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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Pathways from Trauma to Psychotic Experiences: A Theoretically Informed Model of Posttraumatic Stress in Psychosis.
Amy Hardy,Amy Hardy +1 more
TL;DR: The model is the first to propose how emotion regulation and autobiographical memory may lead to a range of intrusive experiences in psychosis, and therefore attempts to explain the different phenomenological associations observed between trauma and intrusions.
Journal ArticleDOI
Childhood trauma and cognitive function in first-episode affective and non-affective psychosis.
Monica Aas,Paola Dazzan,Helen L. Fisher,Craig Morgan,Kevin Morgan,Abraham Reichenberg,Jolanta Zanelli,Paul Fearon,Peter B. Jones,Robin M. Murray,Carmine M. Pariante +10 more
TL;DR: A history of childhood trauma was associated with worse cognitive performances, predominantly in affective psychoses, and in male patients, and underline the necessity of investigating biological and psychosocial mechanisms underlying subjects' sensitivity to the negative effect of childhood stress.
Journal ArticleDOI
Attachment, Neurobiology, and Mentalizing along the Psychosis Continuum
Martin Debbané,Martin Debbané,George Salaminios,Patrick Luyten,Patrick Luyten,Deborah Myriam Badoud,Marco Armando,Alessandra Solida Tozzi,Peter Fonagy,Benjamin K. Brent +9 more
TL;DR: This review article outlines the evidence linking attachment adversity to psychosis, from the premorbid stages of the disorder to its clinical forms and proposes a model where embodied mentalization would lie at the core of a protective, resilience response mitigating the adverse and potentially pathological influence of the neurodevelopmental cascade of risk for psychosis.
Journal ArticleDOI
Is there a link between childhood trauma, cognition, and amygdala and hippocampus volume in first-episode psychosis?
Monica Aas,Serena Navari,Ayana A. Gibbs,Valeria Mondelli,Helen L. Fisher,Craig Morgan,Kevin Morgan,James H. MacCabe,Abraham Reichenberg,Jolanta Zanelli,Paul Fearon,Peter B. Jones,Peter B. Jones,Robin M. Murray,Carmine M. Pariante,Paola Dazzan +15 more
TL;DR: A history of childhood trauma was associated with both worse cognitive performance and smaller amygdala volume, which points to a complex relationship between childhood trauma exposure, cognitive function and amygdala volume in first-episode psychosis.
Journal ArticleDOI
Childhood Trauma and Hippocampal and Amygdalar Volumes in First-Episode Psychosis
Katrina Hoy,Suzanne Barrett,Ciaran Shannon,Clodagh Campbell,David R. Watson,Teresa Rushe,Mark Shevlin,Feng Bai,Stephen Cooper,Ciaran Mulholland +9 more
TL;DR: It is indicated that childhood trauma is associated with neuroanatomical measures in FEP, and controlling for childhood traumatic experiences may contribute to explaining brain morphology in people with psychosis.
References
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