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Impact of adverse childhood experiences on educational achievements in young people at clinical high risk of developing psychosis

Abstract:
BACKGROUND: Adverse childhood experiences (ACE) can affect educational attainments, but little is known about their impact on educational achievements in people at clinical high risk of psychosis (CHR). METHODS: In total, 344 CHR individuals and 67 healthy controls (HC) were recruited as part of the European Community'sSeventh Framework Programme-funded multicenter study the European Network of National Schizophrenia Networks Studying Gene-Environment Interactions (EU-GEI). The brief version of the Child Trauma Questionnaire was used to measure ACE, while educational attainments were assessed using a semi-structured interview. RESULTS: At baseline, compared with HC, the CHR group spent less time in education and had higher rates of ACE, lower rates of employment, and lower estimated intelligence quotient (IQ). Across both groups, the total number of ACE was associated with fewer days in education and lower level of education. Emotional abuse was associated with fewer days in education in HC. Emotional neglect was associated with a lower level of education in CHR, while sexual abuse was associated with a lower level of education in HC. In the CHR group, the total number of ACE, physical abuse, and neglect was significantly associated with unemployment, while emotional neglect was associated with employment. CONCLUSIONS: ACE are strongly associated with developmental outcomes such as educational achievement. Early intervention for psychosis programs should aim at integrating specific interventions to support young CHR people in their educational and vocational recovery. More generally, public health and social interventions focused on the prevention of ACE (or reduce their impact if ACE occur) are recommended.The European Network of National Schizophrenia Networks Studying Gene–Environment Interactions (EU-GEI) Project is funded by grant agreement HEALTH-F2–2010–241909 (Project EU-GEI) from the European Community’s Seventh Framework Programme. Additional support was provided by a Medical Research Council Fellowship to M. Kempton (grant MR/J008915/1). S. Tognin is supported by a Maudsley Charity Grant (1510). B. Nelson was supported by an NHMRC Senior Research Fellowship (1137687)
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1192/j.eurpsy.2022.2351

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ORCID:
0000-0002-1983-9135
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ORCID:
0000-0002-0418-7904
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ORCID:
0000-0003-3541-9947
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ORCID:
0000-0002-6263-2332
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ORCID:
0000-0002-3789-6168


Publisher:
Cambridge University Press
Journal:
European Psychiatry More from this journal
Volume:
66
Issue:
1
Pages:
e16-e16
Publication date:
2023-01-18
DOI:
EISSN:
1778-3585
ISSN:
0924-9338


Language:
English
Keywords:
Pubs id:
2359276
Local pid:
pubs:2359276
Source identifiers:
W4317033079
Deposit date:
2026-01-15
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