Adversity and psychosis: a 10‐year prospective study investigating synergism between early and recent adversity in psychosis
Abstract
OBJECTIVE: Recent studies have suggested that early adverse events, such as childhood trauma, may promote enduring liability for psychosis whereas more recent adverse events may act as precipitants. Examination of these environmental dynamics, however, requires prospective studies in large samples. This study examines whether the association between recent adverse events and psychosis is moderated by exposure to early adversity. METHOD: A random regional representative population sample of 3021 adolescents and young adults in Munich, Germany, was assessed three times over a period of up to 10 years, collecting information on sociodemographic factors, environmental exposures, and measures of psychopathology and associated clinical relevance. Evidence of statistical non-additivity between early adversity (two levels) and more recent adversity (four levels) was assessed in models of psychotic symptoms. Analyses were a priori corrected for age, gender, cannabis use, and urbanicity. RESULTS: Early and recent adversity were associated with each other (RR = 1.32, 95% CI 1.06-1.66; P = 0.014) and displayed statistical non-additivity at the highest level of exposure to recent adversity (χ(2) = 4.59; P = 0.032). CONCLUSION: The findings suggest that early adversity may impact on later expression of psychosis either by increasing exposure to later adversity and/or by rendering individuals more sensitive to later adversity if it is severe.
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The association between recent adversity and psychotic symptoms was much stronger in individuals exposed to early adversity compared with those who were not.
“The authors concluded that the association between recent adversity and psychotic symptoms was much stronger in individuals exposed to early adversity compared with those who were not.”
From The traumagenic neurodevelopmental model of psychosis revisited (2014) · cites this paper as [40]
Lataster et al., in a prospective study of over 3000 adolescents, found that both childhood and recent adversity were associated with increased psychotic symptoms and psychotic impairments (defined as either social dysfunction or seeking help for symptoms of psychosis).
“Lataster et al. , in a prospective study of over 3000 adolescents, found that both childhood and recent adversity were associated with increased psychotic symptoms and psychotic impairments (defined as either social dysfunction or seeking help for symptoms of psychosis) [40] .”
From The traumagenic neurodevelopmental model of psychosis revisited (2014) · cites this paper as [40]
An interaction effect was observed between early adversity, recent adversity and psychosis, with an adjusted odds ratio of 4.1 for symptoms of psychosis and 6.4 for psychotic impairments.
“Furthermore, an interaction effect was observed between early adversity, recent adversity and psychosis, with an adjusted odds ratio of 4.1 for symptoms of psychosis and 6.4 for psychotic impairments.”
From The traumagenic neurodevelopmental model of psychosis revisited (2014) · cites this paper as [40]
Stressful and adverse experiences are associated with an increased risk of developing a psychotic disorder, although this relationship may be partially mediated by familial risk factors.
“Stressful and adverse experiences are associated with an increased risk of developing a psychotic disorder(108), although this relationship may be partially mediated by familial risk factors (109).”
From Aberrant Salience, Information Processing, and Dopaminergic Signaling in People at Clinical High Risk for Psychosis (2020) · cites this paper as [108]
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“Since associations between one exposure and outcomes remain after controlling for the other exposures (Schäfer and Fisher, 2011), it is likely that additive effects and/or synergistic effects operate between risk factors (Morgan et al., 2014; Guloksuz et al., 2015; Lataster et al., 2012; Morgan et al., 2008; Schäfer a…”
BackgroundHowes, O. D., Hird, E. J., Adams, R. A., Corlett, P. R., & McGuire, P. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.03.012 · Cited by 110 · see citing works
Adversity, cannabis use and psychotic experiences: evidence of cumulative and synergistic effects
Morgan, C., Reininghaus, U., Reichenberg, A., Frissa, S., SELCoH study team, Hotopf, M., & Hatch, S. L. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.134452 · Cited by 113 · see citing works
Theory of mind performance in women with posttraumatic stress disorder related to childhood abuse
Nazarov, A., Frewen, P., Parlar, M., Oremus, C., MacQueen, G., McKinnon, M., & Lanius, R. (2014) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12142 · Cited by 111 · see citing works
Gumley, A. I., Schwannauer, M., Macbeth, A., Fisher, R., Clark, S., Rattrie, L., Fraser, G., McCabe, R., Blair, A., Davidson, K., et al. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.126722 · Cited by 63 · see citing works
Gawęda, Ł., Göritz, A. S., & Moritz, S. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2018.11.034 · Cited by 52 · see citing works
Smeets, F., Lataster, T., van Winkel, R., de Graaf, R., ten Have, M., & van Os, J. (2013) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01888.x · Cited by 50 · see citing works
Self-citationMcCutcheon, R. A., Bloomfield, M. A. P., Dahoun, T., Mehta, M., & Howes, O. D. (2019) · Schizophrenia Research · doi:10.1016/j.schres.2018.12.011 · Cited by 35 · see citing works
Development and validation of the Questionnaire of Stressful Life Events (QSLE)
Butjosa, A., Gómez-Benito, J., Myin-Germeys, I., Barajas, A., Baños, I., Usall, J., Grau, N., Granell, L., Sola, A., Carlson, J., et al. (2017) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.08.016 · Cited by 18 · see citing works
Self-citation
- Authors
- Lataster, J., Myin‐Germeys, I., Lieb, R., Wittchen, H. ‐., & van Os, J.
- Affiliations
- Maastricht University Medical Centre (NL)
- University of Basel (CH)
- Corresponding author
- Myin‐Germeys, I.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2011-11-30
- Volume
- 125
- Issue
- 5
- Pages
- 388-399
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1791415059
- Cited by
- 117
- References
- 90
- Citations by year
- 2026: 4 · 2024: 3 · 2023: 10 · 2022: 4 · 2021: 7 · 2020: 14 · 2019: 7 · 2018: 11 · 2017: 11 · 2016: 7 · 2015: 4 · 2014: 15 · 2013: 9 · 2012: 9
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Max Planck Institute for Plasma Physics (submittedVersion)
- Lirias (KU Leuven) (submittedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- DSpace (Open University in the Netherlands) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- psychosis, childhood adversity, childhood trauma, environmental risk factors, synergistic effect, moderation, psychotic symptoms, adolescents and young adults, psychopathology, cannabis use
- MeSH terms
- Adolescent, Child Abuse, Female, Germany, Humans, Life Change Events, Longitudinal Studies, Male, Marijuana Smoking, Prospective Studies, Psychotic Disorders, Risk Factors, Social Environment, Stress, Psychological, Young Adult
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