Types, prevalence and gender differences of childhood trauma in first-episode psychosis. What is the evidence that childhood trauma is related to symptoms and functional outcomes in first episode psychosis? A systematic review

Types, prevalence and gender differences of childhood trauma in first-episode psychosis. What is the evidence that childhood trauma is related to symptoms and functional outcomes in first episode psychosis? A systematic review
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首发精神病中儿童创伤的类型、患病率和性别差异。

DOI:
10.1016/j.schres.2020.11.047
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发表时间:
2021
影响因子:
4.5
通讯作者:
J. Usall
J. Usall
中科院分区:
医学2区
文献类型:
--
作者:
R. Vila;A. Butjosa;N. D. Cacho;C. Serra;M. Esteban;S. Ochoa;J. Usall

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本文回顾和讨论了儿童期创伤(CT)的首发精神病(FEP)的人的文献。目的是更新FEP人群CT患病率和类型的知识,将其与其他样本进行比较,研究性别的影响,并检查CT与症状和功能结局之间的关系。我们进行了文献检索(1995-2019),以识别与FEP样本中CT相关的任何主题的报告数据。在检索中使用了以下术语:CT或性虐待或身体虐待或忽视,以及首发精神病。我们发现了493项研究,其中68项被纳入综述。FEP组CT患病率高于对照组。妇女遭受更多的性虐待。CT对FEP的严重程度、预后及演变的影响尚不清楚。FEP有较高的CT患病率。其与症状和功能结果的关系表明其在治疗中的重要性。这表明,必须制定和实施具体的干预措施和个性化治疗,以通过他们过去的创伤经历来改善他们的生活质量和预后。
This paper reviews and discusses the literature on childhood trauma (CT) in people with first-episode psychosis (FEP). The aim is to update the knowledge on the prevalence and the types of CT suffered by FEP people, to compare them with other samples, to study the impact of gender, and to examine the relationship between CT and symptoms and functional outcomes. We conducted a literature search (1995–2019), to identify reported data on any topic related to CT in FEP samples. The following terms were used in the search: CT or sexual abuse or physical abuse or neglect, and first-episode psychosis. We found 493 studies, of which 68 were included in the review. FEP presented a higher prevalence of CT than controls. Women suffer more sexual abuse. The effect of CT on the severity, the prognosis and the evolution of FEP is unclear. FEP have a high prevalence of CT. Its relationship with symptoms and functional outcomes indicates its importance within treatment. This suggests the importance of creating and implementing specific interventions and personalized therapies addressed to work through their past traumatic experiences to improve their quality of live and their prognosis.
DOI: 10.1016/s0145-2134(02)00541-0
发表时间: 2003-02-01
影响因子: 4.8
作者:
Bernstein, DP;Stein, JA;Zule, W
通讯作者: Zule, W