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ABSTRACT: Background
Non-clinical psychotic symptoms appear common in children, but it is possible that a proportion of reported symptoms result from misinterpretation. There is a well-established association between pre-morbid low IQ score and schizophrenia. Psychosis-like symptoms in children may also be a risk factor for psychotic disorder but their relationship with IQ is unclear.Aims
To investigate the prevalence, nature and frequency of psychosis-like symptoms in 12-year-old children and study their relationship with IQ.Method
Longitudinal study using the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort. A total of 6455 children completed screening questions for 12 psychotic symptoms followed by a semi-structured clinical assessment. IQ was assessed at 8 years of age using the Wechsler Intelligence Scale for Children (3rd UK edition).Results
The 6-month period prevalence for one or more symptoms was 13.7% (95% CI 12.8-14.5). After adjustment for confounding variables, there was a non-linear association between IQ score and psychosis-like symptoms, such that only those with below average IQ score had an increased risk of reporting such symptoms.Conclusions
Non-clinical psychotic symptoms occur in a significant proportion of 12-year-olds. Symptoms are associated with low IQ and also less strongly with a high IQ score. The pattern of association with IQ differs from that observed in schizophrenia.
SUBMITTER: Horwood J
PROVIDER: S-EPMC2806573 | biostudies-literature | 2008 Sep
REPOSITORIES: biostudies-literature
Horwood Jeremy J Salvi Giovanni G Thomas Kate K Duffy Larisa L Gunnell David D Hollis Chris C Lewis Glyn G Menezes Paulo P Thompson Andrew A Wolke Dieter D Zammit Stanley S Harrison Glynn G
The British journal of psychiatry : the journal of mental science 20080901 3
<h4>Background</h4>Non-clinical psychotic symptoms appear common in children, but it is possible that a proportion of reported symptoms result from misinterpretation. There is a well-established association between pre-morbid low IQ score and schizophrenia. Psychosis-like symptoms in children may also be a risk factor for psychotic disorder but their relationship with IQ is unclear.<h4>Aims</h4>To investigate the prevalence, nature and frequency of psychosis-like symptoms in 12-year-old children ...[more]