TY - JOUR
T1 - Use of Psychotropic Medication Groups in People with Severe Mental Illness and Stressful Childhood Experiences
AU - Schneeberger, Andres R.
AU - Muenzenmaier, Kristina
AU - Castille, Dorothy
AU - Battaglia, Joseph
AU - Link, Bruce
PY - 2014/8
Y1 - 2014/8
N2 - Stressful childhood experiences (SCE) are associated with a variety of health and social problems. In people with severe mental illness (SMI) traumatic childhood experiences have been linked to more severe and treatment refractory forms of psychiatric symptoms, including psychotic symptoms. This study evaluates the use of psychotropic medication groups in a population of people with SMI and SCE, testing the association between SCE and prescription medication in an SMI population. A sample of 183 participants with SMI was divided into 2 exposure groups: high SCE (4 to 7 categories of SCE) and low SCE (0 to 3 categories of SCE). Both groups were compared in regard to prescribed dosing of psychotropic medications (antipsychotics, mood stabilizers, antidepressants, and anxiolytics/hypnotics). Participants who endorsed high SCE received higher doses of antipsychotic medications and mood stabilizers than those with low exposure. The results demonstrate that people with higher SCE categories received a higher dosing of psychotropic medication, specifically antipsychotic medication and mood stabilizers.
AB - Stressful childhood experiences (SCE) are associated with a variety of health and social problems. In people with severe mental illness (SMI) traumatic childhood experiences have been linked to more severe and treatment refractory forms of psychiatric symptoms, including psychotic symptoms. This study evaluates the use of psychotropic medication groups in a population of people with SMI and SCE, testing the association between SCE and prescription medication in an SMI population. A sample of 183 participants with SMI was divided into 2 exposure groups: high SCE (4 to 7 categories of SCE) and low SCE (0 to 3 categories of SCE). Both groups were compared in regard to prescribed dosing of psychotropic medications (antipsychotics, mood stabilizers, antidepressants, and anxiolytics/hypnotics). Participants who endorsed high SCE received higher doses of antipsychotic medications and mood stabilizers than those with low exposure. The results demonstrate that people with higher SCE categories received a higher dosing of psychotropic medication, specifically antipsychotic medication and mood stabilizers.
KW - child sexual abuse
KW - childhood abuse
KW - childhood trauma
KW - complex trauma
KW - psychopharmacology
KW - schizophrenia
KW - severe mental illness
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=84903534087&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903534087&partnerID=8YFLogxK
U2 - 10.1080/15299732.2014.903550
DO - 10.1080/15299732.2014.903550
M3 - Article
C2 - 24678974
AN - SCOPUS:84903534087
SN - 1529-9732
VL - 15
SP - 494
EP - 511
JO - Journal of Trauma and Dissociation
JF - Journal of Trauma and Dissociation
IS - 4
ER -