Psychosis, victimisation and childhood disadvantage: Evidence from the second British National Survey of Psychiatric Morbidity
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Background: Adverse early circumstances may be more common in people who later develop psychotic disorders. Aims: To use data from the second British National Survey of Psychiatric Morbidity to examine associations between psychotic disorders and a number of early victimisation experiences. Method: Psychiatric disorders were identified through structured assessment of adults resident in private households in Britain (n=8580). Respondents were asked whether they had experienced selected events displayed on cards. Results: Compared with respondents with other psychiatric disorders or with none, the prevalence of every experience bar one was significantly elevated in those with definite or probable psychosis. The largest odds ratio was for sexual abuse. Controlling for depressed mood somewhat reduced the odds ratios for the individual experiences. Conclusions: In people with psychosis, there is a marked excess of victimising experiences, many of which will have occurred during childhood. This is suggestive of a social contribution to aetiology.
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Childhood adversity, and interpersonal trauma specifically, have been linked to the development of PEs, and there is evidence linking current adverse environments - characterized by racial discrimination, migrant status and low social capital - with psychosis.
“Childhood adversity 25,26 , and interpersonal trauma specifically 27 , have been linked to the development of PEs, and there is evidence linking current adverse environments -characterized by racial discrimination 28 , migrant status 29 and low social capital 30 -with psychosis.”
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 [25]
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Experimental — accuracy not yet measuredRecent population-based studies in the UK and USA show high rates of lifetime experiences of sexual and physical abuse in those diagnosed with a psychotic disorder.
“Recent population-based studies in both the UK and the United States of America (USA) show high rates of lifetime experiences of sexual and physical abuse in those diagnosed with a psychotic disorder [16, 17].”
From A brief CBT intervention for depersonalisation/derealisation in psychosis: Study protocol for a feasibility randomised controlled trial (2016) · cites this paper as [16]
The Results report that a UK population-survey group with definite or probable psychosis had the highest prevalence of nearly all the victimisation experiences studied, with the largest odds ratio for sexual abuse. The paper also examines violence in the home and assault, but does not clearly identify these measures as respondents’ experiences of physical abuse. The USA finding is not assessed here because the sentence also cites another source. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIndividuals diagnosed with a psychotic disorder are more likely to have suffered a traumatic event.
“There is now considerable evidence that individuals diagnosed with a psychotic disorder are more likely to have suffered a traumatic event (Bebbington et al., 2004; Jansenn et al., 2004).”
From Auditory Hallucinations and Posttraumatic Stress Disorder Within Schizophrenia and Substance Abuse (2011) · cites this paper as Bebbington et al., 2004
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- Authors
- Bebbington, P. E., Bhugra, D., Brugha, T., Singleton, N., Farrell, M., Jenkins, R., Lewis, G., & Meltzer, H.
- Affiliations
- University College London (GB)
- University of Leicester (GB)
- Office for National Statistics (GB)
- South London and Maudsley NHS Foundation Trust (GB)
- University of Bristol (GB)
- Corresponding author
- Bebbington, Paul E.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2004-09
- Volume
- 185
- Issue
- 3
- Pages
- 220-226
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2078009077
- Cited by
- 562
- References
- 29
- Citations by year
- 2026: 18 · 2025: 6 · 2024: 8 · 2023: 18 · 2022: 10 · 2021: 10 · 2020: 14 · 2019: 17 · 2018: 22 · 2017: 25 · 2016: 28 · 2015: 42 · 2014: 35 · 2013: 40 · 2012: 37
- FWCI
- 29.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- 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 › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- psychosis, childhood disadvantage, adverse childhood experiences, sexual abuse, depression, psychiatric morbidity
- MeSH terms
- Accidents, Adolescent, Adult, Aged, Alcoholism, Child, Child Abuse, Sexual, Child Behavior Disorders, Child Care, Ill-Housed Persons, Humans, Life Change Events, Middle Aged, Neurotic Disorders, Population Surveillance, Psychotic Disorders, Violence, Crime Victims, Substance-Related Disorders
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