The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review

Childhood trauma (CT) has repeatedly been associated with cognitive deficits in patients with psychosis but many inconsistencies have been reported so that the nature of the relationship remains unclear. The purpose of this review was to better characterize the contribution of CT to cognitive defici...

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Main Authors: Maria R. Dauvermann, Gary Donohoe
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Schizophrenia Research: Cognition
Online Access:http://www.sciencedirect.com/science/article/pii/S2215001318300313
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author Maria R. Dauvermann
Gary Donohoe
author_facet Maria R. Dauvermann
Gary Donohoe
author_sort Maria R. Dauvermann
collection DOAJ
description Childhood trauma (CT) has repeatedly been associated with cognitive deficits in patients with psychosis but many inconsistencies have been reported so that the nature of the relationship remains unclear. The purpose of this review was to better characterize the contribution of CT to cognitive deficits by considering the type, severity and frequency of childhood traumatic events and their relationships with psychosis at all stages.Relevant studies were identified via electronic and manual literature searches and included original studies that investigated the relationship between CT and higher cognitive performance or social cognitive performance in patients with schizophrenia, bipolar disorder and psychosis at all stages of the illness stages (i.e. ultra-high risk, first episode or chronic phase).Overall, a majority of studies reported that patients who experienced CT displayed deficits in general cognitive ability compared to patients with psychosis without such a history. Associations between CT and other cognitive function were more mixed. When comparing patient groups, the association between CT and cognitive function was more inconsistent in patients with chronic schizophrenia than in healthy participants, ultra-high risk individuals, first-episode patients and patients with chronic bipolar disorder.In understanding the variability in the reported relationships between CT and cognition across study populations, we highlight the variety of questionnaires used and discuss the likelihood of there being differences in cognitive function based on specific stressors, severity and frequency. Finally, we consider future research steps that may shed light on psychobiological mechanisms underlying CT and cognitive performance in patients with psychosis. Keywords: Childhood trauma, Schizophrenia, Psychosis, Cognitive function, Social cognitive function
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spelling doaj.art-6814af9244ad42ca98d5cd16ace0d8862022-12-21T19:37:04ZengElsevierSchizophrenia Research: Cognition2215-00132019-06-0116111The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic reviewMaria R. Dauvermann0Gary Donohoe1Corresponding author.; School of Psychology, National University of Ireland Galway, University Road, Galway, IrelandSchool of Psychology, National University of Ireland Galway, University Road, Galway, IrelandChildhood trauma (CT) has repeatedly been associated with cognitive deficits in patients with psychosis but many inconsistencies have been reported so that the nature of the relationship remains unclear. The purpose of this review was to better characterize the contribution of CT to cognitive deficits by considering the type, severity and frequency of childhood traumatic events and their relationships with psychosis at all stages.Relevant studies were identified via electronic and manual literature searches and included original studies that investigated the relationship between CT and higher cognitive performance or social cognitive performance in patients with schizophrenia, bipolar disorder and psychosis at all stages of the illness stages (i.e. ultra-high risk, first episode or chronic phase).Overall, a majority of studies reported that patients who experienced CT displayed deficits in general cognitive ability compared to patients with psychosis without such a history. Associations between CT and other cognitive function were more mixed. When comparing patient groups, the association between CT and cognitive function was more inconsistent in patients with chronic schizophrenia than in healthy participants, ultra-high risk individuals, first-episode patients and patients with chronic bipolar disorder.In understanding the variability in the reported relationships between CT and cognition across study populations, we highlight the variety of questionnaires used and discuss the likelihood of there being differences in cognitive function based on specific stressors, severity and frequency. Finally, we consider future research steps that may shed light on psychobiological mechanisms underlying CT and cognitive performance in patients with psychosis. Keywords: Childhood trauma, Schizophrenia, Psychosis, Cognitive function, Social cognitive functionhttp://www.sciencedirect.com/science/article/pii/S2215001318300313
spellingShingle Maria R. Dauvermann
Gary Donohoe
The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
Schizophrenia Research: Cognition
title The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
title_full The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
title_fullStr The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
title_full_unstemmed The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
title_short The role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder – A systematic review
title_sort role of childhood trauma in cognitive performance in schizophrenia and bipolar disorder a systematic review
url http://www.sciencedirect.com/science/article/pii/S2215001318300313
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