Reliability and Comparability of Psychosis Patients’ Retrospective Reports of Childhood Abuse
Helen L. Fisher,Tom K. J. Craig,Paul Fearon,Kevin Morgan,Paola Dazzan,Paola Dazzan,Julia Lappin,Gerard Hutchinson,Gillian A. Doody,Peter B. Jones,Peter McGuffin,Robin M. Murray,Robin M. Murray,Julian Leff,Craig Morgan,Craig Morgan +15 more
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TLDR
The reliability and comparability of first-presentation psychosis patients' reports of childhood abuse are explored and justification for the use in future studies of retrospective reports of Childhood abuse obtained from individuals with psychotic disorders is provided.Abstract:
An increasing number of studies are demonstrating an association between childhood abuse and psychosis. However, the majority of these rely on retrospective self-reports in adulthood that may be unduly influenced by current psychopathology. We therefore set out to explore the reliability and comparability of first-presentation psychosis patients’ reports of childhood abuse. Psychosis case subjects were drawn from the Aetiology and Ethnicity of Schizophrenia and Other Psychoses (AESOP) epidemiological study and completed the Childhood Experience of Care and Abuse Questionnaire to elicit abusive experiences that occurred prior to 16 years of age. High levels of concurrent validity were demonstrated with the Parental Bonding Instrument (antipathy: rs = 0.350–0.737, P < .001; neglect: rs = 0.688–0.715, P < .001), and good convergent validity was shown with clinical case notes (sexual abuse: κ = 0.526, P < .001; physical abuse: κ = 0.394, P < .001). Psychosis patients’ reports were also reasonably stable over a 7-year period (sexual abuse: κ = 0.590, P < .01; physical abuse: κ = 0.634, P < .001; antipathy: κ = 0.492, P < .01; neglect: κ = 0.432, P < .05). Additionally, their reports of childhood abuse were not associated with current severity of psychotic symptoms (sexual abuse: U = 1768.5, P = .998; physical abuse: U = 2167.5, P = .815; antipathy: U = 2216.5, P = .988; neglect: U = 1906.0, P = .835) or depressed mood (sexual abuse: χ2 = 0.634, P = .277; physical abuse: χ2 = 0.159, P = .419; antipathy: χ2 = 0.868, P = .229; neglect: χ2 = 0.639, P = .274). These findings provide justification for the use in future studies of retrospective reports of childhood abuse obtained from individuals with psychotic disorders.read more
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Is cognitive impairment following early life stress in severe mental disorders based on specific or general cognitive functioning
Monica Aas,Nils Eiel Steen,Ingrid Agartz,Sofie R. Aminoff,Sofie R. Aminoff,Steinar Lorentzen,Kjetil Sundet,Ole A. Andreassen,Ole A. Andreassen,Ingrid Melle,Ingrid Melle +10 more
TL;DR: The results indicate that childhood trauma is associated with a reduction in cognitive function across cognitive domains in patients with schizophrenia spectrum- and bipolar disorders, in particular working memory and executive function as well as general cognition.
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Do adult mental health services identify child abuse and neglect? A systematic review.
TL;DR: A systematic review using independent searches of three databases designed to discover how often mental health staff find out whether their clients were abused or neglected as children found that men and people diagnosed with psychotic disorders are asked less than other people.
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Sex and schizophrenia: a review of gender differences
TL;DR: The aetiology of gender differences in schizophrenia is only partially understood and more research is needed to elucidate the causal roles of Biopsychosocial factors: understanding these will ultimately improve the treatment of all who suffer from this serious mental illness.
Journal ArticleDOI
Childhood abuse and neglect in relation to the presence and persistence of psychotic and depressive symptomatology.
D. S. van Dam,M. van Nierop,Wolfgang Viechtbauer,Eva Velthorst,R. van Winkel,Richard Bruggeman,Wiepke Cahn,L. de Haan,René S. Kahn,Carin J. Meijer,Inez Myin-Germeys,J. van Os,Durk Wiersma +12 more
TL;DR: The results indicate that trauma may instead contribute to a shared vulnerability for psychotic and depressive symptoms, and childhood trauma does not seem to be associated with a differential course of symptoms, nor does it uniquely heighten the chance of developing (subthreshold) psychotic symptomatology.
Journal ArticleDOI
Sex differences in the effect of childhood trauma on the clinical expression of early psychosis.
Myriam Garcia,Itziar Montalvo,Marta Creus,Ángel Cabezas,Montse Solé,Maria José Algora,Irene Moreno,Alfonso Gutiérrez-Zotes,Javier Labad +8 more
TL;DR: The results suggest that childhood trauma, particularly emotional and physical neglect, is associated with the clinical expression of psychosis and that there are sex differences in this relationship.
References
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