The association between psychotic experiences and traumatic life events: the role of the intention to harm

Autor: Jair de Jesus Mari, Jim van Os, Euripedes Constantino Miguel, Marjan Drukker, Ary Gadelha, Pedro Mario Pan, Luis Augusto Rohde, Guilherme V. Polanczyk, Giovanni Abrahão Salum, Gisele Gus Manfro, Rodrigo A. Bressan, Tais Silveira Moriyama
Přispěvatelé: RS: MHeNs - R2 - Mental Health, Psychiatrie & Neuropsychologie, RS: CAPHRI other, MUMC+: MA Psychiatrie (3)
Rok vydání: 2018
Předmět:
Male
Child abuse
NEUROPSYCHIATRIC INTERVIEW MINI
SYMPTOMS
child abuse
Poison control
Comorbidity
Intention
Suicide prevention
Occupational safety and health
VIOLÊNCIA CONTRA O MENOR
0302 clinical medicine
POSTTRAUMATIC-STRESS-DISORDER
SOCIAL DEFEAT
Medicine
Crime Victims
Applied Psychology
GENERAL-POPULATION
child
PSYCHIATRIC-DISORDERS
Human factors and ergonomics
psychotic
CHILDHOOD TRAUMA
Psychiatry and Mental health
Female
Brazil
psychological phenomena and processes
mental health
Clinical psychology
BIRTH-COHORT
Adolescent
accidents
Psychological Trauma
behavioral disciplines and activities
Life Change Events
03 medical and health sciences
Injury prevention
Humans
business.industry
POLY-VICTIMIZATION
Bullying
Mental health
030227 psychiatry
mental disorders
HIGH-RISK
Harm
Physical Abuse
Psychotic Disorders
business
030217 neurology & neurosurgery
Zdroj: Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
Psychological Medicine, 48(13), 2235. Cambridge University Press
Psychological Medicine, 48(13), 2235-2246. Cambridge University Press
ISSN: 0033-2917
Popis: BackgroundPrevious work showed traumatic life events (TLE) with intention to harm, like bullying and abuse, to be more strongly associated with psychotic experiences (PE) than other types of trauma, like accidents. However, this association is subject to reporting bias and can be confounded by demographic characteristics and by differences in dose of exposure across different trauma categories. We studied the association between TLE with and without intention to harm and PE, taking into account potential confounders and biases.MethodsA total of 2245 children and adolescents aged 6–14 years were interviewed by psychologists. The interview included the presence of 20 PE (both self-report and psychologist evaluation). In addition, parents provided information on child exposure to trauma, mental health and PE.ResultsResults showed no significant association between TLE without intention to harm only and PE for the three methods of assessment of PE (self-report, parent report and psychologist rating). On the other hand, there was a positive association between PE and TLE in groups exposed to traumatic experiences with intention to harm (with intention to harm only and with and without intention to harm). Results remained significant after controlling for demographic and clinical confounders, but this positive association was no longer significant after adjusting for the number of TLE.ConclusionsTLE with intention to harm display a stronger association with PE than TLE without intention to harm, and this difference is likely reducible to a greater level of traumatic exposure associated with TLE with intention to harm.
Databáze: OpenAIRE