Aberrant salience mediates the interplay between emotional abuse and positive symptoms in schizophrenia

Autor: Renato de Filippis, Matteo Aloi, Marco Tullio Liuzza, Valentina Pugliese, Elvira Anna Carbone, Marianna Rania, Cristina Segura-Garcia, Pasquale De Fazio
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Comprehensive Psychiatry, Vol 133, Iss , Pp 152496- (2024)
Druh dokumentu: article
ISSN: 0010-440X
DOI: 10.1016/j.comppsych.2024.152496
Popis: Introduction: Childhood trauma and adversities (CTA) and aberrant salience (AS) have a pivotal role in schizophrenia development, but their interplay with psychotic symptoms remains vague. We explored the mediation performed by AS between CTA and psychotic symptomatology in schizophrenia. Methods: We approached 241 adults suffering from schizophrenia spectrum disorders (SSDs), who have been in the unit for at least 12 consecutive months, excluding the diagnosis of dementia, and recent substance abuse disorder, and cross-sectional evaluated through the Aberrant Salience Inventory (ASI), Childhood Trauma Questionnaire Short-Form (CTQ-SF), and Positive and Negative Symptom Scale (PANSS). We tested a path-diagram where AS mediated the relationship between CTA and psychosis, after verifying each measure one-dimensionality through confirmatory factor analysis. Results: The final sample comprised 222 patients (36.9% female), with a mean age of 42.4 (± 13.3) years and an average antipsychotic dose of 453.6 (± 184.2) mg/day (chlorpromazine equivalents). The mean duration of untreated psychosis was 1.8 (± 2.0) years while the mean onset age was 23.9 (± 8.2) years. Significant paths were found from emotional abuse to ASI total score (β = 0.39; p
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