{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:09:40Z","timestamp":1792062580284,"version":"4.4.0"},"reference-count":17,"publisher":"BMJ","issue":"6956","license":[{"start":{"date-parts":[[1994,9,17]],"date-time":"1994-09-17T00:00:00Z","timestamp":779760000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"accepted":{"date-parts":[[1994,8,9]]},"published-print":{"date-parts":[[1994,9,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objective<\/jats:bold>\n                    : To investigate the social adjustment in childhood of people who as adults have psychiatric disorders. Design - Subjects in a prospectively followed up cohort (the national child development study) who had been admitted as adults to psychiatric hospitals were compared with the rest of the cohort on ratings of social behaviour made by teachers at the ages of 7 and 11 years.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Subjects<\/jats:bold>\n                    : 40 adult patients with schizophrenic illnesses, 35 with affective psychoses, and 79 with neurotic illness who had been admitted for psychiatric reasons by the age of 28. 1914 randomly selected members of the cohort who had never been admitted for psychiatric treatment.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Main outcome measures<\/jats:bold>\n                    : Overall scores and scores for overreaction (externalising behaviour) and underreaction (internalising behaviour) with the Bristol social adjustment guide at ages 7 and 11.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : At the age of 7 children who developed schizophrenia were rated by their teachers as manifesting more social maladjustment than controls (overall score 4.3 (SD 2.4) v 3.1 (2.0); P &lt;0.01). This was more apparent in the boys (5 (2.6)) than the girls underreactive behaviour. At both ages prepsychotic (affective) children differed little from normal controls. By the age of 11 preneurotic children, particularly the girls, had an increased rating of maladjustment (including overreactions and underreactions).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : Abnormalities of social adjustment are detectable in childhood in some people who develop psychotic illness. Sex and the rate of development of different components of the capacity for social interaction are important determinants of the risk of psychosis and other psychiatric disorders in adulthood.\n                  <\/jats:p>","DOI":"10.1136\/bmj.309.6956.699","type":"journal-article","created":{"date-parts":[[2011,10,27]],"date-time":"2011-10-27T19:30:22Z","timestamp":1319743822000},"page":"699-703","source":"Crossref","is-referenced-by-count":368,"title":["Childhood antecedents of schizophrenia and affective illness: social adjustment at ages 7 and 11"],"prefix":"10.1136","volume":"309","author":[{"given":"D J","family":"Done","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T J","family":"Crow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E C","family":"Johnstone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Sacker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1994,9,17]]},"reference":[{"key":"2025122311393275000_309.6956.699.1","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1111\/j.1939-0025.1965.tb00447.x","article-title":"Childhood intellectual differences between schizophrenic adults and their siblings.","volume":"35","author":"Lane","year":"1965","journal-title":"Am J Orthopsychiatry"},{"key":"2025122311393275000_309.6956.699.2","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1192\/bjp.125.1.12","article-title":"School performance of adult schizophrenics, their siblings and age mates","volume":"125","author":"Offord","year":"1974","journal-title":"Br J Psychiatry"},{"key":"2025122311393275000_309.6956.699.3","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1111\/j.1939-0025.1970.tb00721.x","article-title":"School adjustment and behaviour of children hospitalised for schizophrenia as adults","volume":"40","author":"Watt","year":"1970","journal-title":"Am J Orthopsychiatry"},{"key":"2025122311393275000_309.6956.699.4","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1978.01770260038003"},{"key":"2025122311393275000_309.6956.699.5","doi-asserted-by":"crossref","unstructured":"Rutter ML . Psychosocial resilience and protective mechanisms. In: Rolf JE, Master AS, Cicchetti D, Neuchterlein KH, Weintraub S, eds. Risk and protective factors in the development of psychopathology. New York: Cambridge University Press, 181\u2013214.","DOI":"10.1017\/CBO9780511752872.013"},{"key":"2025122311393275000_309.6956.699.6","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.1136\/bmj.302.6792.1576","article-title":"Complications of pregnancy and delivery in relation to psychosis in adult life: data from the British perinatal mortality survey sample.","volume":"302","author":"Done","year":"1991","journal-title":"BMJ"},{"key":"2025122311393275000_309.6956.699.7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.140.6.582"},{"key":"2025122311393275000_309.6956.699.8","unstructured":"Wing J Cooper J Sartorius N . The description and classification of psychiatric symptomatology: an instruction manual for the PSE and CATEGO system. London: Cambridge University Press, 1974."},{"key":"2025122311393275000_309.6956.699.9","unstructured":"Stott GH . The social adjustment of children. Manual to the Bristol social adjustment guides. London: Hodder and Stoughton, 1987."},{"key":"2025122311393275000_309.6956.699.10","unstructured":"Clausen JA Kohn ML . Relation of schizophrenia to the social structure of a small town. In: Pasamanick B, ed. Epidemiology of mental disorder. Washington, DC: American Association for the Advancement of Science, 1959."},{"key":"2025122311393275000_309.6956.699.11","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1093\/schbul\/8.3.470","article-title":"Measurement of premorbid adjustment in chronic schizophrenia.","volume":"8","author":"Cannon-Spoor","year":"1982","journal-title":"Schizophr Bull"},{"key":"2025122311393275000_309.6956.699.12","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1983.01790220040007"},{"key":"2025122311393275000_309.6956.699.13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.160.3.401"},{"key":"2025122311393275000_309.6956.699.14","unstructured":"General Register Office. Classification of occupations. London: HMSO, 1960."},{"key":"2025122311393275000_309.6956.699.15","unstructured":"SPSS. Users' guide for SPSSX release 2. 1. 2nd ed. Chicago: SPSS, 1986."},{"key":"2025122311393275000_309.6956.699.16","unstructured":"Tabachnick BG Fidell LS . Using multivariate statistics. 2nd ed. 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Chichester: Wiley, 1992."}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.309.6956.699","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.309.6956.699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:39:42Z","timestamp":1766518782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.309.6956.699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,9,17]]},"references-count":17,"journal-issue":{"issue":"6956","published-online":{"date-parts":[[1994,9,17]]},"published-print":{"date-parts":[[1994,9,17]]}},"alternative-id":["10.1136\/bmj.309.6956.699"],"URL":"https:\/\/doi.org\/10.1136\/bmj.309.6956.699","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"value":"0959-8138","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,9,17]]}}}