Review of the Evidence: Childhood Adversity High in Schizophrenia and Other Disorders

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Researchers from Australia and the UK found that people with a schizophrenia diagnosis almost four times more likely than controls to have a history of childhood adversity. The quality of the evidence in this meta-analysis of the currently available data was found to be very strong (p<0.00001). No difference in rates of childhood adversity were found between schizophrenia and affective psychosis, depression, and personality disorders.  Rates of childhood adversity is slightly higher in dissociative disorders and PTSD. Results will appear in Psychological Medicine.

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Mad in America hosts blogs by a diverse group of writers. These posts are designed to serve as a public forum for a discussion—broadly speaking—of psychiatry and its treatments. The opinions expressed are the writers’ own.

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Kermit Cole
Kermit Cole is a licensed marriage and family therapist based in Santa Fe, New Mexico. He and his partner, Luisa Putnam, joined by their mutual interest in working with trauma and psychosis, studied Open Dialogue in Finland and Peer-supported Open Dialogue in the UK in order to practice and teach as a team. In 2011, they joined with Robert Whitaker to found the Mad in America website

2 COMMENTS

  1. Unfortunately one can only imagine that this will give too many psychiatrists even more reasons to drug children in foster care. It will be preventative drugging to stop them from developing psychosis!! After that is the new thing at the moment the ability to PREVENT these disorders and there are now major government funded clinics being set up in Australia to drug those supposedly “at risk” of psychosis. One can only guess who will be the first on there hit list, when in effect they should be the last. They already have enough problems to deal with they don’t need drugs to make it even worse.

    Maybe I’m just too cynical of too much torture from the mental health system!!

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  2. Quoting from the abstract, evidence for childhood adversity being a risk factor for schizophrenia, I agree, is inconsistent and controversial. Although I don’t have access to the full study, I wonder what is meant by childhood adversity. Who doesn’t experience childhood adversity to some degree or another? Parental divorce could be considered childhood adversity, and so can a poverty stricken childhood, but many people who are given the diagnosis of schizophrenia have had what look like “normal” childhoods. Many people link schizophrenia to overt childhood trauma (as distinct from adversity), and I personally feel that even this is way too simplistic. Classic “schizophrenia,” which is observed in men earlier than in women, can also be linked to a spiritual quest, an unwillingness to enter adulthood, a healing passage. Schizophrenia defies objective analysis, but that won’t stop researchers trying to put a rational face on this extraordinary condition.

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