@article {287, title = {Interaction of schizophrenia polygenic risk and cortisol level on pre-adolescent brain structure}, journal = {Psychoneuroendocrinology}, volume = {101}, year = {2019}, pages = {295 - 303}, abstract = {

The etiology of schizophrenia is multi-factorial with early neurodevelopmental antecedents, likely to result from a complex interaction of genetic and environmental risk. However, few studies have examined how schizophrenia polygenic risk scores (PRS) are moderated by environmental factors in shaping neurodevelopmental brain structure, prior to the onset of psychotic symptoms. Here, we examined whether hair cortisol, a quantitative metric of chronic stress, moderated the association between genetic risk for schizophrenia and pre-adolescent brain structure. This study was embedded within the Generation R Study, involving pre-adolescents of European ancestry assessed regarding schizophrenia PRS, hair cortisol, and brain imaging (n\ =\ 498 structural; n\ =\ 526 diffusion tensor imaging). Linear regression was performed to determine the association between schizophrenia PRS, hair cortisol level, and brain imaging outcomes. Although no single measure exceeded the multiple testing threshold, nominally significant interactions were observed for total ventricle volume (Pinteraction = 0.02) and global white matter microstructure (Pinteraction = 0.01) \– two of the most well replicated brain structural findings in schizophrenia. These findings provide suggestive evidence for the joint effects of schizophrenia liability and cortisol levels on brain correlates in the pediatric general population. Given the widely replicated finding of ventricular enlargement and lower white matter integrity among schizophrenia patients, our findings generate novel hypotheses for future research on gene-environment interactions affecting the neurodevelopmental pathophysiology of schizophrenia.

}, keywords = {Diffusion tensor imaging, Gene-environment, Genetic, Neuroimaging, Psychosis, Stress}, issn = {0306-4530}, doi = {https://doi.org/10.1016/j.psyneuen.2018.12.231}, url = {http://www.sciencedirect.com/science/article/pii/S0306453018308862}, author = {Koen Bolhuis and Henning Tiemeier and Philip R. Jansen and Ryan L. Muetzel and Alexander Neumann and Manon H.J. Hillegers and Erica T.L. van den Akker and Elisabeth F.C. van Rossum and Vincent W.V. Jaddoe and Meike W. Vernooij and Tonya White and Steven A. Kushner} } @article {277, title = {During day and night: Childhood psychotic experiences and objective and subjective sleep problems}, journal = {Schizophrenia Research}, year = {2018}, abstract = {

Background
Psychotic experiences comprise auditory and visual perceptive phenomena, such as hearing or seeing things that are not there, in the absence of a psychotic disorder. Psychotic experiences commonly occur in the general pediatric population. Although the majority of psychotic experiences are transient, they are predictive of future psychotic and non-psychotic disorders. They have been associated with sleep problems, but studies with objective sleep measures are lacking. This study assessed whether psychotic experiences were associated with actigraphic sleep measures, symptoms of dyssomnia, nightmares, or other parasomnias.


Methods
This cross-sectional population-based study comprises 4149 children from the Generation R Study. At age 10 years, psychotic experiences including hallucinatory phenomena were assessed by self-report; dyssomnia and parasomnia symptoms were assessed by mother- and child-report. Additionally, at age 11 years, objective sleep parameters were measured using a tri-axial wrist accelerometer in N = 814 children, who wore the accelerometer for five consecutive school days.

Results
Psychotic experiences were not associated with objective sleep duration, sleep efficiency, arousal, or social jetlag. However, psychotic experiences were associated with self-reported dyssomnia (B = 2.45, 95\%CI: 2.13\–2.77, p \< 0.001) and mother-reported parasomnia, specifically nightmares (ORadjusted = 3.59, 95\%CI 2.66\–4.83, p \< 0.001). Similar results were found when analyses were restricted to hallucinatory phenomena.

Conclusions
Childhood psychotic experiences were not associated with objective sleep measures. In contrast, psychotic experiences were associated with nightmares, which are a known risk indicator of psychopathology in pre-adolescence. More research is needed to shed light on the potential etiologic or diagnostic role of nightmares in the development of psychotic phenomena.

}, keywords = {Actigraphy, General population, Hallucinatory phenomena, Parasomnia, Psychosis, Social jetlag}, issn = {0920-9964}, doi = {https://doi.org/10.1016/j.schres.2018.12.002}, url = {http://www.sciencedirect.com/science/article/pii/S0920996418306911}, author = {M. Elisabeth Koopman-Verhoeff and Koen Bolhuis and Charlotte A.M. Cecil and Desana Kocevska and J.J. Hudziak and Manon H.J. Hillegers and Viara R. Mileva-Seitz and Irwin K. Reiss and Liesbeth Duijts and Frank Verhulst and Maartje P.C.M. Luijk and Henning Tiemeier} } @article {263, title = {Maternal and paternal cannabis use during pregnancy and the risk of psychotic-like experiences in the offspring}, journal = {Schizophrenia Research}, volume = {202}, year = {2018}, pages = {322 - 327}, abstract = {

Cannabis use continues to increase among pregnant women. Gestational cannabis exposure has been associated with various adverse outcomes. However, it remains unclear whether cannabis use during pregnancy increases the risk for offspring psychotic-like experiences. In this prospective cohort, we examined the relationship between parental cannabis use during pregnancy and offspring psychotic-like experiences. Comparisons were made between maternal and paternal cannabis use during pregnancy to investigate causal influences of intra-uterine cannabis exposure during foetal neurodevelopmental. This study was embedded in the Generation R birth cohort and included N = 3692 participants. Maternal cannabis exposure was determined using self-reports and cannabis metabolite levels from urine. Paternal cannabis use during pregnancy was obtained by maternal report. Maternal cannabis use increased the risk of psychotic-like experiences in the offspring (ORadjusted = 1.38, 95\% CI 1.03\–1.85). Estimates were comparable for maternal cannabis use exclusively before pregnancy versus continued cannabis use during pregnancy. Paternal cannabis use was similarly associated with offspring psychotic-like experiences (ORadjusted = 1.44, 95\% CI 1.14\–1.82). We demonstrated that both maternal and paternal cannabis use were associated with more offspring psychotic-like experiences at age ten years. This may suggest that common aetiologies, rather than solely causal intra-uterine mechanisms, underlie the association between parental cannabis use and offspring psychotic-like experiences. These common backgrounds most likely reflect genetic vulnerabilities and shared familial mechanisms, shedding a potential new light on the debated causal path from cannabis use to psychotic-like phenomena. Our findings indicate that diagnostic screening and preventative measures need to be adapted for young people at risk for severe mental illness.

}, keywords = {Child psychiatry, Epidemiology, Gestational exposure, Marijuana, Psychosis, Substance use}, issn = {0920-9964}, doi = {https://doi.org/10.1016/j.schres.2018.06.067}, url = {http://www.sciencedirect.com/science/article/pii/S0920996418304110}, author = {Koen Bolhuis and Steven A. Kushner and Selda Yalniz and Manon H.J. Hillegers and Vincent W.V. Jaddoe and Henning Tiemeier and Hanan El Marroun} } @article {282, title = {Psychotic-like experiences in pre-adolescence: what precedes the antecedent symptoms of severe mental illness?}, journal = {Acta Psychiatrica Scandinavica}, volume = {138}, year = {2018}, pages = {15-25}, abstract = {

OBJECTIVE:

Adolescent psychotic-like experiences predict the onset of psychosis, but also predict subsequent non-psychotic disorders. Therefore, it is crucial to better understand the aetiology of psychotic-like experiences. This study examined whether (a) child emotional and behavioural problems at 3 and 6 years, or (b) childhood adversities were associated with psychotic-like experiences at age 10 years.

METHOD:

This prospective study was embedded in the Generation R Study; 3984 children (mean age 10 years) completed a psychotic-like experiences questionnaire. Mothers reported problems of their child at ages 3, 6 and 10 years. Additionally, mothers were interviewed about their child\&$\#$39;s adversities.

RESULTS:

Psychotic-like experiences were endorsed by ~20\% of children and predicted by both emotional and behavioural problems at 3 years (e.g. emotional-reactive problems: ORadjusted = 1.10, 95\% CI: 1.06-1.15, aggressive behaviour: ORadjusted = 1.03, 95\% CI: 1.02-1.05) and 6 years (e.g. anxious/depressed problems: ORadjusted = 1.11, 95\% CI: 1.06-1.15, aggressive behaviour: ORadjusted = 1.04, 95\% CI: 1.04-1.05). Childhood adversities were associated with psychotic-like experiences (\>2 adversities: ORadjusted = 2.24, 95\% CI: 1.72-2.92), which remained significant after adjustment for comorbid psychiatric problems.

CONCLUSION:

This study demonstrated associations between early adversities, childhood emotional and behavioural problems and pre-adolescent psychotic-like experiences, which will improve the understanding of children at increased risk of severe mental illness.

}, keywords = {childhood adversities, development, prospective, Psychosis, psychotic symptoms}, doi = {10.1111/acps.12891}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1111/acps.12891}, author = {Koen Bolhuis and Koopman-Verhoeff, M. E. and Blanken, L. M. E. and Cibrev, D. and Vincent W.V. Jaddoe and Frank Verhulst and Manon H.J. Hillegers and Steven A. Kushner and Henning Tiemeier} }