Ulrik Helt Haahr1,2, Tor Ketil Larsen3,4, Erik Simonsen5,2, Bjørn Rishovd Rund6,7, Inge Joa3,8, Jan Ivar Rossberg9,10, Jan Olav Johannessen3,8, Johannes Langeveld3, Julie Evensen10, Anne Marie Hyldgaard Trauelsen1,11, Per Vaglum12, Stein Opjordsmoen9,10, Wenche Ten Velden Hegelstad3, Svein Friis9,10, Thomas McGlashan13, Ingrid Melle9,10. 1. Early Psychosis Intervention Center, Psychiatry East, Region Zealand, Roskilde, Denmark. 2. Institute of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. 3. Regional Centre for Clinical Research in Psychosis, Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway. 4. Department of Clinical Medicine, Section Psychiatry, University of Bergen, Bergen, Norway. 5. Psychiatric Research Unit, Psychiatry Region Zealand, Roskilde, Denmark. 6. Department of Psychology, University of Oslo, Oslo, Norway. 7. Department of Research, Vestre Viken Hospital Trust, Drammen, Norway. 8. Faculty of Social Sciences, University of Stavanger, Stavanger, Norway. 9. Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 10. Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. 11. Psychiatry South, Region Zealand, Vordingborg, Denmark. 12. Department of Behavioural Sciences in Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. 13. Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Abstract
AIM: Interpersonal traumas are highly prevalent in patients with psychotic disorders. Trauma caused by those close to the patient might have a more profound impact than other types of trauma and may influence early life social functioning. The aim is to investigate the associations between different types of trauma, in particular close interpersonal traumas experienced before the age of 18, premorbid factors and baseline clinical characteristics in a sample of first-episode psychosis patients. METHODS: A total of 191 patients from the 'TIPS' cohort completed assessment with the Brief Betrayal Trauma Survey at their 5 years follow-up interview. RESULTS: Half of the patients reported that they had experienced interpersonal trauma and one-third reported having experienced close interpersonal trauma before the age of 18. Women reported more sexual abuse, physical attacks and emotional and physical maltreatment than men. There were significant associations between early interpersonal trauma and premorbid adjustment and duration of untreated psychosis, but no significant associations with length of education, comorbid substance use or baseline clinical symptomatology. CONCLUSIONS: Close interpersonal trauma before the age of 18 is associated with poorer premorbid adjustment and a longer duration of untreated psychosis. This may indicate that traumatic experiences delay help-seeking behaviour.
AIM: Interpersonal traumas are highly prevalent in patients with psychotic disorders. Trauma caused by those close to the patient might have a more profound impact than other types of trauma and may influence early life social functioning. The aim is to investigate the associations between different types of trauma, in particular close interpersonal traumas experienced before the age of 18, premorbid factors and baseline clinical characteristics in a sample of first-episode psychosispatients. METHODS: A total of 191 patients from the 'TIPS' cohort completed assessment with the Brief Betrayal Trauma Survey at their 5 years follow-up interview. RESULTS: Half of the patients reported that they had experienced interpersonal trauma and one-third reported having experienced close interpersonal trauma before the age of 18. Women reported more sexual abuse, physical attacks and emotional and physical maltreatment than men. There were significant associations between early interpersonal trauma and premorbid adjustment and duration of untreated psychosis, but no significant associations with length of education, comorbid substance use or baseline clinical symptomatology. CONCLUSIONS: Close interpersonal trauma before the age of 18 is associated with poorer premorbid adjustment and a longer duration of untreated psychosis. This may indicate that traumatic experiences delay help-seeking behaviour.
Authors: Thomas Bailey; Mario Alvarez-Jimenez; Ana M Garcia-Sanchez; Carol Hulbert; Emma Barlow; Sarah Bendall Journal: Schizophr Bull Date: 2018-08-20 Impact factor: 9.306