Childhood adversities and clinical symptomatology in first-episode psychosis
| Autor: | Isabel Morales-Muñoz, Outi Mantere, Maija Lindgren, Eva Rikandi, Jaana Suvisaari, Tuula Kieseppä, Teemu Mäntylä, Minna Torniainen-Holm |
|---|---|
| Přispěvatelé: | Medicum, Department of Psychology and Logopedics, University of Helsinki, Institute for Molecular Medicine Finland, Department of Psychiatry, Clinicum, HUS Children and Adolescents, HUS Psychiatry |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty SYMPTOMS Adolescent Population Poison control Anxiety Psychological Trauma 3124 Neurology and psychiatry Young Adult 03 medical and health sciences 0302 clinical medicine SCHIZOPHRENIA medicine Humans Bipolar disorder Child Psychiatry education Borderline personality disorder Biological Psychiatry TRAUMA RISK education.field_of_study BIPOLAR DISORDER BORDERLINE PERSONALITY-DISORDER OBSESSIVE-COMPULSIVE DISORDER medicine.disease EARLY ADULTHOOD 3. Good health 030227 psychiatry Psychiatry and Mental health Mood Psychotic Disorders Schizophrenia Case-Control Studies Chronic Disease Female medicine.symptom Psychology BULLYING VICTIMIZATION MENTAL-HEALTH Psychosocial Stress Psychological 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychiatry Research. 258:374-381 |
| ISSN: | 0165-1781 |
| Popis: | In addition to severe traumatic experiences, milder, more common childhood adversities reflecting psychosocial burden may also be common in people with psychotic disorders and have an effect on symptomatology and functioning. We explored eleven negative childhood experiences and their influence on clinical symptoms among young adults with first-episode psychosis (FEP, n = 75) and matched population controls ( n = 51). Individuals with FEP reported more adversities than controls. Specifically serious conflicts within the family, bullying at school, maternal mental health problems, and one's own and parents’ serious illness during childhood were experienced by the patients more often than by controls. In the FEP group, the severity of adversity was associated with increased anxiety, manic, and obsessive-compulsive symptoms, but not with the severity of positive psychotic symptoms. Adversity produced a more pronounced effect on symptoms in male patients than in female patients. To conclude, in line with earlier studies of more chronic psychosis, a majority of the participants with FEP reported exposure to childhood adversities, with the FEP group reporting more adversities than controls. High levels of mood and anxiety symptoms in patients with FEP may be related to cumulative exposure to childhood adversities. This should be taken into account in the treatment for FEP. |
| Databáze: | OpenAIRE |
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