title: Parent abuse by adolescents with first-episode psychosis in Egypt.
abstract: OBJECTIVE
  To determine the rate of parent abuse in a sample of Egyptian adolescents with first-episode psychosis (FEP) and to identify the association between parent abuse and a number of sociodemographic and clinical factors of interest in these patients. As yet, the abuse of parents by their children, especially mentally ill children, in contrast to child abuse, has remained a research taboo.
  
  
  METHODS
  In a cross-sectional study in Zagazig (Egypt), a sample of 150 adolescent outpatients (82 boys; 68 girls), presenting with FEP, was assessed for the occurrence of parent abuse using both interview and questionnaire methods (Abused Parent Questionnaire, APQ). Univariate analyses were used to compare parent abusers and nonabusers along a number of sociodemographic and clinical variables. Variables that were associated with parent abuse were entered into a multivariate logistic regression analysis model.
  
  
  RESULTS
  We found that 61 patients (40.7%) perpetrated abuse against parents, mostly mothers (55/61; 90.2%). Five significant risk factors for parent abuse were identified by multivariate analysis. These were parent's female gender (95% CI = 7.82-45.56), patient's male gender (95% CI = 3.15-37.14), Childhood Trauma Questionnaire - Short Form total score (95% CI = 1.48-14.91), Positive and Negative Syndrome Scale positive subscale score (95% CI = 1.26-9.59), and duration of untreated psychosis (95% CI = 1.01-4.72).
  
  
  CONCLUSIONS
  The study indicates that parent abuse, particularly mother abuse, in untreated adolescents with FEP is an issue calling for increased awareness of the problem. The findings may have important implications for parental psychoeducation and support, and earlier access to treatment.
authors: Department of Psychiatry, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Electronic address: mounir.fawzi40@gmail.com.
authors: Mounir H
authors: MH
authors: Fawzi
authors: Mohab M
authors: MM
authors: Fawzi
authors: Amira A
authors: AA
authors: Fouad
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D000368:Aged; D004534:Egypt; D004552:Elder Abuse / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology*; D012307:Risk Factors; D011795:Surveys and Questionnaires
keywords: Adolescent; Duration of untreated psychosis; Egypt; First-episode psychosis; Parent abuse