Table 1.
Study | Country | Cohort | Mean (SD) age at baseline (at blood sampling), yrs | Mean (SD) age at follow-up (at psychosis diagnosis), yrs | Mean (SD) time to follow-up, yrs | Male sex (%) | White ethnicity (%) | Method of case ascertainment | Definition of outcome | Total analytic sample (N) | N of Incident cases of psychosis at follow-up (N of cases with CRP > 3 mg/L) | Analytic sample excluding CRP > 10 mg/L (N) | Incident cases of psychosis at follow-up excluding CRP > 10 mg/L (N) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Wium-Andersen et al.28 | Denmark | Copenhagen City Heart Study and Copenhagen General Population Study | 57 (13.7) | 64.3 (14.0) | 5.25 (4.10) | 44.5 | 100 | Hospital-based diagnoses from the national Danish Patient and the Causes of Death Registry and out-patient and emergency contacts. | Psychotic disorders according to ICD-8 (295.0-9, 296.89, 297, 298.39, and 301.83) or ICD-10 (F20.0-9, F21-F29). | 78,769 | 131 (49) | 75,989 | 116 |
Metcalf et al.31 | Finland | Northern Finland Birth Cohort 1986 | 16.00 (0.38) | 26.92 (0.87) | 10.92 (0.85) | 49.9 | 100a | Healthcare-based diagnoses from the Finnish Hospital Discharge Register and healthcare outpatient and hospital outpatient records. Inpatient and community | Non-affective psychotic disorders according to ICD-10 (F20–F29) | 6,362 | 88 (9) | 6,258 | 83 |
Laukkanen et al.30 | Finland | Kuopio Ischaemic Heart Disease cohort | 53.1 (5.1) | 78 (5.1) | 21.5 (7.6) | 100 | 100 | An independent committee of researchers reviewed all potential cases and assigned diagnoses. Inpatient and community | Psychotic disorders according to ICD-9 (290–299) and ICD-10 (F00–F09 and F20–F29). | 2,552 | 245 (54) | 2,463 | 238 |
Perry et al.34 | England | ALSPAC birth cohort | 9.9 (0.32) | 24.04 (0.85) | 15 (not available) | 46.2 | 98.7 | Face-to-face semi-structured Psychosis-Like Symptom Interview (PLIKSi) of entire cohort attending clinical assessment | Psychotic disorderb | 2,224 | 30 (2) | 2,203 | 30 |
aTo the Northern Finland Birth Cohort (NFBC) 1986 research team’s knowledge, participants are mostly, if not all, of Finnish origin and white ethnicity. However, there has been no official documentation of race or ethnicity in the cohort, so 100% white ethnicity and Finnish origin is an assumption (Minna Ruddock, PhD, NFBC1986 research director, email communication, 13 July 2020).
bIn Perry et al., cases of psychotic disorder were defined as having interviewer-rated definite psychotic episodes (PEs) that were not attributable to the effects of sleep/fever, had occurred regularly at least once per month over the previous 6 months, and were either (i) very distressing, (ii) negatively impacted social/occupational functioning, or (iii) led to help-seeking from a professional source. PEs were identified through the face-to-face, semi-structured Psychosis-Like Symptom Interview (PLIKSi) conducted by trained psychology graduates and were coded according to the definitions in the Schedules for Clinical Assessment in Neuropsychiatry, Version 2.0. PEs, occurring in the last 6 months, covering the three main domains of positive psychotic symptoms were elicited: hallucinations, delusions, and thought interference (as per Sullivan et al.65).