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PW01-07 - Correlates of Past Sexual and Physical Trauma in 118 Bipolar I Patients With a First Episode of Psychotic Mania

Published online by Cambridge University Press:  17 April 2020

P. Conus ,
S. Cotton ,
S. Benno ,
B. Michael ,
D. Rothanty ,
P.D. McGorry  and
M. Lambert
P. Conus
Affiliation:
Department of Psychiatry, CHUV, Lausanne University, Lausanne, Switzerland
S. Cotton
Affiliation:
Orygen Youth Health Research Centre, Centre for Youth Mental Health, Melbourne University, Melbourne, VIC, Australia
S. Benno
Affiliation:
Department of Child- and Adolescent Psychiatry, University of Bern, Bern, Switzerland
B. Michael
Affiliation:
Orygen Youth Health Research Centre, Centre for Youth Mental Health, Melbourne University, Melbourne, VIC, Australia
D. Rothanty
Affiliation:
Orygen Youth Health Research Centre, Centre for Youth Mental Health, Melbourne University, Melbourne, VIC, Australia
P.D. McGorry
Affiliation:
Orygen Youth Health Research Centre, Centre for Youth Mental Health, Melbourne University, Melbourne, VIC, Australia
M. Lambert
Affiliation:
Psychosis Early Detection and Intervention Centre (PEDIC), Centre for Psychosocial Medicine, Department for Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Hamburg, Germany

Abstract

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Objectives

To assess the prevalence and correlates of childhood and adolescence sexual and/or physical abuse (SPA) in bipolar I disorder (BD) patients treated for a first episode of psychotic mania.

Methods

The Early Psychosis Prevention and Intervention Centre (EPPIC) admitted 786 first episode psychosis (FEP) patients between 1998 and 2000. Data were collected from patients’ files using a standardized questionnaire. 704 files were available, 43 were excluded because of a non-psychotic diagnosis at endpoint and 3 due to missing data regarding past stressful events. Among 658 patients with available data, 118 received a final diagnosis of BD and were entered in this study.

Results

80% of patients had been exposed to stressful life events during childhood and adolescence and 24.9% to SPA: in particular, 29.8% of female patients had been exposed to sexual abuse. Patients who were exposed to SPA had poorer pre-morbid functioning, higher rates of forensic history, were less likely to live with family during treatment period and were more likely to disengage from treatment

Conclusions

Sexual and/or physical abuse is highly prevalent in BD patients presenting with a first episode of psychotic mania; exposed patients have lower pre-morbid functional levels and poorer engagement with treatment. The context in which such traumas occur must be explored in order to define if early intervention strategies may contribute to diminish their prevalence. Specific psychological interventions must also be developed.

Type
Affective disorders / Unipolar depression / Bipolar disorder
Information
European Psychiatry , Volume 25 , Issue S1: 18th European Congress of Psychiatry. February 27, March 2, 2010 - Munich, Germany , 2010 , 25-E1409
Copyright
Copyright © European Psychiatric Association 2010
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