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., & Scott, James (2015) The prevalence and correlates of childhood trauma in patients with early psychosis. Australian and New Zealand Journal of Psychiatry, 49(7), pp. 651-659.

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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.

Impact and interest:

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6 citations in Web of Science®

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ID Code: 95309
Item Type: Journal Article
Refereed: Yes
Keywords: prevalence, psychotic disorders, psychosis, child abuse, substance abuse
DOI: 10.1177/0004867415575379
ISSN: 1440-1614
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2015 The Royal Australian and New Zealand College of Psychiatrists
Deposited On: 03 May 2016 04:14
Last Modified: 04 May 2016 00:15

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