paper›PMID 38788048›Full record

ArticleSchizophrenia bulletin2024

The Role of Social Deprivation and Cannabis Use in Explaining Variation in the Incidence of Psychotic Disorders: Findings From the EU-GEI Study.

Vera Brink, Humma Andleeb, Charlotte Gayer-Anderson, Celso Arango, Manuel Arrojo, Domenico Berardi, Miquel Bernardo, Julio Bobes, Cristina Marta Del-Ben, Laura Ferraro and 23 more

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pharmacotherapies for cannabis use disorder.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

33 authors.

Vera BrinkDepartment of Psychosis, University Center Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-0883-4272
Humma AndleebPsyLife Group, Division of Psychiatry, University College London, London, UK.
Charlotte Gayer-AndersonESRC Centre for Society and Mental Health, King's College London, London, UK.ORCID 0000-0003-1636-889X
Celso ArangoDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain.
Manuel ArrojoDepartment of Mental Health and Drug-Addiction Assistance, Health Service of Galicia, Psychiatric Genetic Group IDIS, Hospital Clínico Universitario de Santiago de Compostela, affiliated center to Centro de Investigación Biomédica en Red de Salud Mental, Servicio Gallego de Salud, Santiago de Compostela, Spain.
Domenico BerardiAlma Mater Studiorium Università di Bologna, Bologna, Italy.
Miquel BernardoBarcelona Clinic Schizophrenia Unit, Hospital Clinic de Barcelona, Barcelona, Spain.ORCID 0000-0001-8748-6717
Julio BobesDepartment of Medicine, Psychiatry Area, School of Medicine, Universidad de Oviedo, Centro de Investigación Biomédica en Red de Salud Mental, Oviedo, Spain.
Cristina Marta Del-BenDepartment of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Laura FerraroDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, Section of Psychiatry, University of Palermo, Palermo, Italy.ORCID 0000-0002-1205-2356
Lieuwe de HaanDepartment of Psychiatry, Early Psychosis Section, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Daniele La BarberaDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, Section of Psychiatry, University of Palermo, Palermo, Italy.
Caterina La CasciaDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, Section of Psychiatry, University of Palermo, Palermo, Italy.
Antonio LasalviaDepartment of Neuroscience, Biomedicine and Movement, Section of Psychiatry, University of Verona, Verona, Italy.ORCID 0000-0001-9963-6081
Pierre-Michel LlorcaFondation FondaMental, Créteil, France.
Paolo Rossi MenezesDepartment of Preventive Medicine, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Baptiste PignonFondation FondaMental, Créteil, France.ORCID 0000-0003-0526-3136
Julio SanjuánDepartment of Psychiatry, School of Medicine, Universidad de Valencia, Centro de Investigación Biomédica en Red de Salud Mental, Valencia, Spain.
José Luis SantosDepartment of Psychiatry, Servicio de Psiquiatría Hospital "Virgen de la Luz", Cuenca, Spain.
Jean-Paul SeltenDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.
Ilaria TarriconeDepartment of Medical and Surgical Science, Psychiatry Unit, Alma Mater Studiorium Università di Bologna, Bologna, Italy.
Andrea TortelliInstitut National de la Santé et de la Recherche Médicale, U955, Créteil, France.
Giada TripoliDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, Section of Psychiatry, University of Palermo, Palermo, Italy.
Eva VelthorstDepartment of Research, Mental Health Organization "GGZ Noord-Holland-Noord", Heerhugowaard, The Netherlands.ORCID 0000-0002-9240-2909
Bart P F RuttenDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.
Jim van OsDepartment of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID 0000-0002-7245-1586
Diego QuattroneDepartment of Biomedicine, Neuroscience, and Advanced Diagnostics, Section of Psychiatry, University of Palermo, Palermo, Italy.
Robin M MurrayDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Peter B JonesDepartment of Psychiatry, University of Cambridge, Herchel Smith Building for Brain & Mind Sciences, Cambridge, UK.ORCID 0000-0002-0387-880X
Craig MorganESRC Centre for Society and Mental Health, King's College London, London, UK.
Marta Di FortiNational Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, London, UK.
Hannah E JongsmaDepartment of Psychosis, University Center Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
James B KirkbridePsyLife Group, Division of Psychiatry, University College London, London, UK.ORCID 0000-0003-3401-0824

Funding

ProNET: Psychosis-Risk Outcomes NetworkU01MH124639 · NIMH · YALE UNIVERSITY · PI CARRIE E BEARDEN, JOHN M KANE · 2020 to 2026
$81.2M
Randomized controlled trial of enhanced coordinated specialty care (CSC 2.0)P50MH115846 · NIMH · MCLEAN HOSPITAL · PI Dost Ongur · 2019 to 2026
$16.9M
CIBERSAMEuropean CommissionEuropean Community's Seventh Framework Program HEALTH-F2-2010-241909European UnionEuropean Union H2020 ProgramEuropean Union-NextGenerationEU PMP21/00051European Union Seventh Framework ProgramEuropean Union Structural FundsFundación Alicia KoplowitzFundación Familia AlonsoHorizon EuropeInnovative Medicines Initiative 2 Joint Undertaking: Project PRISM-2 101034377Madrid Regional Government (B2017/BMD-3740 AGES-CM-2)National Institute of Mental Health of the National Institutes of Health 1U01MH124639-01NIHR UCLH BRCNIMH NIH HHS P50 MH115846Project AIMS-2-TRIALS 777394São Paulo Research Foundation 2012/0417-0Spanish Ministry of Science and Innovation, Instituto de Salud Carlos IIIUniversity Medical Centre Groningen 18-41
6 · The paper itself

Abstract

background and hypothesisRecent findings suggest the incidence of first-episode psychotic disorders (FEP) varies according to setting-level deprivation and cannabis use, but these factors have not been investigated together. We hypothesized deprivation would be more strongly associated with variation in FEP incidence than the prevalence of daily or high-potency cannabis use between settings. STUDY

designWe used incidence data in people aged 18-64 years from 14 settings of the EU-GEI study. We estimated the prevalence of daily and high-potency cannabis use in controls as a proxy for usage in the population at-risk; multiple imputations by chained equations and poststratification weighting handled missing data and control representativeness, respectively. We modeled FEP incidence in random intercepts negative binomial regression models to investigate associations with the prevalence of cannabis use in controls, unemployment, and owner-occupancy in each setting, controlling for population density, age, sex, and migrant/ethnic group. STUDY

resultsLower owner-occupancy was independently associated with increased FEP (adjusted incidence rate ratio [aIRR]: 0.76, 95% CI: 0.61-0.95) and non-affective psychosis incidence (aIRR: 0.68, 95% CI: 0.55-0.83), after multivariable adjustment. Prevalence of daily cannabis use in controls was associated with the incidence of affective psychoses (aIRR: 1.53, 95% CI: 1.02-2.31). We found no association between FEP incidence and unemployment or high-potency cannabis use prevalence. Sensitivity analyses supported these findings.

conclusionsLower setting-level owner-occupancy and increased prevalence of daily cannabis use in controls independently contributed to setting-level variance in the incidence of different psychotic disorders. Public health interventions that reduce exposure to these harmful environmental factors could lower the population-level burden of psychotic disorders.

Indexed as

Psychotic DisordersAdolescentAdultEuropeFemaleHumansIncidenceMaleMarijuana UseMiddle AgedPsychosocial DeprivationYoung Adultepidemiologyetiologysocial determinants of healthsocial inequalitysubstance use

Identifiers

PMID38788048
PMCPMC11349009

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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.