IntroductionRecent research shows that exposure to trauma, such as child abuse, may result in a heightened risk of developing schizophrenia and worsening of positive symptoms in schizophrenic patient.ObjectivesThe objective of this study was to examine the relation between childhood abuse and psychotic symptoms in patients with schizophrenia.MethodsParticipants were outpatients of Hedi chaker University Hospital Center in sfax, Tunisia, recruited between January and July of 2019, diagnosed with schizophrenia or schizoaffective disorder. The Childhood Trauma Questionnaire (CTQ-SF), the Positive and Negative Syndrome Scale (PANSS) were administered in this study to evaluate respectively childhood trauma and psychotic symptomsResults44 patients were included in this study with an average age 39,81 ±9,7. The rate of emotional abuse was 15.9%, physical abuse 31.8%, sexual abuse 15.8%, emotional neglect 6.8% and physical neglect 18.2%. PANS positive score (r=0,59 ; p< 10-3 ), PANS negative score (r=0,55 ; p< 10-3 ) and PANS psychopathology score(r =0,45, p<0,002) were higher in patients who had a history of childhood trauma in comparison with those who did not report experiencing this.ConclusionsThis study confirms that a history of Childhood trauma may have a serious impact in patients with schizophrenia.
IntroductionSchizophrenia is a chronic mental disorder that has a significant impact on quality of life satisfaction in patients with schizophrenia.ObjectivesThe objective of this study was to examine the impact of socio-demographic factors and psychotic symptoms on quality of life satisfaction in patients with schizophrenia.MethodsParticipants were outpatients of Hedi chaker University Hospital Center in sfax, Tunisia, recruited between January and July of 2019, diagnosed with schizophrenia or schizoaffective disorder. A Demographic questionnaire, the Positive and Negative Syndrome Scale (PANSS) and The Quality of life satisfaction and enjoyment Questionnaire (Q-LES-Q) were administered in this study.Results50 patients were included in this study with an average age 40,80 ±9,7. The majority of patients were single (72%), unemployed (60%), without medical heredity (80%) and living with their families (92%). The average score of the positive symptom scale (PANS) was 17.46 (SD = 9.1), the negative symptom scale (PANS) was 12.35 (SD = 7.4) and the psychopathological scale (PANS) was of 27.83 (SD = 14.7). the higher the score of the positive symptom scales (p <10-3) the negative scale score (p <0.002) and the psychopathological scale (p <0.001) was high, more the quality of life satisfaction score has been altered.ConclusionsImproving the quality of life satisfaction of these patients through these different parameters could be a goal of care complementary to the objectives of traditional care.
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