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Childhood abuse in the etiological continuum underlying psychosis from first-episode psychosis to psychotic experiences

Published online by Cambridge University Press:  15 April 2020

S. Alemany ,
R. Ayesa-Arriola ,
B. Arias ,
M. Fatjó-Vilas ,
M.I. Ibáñez ,
G. Ortet ,
B. Crespo-Facorro  and
L. Fañanás
S. Alemany*
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
R. Ayesa-Arriola
Affiliation:
Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain University Hospital Marqués de Valdecilla, IDIVAL, Department of Psychiatry, School of Medicine, University of Cantabria, Avda. Valdecilla s/n, 39008Santander, Spain
B. Arias
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
M. Fatjó-Vilas
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
M.I. Ibáñez
Affiliation:
Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071Castelló, Spain
G. Ortet
Affiliation:
Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12071Castelló, Spain
B. Crespo-Facorro
Affiliation:
Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain University Hospital Marqués de Valdecilla, IDIVAL, Department of Psychiatry, School of Medicine, University of Cantabria, Avda. Valdecilla s/n, 39008Santander, Spain
L. Fañanás
Affiliation:
Anthropology Unit, Department of Animal Biology, Faculty of Biology, University of Barcelona and Biomedicine Institute of the University of Barcelona (IBUB), Diagonal, 643, 08028, Barcelona, Spain Centre for Biomedical Research Network on Mental Health (CIBERSAM), Doctor Esquerdo, 46, 28007, Madrid, Spain
*
*Corresponding author. Unitat d’Antropologia, Dep. Biologia Animal, Facultat Biologia, Universitat de Barcelona, avenue Diagonal 643, 08028, Barcelona, Spain. Tel.: +34 93 402 1461; fax: +34 93 403 5740. E-mail address:silvia.alemany@ub.edu (S. Alemany).
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Abstract

Goal:

The present study aimed to examine the prevalence of child abuse across the continuum of psychosis.

Patients and methods:

The sample consisted of 198 individuals divided in three groups: (1) 48 FEP patients, (2) 77 individuals scoring high in Community Assessment of Psychic Experiences (CAPE), classified as “High CAPE” group and (3) 73 individuals scoring low, classified as “Low CAPE” group. Childhood abuse was assessed using self-report instruments. Chi2 tests and logistic regression models controlling by sex, age and cannabis were used to perform three comparisons: (i) FEP vs. Low CAPE; (ii) FEP vs. High CAPE and (iii) High CAPE vs. Low CAPE.

Results:

The frequency of individuals exposed to childhood abuse for FEP, High CAPE and Low CAPE groups were 52.1%, 41.6% and 11%, respectively. FEP and High CAPE group presented significantly higher rates of childhood abuse compared to Low CAPE group, however, no significant differences were found between FEP and High CAPE groups regarding the frequency of childhood abuse.

Conclusion:

There is an increasing frequency of childhood abuse from low subclinical psychosis to FEP patients. However, childhood abuse is equally common in FEP and at risk individuals.

Keywords

Child abuseSchizophrenia and psychosisEpidemiology
Type
Original article
Information
European Psychiatry , Volume 30 , Issue 1 , January 2015 , pp. 38 - 42
Copyright
Copyright © Elsevier Masson SAS 2015

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Footnotes

1

These authors contributed equally to this work.

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