The prevalence and correlates of childhood trauma in patients with early psychosis

Duhig, Michael, Patterson, Sue, Connell, Melissa, Foley, Sharon, Capra, Carina, Dark, Frances, Gordon, Anne, Singh, Saveena, Hides, Leanne, McGrath, John J. and Scott, James (2015) The prevalence and correlates of childhood trauma in patients with early psychosis. Australian and New Zealand Journal of Psychiatry, 49 7: 651-659. doi:10.1177/0004867415575379


Author Duhig, Michael
Patterson, Sue
Connell, Melissa
Foley, Sharon
Capra, Carina
Dark, Frances
Gordon, Anne
Singh, Saveena
Hides, Leanne
McGrath, John J.
Scott, James
Title The prevalence and correlates of childhood trauma in patients with early psychosis
Journal name Australian and New Zealand Journal of Psychiatry   Check publisher's open access policy
ISSN 0004-8674
1440-1614
Publication date 2015-02-26
Year available 2015
Sub-type Article (original research)
DOI 10.1177/0004867415575379
Open Access Status Not yet assessed
Volume 49
Issue 7
Start page 651
End page 659
Total pages 9
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Subject 2738 Psychiatry and Mental health
Abstract Objective: To describe the prevalence and demographic, clinical and functional correlates of childhood trauma in patients attending early psychosis clinics.
Formatted abstract
Objective: To describe the prevalence and demographic, clinical and functional correlates of childhood trauma in patients attending early psychosis clinics.

Method: Participants were recruited from outpatients attending four early psychosis services. Exposure to childhood trauma was assessed using the Childhood Trauma Questionnaire (CTQ). Psychopathology was measured using the Positive and Negative Syndrome Scale and the Depression, Anxiety and Stress Scale. Social and vocational functioning and substance use were also assessed.

Results: Over three-quarters of the 100 patients reported exposure to any childhood trauma. Emotional, physical and sexual abuse were reported by 54%, 23% and 28% of patients, respectively, while 49% and 42% of patients reported emotional and physical neglect, respectively. Female participants were significantly more likely to be exposed to emotional and sexual abuse. Exposure to childhood trauma was correlated with positive psychotic symptoms and higher levels of depressive, anxiety and stress symptoms; however, it had no impact on social or vocational functioning or recent substance use.

Conclusion: Exposure to childhood trauma was common in patients with early psychosis, and associated with increased symptomatology. Existing recommendations that standard clinical assessment of patients with early psychosis should include inquiry into exposure to childhood trauma are supported.
Keyword Prevalence
Psychotic Disorders
Psychosis
Child abuse
Substance Abuse
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Tue, 26 May 2015, 21:23:08 EST by James Scott on behalf of Psychiatry - Royal Brisbane and Women's Hospital