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Psychotic disorder and educational achievement: a family-based analysis.
Soc Psychiatry Psychiatr Epidemiol. 2015 Oct; 50(10):1511-8.SP

Abstract

BACKGROUND

Early social and cognitive alterations in psychotic disorder, associated with familial liability and environmental exposures, may contribute to lower than expected educational achievement. The aims of the present study were to investigate (1) how differences in educational level between parents and their children vary across patients, their healthy siblings, and healthy controls (effect familial liability), and across two environmental risk factors for psychotic disorder: childhood trauma and childhood urban exposure (effect environment) and (2) to what degree the association between familial liability and educational differential was moderated by the environmental exposures.

METHODS

Patients with a diagnosis of non-affective psychotic disorder (n = 629), 552 non-psychotic siblings and 326 healthy controls from the Netherlands and Belgium were studied. Participants reported their highest level of education and that of their parents. Childhood trauma was assessed with the Dutch version of the Childhood Trauma Questionnaire-Short Form. Urban exposure, expressed as population density, was rated across five levels.

RESULTS

Overall, participants had a higher level of education than their parents. This difference was significantly reduced in the patient group, and the healthy siblings displayed intergenerational differences that were in between those of controls and patients. Higher levels of childhood urban exposure were also associated with a smaller intergenerational educational differential. There was no evidence for differential sensitivity to childhood trauma and childhood urbanicity across the three groups.

CONCLUSION

Intergenerational difference in educational achievements is decreased in patients with psychotic disorder and to a lesser extent in siblings of patients with psychotic disorder, and across higher levels of childhood urban exposure. More research is required to better understand the dynamics between early social and cognitive alterations in those at risk in relation to progress through the educational system and to understand the interaction between urban environment and educational outcomes.

Authors+Show Affiliations

Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 616 (VIJV1), 6200 MD, Maastricht, The Netherlands.Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 616 (VIJV1), 6200 MD, Maastricht, The Netherlands. r.lieverse@maastrichtuniversity.nl.Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 616 (VIJV1), 6200 MD, Maastricht, The Netherlands.Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 616 (VIJV1), 6200 MD, Maastricht, The Netherlands.Department of Psychiatry and Psychology, Maastricht University Medical Centre, PO Box 616 (VIJV1), 6200 MD, Maastricht, The Netherlands.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26099998

Citation

Frissen, Aleida, et al. "Psychotic Disorder and Educational Achievement: a Family-based Analysis." Social Psychiatry and Psychiatric Epidemiology, vol. 50, no. 10, 2015, pp. 1511-8.
Frissen A, Lieverse R, Marcelis M, et al. Psychotic disorder and educational achievement: a family-based analysis. Soc Psychiatry Psychiatr Epidemiol. 2015;50(10):1511-8.
Frissen, A., Lieverse, R., Marcelis, M., Drukker, M., & Delespaul, P. (2015). Psychotic disorder and educational achievement: a family-based analysis. Social Psychiatry and Psychiatric Epidemiology, 50(10), 1511-8. https://doi.org/10.1007/s00127-015-1082-6
Frissen A, et al. Psychotic Disorder and Educational Achievement: a Family-based Analysis. Soc Psychiatry Psychiatr Epidemiol. 2015;50(10):1511-8. PubMed PMID: 26099998.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychotic disorder and educational achievement: a family-based analysis. AU - Frissen,Aleida, AU - Lieverse,Ritsaert, AU - Marcelis,Machteld, AU - Drukker,Marjan, AU - Delespaul,Philippe, AU - ,, Y1 - 2015/06/23/ PY - 2015/01/13/received PY - 2015/06/10/accepted PY - 2015/6/24/entrez PY - 2015/6/24/pubmed PY - 2016/3/24/medline KW - Cognition KW - Education KW - Psychosis KW - Trauma KW - Urbanicity SP - 1511 EP - 8 JF - Social psychiatry and psychiatric epidemiology JO - Soc Psychiatry Psychiatr Epidemiol VL - 50 IS - 10 N2 - BACKGROUND: Early social and cognitive alterations in psychotic disorder, associated with familial liability and environmental exposures, may contribute to lower than expected educational achievement. The aims of the present study were to investigate (1) how differences in educational level between parents and their children vary across patients, their healthy siblings, and healthy controls (effect familial liability), and across two environmental risk factors for psychotic disorder: childhood trauma and childhood urban exposure (effect environment) and (2) to what degree the association between familial liability and educational differential was moderated by the environmental exposures. METHODS: Patients with a diagnosis of non-affective psychotic disorder (n = 629), 552 non-psychotic siblings and 326 healthy controls from the Netherlands and Belgium were studied. Participants reported their highest level of education and that of their parents. Childhood trauma was assessed with the Dutch version of the Childhood Trauma Questionnaire-Short Form. Urban exposure, expressed as population density, was rated across five levels. RESULTS: Overall, participants had a higher level of education than their parents. This difference was significantly reduced in the patient group, and the healthy siblings displayed intergenerational differences that were in between those of controls and patients. Higher levels of childhood urban exposure were also associated with a smaller intergenerational educational differential. There was no evidence for differential sensitivity to childhood trauma and childhood urbanicity across the three groups. CONCLUSION: Intergenerational difference in educational achievements is decreased in patients with psychotic disorder and to a lesser extent in siblings of patients with psychotic disorder, and across higher levels of childhood urban exposure. More research is required to better understand the dynamics between early social and cognitive alterations in those at risk in relation to progress through the educational system and to understand the interaction between urban environment and educational outcomes. SN - 1433-9285 UR - https://www.unboundmedicine.com/medline/citation/26099998/Psychotic_disorder_and_educational_achievement:_a_family_based_analysis_ L2 - https://dx.doi.org/10.1007/s00127-015-1082-6 DB - PRIME DP - Unbound Medicine ER -