Abstract
We have previously used data from the Camberwell Collaborative Psychosis Study to demonstrate a strong relationship between life events and subsequent episodes of schizophrenic, manic and depressive psychoses. In the current paper, we confirmed the robustness of this relationship, which was not vitiated by controlling for clinical and social variables. Thus, the event-onset association was not affected by the type of onset or the number of previous episodes. The influences of social variables, such as social class, ethnicity and marital status, did not seriously diminish the importance of events, although there may be a role for other forms of social disadvantage as reflected in these variables.
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References
Bebbington PE, Bowen J, Ramana R (1995) Life events and psychotic disorders. In: Miller TW (ed) Stressful life events. International University Press, Madison, CT, USA, pp 89–118
Jones PB, Bebbington PE, Foerster A, Lewis SW, Murray RM, Russell A, Sham PC, Toone BK, Wilkins S (1993) Premorbid social underachievement in schizophrenia: results from the Camberwell Collaborative Psychosis Study. Br J Psychiatry 163: 65–71
Bebbington PE, Wilkins S, Jones P, Foerster A, Murray R, Toone B, Lewis S (1993) Life events and psychosis: initial results from the Camberwell Collaborative Psychosis study. Br J Psychiatry 162: 72–79
Brown GW, Birley JLT (1968) Crises and life changes and the onset of schizophrenia. J Health Soc Behav 9: 203–214
Day R, Neilsen JA, Korten A, Ernberg G, Dube KC, Gebhart J, Jablensky A, Leon C, Marsella A, Olatawura M, Sartorius N, Stromgren E, Takahashi R, Wig N, Wynne LC (1987) Stressful life events preceding the acute onset of schizophrenia, a cross-national study from the World Health Organization. Cult Med Psychiatry 11: 123–206
Dunner DL, Patrick V, Fieve RR (1979) Life events at the onset of bipolar affective illness. Am J Psychiatry 136: 508–511
Perris H (1984) Life events and depression. II. Results in diagnostic subgroups, and in relation to the recurrence of depression. J Affective Disord 7: 25–36
Ambelas A (1987) Life events and mania: a special relationship? Br J Psychiatry 150: 235–240
Brown WB, Harris TO, Hepworth C (1994) Life events and endogenous depression: a puzzle reexamined. Arch Gen Psychiatry 51: 525–534
Brown GW, Harris TO (1978) Social origins of depression. Tavistock, London
Bebbington PE, Hurry J, Tennant C (1986) Adversity and working class vulnerability to minor affective disorder. J Affective Disord 11: 115–120
Bebbington PE, Tennant C, Hurry J (1991) Adversity in groups with an increased risk of minor affective disorder. Br J Psychiatry 158: 40–45
Bebbington P, Hurry J, Tennant C, Sturt E, Wing JK (1981) The epidemiology of mental disorders in Camberwell. Psychol Med 11: 561–80
Bebbington PE (1988) The social epidemiology of clinical depression. In: Henderson AS and Burrows G (eds) Handbook of studies in social psychiatry. Elsevier, Amsterdam 87–102
Leff JP, Fischer M, Bertelsen A (1976) A cross-national epidemiological study of mania. Br J Psychiatry 129: 428–437
Harrison G, Owens D, Holton A, Neilson D, Boot D (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychol Med 18: 643–657
Meltzer H, Gill B, Petticrew M (1994) The prevalence of psychiatric morbidity among adults aged 16–64, living in private households, in Great Britain. Office of Population Censuses and Surveys, London
Littlewood R, Lipsedge M (1982) Aliens and alienists: ethnic minorities and psychiatry. Penguin, Harmondsworth
Wing JK, Cooper JE, Sartorius N (1974) The measurement and classification of psychiatric symptoms. Cambridge University Press, Cambridge
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSMIII), 3rd edition. American Psychiatric Association, Washington, DC
Wing JK, Mann SA, Leff JP, Nixon JM (1978) The concept of a case in psychiatric population surveys. Psychol Med 8: 203–217
Registrar General's Office (RGO) (1981) The Classification of Occupations, London, HMSO
Goldthorpe J, Hope K (1974) The social grading of occupations: a new approach and scale. Oxford University Press, London
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Bebbington, P., Wilkins, S., Sham, P. et al. Life events before psychotic episodes: do clinical and social variables affect the relationship?. Soc Psychiatry Psychiatr Epidemiol 31, 122–128 (1996). https://doi.org/10.1007/BF00785758
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DOI: https://doi.org/10.1007/BF00785758