title: Trauma and psychotic symptoms: data from a pediatric mental health inpatient unit.
abstract: This study describes differences in symptoms in young people with psychosis, with and without a history of trauma. The files of 118 mental health inpatients, aged 8 to 18 years, all reporting hallucinations and/or delusions, were reviewed for a history of trauma. Symptoms reported by inpatients with and without a history of trauma were compared. Variables found to be significantly associated with trauma in the univariate analysis were entered into a logistic regression analysis. Variables were entered if they met a significance of p < .05 or an adjusted odds ratio of < 2. Young people with a history of trauma reported a highly significant increase in disturbed behavior, particularly those with a history of sexual assault. This study illustrates the importance of obtaining an adequate assessment of children and adolescents with psychotic symptoms to ensure they receive the most effective treatment.
authors.affiliation: Department of Psychological Medicine, The Children's Hospital at Westmead, NSW 2145, Australia. cassands@chw.edu.au
authors.forename: Cassandra
authors.initials: C
authors.lastname: Hainsworth
authors.forename: Jean
authors.initials: J
authors.lastname: Starling
authors.forename: Fernande
authors.initials: F
authors.lastname: Brand
authors.forename: Kaz
authors.initials: K
authors.lastname: Groen
authors.forename: Karen
authors.initials: K
authors.lastname: Munro
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006776:Hospitals, Pediatric; D006784:Hospitals, Teaching; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D009517:New South Wales; D011567:Psychiatric Department, Hospital; D012044:Regression Analysis; D012742:Sex Offenses / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000503:physiopathology*; D014947:Wounds and Injuries / Q000503:physiopathology* / Q000523:psychology