دورية أكاديمية
Linking childhood trauma and dissociation to psychotic symptoms in major depressive disorder, bipolar disorders, and schizophrenia: A transdiagnostic examination using patient and clinician ratings.
| العنوان: | Linking childhood trauma and dissociation to psychotic symptoms in major depressive disorder, bipolar disorders, and schizophrenia: A transdiagnostic examination using patient and clinician ratings. |
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| المؤلفون: | Chiu CD; Department of Psychology, Clinical and Health Psychology Centre, Chinese University of Hong Kong., Li DJ; Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital., Hsieh YC; Department of Adult Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital., Chou LS; Kaohsiung Municipal Kai-Syuan Psychiatric Hospital., Au JS; Child and Adolescent Division, Department of Psychiatry, McLean Hospital., Chen YL; Department of Healthcare Administration, Asia University., Lin CH; Department of Adult Psychiatry, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital. |
| المصدر: | Psychological trauma : theory, research, practice and policy [Psychol Trauma] 2024 Apr; Vol. 16 (Suppl 1), pp. S242-S249. Date of Electronic Publication: 2023 Sep 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Educational Pub. Foundation of the American Psychological Association Country of Publication: United States NLM ID: 101495376 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1942-969X (Electronic) Linking ISSN: 1942969X NLM ISO Abbreviation: Psychol Trauma Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, DC : Educational Pub. Foundation of the American Psychological Association |
| مواضيع طبية MeSH: | Depressive Disorder, Major*/complications , Depressive Disorder, Major*/diagnosis , Schizophrenia*/complications , Schizophrenia*/diagnosis , Bipolar Disorder*/diagnosis , Bipolar Disorder*/complications , Bipolar Disorder*/psychology , Adverse Childhood Experiences* , Psychotic Disorders*/diagnosis , Psychotic Disorders*/etiology , Psychotic Disorders*/psychology, Humans |
| مستخلص: | Objective: Symptomatic overlap between dissociation and psychosis is well documented; however, the pathogenesis of these two phenomena might be distinct. Few studies have analyzed the relation of dissociative and psychotic symptoms transdiagnostically. The current study examines an emerging trauma-dissociation theoretical model that accounts for psychotic symptoms across affective disorders and schizophrenia (SCZ). Method: Psychiatric inpatients with DSM-5 major depressive disorder (MDD), bipolar disorders (BD) currently in a major depressive episode, and SCZ, and healthy controls (HC) were recruited. Potentially traumatizing events in childhood, dissociative symptoms, and psychotic symptoms were assessed. In addition to participant's self-report, dissociative and psychotic symptoms were rated by psychiatrists blind to the hypothesis. Path analysis was conducted. Results: Dissociation was commonly experienced by clinical participants, particularly for those with MDD or BD. For the SCZ group, ratings of dissociation differed between patient and clinician; specifically, patient-reported dissociation scores, but not clinician-rated scores, were higher than that of the HC group. Importantly, the links between childhood trauma, dissociation, and psychotic symptoms were not homogenous across the diagnostic groups. Dissociation mediated the relationship between childhood trauma and psychotic symptoms in the MDD and BD groups, but not the SCZ group. Conclusion: Depending on the psychiatric condition, dissociation and psychosis have different clinical implications. Childhood trauma and dissociation provide an account for psychotic symptoms in patients diagnosed with MDD and BD, but not with SCZ. (PsycInfo Database Record (c) 2024 APA, all rights reserved). |
| معلومات مُعتمدة: | Kai-Syuan Psychiatric Hospital; Research Grant Council; Chinese University of Hong Kong; Brain and Behavior Research Foundation; National Alliance for Research on Schizophrenia and Depression |
| تواريخ الأحداث: | Date Created: 20230907 Date Completed: 20240403 Latest Revision: 20240403 |
| رمز التحديث: | 20240403 |
| DOI: | 10.1037/tra0001584 |
| PMID: | 37676132 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1942-969X |
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| DOI: | 10.1037/tra0001584 |