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Premorbid Social Underachievement in Schizophrenia

Results from the Camberwell Collaborative Psychosis Study

Published online by Cambridge University Press:  03 January 2018

P. B. Jones ,
P. Bebbington ,
A. Foerster ,
S. W. Lewis ,
R. M. Murray ,
A. Russell ,
P. C. Sham ,
B. K. Toone  and
S. Wilkins
P. B. Jones*
Affiliation:
Department of Psychological Medicine, Institute of Psychiatry and King's College Hospital, De Crespigny Park, London SE5 8AF
P. Bebbington
Affiliation:
Institute of Psychiatry, De Crespigny Park, London SE5 8AF
A. Foerster
Affiliation:
National Institutes of Mental Health, Bethesda, Maryland, USA
S. W. Lewis
Affiliation:
Academic Department of Psychiatry, Charing Cross and Westminster Medical School, London W6 8RP
R. M. Murray
Affiliation:
Institute of Psychiatry and King's College Hospital, De Crespigny Park, London SE5 8AF
A. Russell
Affiliation:
Genetics Section, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
P. C. Sham
Affiliation:
Genetics Section, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
B. K. Toone
Affiliation:
King's College and Maudsley Hospitals, Denmark Hill, London SE5 9RS
S. Wilkins
Affiliation:
Genetics Section, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
*
∗Correspondence
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Abstract

In an investigation of the timing and precursors of social decline in schizophrenia and affective psychosis, 195 subjects from the Camberwell Collaborative Psychosis Study were currently of lower social class than were their fathers. A comparison between father's occupation and proband's best premorbid occupational level indicated underachievement confined to DSM–III schizophrenia, there being no such effect in affective psychosis. Decline in social status following onset of psychosis, analysed by comparing best premorbid occupation with current occupation, was marked in both schizophrenia and affective psychosis, indicating a non-specific effect. Schizophrenic patients who failed to achieve their fathers' social status had poorer educational qualifications than those who equalled or bettered their paternal social class, despite similar premorbid IQ (NART) scores and age at onset of psychosis. These results indicate that schizophrenia may be manifest before the onset of psychosis, and lend weight to the notion of a developmental origin to this disorder.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 1 , January 1993 , pp. 65 - 71
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1960) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Aylward, E., Walker, E. & Bettes, B. (1984) Intelligence in schizophrenia: meta-analysis of the research. Schizophrenia Bulletin, 10, 430–459.CrossRefGoogle ScholarPubMed
Bardenstein, K. K. & McGlashan, T. H. (1990) Gender differences in affective, schizoaffective, and schizophrenic disorders. A review. Schizophrenia Research, 3, 159–172.CrossRefGoogle ScholarPubMed
Castle, D., Wessely, S., Der, G., et al (1991) The incidence of operationally defined schizophrenia in Camberwell, 1965 to 1984. British Journal of Psychiatry, 159, 790–794.Google Scholar
Clark, R. E. (1948) Psychoses, income, and occupational prestige. American Journal of Sociology, 54, 433–440.Google Scholar
Endicott, J., Andreasen, N. C. & Spitzer, R. L. (1975) Family History Research Diagnostic Criteria. New York: New York State Psychiatric Institute.Google Scholar
Erlenmeyer-Kimling, L., Kestenbaum, C., Bind, H., et al (1984a) Assessment of the New York High-Risk Project subjects who are now clinically deviant. In Children at Risk for Schizophrenia: A Longitudinal Perspective (eds Watt, N., Anthony, E. J., Wynne, L. C., et al). New York: Cambridge University Press.Google Scholar
Erlenmeyer-Kimling, L., Marcuse, Y., Cornblatt, B., et al (1984b) The New York High-Risk Project. In Children at Risk for Schizophrenia: A Longitudinal Perspective (eds Watt, N., Anthony, E. J., Wynne, L. C., et al). New York: Cambridge University Press.Google Scholar
Faris, R. E. & Dunham, H. W. (1939) Mental Disorders in Urban Areas. An Ecological Study of Schizophrenia and Other Psychoses (2nd edn 1960). New York: Hafner.Google Scholar
Foerster, A., Lewis, S. W., Owen, M., et al (1991a) Premorbid personality in psychosis: effects of sex and diagnosis. British Journal of Psychiatry, 158, 171–176.CrossRefGoogle ScholarPubMed
Foerster, A., Lewis, S. W., Owen, M., et al (1991b) Low birth weight and family history of schizophrenia predict premorbid functioning in schizophrenia. Schizophrenia Research, 5, 13–20.Google Scholar
Goldberg, E. M. & Morrison, S. L. (1963) Schizophrenia and social class. British Journal of Psychiatry, 109, 785–802.CrossRefGoogle ScholarPubMed
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupations – A New Approach and Scale. Oxford: Clarendon Press.Google Scholar
Hare, E. H. (1956) Mental illness and social conditions in Bristol. Journal of Mental Science, 102, 349–357.CrossRefGoogle ScholarPubMed
Harvey, I., Williams, M., Toone, B. K., et al (1990) The ventricle-brain ratio in functional psychoses: the relationship of lateral ventricular and total ventricular area. Psychological Medicine, 20, 55–62.Google Scholar
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class and Mental Illness. New York: Wiley.CrossRefGoogle Scholar
Iager, A. C., Kirch, D. G. & Wyatt, R. J. (1985) A Negative Symptom Rating Scale. Psychiatry Research, 16, 27–36.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., et al (1978) The dementia of dementia praecox. Acta Psychiatrica Scandinavica, 57, 305–324.Google Scholar
Jones, P. B. & Murray, R. M. (1991) The genetics of schizophrenia is the genetics of neurodevelopment. British Journal of Psychiatry, 158, 615–623.Google Scholar
Kirkwood, B. R. (1988) Essentials of Medical Statistics, pp. 187–189. London: Blackwell Scientific.Google Scholar
Kohn, M. L. (1973) Social class and schizophrenia: a critical review and a reformulation. Schizophrenia Bulletin, 1, 60–79.CrossRefGoogle Scholar
Kraepelin, E. (1912) Dementia Praecox and Paraphrenia. Edinburgh: Livingstone.Google Scholar
Lewis, S. W. & Murray, R. M. (1987) Obstetric complications, neurodevelopmental deviance and schizophrenia. Journal of Psychiatric Research, 21, 413–421.Google Scholar
Loranger, A. W. (1984) Sex difference at age of onset of schizophrenia. Archives of General Psychiatry, 41, 157–161.CrossRefGoogle ScholarPubMed
Murray, R. M. & Lewis, S. W. (1987) Is schizophrenia a neurodevelopmental disorder? British Journal of Psychiatry, 295, 681–682.Google Scholar
Murray, R. M., Lewis, S. W., Owen, M. J., et al (1988) The neurodevelopmental origins of dementia praecox. In Schizophrenia: The Major Issues (eds Bebbington, P. & McGuffin, P.), pp. 90–107. London: Heinemann.Google Scholar
Nelson, H. A. & O'Connell, A. (1978) Dementia: the estimation of premorbid intelligence levels using the New Adult Reading Test. Cortex, 14, 234–244.Google Scholar
Ødegård, Ø. (1975) Morbidity and social mobility in an upper class education group. Acta Psychiatrica Scandinavica, 32, 36–48.Google Scholar
Saugstad, L. F. (1989) Social class, marriage, and fertility in schizophrenia. Schizophrenia Bulletin, 15, 9–43.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders (3rd edn). New York: Biometrics Research Division, New York State Psychiatric Institute.Google Scholar
Turner, R. J., Morton, O. & Wagenfeld, M. O. (1967) Occupational mobility and schizophrenia. An assessment of the social causation and social selection hypotheses. American Psychological Review, 32, 104–113.Google Scholar
Weinberger, D. R. (1987) Implications of normal brain development for the pathogenesis of schizophrenia. Archives of General Psychiatry, 44, 660–669.Google Scholar
Wiersma, D., Giel, R., De Jong, A., et al (1983) Social class and schizophrenia in a Dutch cohort. Psychological Medicine, 13, 141–150.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
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