Academic literature on the topic 'Psychosis; trauma'

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Journal articles on the topic "Psychosis; trauma"

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Mollon, Josephine, Emma Knowles, Samuel Mathias, Amanda Rodrigue, Marinka Koenis, Godfrey Pearlson, and David Glahn. "T67. TRAUMA IN AFFECTIVE AND NONAFFECTIVE PSYCHOSIS: ASSOCIATIONS AND DISSOCIATIONS WITH COGNITIVE FUNCTIONING IN CHILDHOOD AND ADULTHOOD." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S256—S257. http://dx.doi.org/10.1093/schbul/sbaa029.627.

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Abstract Background Childhood trauma and cognitive impairment are important risk factors for psychotic disorders. However, the relationship between trauma and psychosis throughout the lifespan, as well as between lifetime trauma and cognitive functioning, remain unclear. Methods Using data from a case-control study of African-American adults with psychotic disorders, we examined childhood and adult trauma, as well as their interaction with cognitive functioning, in adults with affective psychotic disorders (n=101), nonaffective psychotic disorders (n=109), non-psychotic psychiatric disorders (n=105), compared to controls (n=211). Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which produces dimensional measures of physical neglect, emotional neglect, physical abuse, emotional abuse, and sexual abuse. Adult trauma was measured using the Trauma History Questionnaire (THQ), which ascertains the presence of death-, and personal-related traumas throughout adulthood. Cognitive functioning was measured using a comprehensive computerized battery (‘Charlie’, https://github.com/sammosummo/Charlie). Results All three psychiatric groups showed greater childhood trauma compared to controls, but the affective psychosis group showed the most trauma (Cohen d=0.97–1.29, p<0.001), followed by the nonaffective psychosis group (d=0.54–0.72, p<0.001), and then the non-psychotic group (d=0.05–0.16, p<0.04). Despite the fact that childhood trauma was significantly associated with adult trauma (OR=0.67–2.08,p<0.002), only the affective psychosis group showed a significantly increased likelihood of experiencing both death- and personal-related traumas in adulthood (OR=0.86–2.14, p<0.01), while the nonaffective psychosis group showed an increased likelihood of experiencing personal-related traumas (OR=1.00, p=0.003). Significant childhood-trauma-by-group interactions on cognitive functioning showed that greater childhood neglect was associated with better performance in the affective psychosis group on measures of processing speed (d=0.52, p=0.011), social processing (d=0.57, p=0.020), and executive functioning (d=0.50–0.71,p<0.020). A similar pattern emerged in the affective psychosis group with both death- and personal-related adult traumas on measures of processing speed (d=0.67–0.74, p<0.010), memory (d=0.67–0.68, p<0.014), and emotional processing (d=0.79, p=0.008). In the domain of complex reasoning, on the other hand, increased childhood sexual abuse in the affective psychosis group, and personal-related adult traumas in the psychosis group, showed a deleterious effect (d=–0.44, p=0.025; d=–0.65, p=0.010). Discussion Individuals with psychotic disorders, especially affective psychoses, experienced more childhood and adult trauma than controls, and also individuals with non-psychotic psychiatric disorders. However, both childhood neglect and adult trauma were associated with better cognitive functioning in the affective psychosis group. One explanation for this seemingly paradoxical finding may be that traumatic experiences in childhood and adulthood lead to increased cognitive vulnerability, as typically seen in psychotic disorders. Thus, individuals who experience more lifetime trauma may follow a different pathway to psychosis, involving less neurodevelopmental impairment, but greater environmental stress, leading to more affective, rather than nonaffective, manifestations of psychosis.
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Spauwen, Janneke, Lydia Krabbendam, Roselind Lieb, Hans-Ulrich Wittchen, and Jim Van Os. "Impact of psychological trauma on the development of psychotic symptoms: relationship with psychosis proneness." British Journal of Psychiatry 188, no. 6 (June 2006): 527–33. http://dx.doi.org/10.1192/bjp.bp.105.011346.

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BackgroundThe reported link between psychological trauma and onset of psychosis remains controversial.AimsTo examine associations between self-reported psychological trauma and psychotic symptoms as a function of prior evidence of vulnerability to psychosis (psychosis proneness).MethodAt baseline, 2524 adolescents aged 14–24 years provided self-reports on psychological trauma and psychosis proneness, and at follow-up (on average 42 months later) participants were interviewed for presence of psychotic symptoms.ResultsSelf-reported trauma was associated with psychotic symptoms, in particular at more severe levels (adjusted OR 1.89, 95% CI 1.16–3.08) and following trauma associated with intense fear, helplessness or horror. The risk difference between those with and without self-reported trauma at baseline was 7% in the group with baseline psychosis proneness, but only 1.8% in those without (adjusted test for difference between these two effect sizes: χ2=4.6, P=0.032).ConclusionsExposure to psychological trauma may increase the risk of psychotic symptoms in people vulnerable to psychosis.
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Ered, Arielle, and Lauren M. Ellman. "Specificity of Childhood Trauma Type and Attenuated Positive Symptoms in a Non-Clinical Sample." Journal of Clinical Medicine 8, no. 10 (September 25, 2019): 1537. http://dx.doi.org/10.3390/jcm8101537.

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Background: Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization. Methods: We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample (n = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas. Results: Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis (n = 14). Conclusions: Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.
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Veling, W., J. Counotte, R. Pot-Kolder, J. van Os, and M. van der Gaag. "Childhood trauma, psychosis liability and social stress reactivity: a virtual reality study." Psychological Medicine 46, no. 16 (September 13, 2016): 3339–48. http://dx.doi.org/10.1017/s0033291716002208.

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BackgroundChildhood trauma is associated with higher risk for mental disorders, including psychosis. Heightened sensitivity to social stress may be a mechanism. This virtual reality study tested the effect of childhood trauma on level of paranoid ideations and distress in response to social stress, in interaction with psychosis liability and level of social stress exposure.MethodSeventy-five individuals with higher psychosis liability (55 with recent onset psychotic disorder and 20 at ultra-high risk for psychosis) and 95 individuals with lower psychosis liability (42 siblings and 53 controls) were exposed to a virtual café in five experiments with 0–3 social stressors (crowded, other ethnicity and hostility). Paranoid ideation was measured after each experiment. Subjective distress was self-rated before and after experiments. Multilevel random regression analyses were used to test main effects of childhood trauma and interaction effects.ResultsChildhood trauma was more prevalent in individuals with higher psychosis liability, and was associated with higher level of (subclinical) psychotic and affective symptoms. Individuals with a history of childhood trauma responded with more subjective distress to virtual social stress exposures. The effects of childhood trauma on paranoia and subjective distress were significantly stronger when the number of virtual environmental stressors increased. Higher psychosis liability increased the effect of childhood trauma on peak subjective distress and stress reactivity during experiments.ConclusionsChildhood trauma is associated with heightened social stress sensitivity and may contribute to psychotic and affective dysregulation later in life, through a sensitized paranoid and stress response to social stressors.
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Coughlan, Helen, and Mary Cannon. "Does childhood trauma play a role in the aetiology of psychosis? A review of recent evidence." BJPsych Advances 23, no. 5 (September 2017): 307–15. http://dx.doi.org/10.1192/apt.bp.116.015891.

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SummaryThere has been a resurgence of interest in the role of childhood trauma in the aetiology of psychosis. In this review, recent findings on the association between childhood trauma and a continuum of psychotic symptoms are presented. Evidence of the association between specific childhood trauma subtypes and psychotic symptoms is examined, with a brief discussion of some current hypotheses about the potential mechanisms underlying the associations that have been found. Some practice implications of these findings are also highlighted.Learning Objectives• Identify findings from recent meta-analyses on the association between childhood trauma and a range of psychotic outcomes, from non-clinical psychotic experiences to psychotic disorders• Consider which childhood traumas are the most potent in the context of psychotic outcomes• Recognise that the relationships between childhood trauma, psychotic symptoms and other psychopathology are complex, dynamic and multidimensional
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Folk, Tully, Blacker, Liles, Bolden, Tryon, Botello, and Niendam. "Uncharted Waters: Treating Trauma Symptoms in the Context of Early Psychosis." Journal of Clinical Medicine 8, no. 9 (September 12, 2019): 1456. http://dx.doi.org/10.3390/jcm8091456.

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Psychosis is conceptualized in a neurodevelopmental vulnerability-stress framework, and childhood trauma is one environmental factor that can lead to psychotic symptoms and the development of psychotic disorders. Higher rates of trauma are associated with higher psychosis risk and greater symptom frequency and severity, resulting in increased hospitalization rates and demand on outpatient primary care and mental health services. Despite an estimated 70% of individuals in the early stages of psychosis reporting a history of experiencing traumatic events, trauma effects (post-traumatic anxiety or depressive symptoms) are often overlooked in psychosis treatment and current interventions typically do not target commonly comorbid post-traumatic stress symptoms. We presented a protocol for Trauma-Integrated Cognitive Behavioral Therapy for Psychosis (TI-CBTp), an approach to treating post-traumatic stress symptoms in the context of early psychosis care. We provided a brief summary of TI-CBTp as implemented in the context of Coordinated Specialty Care and presented preliminary data supporting the use of TI-CBTp in early psychosis care. The preliminary results suggest that individuals with comorbid psychosis and post-traumatic stress symptoms can be appropriately and safely treated using TI-CBTp within Coordinated Specialty Care.
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Lincoln, T. M., N. Marin, and E. S. Jaya. "Childhood trauma and psychotic experiences in a general population sample: A prospective study on the mediating role of emotion regulation." European Psychiatry 42 (May 2017): 111–19. http://dx.doi.org/10.1016/j.eurpsy.2016.12.010.

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AbstractBackgroundThe causal role of childhood trauma for psychosis is well established, but the mechanisms that link trauma to psychosis are largely unknown. Since childhood trauma is known to cause difficulties in emotion regulation (ER) and patients with psychosis show impaired ER, we hypothesize that impaired ER explains why people with a background of trauma are prone to psychotic experiences.MethodsThe study used a longitudinal cohort design based on a community sample (N = 562) from Germany, Indonesia, and the United States. Childhood trauma was assessed at baseline. ER and psychotic experiences (defined as positive symptom frequency and related distress) were measured repeatedly at a 4-, 8-, and 12-month follow-up. Cross-lagged panel and longitudinal mediation analyses with structural equation modeling were used to test the predictive value of ER on psychotic experiences and its mediating role in the association of childhood trauma and psychotic experiences.ResultsThe cross-lagged paths from impaired ER to symptom distress (but not frequency) were significant. However, there was also evidence for the reverse causation from symptom frequency and distress to impaired ER. ER partially mediated the significant prospective paths from childhood trauma to symptom distress.ConclusionThe findings demonstrate that ER plays a role in translating childhood trauma into distressing psychotic experiences in later life. Moreover, the findings point to a maintenance mechanism in which difficulties in ER and symptom distress exacerbate each other. Thus, ER could be a promising target for interventions aimed at prevention of psychosis.
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Matthews, Paul R. L. "Schizophrenia is not a kind of PTSD." BJPsych Advances 23, no. 5 (September 2017): 318–20. http://dx.doi.org/10.1192/apt.bp.117.017202.

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SummaryCoughlan & Cannon's article provides a helpful review of the current state of evidence regarding the connection between childhood trauma and psychotic-like symptoms. This commentary focuses on the clinical implications by noting that much of the data comes from studies in non-patient populations and to some extent depends on the underlying assumption of the continuum model of psychosis. I reconsider the presented data focusing purely on clinical diagnoses of psychosis, and consider the implications of the association between trauma and psychosis by looking at the evidence base for specific trauma-focused therapies in psychosis.
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van Dam, D. S., M. van Nierop, W. Viechtbauer, E. Velthorst, R. van Winkel, R. Bruggeman, W. Cahn, et al. "Childhood abuse and neglect in relation to the presence and persistence of psychotic and depressive symptomatology." Psychological Medicine 45, no. 7 (July 17, 2014): 1363–77. http://dx.doi.org/10.1017/s0033291714001561.

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BackgroundThe association between childhood trauma and psychotic and depressive symptomatology is well established. However, less is known about the specificity and course of these symptoms in relation to childhood trauma.MethodIn a large sample (n = 2765) of patients with psychosis (n = 1119), their siblings (n = 1057) and controls (n = 589), multivariate (mixed-effects) regression analyses with multiple outcomes were performed to examine the association between childhood trauma and psychotic and depressive symptomatology over a 3-year period.ResultsA dose–response relationship was found between childhood trauma and psychosis. Abuse was more strongly associated with positive symptoms than with negative symptoms whereas the strength of the associations between neglect and positive and negative symptoms was comparable. In patients, similar associations between childhood trauma and psychotic or depressive symptoms were found, and in siblings and controls, stronger associations were found between trauma and depressive symptomatology. Childhood trauma was not related to a differential course of symptoms over a 3-year time period.ConclusionsIn congruence with earlier work, our findings suggest that childhood trauma, and abuse in particular, is associated with (subthreshold) psychosis. However, childhood trauma does not seem to be associated with a differential course of symptoms, nor does it uniquely heighten the chance of developing (subthreshold) psychotic symptomatology. Our results indicate that trauma may instead contribute to a shared vulnerability for psychotic and depressive symptoms.
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Shevlin, Mark, Jamie Murphy, and John Read. "Testing complex hypotheses using secondary data analysis: is the association between sexual abuse and psychosis moderated by gender in a large prison sample?" Journal of Criminal Psychology 5, no. 2 (May 5, 2015): 92–98. http://dx.doi.org/10.1108/jcp-02-2015-0009.

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Purpose – There have been many studies that demonstrated an association between sexual trauma and psychotic disorders or psychotic symptoms. Limited attention has been paid to gender differences regarding this association. A recent study evidenced that the trauma-psychosis association may be moderated by gender and that the effect may be specific for females. However, there have been many methodological limitations, particularly that low prevalence of psychosis and sexual trauma for males leads to low statistical power, that have made this hypothesis difficult to test. The paper aims to discuss these issues. Design/methodology/approach – This study sought to estimate the association between sexual trauma and psychosis, and to determine if the association was moderated by gender using data from the Survey of Psychiatric Morbidity among Prisoners in England and Wales (n=3,142). Findings – Bivariate analysis showed that sexual trauma predicted probable psychosis for both females (OR=4.13) and males (OR=4.72). After controlling for confounding variables the odds ratios for males and females did not differ significantly (the shared odds ratio was 2.60) indicating that the association was not moderated by gender. Originality/value – The relationship between sexual abuse and psychosis may neither be specific to, nor moderated by, gender.
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Dissertations / Theses on the topic "Psychosis; trauma"

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Tarsia, Massimo. "Trauma and dissociation in psychosis." Thesis, University of Edinburgh, 2004. http://hdl.handle.net/1842/29392.

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In this thesis we have attempted to address the complex issue of the relationship between trauma, dissociation, and psychosis. It is hypothesised that dissociation, occurred as a result of trauma, plays a key role in the formation and maintenance of psychotic symptoms, chiefly hallucinations and delusions. We have used methods from experimental psychopathology to investigate the potential role played by dissociative processes in the disruption of the cognitive processes of attention and memory for trauma-related, positive and neutral information in two groups of participants: 30 individuals with psychosis and 30 matched controls. In particular, we used self-report measures of symptomatology, recovery style, trauma, and dissociation, and employed two experimental tasks. The first was specifically devised to assess attentional processes: a Directed Forgetting Stroop Task (DFST) performed under conditions of divided attention. The second task was a Word-Stem Completion Task (WSCT) on which we applied the process dissociation procedure (PDP; Jacoby, 1991) in order to estimate the relative contribution to dissociation of implicit and explicit memory. As expected, our findings revealed that the experimental group processed information preferentially in an implicit manner. Generally, the psychosis group exhibited a better memory performance for trauma-related information, better conscious retrieval inhibition for the same material, and more difficulty in forgetting it. We also found that our self-report measure of trauma predicted levels of dissociation, which, in turn predicted individuals’ recovery style. Additionally, both dissociation and recovery style predicted levels of positive symptoms. However, we did not find a standard directed forgetting effect on our memory task or an advantage (less interference due to dissociation) on our task of divided attention. Results are discussed in the light of the theoretical background, previous experimental literature, and current models of trauma and dissociation.
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Hardy, Amy. "Trauma and hallucinatory experience in psychosis." Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439510.

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Dunn, Rebecca. "The relationship between trauma and psychosis." Thesis, Lancaster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.587070.

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It has been suggested that psychosis may emerge as a reaction to trauma and models of anxiety and psychosis suggest that this relationship is mediated and maintained by a number of different psychological variables. Empirical studies have begun to investigate the association between trauma and the symptoms associated with psychosis and the role of other variables, such as post-traumatic beliefs, metacognitive beliefs and dissociation, in linking the two experiences. Therefore, the first section of this thesis aimed to systematically and critically review empirical studies examining the different psychological factors involved in linking trauma to delusions and hallucinations. Differences in the pathways from varying experiences of trauma to varying symptoms of psychosis were also reviewed. The results suggest that higher levels of post-traumatic cognitions were associated with higher levels of delusions and hallucinations and higher levels of dissociation were associated with higher levels of hallucinations. The appraisal of psychotic symptoms was also related to the presence of delusions and hallucinations. The methodological robustness of the research was also discussed in order to identify relevant gaps in the literature. The aim of the second section of the thesis was to investigate whether the relationship between PTSD symptoms and delusional beliefs would be mediated by negative schema about others and negative schema about the self. Ninety-one participants completed online measures and the results suggest that negative schema about others partially mediated the relationship between symptoms of PTSD and delusional beliefs. However, negative schema about the self did not mediate this relationship. The theoretical and clinical implications for both studies are discussed and directions for future research are considered. The final section of the thesis focuses on methodological and professional issues and reflections on these issues in the context of clinical psychology research and practice.
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Spauwen, Janneke, Lydia Krabbendam, Roselind Lieb, Hans-Ulrich Wittchen, and Os Jim van. "Impact of psychological trauma on the development of psychotic symptoms: relationship with psychosis proneness." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-108608.

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Background. The reported link between psychological trauma and onset of psychosis remains controversial. Aims. To examine associations between self-reported psychological trauma and psychotic symptoms as a function of prior evidence of vulnerability to psychosis (psychosis proneness). Method. At baseline, 2524 adolescents aged 14-24 years provided self-reports on psychological trauma and psychosis proneness, and at follow-up (on average 42 months later) participants were interviewed for presence of psychotic symptoms. Results. Self-reported trauma was associated with psychotic symptoms, in particular at more severe levels (adjusted OR1.89,95% CI1.16-3.08) and following trauma associated with intense fear, helplessness or horror. The risk difference between those with and without self-reported trauma at baseline was 7% in the group with baseline psychosis proneness, but only 1.8% in those without (adjusted test for difference between these two effect sizes: χ2=4.6, P=0.032). Conclusions. Exposure to psychological trauma may increase the risk of psychotic symptoms in people vulnerable to psychosis.
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Spauwen, Janneke, Lydia Krabbendam, Roselind Lieb, Hans-Ulrich Wittchen, and Os Jim van. "Impact of psychological trauma on the development of psychotic symptoms: relationship with psychosis proneness." Technische Universität Dresden, 2006. https://tud.qucosa.de/id/qucosa%3A26761.

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Background. The reported link between psychological trauma and onset of psychosis remains controversial. Aims. To examine associations between self-reported psychological trauma and psychotic symptoms as a function of prior evidence of vulnerability to psychosis (psychosis proneness). Method. At baseline, 2524 adolescents aged 14-24 years provided self-reports on psychological trauma and psychosis proneness, and at follow-up (on average 42 months later) participants were interviewed for presence of psychotic symptoms. Results. Self-reported trauma was associated with psychotic symptoms, in particular at more severe levels (adjusted OR1.89,95% CI1.16-3.08) and following trauma associated with intense fear, helplessness or horror. The risk difference between those with and without self-reported trauma at baseline was 7% in the group with baseline psychosis proneness, but only 1.8% in those without (adjusted test for difference between these two effect sizes: χ2=4.6, P=0.032). Conclusions. Exposure to psychological trauma may increase the risk of psychotic symptoms in people vulnerable to psychosis.
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Palmier-Claus, Jasper. "Childhood adversity in bipolar disorder and psychosis." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/childhood-adversity-in-bipolar-disorder-and-psychosis(40707dae-c064-4da5-8b06-2d7f18ff5b14).html.

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Study one is a meta-analysis of the relationship between childhood adversity and bipolar disorder. The results suggest that individuals with bipolar disorder are 2.63 times more likely to experience childhood adversity than non-clinical controls. This effect remained significant even when controlling for bias and when considering epidemiological and case control studies separately. Levels of adversity in bipolar disorder were comparable to those observed in samples diagnosed with unipolar depression and schizophrenia. In adversity subtype analysis, emotional abuse conveyed the greatest risk of bipolar disorder with an odds ratio of 4.04. The results suggest that childhood adversity, particularly emotional abuse, may play an important role in the development of bipolar disorder. This challenges the notion that bipolar disorder is solely the result of a genetic predisposition. Study two is cross-sectional research investigating the association between childhood adversity and social functioning across the continuum of psychosis, and possible mediators of this relationship (i.e. attachment style, theory of mind ability, clinical symptoms). Fifty-four clinical and 120 non-clinical participants completed self-report questionnaires, interviews and tasks of theory of mind ability. The author used multiple group structural equation modelling to fit mediation models, whilst allowing for differential relationships across the samples. In the final model, only depression mediated the relationship between childhood adversity and social functioning. Childhood adversity did not significantly predict theory of mind ability in this data. The results suggest that psychosocial interventions for improving social functioning should also target low mood, particularly in individuals with a history of childhood adversity. Taken together this thesis suggests that childhood adversity can have long-reaching and negative effects on individuals' mental well-being. The author explores the wider clinical, academic and theoretical implications, and potential limitations, of the research in paper three. This section also contains the author's reflections on the research process and a justification of key methodological and analytical decisions.
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Scherer-Dickson, Nicole. "Effects of early trauma on metacognitive functioning in psychosis." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/5611.

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Background: Empirical evidence suggests a relationship between early trauma and psychosis. However, the underlying mechanisms for this relationship remain unclear. Research into metacognitive functioning in psychosis indicates higher levels of metacognitive dysfunctional beliefs within this patient group. The potential effects of early trauma on metacognitive functioning in psychosis has to date been scarcely researched. Reflective functioning (RF) is believed to be affected by early trauma and leading to psychopathology, particularly borderline personality disorder. However, to date no studies have investigated the effects of early trauma on RF within psychosis. Objectives: The primary aim of this study was to establish core links between the effects of early trauma and metacognitive and reflective functioning in psychosis. A secondary aim was to test the clinical applicability of a brief, newly developed attachment-based measure for RF. Furthermore, the study aimed to explore potential overlaps between the concepts of metacognition and reflective functioning. Method: A quantitative methodology was employed, using a combination of semi-structured interviews and self-report questionnaire, and group comparisons were conducted. Twenty-seven patients with psychosis or bipolar disorder were recruited. Participants were grouped into early trauma versus no early trauma; trauma versus no trauma; and in-patient versus out-patient, and exploratory analyses were completed. Results: No significant effects were found for early trauma but for trauma in general, indicating higher level of dysfunctional beliefs in patients with trauma (early plus adult trauma) history. No significant effect between groups were found for RF. Inpatients, however, showed significantly lower levels of RF when compared with outpatients, and outpatients significantly higher levels of cognitive self-focus(thinking about thoughts). Moreover, a modest positive correlation was found between both measures. Discussion: The findings of the present study suggest core links between the effects of trauma on metacognitive functioning in psychosis. This highlights the importance of routine trauma assessment with psychotic patients. The limitations of the metacognitive model within psychosis are discussed. Further research is implicated to investigate any potential effects of early trauma on RF in psychosis. Low level of RF in in-patients highlights the importance to integrate therapeutic techniques to improve RF functioning in this patient group since high RF is associated with resilience and better therapy outcome. The correlation between metacognition and RF measure indicates construct-validity for the RF measure. The differences between both concepts are considered. Furthermore, the limitations of this study and clinical utility are discussed along with suggestions for future research.
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Evans, Gavin John. "Trauma and psychosis : investigating dissociation and self-concept clarity." Thesis, University of Liverpool, 2011. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.644350.

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Flemal, Simon. "D’une étude métapsychologique de la fonction délirante dans les processus psychiques de la schizophrénie." Thesis, Lyon 2, 2011. http://www.theses.fr/2011LYO20050.

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En nous étayant des théories issues de l’épistémologie psychanalytique, nous concevons la schizophrénie comme résultant d’une expérience traumatique primaire n’ayant pu être intégrée au sein de la subjectivité. Ce traumatisme, nous le rattachons moins à un évènement en tant que tel qu’à la position impensable qu’il désigne pour le sujet. Ainsi, en nous inspirant de la pensée de P. Aulagnier et de R. Roussillon, nous suggérons que le noyau traumatique conditionnant le développement d’une problématique schizophrénique se rapporte à la position d’objet pulsionnel, ou de non-désir, à laquelle se trouve identifié le sujet au sein des premiers échanges avec son environnement. Face à l’impensable de cette position identificatoire, le sujet se voit contraint de s’extraire de la scène relationnelle avec ses objets primaires, se clivant par la même opération du capital représentatif qui lui est associé. Dans ces conditions, nous pensons que le délire, moins d’apparaître comme une production pathologique dépourvue de sens, correspond à un mode de réponse face au retour hallucinatoire de l’impensé traumatique. Aussi, à partir d’une méthodologie qualitative basée sur l’analyse d’une douzaine de cas cliniques, nous mettons en évidence trois principales fonctions du délire dans la schizophrénie. La première, conceptualisée sous le terme de « fonction contenante », procède à la mise en forme et à la transformation signifiante de ce qui ne put être symbolisé de l’expérience traumatique. La seconde, nommée « fonction localisante », tente de situer en dehors du sujet le débordement pulsionnel inhérent au traumatisme primaire. La troisième, appelée « fonction identifiante », permet à la personne délirante de s’attribuer un énoncé identificatoire qui, de manière auto-créée, supplée à l’énigme de son histoire insensée.Enfin, l’analyse de nos données cliniques souligne que ces trois fonctions de l’activité délirante ne se réalisent pas de façon aléatoire mais qu’elles s’articulent selon une logique particulière. Ainsi, nous suggérons qu’à partir de sa triple opération le délire schizophrénique tend à se déployer en un « processus délirant », par lequel le sujet peut rendre pensable et supportable la position traumatique à laquelle il a été identifié au cours de son histoire
By following theories from the psychoanalytical epistemology, we consider schizophrenia as the result of a primary trauma that has not been assimilated within the subjectivity. We connect less this traumatism with an event than with the unthinkable position the subject is identified to. Therefore, being inspired by the thought of P. Aulagnier and R. Roussillon, we suggest that the traumatic nucleus which conditions the development of schizophrenia is related to the position of instinctual object, or of non-desire, to which the subject is identified within the first exchanges with his environment. In view of this unthinkable position, the subject is forced to remove himself from the relationship with his primary objects, splitting off from the representative capital that is associated with it. In these conditions, we think that the delusion appears less as a meaningless pathological production than as a way of answering to the hallucinatory return of the traumatic unthought. From a qualitative methodology based on the analysis of a dozen clinical cases, we highlight three main functions of the delusion in schizophrenia. The first, conceptualized under the term «containing function», carries out the shaping and the significant transformation of what could have not been symbolized of the traumatic experience. The second, called «localizing function», tries to locate outside of the subject the instinctual overflow inherent to the primary trauma. The third, named «identifying function», enables the delusional person to assume an identificatory principle which, in a self-created way, compensates for the enigma of his senseless history.Finally, the analysis of our clinical data underlines that these three functions of the delusional activity are not randomly accomplished but are organized according to a particular logic. Thus from its triple operation, we suggest that the schizophrenic delusion tends to develop into a «delusional process», by which the subject can make thinkable and bearable the traumatic position to which he was identified during his history
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Kuepper, Rebecca, Cécile Henquet, Roselind Lieb, Hans-Ulrich Wittchen, and Os Jim van. "Non-replication of interaction between cannabis use and trauma in predicting psychosis." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-129494.

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Cannabis use is considered a component cause of psychotic disorder interacting with genetic and environmental risk factors in increasing psychosis risk (Henquet et al., 2008). Recently, two cross-sectional and one prospective study provided evidence that cannabis use interacts additively with trauma to increase psychosis risk (Houston et al., 2008, Harley et al., 2010 and Konings et al., 2011). In an attempt at further replication, we examined prospective data from the German Early Developmental Stages of Psychopathology (EDSP) study (Wittchen et al., 1998b and Lieb et al., 2000).
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Books on the topic "Psychosis; trauma"

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Moskowitz, Andrew, Ingo Schfer, and Martin J. Dorahy, eds. Psychosis, Trauma and Dissociation. Chichester, UK: John Wiley & Sons, Ltd, 2008. http://dx.doi.org/10.1002/9780470699652.

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Brain trauma, psychosis and a meaningful life: Being present. Norsborg: Recito, 2012.

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Benedetti, Gaetano. Symbol, Traum, Psychose. Göttingen: Vandenhoeck & Ruprecht, 2006.

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Benedetti, Gaetano. Symbol, Traum, Psychose. Göttingen: Vandenhoeck & Ruprecht, 2006.

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Reshetnikov, Mikhail. Psikhicheskoe rasstroĭstvo: Lekt︠s︡ii. Sankt-Peterburg: Vostochno-Evropeĭskiĭ institut psikhoanaliza, 2008.

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Treating self-destructive behaviors in trauma survivors: A clinician's guide. New York: Routledge, 2012.

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Trauma and Psychosis. Routledge, 2006.

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Larkin, Warren, and Anthony P. Morrison, eds. Trauma and Psychosis. Routledge, 2007. http://dx.doi.org/10.4324/9780203966013.

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Moskowitz, Andrew, Martin J. Dorahy, and Ingo Schäfer, eds. Psychosis, Trauma and Dissociation. Wiley, 2018. http://dx.doi.org/10.1002/9781118585948.

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Hardy, Kate V., and Kim T. Mueser, eds. Trauma, Psychosis and Posttraumatic Stress Disorder. Frontiers Media SA, 2017. http://dx.doi.org/10.3389/978-2-88945-360-3.

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Book chapters on the topic "Psychosis; trauma"

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Hahn, Patrick D. "Trauma and Psychosis." In Madness and Genetic Determinism, 99–118. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21866-9_9.

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Howie, Paula. "Psychosis, Attachment, and Trauma." In Art Therapy with Military Populations, 30–40. New York : Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315669526-4.

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Bernard, Mark, Chris Jackson, and Paul Patterson. "Trauma and First-Episode Psychosis." In Promoting Recovery in Early Psychosis, 168–79. Oxford, UK: Wiley-Blackwell, 2011. http://dx.doi.org/10.1002/9781444318814.ch19.

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Hammersley, Paul, Peter Bullimore, Magdalen Fiddler, and John Read. "The Trauma Model of Psychosis." In Learning about Mental Health Practice, 401–16. Chichester, UK: John Wiley & Sons, Ltd, 2008. http://dx.doi.org/10.1002/9780470699300.ch21.

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Rodger, James, and Zachary Steel. "Narrative Dimensions of Dissociative-Psychosis." In Between Trauma and the Sacred, 107–29. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-24424-2_4.

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de Masi, Franco. "Trauma and the Super-ego in psychosis." In A Psychoanalytic Approach to Treating Psychosis, 90–95. 1 Edition. | New York : Routledge, 2020.: Routledge, 2020. http://dx.doi.org/10.4324/9781003000884-11.

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Torres, Alcy, Catherine Brownstein, Anthony Deo, and Joseph Gonzalez-Heydrich. "The Interface Between Rare Genetic Variation, Psychosis, and Trauma." In Pediatric Neuropsychiatry, 83–92. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94998-7_9.

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Johnstone, Lucy. "Can Traumatic Events Traumatize People? Trauma, Madness and ‘Psychosis’." In De-Medicalizing Misery, 99–109. London: Palgrave Macmillan UK, 2011. http://dx.doi.org/10.1057/9780230342507_8.

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Rodger, James, and Zachary Steel. "The Historical, Cultural, Epistemological and Research Context of Remitting-Relapsing Psychosis in Timor-Leste." In Between Trauma and the Sacred, 1–50. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-24424-2_1.

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van Winkel, Ruud, and Aleksandra Lecei. "Childhood Trauma in Psychoses." In Childhood Trauma in Mental Disorders, 185–209. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49414-8_10.

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Conference papers on the topic "Psychosis; trauma"

1

Thomas, Philippe. "Narrative therapeutic approach in the care for patients with dementia and psychosis." In 2nd International Neuropsychological Summer School named after A. R. Luria “The World After the Pandemic: Challenges and Prospects for Neuroscience”. Ural University Press, 2020. http://dx.doi.org/10.15826/b978-5-7996-3073-7.17.

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Dementia and psychosis can arise from a trauma in patients’ life history. Behavioral difficulties of the afflicted individual can lead to bad memories triggered by an event or an encounter. Attempts to bring such patients back to reality can destroy their awareness of the self and the world. A narrative therapeutic approach can help them reconstruct their life story and enhance their sense of wellbeing. With dementia, it is necessary to open the book of the afflicted individual’s life at the right page in order to help them get back to reading it in the present. With psychosis, stories must be detached from the personal life history and from reality. An empathetic therapist allows the patient to bypass the obstacles to link their fictional and real life and to recover the necessary minimum of self.awareness.
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