Impact of adverse childhood experiences on educational achievements in young people at clinical high risk of developing psychosis
Tognin, Stefania (South London and Maudsley NHS Foundation Trust)
Catalan, Ana (Hospital de Basurto (Bilbao, Biscaia))
Kempton, Matthew J. (National Institute for Health Research)
Nelson, Barnaby (The University of Melbourne)
McGorry, Patrick (University of Copenhagen)
Riecher-Rössler, Anita (University of Basel)
Bressan, Rodrigo Affonseca (Universidade Federal de São Paulo - UNIFESP)
Barrantes-Vidal, Neus (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Krebs, Marie-Odile (Service Hospitalo-Universitaire)
Nordentoft, Merete (University of Copenhagen)
Ruhrmann, Stephan (University of Cologne)
Sachs, Gabriele (Medical University of Vienna)
Rutten, Bart P. F. (Maastricht University)
van Os, Jim (Universiteit Utrecht)
de Haan, Lieuwe (Amsterdam UMC)
van der Gaag, Mark (Parnassia Psychiatric Institute)
McGuire, Philip (National Institute for Health Research)
Valmaggia, Lucia R. (King's College London)

Data:	2023
Resum:	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). 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. 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. 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Adverse childhood experiences ; Clinical high risk for psychosis ; Education
Publicat a:	European psychiatry, Vol. 66 (january 2023) , ISSN 1778-3585

DOI: 10.1192/j.eurpsy.2022.2351
PMID: 36649929

8 p, 352.0 KB

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