Relation between premorbid adjustment, duration of untreated psychosis and close interpersonal trauma in first-episode psychosis

Early Intervention in Psychiatry
Ulrik HaahrIngrid Melle

Abstract

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. A total of 191 patients from the 'TIPS' cohort completed assessment with the Brief Betrayal Trauma Survey at their 5 years follow-up interview. 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. Close interpersonal trauma before the age of 18 is associated with poorer premorbid adjus...Continue Reading

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Citations

Jul 3, 2019·Early Intervention in Psychiatry·Henning HachtelAndrew Carroll
May 7, 2020·European Journal of Psychotraumatology·Esther Setién-SueroRosa Ayesa-Arriola
Dec 3, 2020·Early Intervention in Psychiatry·Martino Belvederi MurriUNKNOWN Ferrara Working Group on First-Episode Psychosis in Ferrara includes: IDMHPA coordinating team:
Jul 1, 2021·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Omokehinde O FakoredeAkinwande O Akinhanmi
Jul 29, 2021·Criminal Behaviour and Mental Health : CBMH·Shaishai WangTianyang Zhang

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