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Childhood trauma, psychotic symptoms: which association?

Published online by Cambridge University Press:  19 July 2023

A. Syrine ,
F. Rim ,
G. Imen ,
S. Najeh ,
O. Sana ,
M. B. Manel ,
Z. Lobna ,
B. T. Jihen ,
C. Nada  and
M. Mohamed
A. Syrine*
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
F. Rim
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
G. Imen
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
S. Najeh
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
O. Sana
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
M. B. Manel
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
Z. Lobna
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
B. T. Jihen
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
C. Nada
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
M. Mohamed
Affiliation:
Psychiatry ‘C’ Department, University Hospital of Hedi Chaker, Sfax, Tunisia
*
*Corresponding author.

Abstract

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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

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1040
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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