Parental separation, loss and psychosis in different ethnic groups: a case-control study

C Morgan; J Kirkbride; J Leff; T Craig; G Hutchinson; K McKenzie; K Morgan; P Dazzan; G A Doody; P Jones; R Murray; P Fearon

doi:10.1017/S0033291706009330

Parental separation, loss and psychosis in different ethnic groups: a case-control study

C Morgan, J Kirkbride, J Leff, T Craig, G Hutchinson, K McKenzie, K Morgan, P Dazzan, G A Doody, P Jones, R Murray, P Fearon

Research output: Contribution to journal › Article › peer-review

201 Citations (Scopus)

Abstract

Background. Numerous studies have reported high rates of psychosis in the Black Caribbean and Black African populations in the UK. However, few studies have investigated the role of specific risk factors in different ethnic groups. We sought to investigate the relationship between long-term separation from, and death of, a parent before the age of 16 and risk of adult psychosis in different ethnic groups. Method. All patients with a first episode of psychosis who made contact with psychiatric services in defined catchment areas in London and Nottingham, UK and a series of community controls were included in the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study. Data relating to clinical and social variables, including parental separation and loss, were collected from patients and controls. Results. Separation from, and death of, a parent before the age of 16 were both strongly associated with a two- to threefold increased risk of psychosis. The strength of these associations were similar for White British and Black Caribbean (but not Black African) subjects. Separation from (but not death of) a parent was more common among Black Caribbean controls than White British controls. Conclusions. Early separation may have a greater impact in the Black Caribbean population, because it is more common, and may contribute to the excess of psychosis in this population

Original language	English
Pages (from-to)	495 - 503
Number of pages	9
Journal	Psychological Medicine
Volume	37
Issue number	4
DOIs	https://doi.org/10.1017/S0033291706009330
Publication status	Published - Apr 2007

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@article{8ccd0ee1cccf4df7bb7801651a7881f4,

title = "Parental separation, loss and psychosis in different ethnic groups: a case-control study",

abstract = "Background. Numerous studies have reported high rates of psychosis in the Black Caribbean and Black African populations in the UK. However, few studies have investigated the role of specific risk factors in different ethnic groups. We sought to investigate the relationship between long-term separation from, and death of, a parent before the age of 16 and risk of adult psychosis in different ethnic groups. Method. All patients with a first episode of psychosis who made contact with psychiatric services in defined catchment areas in London and Nottingham, UK and a series of community controls were included in the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study. Data relating to clinical and social variables, including parental separation and loss, were collected from patients and controls. Results. Separation from, and death of, a parent before the age of 16 were both strongly associated with a two- to threefold increased risk of psychosis. The strength of these associations were similar for White British and Black Caribbean (but not Black African) subjects. Separation from (but not death of) a parent was more common among Black Caribbean controls than White British controls. Conclusions. Early separation may have a greater impact in the Black Caribbean population, because it is more common, and may contribute to the excess of psychosis in this population",

author = "C Morgan and J Kirkbride and J Leff and T Craig and G Hutchinson and K McKenzie and K Morgan and P Dazzan and Doody, {G A} and P Jones and R Murray and P Fearon",

year = "2007",

month = apr,

doi = "10.1017/S0033291706009330",

language = "English",

volume = "37",

pages = "495 -- 503",

journal = "Psychological Medicine",

issn = "1469-8978",

publisher = "Cambridge University Press",

number = "4",

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TY - JOUR

T1 - Parental separation, loss and psychosis in different ethnic groups: a case-control study

AU - Morgan, C

AU - Kirkbride, J

AU - Leff, J

AU - Craig, T

AU - Hutchinson, G

AU - McKenzie, K

AU - Morgan, K

AU - Dazzan, P

AU - Doody, G A

AU - Jones, P

AU - Murray, R

AU - Fearon, P

PY - 2007/4

Y1 - 2007/4

N2 - Background. Numerous studies have reported high rates of psychosis in the Black Caribbean and Black African populations in the UK. However, few studies have investigated the role of specific risk factors in different ethnic groups. We sought to investigate the relationship between long-term separation from, and death of, a parent before the age of 16 and risk of adult psychosis in different ethnic groups. Method. All patients with a first episode of psychosis who made contact with psychiatric services in defined catchment areas in London and Nottingham, UK and a series of community controls were included in the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study. Data relating to clinical and social variables, including parental separation and loss, were collected from patients and controls. Results. Separation from, and death of, a parent before the age of 16 were both strongly associated with a two- to threefold increased risk of psychosis. The strength of these associations were similar for White British and Black Caribbean (but not Black African) subjects. Separation from (but not death of) a parent was more common among Black Caribbean controls than White British controls. Conclusions. Early separation may have a greater impact in the Black Caribbean population, because it is more common, and may contribute to the excess of psychosis in this population

AB - Background. Numerous studies have reported high rates of psychosis in the Black Caribbean and Black African populations in the UK. However, few studies have investigated the role of specific risk factors in different ethnic groups. We sought to investigate the relationship between long-term separation from, and death of, a parent before the age of 16 and risk of adult psychosis in different ethnic groups. Method. All patients with a first episode of psychosis who made contact with psychiatric services in defined catchment areas in London and Nottingham, UK and a series of community controls were included in the AESOP (Aetiology and Ethnicity in Schizophrenia and Other Psychoses) study. Data relating to clinical and social variables, including parental separation and loss, were collected from patients and controls. Results. Separation from, and death of, a parent before the age of 16 were both strongly associated with a two- to threefold increased risk of psychosis. The strength of these associations were similar for White British and Black Caribbean (but not Black African) subjects. Separation from (but not death of) a parent was more common among Black Caribbean controls than White British controls. Conclusions. Early separation may have a greater impact in the Black Caribbean population, because it is more common, and may contribute to the excess of psychosis in this population

U2 - 10.1017/S0033291706009330

DO - 10.1017/S0033291706009330

M3 - Article

SN - 1469-8978

VL - 37

SP - 495

EP - 503

JO - Psychological Medicine

JF - Psychological Medicine

IS - 4

ER -

Parental separation, loss and psychosis in different ethnic groups: a case-control study

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