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S13.04 - Does the environment increase sensitivity to develop psychosis in young adolescents?

Published online by Cambridge University Press:  16 April 2020

T. Lataster
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
E. De Loore
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Collaborative Antwerp Psychiatric Research Institute (CAPRI), University Antwerp, Antwerp, Belgium
M. Drukker
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Youth Health Care Division, Municipal Health Centre, Maastricht, The Netherlands
N. Gunther
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
F. Feron
Affiliation:
Youth Health Care Division, Municipal Health Centre, Maastricht, The Netherlands
D. Deboute
Affiliation:
Collaborative Antwerp Psychiatric Research Institute (CAPRI), University Antwerp, Antwerp, Belgium
C. Henquet
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
J. Van Os
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Division of Psychological Medicine, Institute of Psychiatry, London, UK
I. Myin-Germeys
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands School of Psychological Sciences, University of Manchester, Manchester, UK Mondriaan Zorggroep, Section Social Cognition, Heerlen, The Netherlands

Abstract

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Background and Aims:

Victimization in childhood may be associated with adult psychosis. This association was examined cross-sectional and longitudinal in the crucial developmental period of early adolescence.

Methods:

Data were derived from standard health screenings of the Youth Health Care Divisions of the Municipal Health Services in Maastricht, the Netherlands. A self-report questionnaire was filled out by a total of 1290 adolescents to assess non-clinical psychotic experiences, as well as experiences of being bullied, sexual trauma and life events.

Results:

The cross-sectional study showed that unwanted sexual experiences and being bullied were strongly and independently associated with psychotic experiences. In the same sample, it was shown that sexual trauma increased the risk for psychotic symptoms two years later. Life events contributed to the risk for psychosis over time and psychosis in turn gave rise to new life events. No significant association with bullying was found after controlling for confounders.

Conclusions:

These results suggest that reported associations between childhood victimization and adult psychosis can be understood in a developmental framework of onset of at-risk mental states in early adolescence. Early and later psychological stress, if severe, may impact on the risk for psychosis in adolescence trough mechanisms of person-environment interaction and correlation.

Type
Symposium: Hallucination in children and adolescents: Risk factors and treatment strategies
Copyright
Copyright © European Psychiatric Association 2008
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