Literature DB >> 20570287

Exposure to trauma and the clinical presentation of first-episode psychosis in South Africa.

Jonathan Kenneth Burns1, Khatija Jhazbhay, Tonya Esterhuizen, Robin Emsley.   

Abstract

OBJECTIVE: To evaluate the relationship between a history of traumatic experiences and the clinical features of first-episode psychosis (FEP).
METHOD: We tested associations between trauma variables and duration of untreated psychosis (DUP), age of onset (AO), PANSS-rated positive and negative symptoms and depressive symptoms (Calgary Depression Scale) in a sample of 54 FEP patients.
RESULTS: Mean DUP was 34.4 weeks, while mean AO was 24.7 years. Witnessing a seriously violent assault (49%) was associated with high positive symptoms (p = 0.002), while a significant personal experience of racism and discrimination (39%) was associated with high depressive (p = 0.042) symptoms. Previous sexual assault (44% of females) was associated with high positive (p = 0.028) and negative (p = 0.035) symptoms with a trend association with depressive symptoms (p = 0.092).
CONCLUSION: Our findings suggest that previous traumatic experience is associated with positive and affective symptoms in FEP. Copyright Â
© 2010 Elsevier Ltd. All rights reserved.

Entities:  

Mesh:

Year:  2010        PMID: 20570287     DOI: 10.1016/j.jpsychires.2010.05.014

Source DB:  PubMed          Journal:  J Psychiatr Res        ISSN: 0022-3956            Impact factor:   4.791


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