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Trajectories of Neighborhood Cohesion in Childhood, and Psychotic and Depressive Symptoms at Age 13 and 18 Years

Solmi, F; Colman, I; Weeks, M; Lewis, G; Kirkbride, JB; (2017) Trajectories of Neighborhood Cohesion in Childhood, and Psychotic and Depressive Symptoms at Age 13 and 18 Years. Journal of the American Academy of Child & Adolescent Psychiatry , 56 (7) pp. 570-577. 10.1016/j.jaac.2017.04.003. Green open access

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Abstract

OBJECTIVE: Exposure to adverse social environments has been associated with psychotic and depressive symptoms in adolescence in cross-sectional studies, but the longitudinal relation is unclear. This study examined whether longitudinal trajectories of exposure to adverse social environments across childhood are associated with psychotic experiences and depressive symptoms in adolescence. METHOD: Data on participants from the Avon Longitudinal Study of Parents and Children (ALSPAC) were used to estimate longitudinal trajectories of childhood exposure to neighborhood cohesion (NC), discord (ND), and stress (NS) using latent class growth modeling. Logistic regression was used to examine the association between these trajectories and psychotic experiences and depressive symptoms at 13 and 18 years of age, adjusting for maternal psychopathology, participant sociodemographic and socioeconomic characteristics, and area-level deprivation. RESULTS: A dose-response association was observed between higher NS and the odds of psychotic experiences at 13 years (medium NS, adjusted odds ratio [aOR] 1.25, 95% CI 1.05–1.49; high NS, aOR 1.77, 95% CI 1.30–2.40), whereas high levels of ND predicted psychotic experiences at 18 years (aOR 1.50, 95% CI 1.10–2.07). High levels of NC (aOR 1.43, 95% CI 1.02–1.71) and NS (aOR 1.55, 95% CI 1.07–2.26) were associated with increased odds of high depressive symptoms at 18 years in a dose-response fashion. CONCLUSION: Prolonged and more severe exposure to adverse social environments is associated with greater odds of developing psychotic and depressive symptoms in late adolescence.

Type: Article
Title: Trajectories of Neighborhood Cohesion in Childhood, and Psychotic and Depressive Symptoms at Age 13 and 18 Years
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jaac.2017.04.003
Publisher version: http://doi.org/10.1016/j.jaac.2017.04.003
Language: English
Additional information: © 2017 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Social Sciences, Science & Technology, Life Sciences & Biomedicine, Psychology, Developmental, Pediatrics, Psychiatry, Psychology, neighborhood social cohesion, psychotic experiences, depressive symptoms, Avon Longitudinal Study of Parents and Children (ALSPAC), cohort study, COMMON MENTAL-DISORDERS, ALSPAC BIRTH COHORT, POSTNATAL DEPRESSION, SOCIOECONOMIC DEPRIVATION, 1ST-EPISODE PSYCHOSIS, URBAN NEIGHBORHOODS, SOCIAL COHESION, HEALTH, SCHIZOPHRENIA, ADOLESCENCE
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1555601
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