Impact of childhood trauma on impulsivity in patients with bipolar disorder
Introduction Childhood trauma has been demonstrated to be associated with several indicators of worse course in bipolar disorder (BD). Links between early adversity and the complexity of the disorder might be mediated by various dimensions of psychopathology, such as impulsivity. Objectives The ai...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822004333/type/journal_article |
| _version_ | 1797617594052640768 |
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| author | D. Bougacha S. Ellouze R. Jenhani R. Ghachem |
| author_facet | D. Bougacha S. Ellouze R. Jenhani R. Ghachem |
| author_sort | D. Bougacha |
| collection | DOAJ |
| description |
Introduction
Childhood trauma has been demonstrated to be associated with several indicators of worse course in bipolar disorder (BD). Links between early adversity and the complexity of the disorder might be mediated by various dimensions of psychopathology, such as impulsivity.
Objectives
The aim of this study was to investigate the impact of traumatic childhood experiences on impulsivity in individuals with bipolar disorder.
Methods
We conducted a cross-sectional, descriptive, and analytical study. Sixty-one euthymic patients with bipolar disorder were recruited in the department of psychiatry B of Razi Hospital, during their follow-up. The Childhood Trauma Questionnaire (CTQ) and the Barratt Impulsiveness Scale-11 (BIS-11) were used to assess childhood traumatic experiences and impulsivity.
Results
The mean age of patients was 43.4. The sex ratio was 2.4. The mean score obtained on the Bis-11 scale was 74.8. More than half of patients (53%) had high levels of impulsivity. Almost two-thirds of patients (64%) had experienced at least one type of childhood trauma. Higher scores on the various dimensions of childhood trauma apart from physical neglect, were significantly associated with higher total BIS-11 score as well as with all its subscales. Linear regression with the CTQ total score as the independent variable showed a statistically significant effect of childhood trauma score on attentional impulsivity.
Conclusions
Our findings suggest that interventions that target impulsive behavior in individuals with bipolar disorder should pay particular attention to traumatic childhood experiences. Furthermore, early identification and management of childhood trauma may reduce levels of impulsivity and thus improve the outcome and prognosis of bipolar disorder.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:57:03Z |
| format | Article |
| id | doaj.art-accc23143cf148ec81986c7a5d407749 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:57:03Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-accc23143cf148ec81986c7a5d4077492023-11-17T05:05:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S162S16210.1192/j.eurpsy.2022.433Impact of childhood trauma on impulsivity in patients with bipolar disorderD. Bougacha0S. Ellouze1R. Jenhani2R. Ghachem3Razi hospital, B, Manouba, TunisiaHedi Chaker University Hospital, Psychiatry, Sfax, TunisiaRazi hospital, B, Manouba, TunisiaRazi hospital, B, Manouba, Tunisia Introduction Childhood trauma has been demonstrated to be associated with several indicators of worse course in bipolar disorder (BD). Links between early adversity and the complexity of the disorder might be mediated by various dimensions of psychopathology, such as impulsivity. Objectives The aim of this study was to investigate the impact of traumatic childhood experiences on impulsivity in individuals with bipolar disorder. Methods We conducted a cross-sectional, descriptive, and analytical study. Sixty-one euthymic patients with bipolar disorder were recruited in the department of psychiatry B of Razi Hospital, during their follow-up. The Childhood Trauma Questionnaire (CTQ) and the Barratt Impulsiveness Scale-11 (BIS-11) were used to assess childhood traumatic experiences and impulsivity. Results The mean age of patients was 43.4. The sex ratio was 2.4. The mean score obtained on the Bis-11 scale was 74.8. More than half of patients (53%) had high levels of impulsivity. Almost two-thirds of patients (64%) had experienced at least one type of childhood trauma. Higher scores on the various dimensions of childhood trauma apart from physical neglect, were significantly associated with higher total BIS-11 score as well as with all its subscales. Linear regression with the CTQ total score as the independent variable showed a statistically significant effect of childhood trauma score on attentional impulsivity. Conclusions Our findings suggest that interventions that target impulsive behavior in individuals with bipolar disorder should pay particular attention to traumatic childhood experiences. Furthermore, early identification and management of childhood trauma may reduce levels of impulsivity and thus improve the outcome and prognosis of bipolar disorder. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822004333/type/journal_articlebipolar disorderChildhood TraumaImpulsivity |
| spellingShingle | D. Bougacha S. Ellouze R. Jenhani R. Ghachem Impact of childhood trauma on impulsivity in patients with bipolar disorder European Psychiatry bipolar disorder Childhood Trauma Impulsivity |
| title | Impact of childhood trauma on impulsivity in patients with bipolar disorder |
| title_full | Impact of childhood trauma on impulsivity in patients with bipolar disorder |
| title_fullStr | Impact of childhood trauma on impulsivity in patients with bipolar disorder |
| title_full_unstemmed | Impact of childhood trauma on impulsivity in patients with bipolar disorder |
| title_short | Impact of childhood trauma on impulsivity in patients with bipolar disorder |
| title_sort | impact of childhood trauma on impulsivity in patients with bipolar disorder |
| topic | bipolar disorder Childhood Trauma Impulsivity |
| url | https://www.cambridge.org/core/product/identifier/S0924933822004333/type/journal_article |
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