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IQ and non-clinical psychotic symptoms in 12-year-olds: results from the ALSPAC birth cohort.


ABSTRACT: 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.To investigate the prevalence, nature and frequency of psychosis-like symptoms in 12-year-old children and study their relationship with IQ.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).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.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

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IQ and non-clinical psychotic symptoms in 12-year-olds: results from the ALSPAC birth cohort.

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]

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