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Cited by 401Child Abuse and TraumaSchizophrenia research and treatmentPsychoanalysis and Psychopathology Research

Do Specific Early-Life Adversities Lead to Specific Symptoms of Psychosis? A Study from the 2007 The Adult Psychiatric Morbidity Survey

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Bentall, R. P., Wickham, S., Shevlin, M., Varese, F.·2012·Schizophrenia Bulletin
DOI 10.1093/schbul/sbs049PMC PMC3406525
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Abstract

Previous studies have reported associations between childhood adversities, eg, loss of a parent, being raised in institutional care, sexual and other kinds of abuse by adults and bullying by peers, and psychosis in adulthood. However, the mechanisms by which these adversities lead to psychotic experiences are poorly understood. From models of the psychological processes involved in positive symptoms, it was predicted that childhood sexual abuse would be specifically associated with auditory hallucinations in adulthood, and that disruption of early attachment relations and more chronic forms of victimization such as bullying would be specifically associated with paranoid ideation. We therefore examined the associations between sexual trauma, physical abuse, bullying, and being brought up in institutional or local authority care and reports of auditory hallucinations and paranoid beliefs in the 2007 Adult Psychiatric Morbidity Survey. All simple associations between childhood adversities and the two symptom types were significant. Childhood rape was associated only with hallucinations (OR 8.9, CI = 1.86-42.44) once co-occurring paranoia was controlled for. Being brought up in institutional care (OR = 11.08, CI = 3.26-37.62) was specifically associated with paranoia once comorbid hallucinations had been controlled for. For each symptom, dose-response relationships were observed between the number of childhood traumas and the risk of the symptom. The specific associations observed are consistent with current psychological theories about the origins of hallucinations and paranoia. Further research is required to study the psychological and biological mediators of these associations.

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  • Childhood and interpersonal trauma have been consistently associated with the presence of voices and other anomalous experiences, irrespective of need for care.

    “On the other hand, childhood and interpersonal trauma have been consistently associated with the presence of voices [34][35][36] and other anomalous experiences 18 , irrespective of need for care.”

    From Clinical, socio‐demographic and psychological characteristics in individuals with persistent psychotic experiences with and without a “need for care” (2016) · cites this paper as [36]

    The Results report associations between childhood rape or physical abuse and auditory verbal hallucinations, supporting the claim about voices. The Methods describe a household survey that collected service-use data, but the cited passages do not establish that the associations hold irrespective of need for care. The paper examines hallucinations and paranoia, rather than anomalous experiences generally. (LLM, conf=0.84)

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  • Certain types of trauma, such as child sexual abuse, are particularly strongly associated with both dissociation and AVH.

    “Notably, certain types of trauma, such as child sexual abuse, are particularly strongly associated with both dissociation (Talbot et al., 2004) and AVH (Bentall et al., 2012).”

    From Is Shame Hallucinogenic? (2017) · cites this paper as Bentall et al., 2012

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Research works printed but not linked: 2

  1. [29]Nelson H. National Adult Reading Test (NART) 2nd ed. London: NFER-Nelson; 1991. [Google Scholar]
  2. [30]Muthen LK, Muthen BO. Mplus user's guide. 6th ed. Los Angeles, CA: Muthen & Muthen; 2011. [Google Scholar]

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Authors
Bentall, R. P., Wickham, S., Shevlin, M., & Varese, F.
Affiliations
  • University of Liverpool (GB)
  • University of Ulster (GB)
Corresponding author
Bentall, R. P.
ORCID
Venue
Schizophrenia Bulletin
Publisher
Oxford University Press (OUP)
Published
2012-04-10
Volume
38
Issue
4
Pages
734-740
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
DOI
10.1093/schbul/sbs049
PMC
PMC3406525
OpenAlex
W2151422656
Cited by
401
References
38
Citations by year
2026: 13 · 2025: 17 · 2024: 22 · 2023: 23 · 2022: 26 · 2021: 17 · 2020: 29 · 2019: 35 · 2018: 30 · 2017: 49 · 2016: 41 · 2015: 31 · 2014: 36 · 2013: 24 · 2012: 6
FWCI
35.28
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Lancaster EPrints (Lancaster University) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
Economic and Social Research Council (ES/I015043/1, ES/I015043/2)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
childhood adversity, psychosis
MeSH terms
Adolescent, Adult, Child, Child Abuse, Child Abuse, Sexual, Child, Institutionalized, Female, Hallucinations, Humans, Male, Paranoid Disorders, Psychotic Disorders, Risk Factors, Logistic Models, Adult Survivors of Child Abuse, Bullying

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