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Cumulative sociodemographic disadvantage partially mediates associations between childhood trauma and schizotypy
- Source :
- The British journal of clinical psychologyReferences. 61(2)
- Publication Year :
- 2021
-
Abstract
- Objectives Risk for psychosis in the general population is characterized by a set of multidimensional traits that are referred to as schizotypy. Higher levels of schizotypy are associated with socioeconomic disadvantage and childhood trauma, just as these risk factors are associated with schizophrenia and bipolar disorder. Here, we set out to investigate whether cumulative sociodemographic disadvantage mediates associations between childhood trauma and schizotypy in adulthood. Methods A sociodemographic cumulative risk (SDCR) score was derived from six risk indices spanning employment, education, income, socioeconomic status, marital, and living circumstances for 197 participants that included both healthy (n = 57) and clinical samples with schizophrenia or schizoaffective disorder (n = 65) or bipolar disorder (n = 75). A series of multiple linear regressions was used to examine the direct and indirect associations among childhood trauma (measured with the Childhood Trauma Questionnaire), the SDCR index, and levels of schizotypy (measured with the Schizotypal Personality Questionnaire). Results Schizotypy was independently associated with trauma and the SDCR index. In addition, the SDCR index partially mediated associations between trauma and schizotypy. Conclusions These findings in a mixed sample of healthy and clinical participants represent the full spectrum of schizotypy across health and illness and suggest that effects of childhood trauma on schizotypal personality organization may operate via cumulative socioeconomic disadvantage in adulthood. Practitioner points The strong associations between trauma and schizotypy suggest that systematic health screening of children exposed to early life trauma may assist to identify those at risk of developing psychosis. Clinicians should pay attention to various indicators of sociodemographic disadvantage in patients prone to psychosis, in addition to any exposure to trauma during childhood.
- Subjects :
- Adult
Psychosis
Mediation (statistics)
Bipolar Disorder
media_common.quotation_subject
Schizotypy
Population
Schizoaffective disorder
Schizotypal Personality Disorder
Adverse Childhood Experiences
medicine
Personality
Humans
Bipolar disorder
education
Child
media_common
education.field_of_study
General Medicine
medicine.disease
Clinical Psychology
Psychotic Disorders
Schizophrenia
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 01446657
- Volume :
- 61
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The British journal of clinical psychologyReferences
- Accession number :
- edsair.doi.dedup.....336bb3ff0df74344c77655beac54d536