Parental Communication and Psychosis: A Meta-analysis

被引:28
作者
de Sousa, Paulo [1 ]
Varese, Filippo [2 ]
Sellwood, William [1 ]
Bentall, Richard P. [1 ]
机构
[1] Univ Liverpool, Inst Psychol Hlth & Soc, Liverpool L69 3GL, Merseyside, England
[2] Univ Manchester, Sch Psychol Sci, Div Clin Psychol, Manchester, Lancs, England
关键词
communication deviance; thought disorder; family; psychosis; OBJECT SORTING TEST; DISQUALIFYING FAMILY COMMUNICATION; SCHIZOPHRENIA-SPECTRUM DISORDERS; FINNISH ADOPTIVE FAMILY; THOUGHT-DISORDER; EXPRESSED EMOTION; JOINT ATTENTION; DISCONFIRMATORY FEEDBACK; FOLLOW-UP; ENVIRONMENT INTERACTION;
D O I
10.1093/schbul/sbt088
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Parental communication deviance (CD) has long been suggested as a potential risk factor for the development of psychosis and thought disorder in genetically sensitive offspring. However, the findings of the studies on the prevalence of CD in parents of psychotic patients have never been submitted to quantitative synthesis. Method: PsycINFO was searched from January 1959 to January 2012 for studies on the prevalence of CD in parents of psychotic patients. This search was supplemented with the results from a much larger systematic search (PsycINFO, PubMed, EMBASE, and Web of Science) on childhood trauma and psychosis. Results: A total of 20 retrieved studies (n = 1753 parents) yielded a pooled g of large magnitude (0.97; 95% CI [0.76; 1.18]) with a significant amount of heterogeneity (Q = 33.63; P = .014; I-2 = 46.47). Subgroup and sensitivity analysis of methodological features (study's design, comparison group, diagnostic criteria, CD rating method, inter-rater reliability not reported, year of publication, and verbosity) and demographic characteristics (level of education or offspring's age) revealed that pooled effect size was stable and unlikely to have been affected by these features. Conclusion: CD is highly prevalent in parents of psychotic offspring. This is discussed in the broader context of adoption and longitudinal studies that have reported a G x E interaction in the development of psychosis and thought disorder. A potential developmental mechanism is suggested to explain how CD may affect the developing offspring. The importance of further studies on CD and its potential value as a clinical concept are discussed.
引用
收藏
页码:756 / 768
页数:13
相关论文
共 150 条
  • [1] SOCIAL COMPETENCE AND FAMILY ENVIRONMENT - 15-YEAR FOLLOW-UP OF DISTURBED ADOLESCENTS
    ALBERS, LJ
    DOANE, JA
    MINTZ, J
    [J]. FAMILY PROCESS, 1986, 25 (03) : 379 - 389
  • [2] [Anonymous], COMPR MET COMP PROGR
  • [3] [Anonymous], ORIGINS SCHIZOPHRENI
  • [4] [Anonymous], NATURE SCHIZOPHRENIA
  • [5] [Anonymous], DEV PSYCHIAT RES
  • [6] PARENTAL COMMUNICATION DEVIANCE IN CHILDHOOD ONSET SCHIZOPHRENIA SPECTRUM AND DEPRESSIVE-DISORDERS
    ASARNOW, JR
    GOLDSTEIN, MJ
    BENMEIR, S
    [J]. JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1988, 29 (06) : 825 - 838
  • [7] TOWARD A THEORY OF SCHIZOPHRENIA
    BATESON, G
    JACKSON, DD
    HALEY, J
    WEAKLAND, J
    [J]. BEHAVIORAL SCIENCE, 1956, 1 (04): : 251 - 264
  • [8] Bateson Gregory, 1972, Steps to an Ecology of Mind
  • [9] A prospective cohort study of childhood behavioral deviance and language abnormalities as predictors of adult schizophrenia
    Bearden, CE
    Rosso, IM
    Hollister, JM
    Sanchez, LE
    Hadley, T
    Cannon, TD
    [J]. SCHIZOPHRENIA BULLETIN, 2000, 26 (02) : 395 - 410
  • [10] OPERATING CHARACTERISTICS OF A BANK CORRELATION TEST FOR PUBLICATION BIAS
    BEGG, CB
    MAZUMDAR, M
    [J]. BIOMETRICS, 1994, 50 (04) : 1088 - 1101