Childhood trauma, psychotic symptoms: which association?

Introduction Clinical evidence supports the interaction between genetic predisposition and environmental stressors on the emergence of positive psychotic symptoms. Childhood trauma might be a modifiable risk factor among adults with serious mental illness. Objectives The aim of our study was to inv...

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Main Authors: A. Syrine, F. Rim, G. Imen, S. Najeh, O. Sana, M. B. Manel, Z. Lobna, B. T. Jihen, C. Nada, M. Mohamed
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823022058/type/journal_article
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author A. Syrine
F. Rim
G. Imen
S. Najeh
O. Sana
M. B. Manel
Z. Lobna
B. T. Jihen
C. Nada
M. Mohamed
author_facet A. Syrine
F. Rim
G. Imen
S. Najeh
O. Sana
M. B. Manel
Z. Lobna
B. T. Jihen
C. Nada
M. Mohamed
author_sort A. Syrine
collection DOAJ
description Introduction Clinical evidence supports the interaction between genetic predisposition and environmental stressors on the emergence of positive psychotic symptoms. Childhood trauma might be a modifiable risk factor among adults with serious mental illness. Objectives The aim of our study was to investigate associations between childhood trauma (physical abuse, sexual abuse, emotional abuse, emotional neglect, and physical neglect) and symptoms of schizophrenia. Methods We included in our study 33 stabilized inpatients with schizophrenia at the Psychiatry C department at University Hospital in Sfax-Tunisia. Data on Sociodemographic and clinical variables were collected from medical records. Psychotic symptoms were evaluated using the Positive and Negative Syndrome Scale (PANSS). We used the Childhood Trauma Questionnaire-Short Form (CTQ-SF) to evaluate childhood trauma experiences. Results Our sample was exclusively composed of men with an average age of 35 years and 4 months. The majority of patients were unemployed (75.8%). Only 6.1% of them were married. Among the patients included in the study, 15.2% of our patients were illiterate. The majority of subjects were treated after a period of untreated psychosis (65.5%). The analysis revealed that 42.4% of our patients experienced childhood adversities with mean CTQ-SF total score 35.48 (SD=9.44) We found that positive and general psychopathology schizophrenia symptomatology were correlated to Childhood abuse (0.03; 0.004), emotional abuse (0.009; 0.004), physical neglect (0.02; 0.01), and emotional neglect (0.01). In addition, our analysis showed that only emotional abuse lead to more negative schizophrenia symptomatology (p=0.009).* Conclusions Several studies have shown an association between childhood trauma and specific symptoms of psychosis. Therefore, Childhood trauma should be considered and inquired about in the course of clinical care of schizophrenia patients. Disclosure of Interest None Declared
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spelling doaj.art-751651c043f44ab197d028f2e4c1855a2023-11-17T05:08:17ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S1040S104010.1192/j.eurpsy.2023.2205Childhood trauma, psychotic symptoms: which association?A. Syrine0F. Rim1G. Imen2S. Najeh3O. Sana4M. B. Manel5Z. Lobna6B. T. Jihen7C. Nada8M. Mohamed9Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, TunisiaPsychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia Introduction Clinical evidence supports the interaction between genetic predisposition and environmental stressors on the emergence of positive psychotic symptoms. Childhood trauma might be a modifiable risk factor among adults with serious mental illness. Objectives The aim of our study was to investigate associations between childhood trauma (physical abuse, sexual abuse, emotional abuse, emotional neglect, and physical neglect) and symptoms of schizophrenia. Methods We included in our study 33 stabilized inpatients with schizophrenia at the Psychiatry C department at University Hospital in Sfax-Tunisia. Data on Sociodemographic and clinical variables were collected from medical records. Psychotic symptoms were evaluated using the Positive and Negative Syndrome Scale (PANSS). We used the Childhood Trauma Questionnaire-Short Form (CTQ-SF) to evaluate childhood trauma experiences. Results Our sample was exclusively composed of men with an average age of 35 years and 4 months. The majority of patients were unemployed (75.8%). Only 6.1% of them were married. Among the patients included in the study, 15.2% of our patients were illiterate. The majority of subjects were treated after a period of untreated psychosis (65.5%). The analysis revealed that 42.4% of our patients experienced childhood adversities with mean CTQ-SF total score 35.48 (SD=9.44) We found that positive and general psychopathology schizophrenia symptomatology were correlated to Childhood abuse (0.03; 0.004), emotional abuse (0.009; 0.004), physical neglect (0.02; 0.01), and emotional neglect (0.01). In addition, our analysis showed that only emotional abuse lead to more negative schizophrenia symptomatology (p=0.009).* Conclusions Several studies have shown an association between childhood trauma and specific symptoms of psychosis. Therefore, Childhood trauma should be considered and inquired about in the course of clinical care of schizophrenia patients. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823022058/type/journal_article
spellingShingle A. Syrine
F. Rim
G. Imen
S. Najeh
O. Sana
M. B. Manel
Z. Lobna
B. T. Jihen
C. Nada
M. Mohamed
Childhood trauma, psychotic symptoms: which association?
European Psychiatry
title Childhood trauma, psychotic symptoms: which association?
title_full Childhood trauma, psychotic symptoms: which association?
title_fullStr Childhood trauma, psychotic symptoms: which association?
title_full_unstemmed Childhood trauma, psychotic symptoms: which association?
title_short Childhood trauma, psychotic symptoms: which association?
title_sort childhood trauma psychotic symptoms which association
url https://www.cambridge.org/core/product/identifier/S0924933823022058/type/journal_article
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