Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms

Introduction The relationship between history of childhood trauma (CT) and current schizophrenic symptoms is complex and controversial. Most of the studies report more positive psychotic symptoms (PPS) in psychotic patients who had suffered CT. Findings for negative psychotic symptoms (NPS) are mi...

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Main Authors: M.-J. Alvarez, Q. Foguet-Boreu, J. García-Eslava, P. Roura-Poch, E. Tasa-Vinyals, A. González-Vázquez, H. Masramon
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821004454/type/journal_article
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author M.-J. Alvarez
Q. Foguet-Boreu
J. García-Eslava
P. Roura-Poch
E. Tasa-Vinyals
A. González-Vázquez
H. Masramon
author_facet M.-J. Alvarez
Q. Foguet-Boreu
J. García-Eslava
P. Roura-Poch
E. Tasa-Vinyals
A. González-Vázquez
H. Masramon
author_sort M.-J. Alvarez
collection DOAJ
description Introduction The relationship between history of childhood trauma (CT) and current schizophrenic symptoms is complex and controversial. Most of the studies report more positive psychotic symptoms (PPS) in psychotic patients who had suffered CT. Findings for negative psychotic symptoms (NPS) are mixed: most authors do not find differences or even find less. Objectives The purpose of this study is to evaluate and describe the types of CT suffered by patients diagnosed with schizophrenia spectrum disorders (SSD), and to analyse the relationship between history of CT and the present-time intensity of PPS and NPS. Methods We conducted a cross-sectional study of 45 adult patients with a SSD. Instruments: Childhood Trauma Questionnaire, short form (CTQ-SF) for measuring CT and Positive and Negative Syndrome Scale (PANSS) to assess the PPS and NPS of psychosis. Results 77.8% of the patients reported having suffered any kind of CT. By types of trauma: 48.9% reported emotional abuse, 28.9% physical abuse, 40.0% sexual abuse, 55.6% emotional neglect and 46.7% physical neglect. A lineal correlation between CTQ-SF and PANSS+/- scores was performed. Neither total PANSS+ nor any particular PANSS+ items correlate with CTQ scores. A significant inverse lineal association of moderate intensity exists between total PANSS− score and CT intensity (ρ = −0.300, p = 0.045) Conclusions In line with previous research, our study has found inverse correlation between NPS and CT. In contrast, no association was found between PPS and CT. Our sample was mostly composed by chronic patients, which might explain the differences with the previous literature. Disclosure No significant relationships.
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spelling doaj.art-2dffbbc5ff5e4151a741aa0fb8103c782023-11-17T05:06:06ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S167S16710.1192/j.eurpsy.2021.445Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptomsM.-J. Alvarez0Q. Foguet-Boreu1J. García-Eslava2P. Roura-Poch3E. Tasa-Vinyals4A. González-Vázquez5H. Masramon6Mental Health Department, Consorci Hositalari Vic, Vic, SpainMental Health Department, Consorci Hositalari Vic, Vic, SpainMental Health Department, Consorci Hositalari Vic, Vic, SpainEpidemiology Department, Consorci Hospitalari Vic, Vic, SpainMental Health Department, Consorci Hositalari Vic, Vic, SpainMental Health Department, Complejo Hospitalario A Coruña, a Coruña, SpainMental Health Department, Clínica Sant Josep, Vic, Spain Introduction The relationship between history of childhood trauma (CT) and current schizophrenic symptoms is complex and controversial. Most of the studies report more positive psychotic symptoms (PPS) in psychotic patients who had suffered CT. Findings for negative psychotic symptoms (NPS) are mixed: most authors do not find differences or even find less. Objectives The purpose of this study is to evaluate and describe the types of CT suffered by patients diagnosed with schizophrenia spectrum disorders (SSD), and to analyse the relationship between history of CT and the present-time intensity of PPS and NPS. Methods We conducted a cross-sectional study of 45 adult patients with a SSD. Instruments: Childhood Trauma Questionnaire, short form (CTQ-SF) for measuring CT and Positive and Negative Syndrome Scale (PANSS) to assess the PPS and NPS of psychosis. Results 77.8% of the patients reported having suffered any kind of CT. By types of trauma: 48.9% reported emotional abuse, 28.9% physical abuse, 40.0% sexual abuse, 55.6% emotional neglect and 46.7% physical neglect. A lineal correlation between CTQ-SF and PANSS+/- scores was performed. Neither total PANSS+ nor any particular PANSS+ items correlate with CTQ scores. A significant inverse lineal association of moderate intensity exists between total PANSS− score and CT intensity (ρ = −0.300, p = 0.045) Conclusions In line with previous research, our study has found inverse correlation between NPS and CT. In contrast, no association was found between PPS and CT. Our sample was mostly composed by chronic patients, which might explain the differences with the previous literature. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821004454/type/journal_articleSchizophrenia spectrum disorderschildhood traumapositive psychotic symptomsNegative psychotic symptoms
spellingShingle M.-J. Alvarez
Q. Foguet-Boreu
J. García-Eslava
P. Roura-Poch
E. Tasa-Vinyals
A. González-Vázquez
H. Masramon
Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
European Psychiatry
Schizophrenia spectrum disorders
childhood trauma
positive psychotic symptoms
Negative psychotic symptoms
title Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
title_full Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
title_fullStr Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
title_full_unstemmed Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
title_short Childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
title_sort childhood trauma in schizophrenia spectrum disorders and intensity of psychotic symptoms
topic Schizophrenia spectrum disorders
childhood trauma
positive psychotic symptoms
Negative psychotic symptoms
url https://www.cambridge.org/core/product/identifier/S0924933821004454/type/journal_article
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