TY - JOUR
T1 - Cumulative Effects of Stressful Childhood Experiences on Delusions and Hallucinations
AU - Muenzenmaier, Kristina H.
AU - Seixas, Azizi A.
AU - Schneeberger, Andres R.
AU - Castille, Dorothy M.
AU - Battaglia, Joseph
AU - Link, Bruce G.
N1 - Publisher Copyright:
Copyright © Taylor & Francis Group, LLC.
PY - 2015/8/8
Y1 - 2015/8/8
N2 - The association between stressful childhood experiences (SCE) and psychotic symptoms is still not clearly understood, and different causal pathways have been proposed. Generalized estimating equation modeling was used to test the dose–response relationship between SCE and delusions and hallucinations at baseline and follow-up periods and the possible confounding effects of dissociation on this relationship. The prevalence of SCE in individuals with psychotic disorders was high, with more co-occurring SCE categories being positively associated with more types of delusions and hallucinations. Each additional SCE was associated with a 1.20 increase in the incidence rate ratio (95% confidence interval [CI; 1.09, 1.32]) for hallucinations and a 1.19 increase (CI [1.09, 1.29]) for delusions, supporting a dose–response association. After we controlled for the mediating effects of dissociative symptoms at follow-up, SCE remained independently associated with delusions. We propose that cumulative SCE can result in complex trauma reactions that present with a broad range of symptomatology, including dissociative, posttraumatic stress disorder, and psychotic symptoms.
AB - The association between stressful childhood experiences (SCE) and psychotic symptoms is still not clearly understood, and different causal pathways have been proposed. Generalized estimating equation modeling was used to test the dose–response relationship between SCE and delusions and hallucinations at baseline and follow-up periods and the possible confounding effects of dissociation on this relationship. The prevalence of SCE in individuals with psychotic disorders was high, with more co-occurring SCE categories being positively associated with more types of delusions and hallucinations. Each additional SCE was associated with a 1.20 increase in the incidence rate ratio (95% confidence interval [CI; 1.09, 1.32]) for hallucinations and a 1.19 increase (CI [1.09, 1.29]) for delusions, supporting a dose–response association. After we controlled for the mediating effects of dissociative symptoms at follow-up, SCE remained independently associated with delusions. We propose that cumulative SCE can result in complex trauma reactions that present with a broad range of symptomatology, including dissociative, posttraumatic stress disorder, and psychotic symptoms.
KW - dissociation
KW - psychosis
KW - schizophrenia
KW - severe mental illness
KW - trauma
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U2 - 10.1080/15299732.2015.1018475
DO - 10.1080/15299732.2015.1018475
M3 - Article
C2 - 25895104
AN - SCOPUS:84938487967
SN - 1529-9732
VL - 16
SP - 442
EP - 462
JO - Journal of Trauma and Dissociation
JF - Journal of Trauma and Dissociation
IS - 4
ER -