The effects of childhood trauma in patients with first‐episode schizophrenia

Alp Üçok · Pervin Sevda Bıkmaz

203 citations0/0 files storedActa Psychiatrica Scandinavica

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Child Abuse and Trauma Schizophrenia research and treatment Psychoanalysis and Psychopathology Research

Abstract

OBJECTIVE: To evaluate the impact of childhood trauma on psychopathology in 57 patients with first-episode schizophrenia. METHOD: Psychopathology was assessed by Brief Psychiatric Research Scale (BPRS), Scale for the Assessment of Positive Symptoms (SAPS) and Scale for the Assessment of Negative Symptoms (SANS) at first admission. Childhood trauma was assessed by Childhood Abuse Questionnaire and Childhood Trauma Questionnaire (CTQ) after discharge. RESULTS: Frequencies of childhood sexual abuse (CSA), emotional abuse (CEA) and physical abuse (CPA) were reported by 29.8%, 40.9% and 13.6% of the patients respectively. Histories of childhood emotional neglect (CEN) and physical neglect were found in 29.5% and 20.5% of the patients respectively. The patients reporting CSA had higher SAPS scores at admission, and had more suicide attempts before admission. The patients with history of CEA had more hallucinations and delusions of mind reading at admission. CPA, CEA and mean scores of CTQ correlated with the number of siblings. CONCLUSION: Our findings suggest that childhood trauma may alter the presentation of schizophrenia in first admission.

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References

2005Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications 2000Childhood Sexual Abuse and Adult Psychiatric and Substance Use Disorders in Women 2003Childhood abuse as a risk factor for psychotic experiences 2002Association Between Self-reported Childhood Sexual Abuse and Adverse Psychosocial Outcomes 2004Psychosis, victimisation and childhood disadvantage 2004Impact of child sexual abuse on mental health 2003Sexual and physical abuse during childhood and adulthood as predictors of hallucinations, delusions and thought disorder 2005Relationships between trauma and psychosis: an exploration of cognitive and dissociative factors

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