Winsper, Catherine, Wolke, Dieter, Bryson, Alex, Thompson, Andrew David and Singh, Swaran P. (2016) School mobility during childhood predicts psychotic symptoms in late adolescence. Journal of Child Psychology and Psychiatry, 57 (8). pp. 957-966. doi:10.1111/jcpp.12572 ISSN 0021-9630.

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Abstract

Background: Recently, school mobility was identified as a risk factor for psychotic symptoms in early adolescence. The extent to which this risk continues into late adolescence, and the trajectories via which this risk manifests, remain unexplored.

Methods: Psychotic symptoms in 4, 720 adolescents aged 18 were ascertained by trained psychologists using the Psychosis-Like Symptoms Interview. Mothers reported on sociodemographic factors (i.e., family adversity, ethnicity, urbanicity) from pregnancy to 4 years; child’s involvement in bullying at age 6 to 7 years; residential mobility at 11 years and school mobility at 11 to 12 years. Young people reported on their friendships at 8 years, and antisocial behaviour and cannabis use at 15 years.

Results: School mobility across childhood significantly predicted psychotic symptoms at 18 years (Adjusted Odds Ratio = 2.17; 95% Confidence Intervals = 1.06, 4.41). Within path analysis, school mobility (β=0.183, p=0.035); involvement in bullying (β=0.133, p=0.013); antisocial behaviour (β=0.052, p=0.004); cannabis use (β= 0.254, p=0.020); and female sex (β=0.420, p<.001) significantly predicted psychotic symptoms. Residential mobility (β=0.375, p<.001), involvement in bullying (β= 0.120, p= 0.022) and poor friendships (β= 0.038, p= 0.014) significantly predicted school mobility. Residential mobility indirectly increased risk of psychotic symptoms via school mobility (β= 0.069, p= 0.041).

Conclusions: Children who move schools often are more likely to have experienced peer problems. School mobility, in turn, appears to be a robust marker for psychotic symptoms in late adolescence. Clinicians and teachers should consider school mobility as an important risk indicator for both peer problems and psychopathology.

Item Type:	Journal Article
Alternative Title:
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HQ The family. Marriage. Woman R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Teenagers -- Mental health, Psychoses, Student mobility , Adolescence, Bullying
Journal or Publication Title:	Journal of Child Psychology and Psychiatry
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	0021-9630
Official Date:	August 2016
Dates:	Date Event August 2016 Published 10 May 2016 Available 29 March 2016 Accepted
Volume:	57
Number:	8
Page Range:	pp. 957-966
DOI:	10.1111/jcpp.12572
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	20 April 2016
Date of first compliant Open Access:	10 May 2017
Funder:	Medical Research Council (Great Britain) (MRC), Wellcome Trust (London, England), University of Bristol, Birmingham and Solihull Mental Health NHS Trust, National Institute for Health Research (Great Britain) (NIHR)
Grant number:	Grant ref: 102215/2/13/2 (Wellcome Trust)

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