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Childhood trauma, depression, and sleep quality and their association with psychotic symptoms and suicidality in schizophrenia.
Kilicaslan, Esin Evren; Esen, Asli Tugba; Kasal, Meltem Izci; Ozelci, Erdal; Boysan, Murat; Gulec, Mustafa.
Afiliación
  • Kilicaslan EE; Izmir Katip Celebi University, Atatürk Education and Training Hospital, Psychiatry Department, Izmir, Turkey. Electronic address: esiniyidogan@gmail.com.
  • Esen AT; University of Health Sciences, Izmir Tepecik Education and Training Hospital, Psychiatry Department, Izmir, Turkey.
  • Kasal MI; Izmir Katip Celebi University, Atatürk Education and Training Hospital, Psychiatry Department, Izmir, Turkey.
  • Ozelci E; Izmir Katip Celebi University, Atatürk Education and Training Hospital, Psychiatry Department, Izmir, Turkey.
  • Boysan M; Yuzuncu Yil University, Faculty of Literature, Psychology Department, Van, Turkey.
  • Gulec M; Izmir Katip Celebi University, Atatürk Education and Training Hospital, Psychiatry Department, Izmir, Turkey.
Psychiatry Res ; 258: 557-564, 2017 12.
Article en En | MEDLINE | ID: mdl-28916298
This study involved the examination of the relationship between childhood trauma and both psychotic symptoms and suicidality in patients with schizophrenia after controlling for the possible confounding factors, such as clinical features, depression, and sleep quality. The Childhood Trauma Questionnaire-Short Form, Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), Pittsburgh Sleep Quality Index (PSQI), and the suicidality subscale of Mini-International Neuropsychiatric Interview (MINI) were administered to 199 patients with schizophrenia. We used sequential multiple stepwise regression analyses in which positive symptoms, negative symptoms, overall psychopathology, total symptoms of schizophrenia, and suicidality were dependent variables. Depressive symptomatology and childhood physical abuse significantly contributed to positive, negative, general psychopathology, and global schizophrenia symptomatology. Interestingly, general psychopathology scores were negatively associated with childhood physical neglect. Also, subjective sleep quality significantly contributed to positive schizophrenia symptoms. Although prior suicide attempts and depression were significant antecedents of suicidal ideation, no association between suicidality and both childhood trauma and sleep was found. Childhood physical abuse could have an impact on psychopathology in schizophrenia. In addition to childhood trauma, depression, sleep disturbances, and clinical features should be considered and inquired about in the course of clinical care of schizophrenia patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Esquizofrenia / Psicología del Esquizofrénico / Sueño / Suicidio / Maltrato a los Niños / Depresión / Trauma Psicológico Tipo de estudio: Diagnostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Psychiatry Res Año: 2017 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Esquizofrenia / Psicología del Esquizofrénico / Sueño / Suicidio / Maltrato a los Niños / Depresión / Trauma Psicológico Tipo de estudio: Diagnostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Child / Female / Humans / Male Idioma: En Revista: Psychiatry Res Año: 2017 Tipo del documento: Article Pais de publicación: Irlanda