Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-28T03:29:23.977Z Has data issue: false hasContentIssue false
  • English
  • Français

Childhood abuse in the etiological continuum underlying psychosis from first-episode psychosis to psychotic experiences

Published online by Cambridge University Press:  15 April 2020

S. Alemany ,
R. Ayesa-Arriola ,
B. Arias ,
M. Fatjó-Vilas ,
M.I. Ibáñez ,
G. Ortet ,
B. Crespo-Facorro  and
L. Fañanás
S. Alemany*
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
R. Ayesa-Arriola
Affiliation:
Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain University Hospital Marqués de Valdecilla, IDIVAL, Department of Psychiatry, School of Medicine, University of Cantabria, Avda. Valdecilla s/n, 39008Santander, Spain
B. Arias
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
M. Fatjó-Vilas
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
M.I. Ibáñez
Affiliation:
Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071Castelló, Spain
G. Ortet
Affiliation:
Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071Castelló, Spain
B. Crespo-Facorro
Affiliation:
Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain University Hospital Marqués de Valdecilla, IDIVAL, Department of Psychiatry, School of Medicine, University of Cantabria, Avda. Valdecilla s/n, 39008Santander, Spain
L. Fañanás
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
*
*Corresponding author. Unitat d’Antropologia, Dep. Biologia Animal, Facultat Biologia, Universitat de Barcelona, avenue Diagonal 643, 08028, Barcelona, Spain. Tel.: +34 93 402 1461; fax: +34 93 403 5740. E-mail address:[email protected] (S. Alemany).
Get access

Abstract

Goal:

The present study aimed to examine the prevalence of child abuse across the continuum of psychosis.

Patients and methods:

The sample consisted of 198 individuals divided in three groups: (1) 48 FEP patients, (2) 77 individuals scoring high in Community Assessment of Psychic Experiences (CAPE), classified as “High CAPE” group and (3) 73 individuals scoring low, classified as “Low CAPE” group. Childhood abuse was assessed using self-report instruments. Chi2 tests and logistic regression models controlling by sex, age and cannabis were used to perform three comparisons: (i) FEP vs. Low CAPE; (ii) FEP vs. High CAPE and (iii) High CAPE vs. Low CAPE.

Results:

The frequency of individuals exposed to childhood abuse for FEP, High CAPE and Low CAPE groups were 52.1%, 41.6% and 11%, respectively. FEP and High CAPE group presented significantly higher rates of childhood abuse compared to Low CAPE group, however, no significant differences were found between FEP and High CAPE groups regarding the frequency of childhood abuse.

Conclusion:

There is an increasing frequency of childhood abuse from low subclinical psychosis to FEP patients. However, childhood abuse is equally common in FEP and at risk individuals.

Keywords

Child abuseSchizophrenia and psychosisEpidemiology
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 1 , January 2015 , pp. 38 - 42
Copyright
Copyright © Elsevier Masson SAS 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

1

These authors contributed equally to this work.

References

Alemany, S, Arias, B, Aguilera, M, Villa, H, Moya, J, Ibanez, MI, et al.Childhood abuse, the BDNF-Val66Met polymorphism and adult psychotic-like experiences. Br J Psychiatry 2011; 199:38–42.CrossRefGoogle ScholarPubMed
Alemany, S, Goldberg, X, van Winkel, R, Gasto, C, Peralta, V, Fananas, L. Childhood adversity and psychosis: examining whether the association is due to genetic confounding using a monozygotic twin differences approach. Eur Psychiatry 2013;28(4):207–212.CrossRefGoogle ScholarPubMed
Andreasen, NCThe Scale for the Assessment of Negative Symptoms (SANS) Iowa City: University of Iowa; 1983.Google Scholar
Andreasen, NCThe Scale for the Assessment of Positive Symptoms (SAPS) Iowa City: University of Iowa; 1984.Google Scholar
Bebbington, PE, Bhugra, D, Brugha, T, Singleton, N, Farrell, M, Jenkins, R, et al.Psychosis, victimisation and childhood disadvantage: evidence from the second British National Survey of Psychiatric Morbidity. Br J Psychiatry 2004; 185:220–226.Google ScholarPubMed
Bechdolf, A, Thompson, A, Nelson, B, Cotton, S, Simmons, MB, Amminger, GP, et al.Experience of trauma and conversion to psychosis in an ultra-high-risk (prodromal) group. Acta Psychiatr Scand 2010;121(5):377–384.CrossRefGoogle Scholar
Bendall, S, Hulbert, CA, Alvarez-Jimenez, M, Allott, K, McGorry, PD, Jackson, HJ. Testing a model of the relationship between childhood sexual abuse and psychosis in a first-episode psychosis group: the role of hallucinations and delusions, posttraumatic intrusions, and selective attention. J Nerv Ment Dis 2013;201(11):941–947.CrossRefGoogle Scholar
Bernstein, DP, Fink, LChildhood Trauma Questionnaire: a retrospective self-report. San Antonio: The Psychological Corporation; 1998.Google Scholar
Braehler, C, Valiquette, L, Holowka, D, Malla, AK, Joober, R, Ciampi, A, et al.Childhood trauma and dissociation in first-episode psychosis, chronic schizophrenia and community controls. Psychiatry Res 2013;210(1):36–42.CrossRefGoogle ScholarPubMed
Cusak, K, Freuh, B, Brady, K. Trauma history screening in a community mental health center. Psychiatr Serv 2004;55:157–162.CrossRefGoogle Scholar
Dominguez, MD, Wichers, M, Lieb, R, Wittchen, HU, van Os, J. Evidence that onset of clinical psychosis is an outcome of progressively more persistent subclinical psychotic experiences: an 8-year cohort study. Schizophr Bull 2011;37(1):84–93.CrossRefGoogle Scholar
First, MB, Spitzer, RL, Gibbon, M, Williams, JBWStructured clinical interview for DSM-IV axis I disorders, clinical version (SCID-CV). Washington, DC: American Psychiatric Press; 1996.Google Scholar
Goodman, LA, Corcoran, C, Turner, K, Yuan, N, Green, BLAssessing traumatic event exposure: general issues and preliminary findings for the Stressful Life Events Screening Questionnaire. J Trauma Stress 1998;11(3):521–542.CrossRefGoogle ScholarPubMed
Green, JG, McLaughlin, KA, Berglund, PA, Gruber, MJ, Sampson, NA, Zaslavsky, AM, et al.Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders. Arch Gen Psychiatry 2010;67(2):113–123.CrossRefGoogle ScholarPubMed
Grube, BS, Bilder, RM, Goldman, RSMeta-analysis of symptom factors in schizophrenia. Schizophr Res 1998;31(2–3):113–120.CrossRefGoogle Scholar
Hardt, J, Rutter, MValidity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry 2004;45(2):260–273.CrossRefGoogle Scholar
Houston, JE, Murphy, J, Shevlin, M, Adamson, GCannabis use and psychosis: re-visiting the role of childhood trauma. Psychol Med 2011;11(11):2339–2348.CrossRefGoogle Scholar
Jackson, C, Knott, C, Skeate, A, Birchwood, MThe trauma of first episode psychosis: the role of cognitive mediation. Aust N Z J Psychiatry 2004;38(5):327–333.CrossRefGoogle ScholarPubMed
Janssen, I, Krabbendam, L, Bak, M, Hanssen, M, Vollebergh, W, de Graaf, R, et al.Childhood abuse as a risk factor for psychotic experiences. Acta Psychiatr Scand 2004;109(1):38–45.CrossRefGoogle ScholarPubMed
Jiménez, L, Menéndez, S, Hidalgo, MUn análisis de los acontecimientos vitales estresantes durante la adolescencia. Apuntes de Psicología 2008;26(3):427–440.Google Scholar
Johns, LC, van Os, JThe continuity of psychotic experiences in the general population. Clin Psychol Rev 2001;21(8):1125–1141.CrossRefGoogle ScholarPubMed
Kaymaz, N, van Os, JExtended psychosis phenotype – yes: single continuum – unlikely. Psychol Med 2010;40(12):1963–1966.CrossRefGoogle ScholarPubMed
Kelleher, I, Cannon, MPsychotic-like experiences in the general population: characterizing a high-risk group for psychosis. Psychol Med 2011;41(1):1–6.CrossRefGoogle Scholar
Kelleher, I, Connor, D, Clarke, MC, Devlin, N, Harley, M, Cannon, MPrevalence of psychotic symptoms in childhood and adolescence: a systematic review and meta-analysis of population-based studies. Psychol Med 2012;42(9):1857–1863.CrossRefGoogle ScholarPubMed
Konings, M, Bak, M, Hanssen, M, van Os, J, Krabbendam, LValidity and reliability of the CAPE: a self-report instrument for the measurement of psychotic experiences in the general population. Acta Psychiatr Scand 2006;114(1):55–61.CrossRefGoogle ScholarPubMed
Konings, M, Stefanis, N, Kuepper, R, de Graaf, R, ten Have, M, van Os, J, et al.Replication in two independent population-based samples that childhood maltreatment and cannabis use synergistically impact on psychosis risk. Psychol Med 2012;42(1):149–159.CrossRefGoogle ScholarPubMed
Luutonen, S, Tikka, M, Karlsson, H, Salokangas, RKChildhood trauma and distress experiences associate with psychotic symptoms in patients attending primary and psychiatric outpatient care. Results of the RADEP study. Eur Psychiatry 2013;28(3):154–160.CrossRefGoogle ScholarPubMed
Modinos, G, Ormel, J, Aleman, AAltered activation and functional connectivity of neural systems supporting cognitive control of emotion in psychosis proneness. Schizophr Res 2010;118(1–3):88–97.CrossRefGoogle ScholarPubMed
Nuevo, R, Chatterji, S, Verdes, E, Naidoo, N, Arango, C, Ayuso-Mateos, JLThe continuum of psychotic symptoms in the general population: a cross-national study. Schizophr Bull 2012;38(3):475–485.CrossRefGoogle ScholarPubMed
Pelayo-Teran, JM, Perez-Iglesias, R, Ramirez-Bonilla, M, Gonzalez-Blanch, C, Martinez-Garcia, O, Pardo-Garcia, G, et al.Epidemiological factors associated with treated incidence of first-episode non-affective psychosis in Cantabria: insights from the Clinical Programme on Early Phases of Psychosis. Early Interv Psychiatry 2008;2(3):178–187.CrossRefGoogle ScholarPubMed
Poulton, R, Caspi, A, Moffitt, TE, Cannon, M, Murray, R, Harrington, HChildren’s self-reported psychotic symptoms and adult schizophreniform disorder: a 15-year longitudinal study. Arch Gen Psychiatry 2000;57(11):1053–1058.CrossRefGoogle ScholarPubMed
Ramsay, CE, Flanagan, P, Gantt, S, Broussard, B, Compton, MTClinical correlates of maltreatment and traumatic experiences in childhood and adolescence among predominantly African American, socially disadvantaged, hospitalized, first-episode psychosis patients. Psychiatry Res 2011;188(3):343–349.CrossRefGoogle ScholarPubMed
Read, JTo ask, or not to ask, about abuse – New Zealand research. Am Psychol 2007;62(4):325–326. [discussion 30–2].CrossRefGoogle ScholarPubMed
Read, J, van Os, J, Morrison, AP, Ross, CAChildhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatr Scand 2005;112(5):330–350.CrossRefGoogle ScholarPubMed
Sahin, S, Yuksel, C, Guler, J, Karadayi, G, Akturan, E, Gode, E, et al.The history of childhood trauma among individuals with ultra high risk for psychosis is as common as among patients with first-episode schizophrenia. Early Interv Psychiatry 2013;7(4):414–420.CrossRefGoogle ScholarPubMed
Schenkel, LS, Spaulding, WD, DiLillo, D, Silverstein, SMHistories of childhood maltreatment in schizophrenia: relationships with premorbid functioning, symptomatology, and cognitive deficits. Schizophr Res 2005;76(2–3):273–286.CrossRefGoogle ScholarPubMed
Sideli, L, Fisher, HL, Russo, M, Murray, RM, Stilo, SA, Wiffen, BD, et al.Failure to find association between childhood abuse and cognition in first-episode psychosis patients. Eur Psychiatry 2014;29(1):32–35.CrossRefGoogle ScholarPubMed
Stefanis, NC, Hanssen, M, Smirnis, NK, Avramopoulos, DA, Evdokimidis, IK, Stefanis, CN, et al.Evidence that three dimensions of psychosis have a distribution in the general population. Psychol Med 2002;32(2):347–358.CrossRefGoogle ScholarPubMed
Tyrka, AR, Burgers, DE, Philip, NS, Price, LH, Carpenter, LLThe neurobiological correlates of childhood adversity and implications for treatment. Acta Psychiatr Scand 2013;128(6):434–447.CrossRefGoogle ScholarPubMed
Ucok, A, Bikmaz, SThe effects of childhood trauma in patients with first-episode schizophrenia. Acta Psychiatr Scand 2007;116(5):371–377.CrossRefGoogle ScholarPubMed
Van Os, J, Linscott, RJ, Myin-Germeys, I, Delespaul, P, Krabbendam, LA systematic review and meta-analysis of the psychosis continuum: evidence for a psychosis proneness-persistence-impairment model of psychotic disorder. Psychol Med 2009;39(2):179–195.CrossRefGoogle ScholarPubMed
Van Winkel, R, Stefanis, NC, Myin-Germeys, IPsychosocial stress and psychosis. A review of the neurobiological mechanisms and the evidence for gene-stress interaction. Schizophr Bull 2008;34(6):1095–1105.CrossRefGoogle ScholarPubMed
Varese, F, Smeets, F, Drukker, M, Lieverse, R, Lataster, T, Viechtbauer, W, et al.Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective- and cross-sectional cohort studies. Schizophr Bull 2012;38(4):661–671.CrossRefGoogle ScholarPubMed
Wang, Z, Xue, Z, Pu, W, Yang, B, Li, L, Yi, W, et al.Comparison of first-episode and chronic patients diagnosed with schizophrenia: symptoms and childhood trauma. Early Interv Psychiatry 2013;7(1):23–30.CrossRefGoogle ScholarPubMed
Zimbron, J, Ruiz de Azua, S, Khandaker, GM, Gandamaneni, PK, Crane, CM, Gonzalez-Pinto, A, et al.Clinical and sociodemographic comparison of people at high-risk for psychosis and with first-episode psychosis. Acta Psychiatr Scand 2013;127(3):210–216.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.