Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study

BackgroundChildhood adversity and cannabis use are considered independent risk factors for psychosis, but whether different patterns of cannabis use may be acting as mediator between adversity and psychotic disorders has not yet been explored. The aim of this study is to examine whether cannabis use...

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Autores: Trotta, G, Rodriguez, V, Quattrone, D, Spinazzola, E, Tripoli, G, Gayer-Anderson, C, Freeman, TP, Jongsma, HE, Sideli, L, Aas, M, Stilo, SA, La Cascia, C, Ferraro, L, La Barbera, D, Lasalvia, A, Tosato, S, Tarricone, I, D'Andrea, G, Tortelli, A, Schürhoff, F, Szöke, A, Pignon, B, Selten, JP, Velthorst, E, de Haan, L, Llorca, PM, Menezes, PR, Del Ben, CM, Santos, JL, Arrojo, M, Bobes, J, Sanjuán, J, Bernardo, M, Arango, C, Kirkbride, JB, Jones, PB, Richards, A, Rutten, BP, Van Os, J, Austin-Zimmerman, I, Li, ZK, Morgan, C, Sham, PC, Vassos, E, Wong, C, Bentall, R, Fisher, HL, Murray, RM, Alameda, L, Di Forti, M
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Recursos:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p17985
Acesso em linha:https://incliva.portalinvestigacion.com/publicaciones/17985
Access Level:acceso abierto
Palavra-chave:Cannabis use
childhood experience
mediation
psychotic disorders
trauma
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spelling Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control studyTrotta, GRodriguez, VQuattrone, DSpinazzola, ETripoli, GGayer-Anderson, CFreeman, TPJongsma, HESideli, LAas, MStilo, SALa Cascia, CFerraro, LLa Barbera, DLasalvia, ATosato, STarricone, ID'Andrea, GTortelli, ASchürhoff, FSzöke, APignon, BSelten, JPVelthorst, Ede Haan, LLlorca, PMMenezes, PRDel Ben, CMSantos, JLArrojo, MBobes, JSanjuán, JBernardo, MArango, CKirkbride, JBJones, PBRichards, ARutten, BPVan Os, JAustin-Zimmerman, ILi, ZKMorgan, CSham, PCVassos, EWong, CBentall, RFisher, HLMurray, RMAlameda, LDi Forti, MCannabis usechildhood experiencemediationpsychotic disorderstraumaBackgroundChildhood adversity and cannabis use are considered independent risk factors for psychosis, but whether different patterns of cannabis use may be acting as mediator between adversity and psychotic disorders has not yet been explored. The aim of this study is to examine whether cannabis use mediates the relationship between childhood adversity and psychosis. MethodsData were utilised on 881 first-episode psychosis patients and 1231 controls from the European network of national schizophrenia networks studying Gene-Environment Interactions (EU-GEI) study. Detailed history of cannabis use was collected with the Cannabis Experience Questionnaire. The Childhood Experience of Care and Abuse Questionnaire was used to assess exposure to household discord, sexual, physical or emotional abuse and bullying in two periods: early (0-11 years), and late (12-17 years). A path decomposition method was used to analyse whether the association between childhood adversity and psychosis was mediated by (1) lifetime cannabis use, (2) cannabis potency and (3) frequency of use. ResultsThe association between household discord and psychosis was partially mediated by lifetime use of cannabis (indirect effect coef. 0.078, s.e. 0.022, 17%), its potency (indirect effect coef. 0.059, s.e. 0.018, 14%) and by frequency (indirect effect coef. 0.117, s.e. 0.038, 29%). Similar findings were obtained when analyses were restricted to early exposure to household discord. ConclusionsHarmful patterns of cannabis use mediated the association between specific childhood adversities, like household discord, with later psychosis. Children exposed to particularly challenging environments in their household could benefit from psychosocial interventions aimed at preventing cannabis misuse.CAMBRIDGE UNIV PRESS2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/17985PSYCHOLOGICAL MEDICINEISSN: 00332917ISSNe: 14698978reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p179852026-06-07T16:35:31Z
dc.title.none.fl_str_mv Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
title Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
spellingShingle Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
Trotta, G
Cannabis use
childhood experience
mediation
psychotic disorders
trauma
title_short Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
title_full Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
title_fullStr Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
title_full_unstemmed Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
title_sort Cannabis use as a potential mediator between childhood adversity and first-episode psychosis: results from the EU-GEI case-control study
dc.creator.none.fl_str_mv Trotta, G
Rodriguez, V
Quattrone, D
Spinazzola, E
Tripoli, G
Gayer-Anderson, C
Freeman, TP
Jongsma, HE
Sideli, L
Aas, M
Stilo, SA
La Cascia, C
Ferraro, L
La Barbera, D
Lasalvia, A
Tosato, S
Tarricone, I
D'Andrea, G
Tortelli, A
Schürhoff, F
Szöke, A
Pignon, B
Selten, JP
Velthorst, E
de Haan, L
Llorca, PM
Menezes, PR
Del Ben, CM
Santos, JL
Arrojo, M
Bobes, J
Sanjuán, J
Bernardo, M
Arango, C
Kirkbride, JB
Jones, PB
Richards, A
Rutten, BP
Van Os, J
Austin-Zimmerman, I
Li, ZK
Morgan, C
Sham, PC
Vassos, E
Wong, C
Bentall, R
Fisher, HL
Murray, RM
Alameda, L
Di Forti, M
author Trotta, G
author_facet Trotta, G
Rodriguez, V
Quattrone, D
Spinazzola, E
Tripoli, G
Gayer-Anderson, C
Freeman, TP
Jongsma, HE
Sideli, L
Aas, M
Stilo, SA
La Cascia, C
Ferraro, L
La Barbera, D
Lasalvia, A
Tosato, S
Tarricone, I
D'Andrea, G
Tortelli, A
Schürhoff, F
Szöke, A
Pignon, B
Selten, JP
Velthorst, E
de Haan, L
Llorca, PM
Menezes, PR
Del Ben, CM
Santos, JL
Arrojo, M
Bobes, J
Sanjuán, J
Bernardo, M
Arango, C
Kirkbride, JB
Jones, PB
Richards, A
Rutten, BP
Van Os, J
Austin-Zimmerman, I
Li, ZK
Morgan, C
Sham, PC
Vassos, E
Wong, C
Bentall, R
Fisher, HL
Murray, RM
Alameda, L
Di Forti, M
author_role author
author2 Rodriguez, V
Quattrone, D
Spinazzola, E
Tripoli, G
Gayer-Anderson, C
Freeman, TP
Jongsma, HE
Sideli, L
Aas, M
Stilo, SA
La Cascia, C
Ferraro, L
La Barbera, D
Lasalvia, A
Tosato, S
Tarricone, I
D'Andrea, G
Tortelli, A
Schürhoff, F
Szöke, A
Pignon, B
Selten, JP
Velthorst, E
de Haan, L
Llorca, PM
Menezes, PR
Del Ben, CM
Santos, JL
Arrojo, M
Bobes, J
Sanjuán, J
Bernardo, M
Arango, C
Kirkbride, JB
Jones, PB
Richards, A
Rutten, BP
Van Os, J
Austin-Zimmerman, I
Li, ZK
Morgan, C
Sham, PC
Vassos, E
Wong, C
Bentall, R
Fisher, HL
Murray, RM
Alameda, L
Di Forti, M
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
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dc.subject.none.fl_str_mv Cannabis use
childhood experience
mediation
psychotic disorders
trauma
topic Cannabis use
childhood experience
mediation
psychotic disorders
trauma
description BackgroundChildhood adversity and cannabis use are considered independent risk factors for psychosis, but whether different patterns of cannabis use may be acting as mediator between adversity and psychotic disorders has not yet been explored. The aim of this study is to examine whether cannabis use mediates the relationship between childhood adversity and psychosis. MethodsData were utilised on 881 first-episode psychosis patients and 1231 controls from the European network of national schizophrenia networks studying Gene-Environment Interactions (EU-GEI) study. Detailed history of cannabis use was collected with the Cannabis Experience Questionnaire. The Childhood Experience of Care and Abuse Questionnaire was used to assess exposure to household discord, sexual, physical or emotional abuse and bullying in two periods: early (0-11 years), and late (12-17 years). A path decomposition method was used to analyse whether the association between childhood adversity and psychosis was mediated by (1) lifetime cannabis use, (2) cannabis potency and (3) frequency of use. ResultsThe association between household discord and psychosis was partially mediated by lifetime use of cannabis (indirect effect coef. 0.078, s.e. 0.022, 17%), its potency (indirect effect coef. 0.059, s.e. 0.018, 14%) and by frequency (indirect effect coef. 0.117, s.e. 0.038, 29%). Similar findings were obtained when analyses were restricted to early exposure to household discord. ConclusionsHarmful patterns of cannabis use mediated the association between specific childhood adversities, like household discord, with later psychosis. Children exposed to particularly challenging environments in their household could benefit from psychosocial interventions aimed at preventing cannabis misuse.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/17985
url https://incliva.portalinvestigacion.com/publicaciones/17985
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
dc.source.none.fl_str_mv PSYCHOLOGICAL MEDICINE
ISSN: 00332917
ISSNe: 14698978
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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