The history of childhood trauma among individuals with ultra high risk for psychosis is as common as among patients with first‐episode schizophrenia

Çağrı Yüksel · Julide Güler · Gülşah Karadayı · Elçin Akturan · Evrim Göde · Amber Alix Özhan +1 more

77 citations0/0 files storedEarly Intervention in Psychiatry

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

Abstract

AIM: Childhood trauma (CT) is more common in patients with psychosis than in general population and is found to be related to the severity of symptoms. The objective of this study was to investigate the severity of CT, and its relationship with clinical features in two different groups: first-episode schizophrenia (FES) and ultra high risk for psychosis (UHR) groups. METHODS: In this cross-sectional study, 83 patients with FES, 41 individuals with UHR and 69 healthy controls were included. Clinical features were evaluated with the Brief Psychiatric Rating Scale, the Scale for the Assessment of Negative Symptoms and the Scale for the Assessment of Positive Symptoms (SAPS). We evaluated CT with the Childhood Trauma Questionnaire (CTQ). UHR group was also assessed with the Calgary Depression Scale for Schizophrenia. RESULTS: The emotional and physical abuse, physical and emotionalneglect subscale scores and CTQ total score of both the UHR group and FES group were higher than the control group. However, the CTQ total score and subscale scores did not differ between FES and UHR groups. UHR group had more Schneiderian symptoms in terms of both number and severity, and severity of sexual abuse was found to be correlated with SAPS scores especially for the 'commenting voices' item. The CTQ emotional abuse and neglect scores were correlated with the severity of depression. FES patients with higher CTQ scores obtained higher total scores on SAPS and higher total scores on Schneiderian items. CONCLUSION: We found that CT is related to the severity of psychotic symptoms in both FES and UHR groups. Therefore, it is possible that interventions aimed at preventing CT in children would reduce the manifestation of psychosis among young people.

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References

1962The Brief Psychiatric Rating Scale 2003Development and validation of a brief screening version of the Childhood Trauma Questionnaire 1994Initial reliability and validity of a new retrospective measure of child abuse and neglect 2012Childhood Adversities Increase the Risk of Psychosis: A Meta-analysis of Patient-Control, Prospective- and Cross-sectional Cohort Studies 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

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2017Stress sensitivity as a putative mechanism linking childhood trauma and psychopathology in youth's daily life 2021Types, prevalence and gender differences of childhood trauma in first-episode psychosis. What is the evidence that childhood trauma is related to symptoms and functional outcomes in first episode psychosis? A systematic review 2019Childhood adversities in people at ultra-high risk (UHR) for psychosis: a systematic review and meta-analysis 2020

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