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Does social deprivation during gestation and early life predispose to later schizophrenia?

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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

    Google Scholar 

  • Balarajan R, Yuen P, Machin D (1992) Deprivation and general practitioner workload. BMJ 304: 529–534

    Google Scholar 

  • Barker C, Pistrang N, Shapiro DA, Shaw I (1990) Coping and helpseeking in the UK adult population. Br J Clin Psychol 29: 271–285

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Goldberg EM, Morrison SL (1963) Schizophrenia and social class. Br J Psychiatry 109: 785–802

    Google Scholar 

  • Hare EH (1956) Mental illness and social conditions in Bristol. J Ment Sci 102: 349–357

    Google Scholar 

  • Hollingshead AB, Redlich FC (1954) Schizophrenia and social structure. Am J Psychiatry 110: 695–701

    Google Scholar 

  • Jones PB, Murray RM (1991) The genetics of schizophrenia is the genetics of neurodevelopment. Br J Psychiatry 158: 615–623

    Google Scholar 

  • Kety SS (1980) The syndrome of schizophrenia. Br J Psychiatry 136: 421–436

    Google Scholar 

  • 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

    Google Scholar 

  • Lewis SW, Murray RM (1987) Obstetric complications, neurodevelopmental deviance, and schizophrenia. J Psychiatr Res 21: 413–421

    Google Scholar 

  • Lewis G, David A, Andreasson S, Allebeck P (1992) Schizophrenia and city life. Lancet 34: 137–140

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Redlich FC, Hollingshead AB, Roberts BH, Robinson HA, Freedman LZ, Myers JK (1953) Social structure and psychiatric disorders. Am J Psychiatry 109: 729–734

    Google Scholar 

  • Schesselman J (1982) Case-control studies: design, conduct, analysis. Oxford University Press, New York

    Google Scholar 

  • Silverton L, Mednick S (1984) Class drift and schizophrenia. Acta Psychiatr Scand 70: 304–309

    Google Scholar 

  • Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry 35: 773–782

    Google Scholar 

  • 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

    Google Scholar 

  • Townsend P, Phillimore P, Beattie A (eds) (1988) Health and deprivation: inequality and the North. Croom Helm, London

    Google Scholar 

  • 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

    Google Scholar 

  • Weinberger DR (1987) Implications of normal brain development for the pathogenesis of schizophrenia. Arch Gen Psychiatry 44: 660–669

    Google Scholar 

  • Wessely S, Castle D, Der G, Murray RM (1991) Schizophrenia and Afro-Caribbeans: a case-control study. Br J Psychiatry 159: 795–801

    Google Scholar 

  • Wilcox JA, Nasrallah HA (1987) Childhood head trauma and psychosis. Psychiatry Res 21: 303–307

    Google Scholar 

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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

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