Childhood trauma and dissociation in first-episode psychosis, chronic schizophrenia and community controls

Braehler, Christine; Valiquette, Luc; Holowka, Darren W.; Malla, Ashok; Joober, Ridha; Ciampi, Antonio; Pawliuk, Nicole; King, Suzanne

doi:10.1016/j.psychres.2013.05.033

Cited by 80 publications

(61 citation statements)

References 40 publications

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“…Although a majority of studies have found that emotional and sexual abuse are the most common childhood traumas that negatively influence the course of affective disorders (G.R. Brown et al, 2005; R.J. Brown et al, 2005;Varese et al, 2012;Etain et al, 2013;Braehler et al, 2013), we found that emotional neglect was more strongly related to the dissociation of BD patients than were emotional abuse, physical neglect, sexual abuse, and physical abuse. This supports previous findings, which demonstrated that childhood emotional neglect is significantly associated with BD (Watson et al, 2013;Etain et al, 2010).…”

Section: Discussioncontrasting

confidence: 79%

Dissociation in bipolar disorder: Relationships between clinical variables and childhood trauma

Hariri

Güleç

Orengul

et al. 2015

Journal of Affective Disorders

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Section: Discussioncontrasting

confidence: 79%

Dissociation in bipolar disorder: Relationships between clinical variables and childhood trauma

Hariri

Güleç

Orengul

et al. 2015

Journal of Affective Disorders

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“…Previous studies on patients with psychosis have suggested that dissociative experiences associated with (typically childhood) trauma mediate the presence of psychotic symptoms in adulthood (e.g. Vogel et al, 2013;Sar et al, 2010;Perona-Garcelán et al, 2012c;Schäfer et al, 2012;Varese et al, 2012;Braehler et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…More recently, studies have suggested that dissociation associated with childhood trauma may play a specific causal role in the development of psychotic symptoms (e.g. Vogel et al, 2013;Sar et al, 2010;Perona-Garcelán et al, 2012c;Schäfer et al, 2012;Varese et al, 2012;Braehler et al, 2013). However, the term 'dissociation' can refer to different types of symptoms and psychological processes that traditionally have been linked but are functionally and theoretically distinct (Brown, 2006) making it unclear as to which form of dissociation may be key in mediating psychotic symptoms.…”

Section: Introductionmentioning

confidence: 99%

The relationship between different types of dissociation and psychosis-like experiences in a non-clinical sample

Humpston

Walsh

Oakley

et al. 2016

Consciousness and Cognition

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This study investigates whether detachment-type dissociation, compartmentalisation-type dissociation or absorption was most strongly associated with psychosis-like experiences in the general population. Healthy participants (N=215) were tested with the Dissociative Experiences Scale (DES, for detachment-related dissociative experiences); the Harvard Group Scale of Hypnotic Susceptibility (HGSHS:A, for dissociative compartmentalisation);

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“…In addition, childhood trauma is associated with lower self-esteem (Fowke et al 2012), and elevated behavioural hostility (Lysaker et al 2002) dissociative symptoms (Sar et al 2010;Schäfer et al 2012;Braehler et al 2013) and suicide risk (Etain et al 2013;Ferraz et al 2013;Links et al 2013) compared with those patients without exposure to trauma. These factors may also be driving poor functioning.…”

Section: Clinical Symptomsmentioning

confidence: 99%

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Cotter

Kaess

Yung

2014

Ir. j. psychol. Med.

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Objectives. We aimed to examine the association between childhood trauma and functional impairment in psychotic disorders, bipolar disorder and borderline personality disorder, to speculate on possible mechanisms that underlie this association and discuss the implications for clinical work.Methods. Narrative review of the peer-reviewed English language literature in the area.Results. High rates of childhood trauma in psychotic disorders, bipolar disorder and borderline personality disorder were identified. This was associated with impaired social and occupational functioning in both the premorbid and established phases of each of these psychiatric disorders over and above the deficits typically observed in these populations. Possible mechanisms mediating this relationship include neurocognitive deficits, insecure attachment, higher rates of comorbidities and problems with adherence and response to treatment. Conclusions.Routine clinical inquiry about childhood maltreatment should be adopted within mental health settings. This has potentially important treatment implications for identifying those individuals at elevated risk of functional disability. While there is no clear guidance currently available on how to target childhood trauma in the treatment of psychotic disorders, bipolar disorder or borderline personality disorder, there are several promising lines of enquiry and further research is warranted.

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Childhood trauma and dissociation in first-episode psychosis, chronic schizophrenia and community controls

Cited by 80 publications

References 40 publications

Dissociation in bipolar disorder: Relationships between clinical variables and childhood trauma

Dissociation in bipolar disorder: Relationships between clinical variables and childhood trauma

The relationship between different types of dissociation and psychosis-like experiences in a non-clinical sample

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

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