Childhood family environment predicting psychotic disorders over a 37-year follow-up-A general population cohort study

被引:2
|
作者
Saarinen, Aino [1 ]
Keltikangas-Jarvinen, Liisa [1 ]
Dobewall, Henrik [2 ]
Sormunen, Elina [3 ,4 ]
Lehtimaki, Terho [5 ,6 ]
Kahonen, Mika [7 ]
Raitakari, Olli [4 ,8 ,9 ,10 ]
Hietala, Jarmo [3 ,4 ,11 ]
机构
[1] Univ Helsinki, Fac Med, Dept Psychol & Logoped, Helsinki, Finland
[2] Natl Inst Hlth & Welf, Helsinki, Finland
[3] Univ Turku, Dept Psychiat, Turku, Finland
[4] Turku Univ Hosp, Turku, Finland
[5] Fimlab Labs, Dept Clin Chem, Tampere, Finland
[6] Tampere Univ, Fac Med & Hlth Technol, Finnish Cardiovasc Res Ctr Tampere, Dept Clin Chem, Tampere, Finland
[7] Tampere Univ, Tampere Univ Hosp, Fac Med & Hlth Technol, Dept Clin Physiol, Tampere, Finland
[8] Univ Turku, Ctr Populat Hlth Res, Turku, Finland
[9] Univ Turku, Res Ctr Appl & Prevent Cardiovasc Med, Turku, Finland
[10] Turku Univ Hosp, Dept Clin Physiol & Nucl Med, Turku, Finland
[11] Univ Turku, Dept Psychiat, Turku 20700, Finland
基金
欧盟地平线“2020”; 芬兰科学院; 欧洲研究理事会;
关键词
Psychiatric disorder; Psychosis; Affective; Longitudinal; Prospective; CARDIOVASCULAR RISK; PSYCHOSOCIAL FACTORS; MENTAL-DISORDERS; LIFE EVENTS; ADVERSITY; ADULTHOOD; ANXIETY; HEALTH; ONSET; VICTIMIZATION;
D O I
10.1016/j.schres.2023.06.008
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Childhood adverse effects and traumatic experiences increase the risk for several psychiatric disorders. We now investigated whether prospectively assessed childhood family environment per se contributes to increased risk for psychotic disorders in adulthood, and whether these family patterns are also relevant in the development of affective disorders.Methods: We used the Young Finns Data (n = 3502). Childhood family environment was assessed in 1980/1983 with previously constructed risk scores: (1) disadvantageous emotional family atmosphere (parenting practices, parents' life satisfaction, parents' mental disorder, parents' alcohol intoxication), (2) adverse socioeconomic environment (overcrowded apartment, home income, parent's employment, occupational status, educational level), and (3) stress-prone life events (home movement, school change, parental divorce, death, or hospitalization, and child's hospitalization). Psychiatric diagnoses (ICD-10 classification) over the lifespan were collected up to 2017 from the national registry of hospital care. Non-affective psychotic disorder and affective disorder groups were formed. Results: Frequent stress-prone life events predicted higher likelihood of non-affective psychotic disorders (OR = 2.401, p = 0.001). Adverse socioeconomic environment or emotional family atmosphere did not predict psychotic disorders. Only disadvantageous emotional family atmosphere predicted modestly higher likelihood of affective disorders (OR = 1.583, p = 0.013).Conclusions: Our results suggest that childhood family environment and atmosphere patterns as such contribute to the risk for developing adulthood mental disorders with relative disorder specificity. The results emphasize the importance of both individual and public health preventive initiatives, including family support interventions.
引用
收藏
页码:9 / 17
页数:9
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