title: Rates of childhood trauma in a sample of patients with schizophrenia as compared with a sample of patients with non-psychotic psychiatric diagnoses.
abstract: Despite strong evidence of high rates of childhood and adult trauma in schizophrenia, the area remains under-researched. Our objectives in the study were first, to examine the rates of exposure to childhood, adult and lifetime (child plus adult) trauma in a population with schizophrenia and a population with non-psychotic psychiatric diagnoses and second, to examine the effect of trauma on the symptoms of schizophrenia. Two groups, those with schizophrenia (n = 40), and those with a non-psychotic diagnosis (n = 30), were recruited. Data were collected for demographic, psychiatric and trauma histories for all participants and on psychosocial functioning and psychiatric symptomatology for the patients with schizophrenia. Childhood exposure to trauma was significantly more common in the schizophrenia group (t = 5.196, df = 68, p < 0.001, Eta squared = 0.28), with the strongest relationship being childhood physical assault. In the schizophrenia group a history of trauma was significantly related to poor communication skills (r = -0.529, p < 0.001) and depressive symptoms (r = 0.443, p = 0.004). Evidence that childhood exposure to trauma is more common in a population with schizophrenia is consistent with other studies and raises the possibility that such trauma is of etiological importance. Further research is required to replicate those findings, to elucidate possible pathways by which the experience of trauma may contribute to the development of schizophrenia, and to explore the relationship between a history of childhood trauma and the experience of depressive symptoms in schizophrenia.
authors.affiliation: Homefirst Community Health and Social Services Trust, Antrim, Northern Ireland.
authors.forename: Wendy
authors.initials: W
authors.lastname: Spence
authors.forename: Ciaran
authors.initials: C
authors.lastname: Mulholland
authors.forename: Gerry
authors.initials: G
authors.lastname: Lynch
authors.forename: Suzanne
authors.initials: S
authors.lastname: McHugh
authors.forename: Martin
authors.initials: M
authors.lastname: Dempster
authors.forename: Ciaran
authors.initials: C
authors.lastname: Shannon
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002648:Child; D002649:Child Abuse / Q000523:psychology; D003863:Depression / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009660:Northern Ireland / Q000453:epidemiology; D012559:Schizophrenia / Q000453:epidemiology / Q000209:etiology*; D012565:Schizophrenic Psychology; D014754:Violence / Q000523:psychology*