Impact of adverse childhood experiences on educational achievements in young people at clinical high risk of developing psychosis
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Impact of adverse childhood experiences on educational achievements in young people at clinical high risk of developing psychosis. / Tognin, Stefania; Catalan, Ana; Kempton, Matthew J.; Nelson, Barnaby; McGorry, Patrick; Riecher-Rössler, Anita; Bressan, Rodrigo; Barrantes-Vidal, Neus; Krebs, Marie Odile; Nordentoft, Merete; Ruhrmann, Stephan; Sachs, Gabriele; Rutten, Bart P.F.; Van Os, Jim; De Haan, Lieuwe; Van Der Gaag, Mark; McGuire, Philip; Valmaggia, Lucia R.
I: European Psychiatry, Bind 66, Nr. 1, e16, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Impact of adverse childhood experiences on educational achievements in young people at clinical high risk of developing psychosis
AU - Tognin, Stefania
AU - Catalan, Ana
AU - Kempton, Matthew J.
AU - Nelson, Barnaby
AU - McGorry, Patrick
AU - Riecher-Rössler, Anita
AU - Bressan, Rodrigo
AU - Barrantes-Vidal, Neus
AU - Krebs, Marie Odile
AU - Nordentoft, Merete
AU - Ruhrmann, Stephan
AU - Sachs, Gabriele
AU - Rutten, Bart P.F.
AU - Van Os, Jim
AU - De Haan, Lieuwe
AU - Van Der Gaag, Mark
AU - McGuire, Philip
AU - Valmaggia, Lucia R.
N1 - Publisher Copyright: © The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association.
PY - 2023
Y1 - 2023
N2 - Background Adverse childhood experiences (ACE) can affect educational attainments, but little is known about their impact on educational achievements in people at clinical high risk of psychosis (CHR). Methods In total, 344 CHR individuals and 67 healthy controls (HC) were recruited as part of the European Community's Seventh Framework Programme-funded multicenter study the European Network of National Schizophrenia Networks Studying Gene-Environment Interactions (EU-GEI). The brief version of the Child Trauma Questionnaire was used to measure ACE, while educational attainments were assessed using a semi-structured interview. Results At baseline, compared with HC, the CHR group spent less time in education and had higher rates of ACE, lower rates of employment, and lower estimated intelligence quotient (IQ). Across both groups, the total number of ACE was associated with fewer days in education and lower level of education. Emotional abuse was associated with fewer days in education in HC. Emotional neglect was associated with a lower level of education in CHR, while sexual abuse was associated with a lower level of education in HC. In the CHR group, the total number of ACE, physical abuse, and neglect was significantly associated with unemployment, while emotional neglect was associated with employment. Conclusions ACE are strongly associated with developmental outcomes such as educational achievement. Early intervention for psychosis programs should aim at integrating specific interventions to support young CHR people in their educational and vocational recovery. More generally, public health and social interventions focused on the prevention of ACE (or reduce their impact if ACE occur) are recommended.
AB - Background Adverse childhood experiences (ACE) can affect educational attainments, but little is known about their impact on educational achievements in people at clinical high risk of psychosis (CHR). Methods In total, 344 CHR individuals and 67 healthy controls (HC) were recruited as part of the European Community's Seventh Framework Programme-funded multicenter study the European Network of National Schizophrenia Networks Studying Gene-Environment Interactions (EU-GEI). The brief version of the Child Trauma Questionnaire was used to measure ACE, while educational attainments were assessed using a semi-structured interview. Results At baseline, compared with HC, the CHR group spent less time in education and had higher rates of ACE, lower rates of employment, and lower estimated intelligence quotient (IQ). Across both groups, the total number of ACE was associated with fewer days in education and lower level of education. Emotional abuse was associated with fewer days in education in HC. Emotional neglect was associated with a lower level of education in CHR, while sexual abuse was associated with a lower level of education in HC. In the CHR group, the total number of ACE, physical abuse, and neglect was significantly associated with unemployment, while emotional neglect was associated with employment. Conclusions ACE are strongly associated with developmental outcomes such as educational achievement. Early intervention for psychosis programs should aim at integrating specific interventions to support young CHR people in their educational and vocational recovery. More generally, public health and social interventions focused on the prevention of ACE (or reduce their impact if ACE occur) are recommended.
KW - Adverse childhood experiences
KW - clinical high risk for psychosis
KW - education
U2 - 10.1192/j.eurpsy.2022.2351
DO - 10.1192/j.eurpsy.2022.2351
M3 - Journal article
C2 - 36649929
AN - SCOPUS:85146717082
VL - 66
JO - European Psychiatry
JF - European Psychiatry
SN - 0924-9338
IS - 1
M1 - e16
ER -
ID: 367711985