It explains the difference in prevalence rates: "While median lifetime morbid risk for
schizophrenia is estimated to be 0.72% (Saha et al., 2005), many of our
young cohort had still not passed through the window for schizophrenia
onset."
However, their claim for a relationship is indeed very weak:
"In our data, this dropped to 0.2% for congenital or early peripheral blindness and was zero for congenital or early cortical blindness [0 cases out of 66]. Our data
further suggest that the protection offered by cortical blindness may extend to a broader range of psychotic disorders and that risk of psychosis
may effectively be reduced to zero."
It's ironic that they start the discussion stating "The results from this whole-population cohort, although possibly
underpowered, lend confidence to findings from smaller case studies". Yes, it is underpowered, and I'm surprised it was published.
I mean, if it is genuinely a whole population cohort, there's a legitimate question to what "power" even means in that context, because there's no statistical uncertainty. It simply is.
Whether or not hypothesis testing in registry data is justifiable was once the topic of a legendary fight in my graduate department during someone's defense.
I mean if we’re evaluating the claim that no blind people got schizophrenia then sure. But the claim is that blind people don’t get schizophrenia, which is different. The population for this claim is not “all the humans alive” but rather “all potential humans” (which is not possible to sample).
It explains the difference in prevalence rates: "While median lifetime morbid risk for schizophrenia is estimated to be 0.72% (Saha et al., 2005), many of our young cohort had still not passed through the window for schizophrenia onset."
However, their claim for a relationship is indeed very weak: "In our data, this dropped to 0.2% for congenital or early peripheral blindness and was zero for congenital or early cortical blindness [0 cases out of 66]. Our data further suggest that the protection offered by cortical blindness may extend to a broader range of psychotic disorders and that risk of psychosis may effectively be reduced to zero."
It's ironic that they start the discussion stating "The results from this whole-population cohort, although possibly underpowered, lend confidence to findings from smaller case studies". Yes, it is underpowered, and I'm surprised it was published.