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History of trauma and the association with baseline symptoms in an “ultra high risk” for psychosis cohort
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Velthorst, E., Nelson, B., O'Connor, K. (Karen), Mossaheb, N., de Haan, L., Bruxner, A., Simmons, M. B., Yung, A. R. and Thompson, Andrew D. (2013) History of trauma and the association with baseline symptoms in an “ultra high risk” for psychosis cohort. Psychiatry Research, 210 (1). pp. 75-81. doi:10.1016/j.psychres.2013.06.007 ISSN 01651781.
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Official URL: http://dx.doi.org/10.1016/j.psychres.2013.06.007
Abstract
Few studies have addressed the correlates of trauma in young people at Ultra-High Risk (UHR) of developing a psychotic disorder. We aimed to examine baseline differences in intensity, form and content of attenuated positive psychotic symptoms, other clinical symptomatology and comorbidity between UHR patients with and without a history of trauma. In a sample of 127 UHR individuals (53 male, 74 female; mean age 18.2 years, range 14–26) we assessed trauma history and baseline symptomatology using an audit tool developed to retrieve data from patient medical records. 56% of the subjects had experienced at least one type of trauma. The intensity of perceptual abnormalities was significantly higher in the group with a history of physical abuse and ‘other trauma’ compared to those without a trauma history. Physical abuse was related to higher levels of visual disturbances, suspiciousness, grandiose beliefs and low mood compared to those without a history of physical abuse. Sexual trauma was related to perceptual disturbances with abusive content and PTSD symptoms. The prevalence of previous trauma in people at UHR of developing psychosis is high. Our findings tentatively suggest that different types of trauma may impact differently on initial presentation to UHR services.
| Item Type: | Journal Article | ||||||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Stress in children, Psychic trauma in children, Psychoses, Psychoses in children , Child mental health | ||||||||||||
| Journal or Publication Title: | Psychiatry Research | ||||||||||||
| Publisher: | Elsevier | ||||||||||||
| ISSN: | 01651781 | ||||||||||||
| Official Date: | 30 November 2013 | ||||||||||||
| Dates: |
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| Volume: | 210 | ||||||||||||
| Number: | 1 | ||||||||||||
| Page Range: | pp. 75-81 | ||||||||||||
| DOI: | 10.1016/j.psychres.2013.06.007 | ||||||||||||
| Status: | Peer Reviewed | ||||||||||||
| Publication Status: | Published | ||||||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||||||
| Funder: | Janssen-Cilag, AstraZeneca (Firm), Eli Lilly and Company, Bristol-Myers Squibb Company | ||||||||||||
| RIOXX Funder/Project Grant: |
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