Relation between psychotic symptoms, parental care and childhood trauma in severe mental disorders

Catalán, Ana; Angosto, Virxina; Díaz, Aida; Valverde, Cristina; Artaza, Maider Gonzalez de; Sesma, Eva; Maruottolo, Claudio; Galletero, Iñaki; Bustamante, Sonia; Bilbao, Amaia; Os, Jim van; González‐Torres, Miguel Ángel

doi:10.1016/j.psychres.2017.02.017

Cited by 39 publications

(30 citation statements)

References 62 publications

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“…Scores on these subscales range from 5 to 25 and can be classified according to severity following the original guidelines (Bernstein & Fink, 1998). In agreement with previous reports, and to enhance the statistical power (Catalan et al, 2017;De Sanctis, Nomura, Newcorn, & Halperin, 2012), a dichotomous variable was created in which individuals were categorized as maltreated (in contrast to notmaltreated) if they presented moderate to severe criteria for one or more subtypes of maltreatment (PA ≥ 10; EA ≥ 13; SA ≥ 8; PN ≥ 10; EN ≥ 15).…”

Section: Childhood Abuse and Neglectsupporting

confidence: 80%

Childhood maltreatment and risk for suicide attempts in major depression: a sex-specific approach

Goldberg

Serra-Blasco

Vicent-Gil

et al. 2019

European Journal of Psychotraumatology

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Background : Childhood maltreatment increases the risk of suicide attempts in the general population, possibly having similar effects among patients with major depressive disorder (MDD). The few studies that have addressed this association have been restricted to specific populations (e.g. treatment-resistant depression, personality disorders) and have rarely taken sex into account. Objective : To examine the impact of childhood maltreatment on suicide attempts among MDD patients above and beyond other risk factors and potential confounders, while considering potential sex-specific effects. Methods : The study assessed 165 patients with a principal diagnosis of MDD. Neurological alterations, psychiatric comorbidities, and drug abuse were reasons for exclusion. Logistic regressions using the whole sample, and divided by sex, were run to test the association between childhood maltreatment and history of suicide attempts, controlling for symptom severity, comorbidities, and treatment-resistant depression. Results : There was a significant and clinically relevant association between childhood maltreatment and history of suicide attempts in the total sample. Patients with childhood maltreatment were 3.01 times more likely to present a history of suicide attempts than patients without childhood maltreatment. A family history of psychiatric disorders also contributed to the variance of attempted suicide, but its interaction with childhood maltreatment was not statistically significant. When testing the model separately, the effect of childhood maltreatment on suicide attempts remained for females, whereas for males, age of MDD onset and Childhood Trauma Questionnaire minimization–denial scale were predictive variables. Conclusions : Childhood maltreatment is a clear predictor of suicidal behaviour among MDD patients, and this effect remains significant after controlling for potential confounders. Also, the sex of patients emerges as a relevant factor that may model the mechanisms underlying the prediction of suicide attempts. Since suicide is the main cause of premature death among MDD patients, interventions targeting childhood maltreatment should be included in preventive and clinical strategies.

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Section: Childhood Abuse and Neglectsupporting

confidence: 80%

Childhood maltreatment and risk for suicide attempts in major depression: a sex-specific approach

Goldberg

Serra-Blasco

Vicent-Gil

et al. 2019

European Journal of Psychotraumatology

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“…Destaca-se ainda a consistente relação encontrada entre traumas infantis e sintomas psicopatológicos supostamente mais graves como psicoticismo, sensibilidade interpessoal, ideação paranoide e depressão, o que é consistente com os achados da literatura de associação entre traumas precoces e transtornos da personalidade (Waxman et al, 2014) e psicoses (Catalan et al, 2017;Isvoranu et al, 2017).…”

Section: Discussionunclassified

“…As consequências psicológicas adversas do trauma perpassam o ciclo vital. Há evidências de que crianças expostas a traumas, na vida adulta terão mais risco para o desenvolvimento de condições clínicas diversas, tais como transtornos do humor (Zavaschi et al, 2006;Figueiredo, Dell'aglio, Silva, Souza e Argimon, 2013;Li, D›arcy, Meng, 2016), transtornos psicóticos (Read, Van, Morrison & Ross, 2005;Catalan et al, 2017;Isvoranu et al, 2017), transtorno de estresse pós traumático (Breslau et al, 2014), comportamentos suicidas e de alto-risco (Lu et al, 2008), violência conjugal e maus tratos à crianças (Roustit et al, 2009), e transtornos de personalidade (Waxman, Fenton, Skodol, Grant, & Hasin, 2014;Conceição, Bello, Kristensen, & Dornelles, 2015).…”

Section: Introductionunclassified

Repercusiones del trauma en la infancia en la psicopatología de la vida adulta

Waikamp

Serralta

2018

CienciasPsi

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Este estudio examina las influencias de traumas infantiles en los síntomas psicopatológicos en la vida adulta. La muestra fue constituida por 201 pacientes que estaban iniciando psicoterapia psicoanalítica en una clínica vinculada a un instituto de formación. Los participantes respondieron dos Instrumentos de auto relato, que evaluaban respectivamente, la presencia y frecuencia de distintos traumas en la infancia, y la intensidad de la sintomatología actual, considerando una amplia variedad de síndromes psicopatológicos. Los resultados muestran que la mayoría de los pacientes fueron expuestos a adversidades en la infancia, y que diversos traumas presentan asociación positiva y significativa con distintas dimensiones de síntomas. También fue constatado que el índice de trauma total predice el nivel de sufrimiento psicológico derivado a los síntomas. Los hallazgos corroboran la bibliografía que señala las consecuencias psicológicas adversas del trauma infantil en la salud mental del adulto.

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“…International research warns that due to persistent sensitization of central nervous system circuits involved in regulating tension and emotion, early stress increases future vulnerability to stress and predisposes the individuals to develop physical and psychiatric illness (KRUGERS et al, 2017;CATALAN et al, 2017). The study by Martins-Monteverde et al (2019) conducted in the interior of São Paulo State -Brazil with patients with mental disorders followed in a day hospital found a significant association between early stress and the onset of psychopathology in adults.…”

Section: Discussionmentioning

confidence: 99%

A relação entre emoção expressa e variáveis sociodemográficas, estresse precoce e sintomas de estresse em cuidadores informais de pessoas com transtornos mentais

Araujo

Pedroso

2019

Cad. Bras. Ter. Ocup.

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Introduction: Changes resulting in Brazilian psychiatric reform brought people with mental disorders closer to their families, who became responsible for the offer of care. Objective: The aim of this study was to investigate the expressed emotion, the early stress, and the stress symptoms among informal caregivers of people with mental disorders at the time of psychiatric hospitalization. Method: 112 caregivers participated. Four instruments were used to collect data: socio-demographic questionnaire, Family Questionnaire-Brazilian Portuguese Version (FQ-BPV), Childhood Trauma Questionnaire (CTQ) and Lipp Adult Stress Symptom Inventory (ISLL). Descriptive, bivariate and logistic regression analyses were performed. Caregivers were assessed with high emotion expressed both in the emotional over-involvement component and in the critical comments component. Results: The emotional over-involvement component of expressed emotion was significantly associated with early stress and stage of stress symptoms. Early stress, age, and the education level of caregivers were identified as predictive variables of high expressed emotion. Conclusion: These results confirm the relevance of these variables for the planning of care actions in the context of mental health.

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Relation between psychotic symptoms, parental care and childhood trauma in severe mental disorders

Cited by 39 publications

References 62 publications

Childhood maltreatment and risk for suicide attempts in major depression: a sex-specific approach

Childhood maltreatment and risk for suicide attempts in major depression: a sex-specific approach

Repercusiones del trauma en la infancia en la psicopatología de la vida adulta

A relação entre emoção expressa e variáveis sociodemográficas, estresse precoce e sintomas de estresse em cuidadores informais de pessoas com transtornos mentais

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