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Childhood Abuse in First-Episode Psychosis

Published online by Cambridge University Press:  02 January 2018

Shelly F. Greenfield ,
Stephen M. Strakowski ,
Mauricio Tohen ,
Susan C. Batson  and
Meredith L. Kolbrener
Shelly F. Greenfield*
Affiliation:
Division of Psychotic Disorders Research, Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati
Stephen M. Strakowski
Affiliation:
Alcohol and Drug Abuse Ambulatory Treatment Program and Alcohol and Drug Abuse Research Center, McLean Hospital and Harvard Medical School
Mauricio Tohen
Affiliation:
McLean Hospital and Harvard Medical School
Susan C. Batson
Affiliation:
Psychotic Disorders Program, McLean Hospital
Meredith L. Kolbrener
Affiliation:
Psychotic Disorders Program, McLean Hospital, Belmont, Massachusetts, USA
*
∗McLean Hospital, 115 Mill Street, Belmont, MA 02178, USA
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Abstract

Of 38 adult patients admitted for first-episode psychosis, 20 reported childhood abuse, with equal prevalence in men and women. Patients with histories of childhood abuse had significantly more dissociative symptoms, but not more severe psychiatric symptoms. Childhood abuse was not related to rate of recovery and was only marginally related to longer stays in hospital. Although childhood abuse did not affect recovery during first-episode psychosis, it may contribute to a chronic course in some patients.

Type
Short papers
Information
The British Journal of Psychiatry , Volume 164 , Issue 6 , June 1994 , pp. 831 - 834
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Bryer, J. B., Nelson, B. A., Miller, J. B., et al (1987) Childhood sexual and physical abuse as factors in adult psychiatric illness. American Journal of Psychiatry, 144, 1426–1430.Google ScholarPubMed
Burnam, M. A., Stein, J. A., Golding, J. M., et al (1988) Sexual assault and mental disorders in a community population. Journal of Consulting and Clinical Psychology, 56, 843–850.Google Scholar
Goff, D. C., Brotman, A. W., Kindlon, D., et al (1991) Self-reports of childhood abuse in chronically psychotic patients. Psychiatry Research, 37, 73–80.CrossRefGoogle ScholarPubMed
Guy, W. (1976) ECDEU Assessment Manual for Psychopharmacology. Rockville: US Department of Health, Education, and Welfare.Google Scholar
Jacobsen, A. & Herald, C. (1990) The relevance of childhood sexual abuse to adult psychiatric inpatient care. Hospital and Community Psychiatry, 41, 154–158.Google Scholar
Overall, G. E. & Gorham, D. R. (1962) The brief psychiatric rating scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
Riley, K. C. (1988) Measurement of dissociation. Journal of Nervous and Mental Disease, 176, 449–450.Google ScholarPubMed
Sanders, B. & Giolas, M. H. (1991) Dissociation and childhood trauma in psychologically disturbed adolescents. American Journal of Psychiatry, 148, 50–54.Google ScholarPubMed
Spitzer, R. L., Williams, J. B. W., Gibbon, M., et al (1992) Structured Clinical Interview for DSM–I/I-R – patient version. New York: Biometric Research Institute.Google Scholar
Tohen, M., Stoll, A. L., Strakowski, S.M., et al (1992) The McLean first-episode psychosis project: six-month recovery and recurrence outcome. Schizophrenia Bulletin, 18, 172–185.CrossRefGoogle ScholarPubMed
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