Singh, Swaran P., Winsper, Catherine, Wolke, Dieter and Bryson, Alex (2014) School mobility and prospective pathways to psychotic-like symptoms in early adolescence : a prospective birth cohort study. Journal of the American Academy of Child & Adolescent Psychiatry, 53 (5). pp. 518-527. doi:10.1016/j.jaac.2014.01.016 ISSN 0890-8567.

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Abstract

Objective: Social adversity and urban upbringing increase the risk of psychosis. We tested the hypothesis that these risks may be partly attributable to school mobility and examined the potential pathways linking school mobility to psychotic-like symptoms. Method: A community sample of 6,448 mothers and their children born between 1991 and 1992 were assessed for psychosocial adversities (i.e., ethnicity, urbanicity, family adversity) from birth to 2 years, school and residential mobility up to 9 years, and peer difficulties (i.e., bullying involvement and friendship difficulties) at 10 years. Psychotic-like symptoms were assessed at age 12 years using the Psychosis-like Symptoms Interview (PLIKSi). Results: In regression analyses,
school mobility was significantly associated with definite psychotic-like symptoms (odds ratio [OR] ¼1.60; 95% CI ¼1.07–2.38) after controlling for all confounders. Within path analyses, school mobility (probit coefficient [b] ¼ 0.108; p ¼ .039), involvement in bullying (b ¼ 0.241; p <.001), urbanicity (b ¼ 0.342; p ¼ .016), and family adversity (b ¼ 0.034; p < .001) were all independently associated with definite psychotic-like symptoms. School mobility was indirectly
associated with definite psychotic-like symptoms via involvement in bullying (b ¼ 0.018; p ¼ .034). Conclusions: School mobility is associated with increased risk of psychotic-like symptoms, both directly and indirectly. The findings highlight the potential benefit of strategies
to help mobile students to establish themselves within new school environments to reduce peer difficulties and to diminish the risk of psychotic-like symptoms. Awareness of mobile students as a possible high-risk population, and routine inquiry regarding school changes and
bullying experiences, may be advisable in mental health care settings.

Item Type:	Journal Article
Subjects:	L Education > LC Special aspects of education R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Psychoses, Educational equalization, Psychoses in children -- Diagnosis, Psychoses in adolescence -- Diagnosis, Avon Longitudinal Study of Parents and Children, Student mobility
Journal or Publication Title:	Journal of the American Academy of Child & Adolescent Psychiatry
Publisher:	Elsevier BV
ISSN:	0890-8567
Official Date:	May 2014
Dates:	Date Event May 2014 Published 12 February 2014 Available 24 January 2014 Accepted
Volume:	53
Number:	5
Page Range:	pp. 518-527
DOI:	10.1016/j.jaac.2014.01.016
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID 74882 [MRC] Medical Research Council http://dx.doi.org/10.13039/501100000265 076467 Wellcome Trust http://dx.doi.org/10.13039/100010269 UNSPECIFIED University of Bristol http://dx.doi.org/10.13039/501100000883 UNSPECIFIED NHS West Midlands http://viaf.org/viaf/158532820 UNSPECIFIED Northern Birmingham Mental Health NHS Trust http://viaf.org/viaf/143529728 UNSPECIFIED National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care West Midlands UNSPECIFIED
Related URLs:	Other Repository

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