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University College London Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School
Institute of Psychiatry, London
Department of Psychiatry, University of Leicester, Leicester
Office for National Statistics, London
South London and Maudsley NHS Trust
WHO Collaborating Centre, Institute of Psychiatry, London
Division of Psychiatry, University of Bristol, Bristol
Office for National Statistics, London, UK
Correspondence: Professor Paul E. Bebbington, Department of Mental Health Sciences, 48 Riding House Street, London W1N 8EY, UK. Tel: +44 (0)20 7679 9465; e-mail: p.bebbington{at}ucl.ac.uk
Background Adverse early circumstances may be more common in people who later develop psychotic disorders.
Aims To use data from the second British National Survey of Psychiatric Morbidity to examine associations between psychotic disorders and a number of early victimisation experiences.
Method Psychiatric disorders were identified through structured assessment of adults resident in private households in Britain (n=8580). Respondents were asked whether they had experienced selected events displayed on cards.
Results Compared with respondents with other psychiatric disorders or with none, the prevalence of every experience bar one was significantly elevated in those with definite or probable psychosis. The largest odds ratio was for sexual abuse. Controlling for depressed mood somewhat reduced the odds ratios for the individual experiences.
Conclusions In people with psychosis, there is a marked excess of victimising experiences, many of which will have occurred during childhood. This is suggestive of a social contribution to aetiology.
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