Cumulative Effects of Stressful Childhood Experiences on Delusions and Hallucinations
| Autor: | Joseph Battaglia, Bruce G. Link, Andres R. Schneeberger, Dorothy Castille, Kristina Muenzenmaier, Azizi Seixas |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Stress Disorders Traumatic Psychosis medicine.medical_specialty Bipolar Disorder Hallucinations medicine.drug_class Statistics as Topic Dissociative Disorders Rate ratio Dissociative Risk Assessment Delusions Life Change Events Stress Disorders Post-Traumatic medicine Humans Longitudinal Studies Psychiatry Generalized estimating equation Causal pathways Depressive Disorder Major Confounding Middle Aged medicine.disease Confidence interval Psychiatry and Mental health Clinical Psychology Psychotic Disorders Schizophrenia Female Schizophrenic Psychology Psychology |
| Zdroj: | Journal of Trauma & Dissociation. 16:442-462 |
| ISSN: | 1529-9740 1529-9732 |
| DOI: | 10.1080/15299732.2015.1018475 |
| Popis: | The association between stressful childhood experiences (SCE) and psychotic symptoms is still not clearly understood, and different causal pathways have been proposed. Generalized estimating equation modeling was used to test the dose-response relationship between SCE and delusions and hallucinations at baseline and follow-up periods and the possible confounding effects of dissociation on this relationship. The prevalence of SCE in individuals with psychotic disorders was high, with more co-occurring SCE categories being positively associated with more types of delusions and hallucinations. Each additional SCE was associated with a 1.20 increase in the incidence rate ratio (95% confidence interval [CI; 1.09, 1.32]) for hallucinations and a 1.19 increase (CI [1.09, 1.29]) for delusions, supporting a dose-response association. After we controlled for the mediating effects of dissociative symptoms at follow-up, SCE remained independently associated with delusions. We propose that cumulative SCE can result in complex trauma reactions that present with a broad range of symptomatology, including dissociative, posttraumatic stress disorder, and psychotic symptoms. |
| Databáze: | OpenAIRE |
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