Familial risk and childhood adversity interplay in the onset of psychosis

TY - JOUR

T1 - Familial risk and childhood adversity interplay in the onset of psychosis

AU - Trotta, Antonella

AU - Di Forti, Marta

AU - Iyegbe, Conrad

AU - Green, Priscilla

AU - Dazzan, Paola

AU - Mondelli, Valeria

AU - Morgan, Craig

AU - Murray, Robin M.

AU - Fisher, Helen L.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background The association between childhood adversity and psychosis in adulthood is well established. However, genetic factors might confound or moderate this association. Aims Using a catchment-based case-control sample, we explored the main effects of, and interplay between, childhood adversity and family psychiatric history on the onset of psychosis. Method Childhood adversity (parental separation and death, physical and sexual abuse) was assessed retrospectively in 224 individuals with a first presentation of psychosis and 256 community controls from South London, UK. Occurrence of psychotic and affective disorders in first-degree relatives was ascertained with the Family Interview for Genetic Studies (FIGS). Results Parental history of psychosis did not confound the association between childhood adversity and psychotic disorder. There was no evidence that childhood adversity and familial liability combined synergistically to increase odds of psychosis beyond the effect of each individually. Conclusions Our results do not support the hypothesis that family psychiatric history amplifies the effect of childhood adversity on odds of psychosis.

AB - Background The association between childhood adversity and psychosis in adulthood is well established. However, genetic factors might confound or moderate this association. Aims Using a catchment-based case-control sample, we explored the main effects of, and interplay between, childhood adversity and family psychiatric history on the onset of psychosis. Method Childhood adversity (parental separation and death, physical and sexual abuse) was assessed retrospectively in 224 individuals with a first presentation of psychosis and 256 community controls from South London, UK. Occurrence of psychotic and affective disorders in first-degree relatives was ascertained with the Family Interview for Genetic Studies (FIGS). Results Parental history of psychosis did not confound the association between childhood adversity and psychotic disorder. There was no evidence that childhood adversity and familial liability combined synergistically to increase odds of psychosis beyond the effect of each individually. Conclusions Our results do not support the hypothesis that family psychiatric history amplifies the effect of childhood adversity on odds of psychosis.

UR - http://www.scopus.com/inward/record.url?scp=84990933670&partnerID=8YFLogxK

U2 - 10.1192/bjpo.bp.115.000158

DO - 10.1192/bjpo.bp.115.000158

M3 - Article

AN - SCOPUS:84990933670

SN - 2056-4724

VL - 1

SP - 6

EP - 13

JO - BJPsych Open

JF - BJPsych Open

IS - 1

ER -