Summary
We employed a case-control study design to investigate whether schizophrenic patients differed from non-psychotic psychiatric patients in terms of place of birth and paternal occupation. “Cases” were first-contact schizophrenic patients ascertained from the Camberwell Cumulative Psychiatric Case Register. “Controls” were the next (non-psychotic) patient on the Register matched for age and sex. In comparison with controls, cases were more likely to have: (1) been born in the deprived innercity Camberwell catchment area (odds ratio 2.3), and (2) had fathers who had “manual” as opposed to “non-manual” occupations (odds ratio 2.1). The results were compatible with the notion that socio-economic deprivation during gestation and early life predisposes to later schizophrenia.
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References
Astrup C, Odegaard O (1961) Internal migration and mental illness in Norway. Psychiatr 34: 116–130
Balarajan R, Yuen P, Machin D (1992) Deprivation and general practitioner workload. BMJ 304: 529–534
Barker C, Pistrang N, Shapiro DA, Shaw I (1990) Coping and helpseeking in the UK adult population. Br J Clin Psychol 29: 271–285
Castle D, Wessely S, Der G, Murray RM (1991) The incidence of operationally defined schizophrenia in Camberwell, 1965–1984. Br J Psychiatry 159: 790–794
Dauncey K, Giggs J, Baker K, Harrison G (1991) Schizophrenia in Nottingham: the contribution of the breeder-drifter hypothesis. Paper presented at Royal College of Psychiatrists Annual Meeting, Brighton, UK, July 1991
Faris REL, Dunham HW (1939) Mental disorders in urban areas. Chicago University Press, Chicago
Goldberg EM, Morrison SL (1963) Schizophrenia and social class. Br J Psychiatry 109: 785–802
Hare EH (1956) Mental illness and social conditions in Bristol. J Ment Sci 102: 349–357
Hollingshead AB, Redlich FC (1954) Schizophrenia and social structure. Am J Psychiatry 110: 695–701
Jones PB, Murray RM (1991) The genetics of schizophrenia is the genetics of neurodevelopment. Br J Psychiatry 158: 615–623
Kety SS (1980) The syndrome of schizophrenia. Br J Psychiatry 136: 421–436
Kohn ML (1975) Social class and schizophrenia: a critical review and reformulation. In: Cancro R (ed) Annual review of the schizophrenic syndrome. Brunner/Mazel, New York, pp 311–340
Lewis SW, Murray RM (1987) Obstetric complications, neurodevelopmental deviance, and schizophrenia. J Psychiatr Res 21: 413–421
Lewis G, David A, Andreasson S, Allebeck P (1992) Schizophrenia and city life. Lancet 34: 137–140
McGuffin P, Farmer AE, Harvey I (1991) A polydiagnostic application of operational criteria in studies of psychotic illness: development and reliability of the OPCRIT system. Arch Gen Psychiatry 48: 645–650
Machon RA, Mednick SF, Schulsinger F (1983) The interaction of seasonality, place of birth, genetic risk and subsequent schizophrenia in a high-risk sample. Br J Psychiatry 143: 383–388
Murray RM, Jones PB, O'Callaghan E, Takei N, Sham P (1992a) Genes, viruses and neurodevelopment. J Psychiatr Res (in press)
Murray RM, O'Callaghan E, Castle DJ, Lewis SW (1992b) A neurodevelopmental approach to the classification of schizophrenia. Schizophr Bull 18: 319–332
O'Callaghan E, Colgan K, Cotter D, Larkin C, Walsh D, Waddington JL (1992) Evidence for confinement of winter birth excess to those born in cities. Schizophr Res 6: 102
Redlich FC, Hollingshead AB, Roberts BH, Robinson HA, Freedman LZ, Myers JK (1953) Social structure and psychiatric disorders. Am J Psychiatry 109: 729–734
Schesselman J (1982) Case-control studies: design, conduct, analysis. Oxford University Press, New York
Silverton L, Mednick S (1984) Class drift and schizophrenia. Acta Psychiatr Scand 70: 304–309
Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 35: 773–782
Takei N, O'Callaghan E, Sham P, Glover G, Murray RM (1992) Winter birth excess in schizophrenia: its relationship to place of birth. Schizophr Res 6: 102
Townsend P, Phillimore P, Beattie A (eds) (1988) Health and deprivation: inequality and the North. Croom Helm, London
Turner RJ, Wagenfeld MO (1967) Occupational mobilly and senizophrenia: an assessment of the social causation and social selection hypothesis. Am Sociol Rev 32: 104–113
Weinberger DR (1987) Implications of normal brain development for the pathogenesis of schizophrenia. Arch Gen Psychiatry 44: 660–669
Wessely S, Castle D, Der G, Murray RM (1991) Schizophrenia and Afro-Caribbeans: a case-control study. Br J Psychiatry 159: 795–801
Wilcox JA, Nasrallah HA (1987) Childhood head trauma and psychosis. Psychiatry Res 21: 303–307
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Castle, D.J., Scott, K., Wessely, S. et al. Does social deprivation during gestation and early life predispose to later schizophrenia?. Soc Psychiatry Psychiatr Epidemiol 28, 1–4 (1993). https://doi.org/10.1007/BF00797825
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DOI: https://doi.org/10.1007/BF00797825