title: Prevalence of self-reported childhood abuse in psychosis: a meta-analysis of retrospective studies.
abstract: There is extensive clinical literature reporting traumatic childhood experiences in patients with psychosis. A quantitative meta-analysis addressing the prevalence of self-reported childhood sexual (CSA), physical (CPA) and emotional abuse (CEA) in psychotic patients has yet to be done. We conducted, a systematic literature search to identify retrospective studies addressing self-reported childhood abuse in patients with DSM/ICD psychosis. Demographic, clinical, and methodological variables were extracted from each publication, or obtained directly from its authors. Quantitative meta-analysis of CSA, CPA, CEA in the sample of patients was performed. Statistical heterogeneity and publication bias were assessed and meta-regressions performed to control for different moderators. Twenty-three studies were retrieved and included a total of 2017 psychotic patients. The prevalence of self-reported CSA, CPA, CEA were respectively of 26%, 39% and 34%. Age, publication year, gender and substance abuse moderated CSA, while age, clinical setting and substance abuse moderated CPA. Results indicated that CEA was moderated by gender and publication year of the study. According to our meta-analysis, psychotic patients have a consistently high self-report of childhood traumatic events which are sexual, physical and emotional in nature. It is our opinion that clinicians should be trained and skilled to carefully investigate childhood abuse in psychosis.
authors.affiliation: Department of Psychosis Studies, Institute of Psychiatry, King's College London, De Crespigny Park 16, SE58AF London, UK; Section of Psychiatry, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Bonoldi
authors.forename: Ercole
authors.initials: E
authors.lastname: Simeone
authors.forename: Matteo
authors.initials: M
authors.lastname: Rocchetti
authors.forename: Louisa
authors.initials: L
authors.lastname: Codjoe
authors.forename: Giorgio
authors.initials: G
authors.lastname: Rossi
authors.forename: Francesco
authors.initials: F
authors.lastname: Gambi
authors.forename: Umberto
authors.initials: U
authors.lastname: Balottin
authors.forename: Edgardo
authors.initials: E
authors.lastname: Caverzasi
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Politi
authors.forename: Paolo
authors.initials: P
authors.lastname: Fusar-Poli
mesh_terms: D002648:Child; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D006801:Humans; D015995:Prevalence; D011618:Psychotic Disorders / Q000453:epidemiology*; D012189:Retrospective Studies
keywords: Child abuse; Childhood trauma; Psychosis; Schizophrenia