Health-Related Quality of Life and Trauma History in Adults With Schizophrenia Spectrum Disorders

Lysaker, Paul H.; LaRocco, Valerie A.

doi:10.1097/nmd.0b013e3181a2070e

Cited by 28 publications

(21 citation statements)

References 40 publications

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“…Second, addressing the sequelae of sexual trauma may be a focus of early intervention strategies and approaches in these clinics to preventing individuals developing a frank psychotic disorder, or at least the particularly negative outcome related to having both a psychotic disorder and previous trauma. 53,54 Examples of approaches might be working directly with the dissociative experiences in response to trauma using psychological techniques such as coping strategies, body awareness/mindfulness techniques, and stress management. Challenging any externalized attributional biases, which may have been developed or exacerbated by previous trauma, may also reduce the risk of symptom development or entrenchment.…”

Section: Discussionmentioning

confidence: 99%

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

Thompson

Nelson

Yuen

et al. 2013

Schizophrenia Bulletin

112

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Studies indicate a high prevalence of childhood trauma in patient cohorts with established psychotic disorder and in those at risk of developing psychosis. A causal link between childhood trauma and development of psychosis has been proposed. We aimed to examine the association between experience of childhood trauma and the development of a psychotic disorder in a large "Ultra High Risk" (UHR) for psychosis cohort. The data were collected as part of a longitudinal cohort study of all UHR patients recruited to research studies at the Personal Assessment and Clinical Evaluation clinic between 1993 and 2006. Baseline data were collected at recruitment to these studies. The participants completed a comprehensive followup assessment battery (mean time to follow-up 7.5 years, range 2.4-14.9 years), which included the Childhood Trauma Questionnaire (CTQ), a self-report questionnaire that assesses experience of childhood trauma. The outcome of interest was transition to a psychotic disorder during the follow-up period. Data were available on 233 individuals. Total CTQ trauma score was not associated with transition to psychosis. Of the individual trauma types, only sexual abuse was associated with transition to psychosis (P = .02). The association remained when adjusting for potential confounding factors. Those with high sexual abuse scores were estimated to have a transition risk 2-4 times that of those with low scores. The findings suggest that sexual trauma may be an important contributing factor in development of psychosis for some individuals.

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Section: Discussionmentioning

confidence: 99%

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

Thompson

Nelson

Yuen

et al. 2013

Schizophrenia Bulletin

112

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“…Emotional abuse might also increase EDs severity6142627. Moreover, if child maltreatment is usually associated with a lower quality of life2829, to our knowledge, the impact of childhood abuse on quality of life and daily functioning in EDs remains completely unknown. Although it appears that the combination of several types of childhood trauma increases the risk of developing an ED30, the data is sparse on how the various types of abuse interact to produce the characteristics of EDs.…”

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confidence: 99%

Associations between adverse childhood experiences and clinical characteristics of eating disorders

Guillaume

Jaussent

Maı̈moun

et al. 2016

Sci Rep

110

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Patients with eating disorders (EDs) frequently report a history of childhood trauma (CT). We investigated whether certain subtypes of CT are associated with more severe features of EDs, independently of psychiatric comorbidity, and whether they act additively. One hundred and ninety-two patients with DSM-V-defined EDs were consecutively recruited. Five clinical characteristics were assessed: restraint, eating, shape and weight concerns on the EDE-Q, and daily functioning. CT was assessed by the childhood traumatism questionnaire. The clinical features were associated with at least one CT subtype (emotional, sexual or physical abuse, emotional neglect). Multivariate analyses adjusted for lifetime comorbid psychiatric disorders revealed that emotional abuse independently predicted higher eating, shape and weight concerns and lower daily functioning, whereas sexual and physical abuse independently predicted higher eating concern. A dose-effect relationship characterised the number of CT subtypes and the severity of the clinical features, suggesting a consistent and partly independent association between CT and more severe clinical and functional characteristics in EDs. Emotional abuse seems to have the most specific impact on ED symptoms. Last, not all CT subtypes have the same impact but they do act additively.

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“…Among individuals with substance use disorders, trauma history is related to greater depression and anxiety (Norman, Tate, Anderson, & Brown, 2007) and more chronic health problems (Tate, Norman, McQuaid, & Brown, 2007). For adults with schizophrenia, trauma history is related to poorer health-related quality of life (Lysaker & LaRocco, 2009), and among men with chronic pain, trauma history is associated with greater emotional distress (Spertus, Burns, Glenn, Lofland, & McCracken, 1999). Among older adults, trauma history is related to increased likelihood of clinically significant anxiety and somatic symptoms (Petkus, Gum, King-Kallimanus, & Wetherell, 2009).…”

Section: Trauma History and Subsequent Adjustment To Stressful Eventsmentioning

confidence: 98%

Trauma History and Linguistic Self-Focus Moderate the Course of Psychological Adjustment to Divorce

Borelli

Sbarra²

2011

Journal of Social and Clinical Psychology

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Divorce is considered to be a significant life stressor, and yet little is known about how early life experiences predict adjustment to marital dissolution in adulthood. Using a sample of 99 recently-separated adults, we examine whether adults' selfreported history of traumatic experiences is associated with increased psychological distress and self-blame following divorce as well as linguistic indices of self-focus while discussing the divorce experience (more first person pronouns). We also evaluate whether among individuals with greater trauma histories, selffocused processing of the divorce experience prospectively predicts increase in psychological distress over 7.5 months. Participants reported on their trauma history and provided four minute speech samples regarding the divorce. at intake and 7.5 months later they reported on the psychological impact of the divorce. results indicated that adults with greater trauma histories report more psychological distress at Time 1, more self-blame regarding the divorce, and more distress in response to discussing the divorce experience. Further, self-blame mediates the association between trauma history and the psychological impact of the divorce. among adults with greater trauma histories, greater use of first person singular

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Health-Related Quality of Life and Trauma History in Adults With Schizophrenia Spectrum Disorders

Cited by 28 publications

References 40 publications

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

Associations between adverse childhood experiences and clinical characteristics of eating disorders

Trauma History and Linguistic Self-Focus Moderate the Course of Psychological Adjustment to Divorce

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