The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study

Francesca D Reeder,1 Nusrat Husain,2 Abdul Rhouma,3 Peter M Haddad,2 Tariq Munshi,4 Farooq Naeem,4 Davit Khachatryan,4 Imran B Chaudhry2 1School of Medicine, 2Neurosciences and Psychiatry Unit, University of Manchester, Manchester, 3Early Intervention Service, Lancashire Care NHS Foundation Trust,...

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Autores principales:	Reeder FD, Husain N, Rhouma A, Haddad PM, Munshi T, Naeem F, Khachatryan D, Chaudhry IB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Childhood Trauma Psychosis Abuse Bullying Family Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/1c1095e51fac4867a44e2f2b16a78c9b
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spelling	oai:doaj.org-article:1c1095e51fac4867a44e2f2b16a78c9b2021-12-02T02:02:43ZThe relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study1178-2021https://doaj.org/article/1c1095e51fac4867a44e2f2b16a78c9b2017-02-01T00:00:00Zhttps://www.dovepress.com/the-relationship-between-childhood-trauma-and-adult-psychosis-in-a-uk-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Francesca D Reeder,1 Nusrat Husain,2 Abdul Rhouma,3 Peter M Haddad,2 Tariq Munshi,4 Farooq Naeem,4 Davit Khachatryan,4 Imran B Chaudhry2 1School of Medicine, 2Neurosciences and Psychiatry Unit, University of Manchester, Manchester, 3Early Intervention Service, Lancashire Care NHS Foundation Trust, Preston, UK; 4Queen’s University, Kingston, Ontario, Canada Aim: There is evidence that childhood trauma is a risk factor for the development of psychosis and it is recommended that childhood trauma is inquired about in all patients presenting with psychosis. This study aimed to determine the prevalence of childhood trauma in patients in the UK Early Intervention Service based on a case note review.Methods: This is a retrospective case note study of 296 patients in an UK Early Intervention Service. Trauma history obtained on service entry was reviewed and trauma experienced categorized. Results were analyzed using crosstab and frequency analysis.Results: The mean age of the sample was 24 years, 70% were male, 66% were White, and 23% Asian (ethnicity not documented in 11% of the sample). Approximately 60% of patients reported childhood trauma, 21% reported no childhood trauma, and data were not recorded for the remaining 19%. Among those reporting trauma, the prevalence of most frequently reported traumas were: severe or repeated disruption (21%), parental mental illness (19%), bullying (18%), absence of a parent (13%), and ‘other’ trauma (24%) – the majority of which were victimization events. Sixty-six percent of those reporting trauma had experienced multiple forms of trauma.Conclusion: A high prevalence of childhood trauma (particularly trauma related to the home environment or family unit) was reported. This is consistent with other studies reporting on trauma and psychosis. The main weakness of the study is a lack of a control group reporting experience of childhood trauma in those without psychosis. Guidelines recommend that all patients with psychosis are asked about childhood trauma; but in 19% of our sample there was no documentation that this had been done indicating the need for improvement in assessment. Keywords: childhood trauma, psychosis, abuse, bullying, family Reeder FDHusain NRhouma AHaddad PMMunshi TNaeem FKhachatryan DChaudhry IBDove Medical PressarticleChildhood TraumaPsychosisAbuseBullyingFamilyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 269-273 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Childhood Trauma Psychosis Abuse Bullying Family Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Childhood Trauma Psychosis Abuse Bullying Family Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Reeder FD Husain N Rhouma A Haddad PM Munshi T Naeem F Khachatryan D Chaudhry IB The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
description	Francesca D Reeder,1 Nusrat Husain,2 Abdul Rhouma,3 Peter M Haddad,2 Tariq Munshi,4 Farooq Naeem,4 Davit Khachatryan,4 Imran B Chaudhry2 1School of Medicine, 2Neurosciences and Psychiatry Unit, University of Manchester, Manchester, 3Early Intervention Service, Lancashire Care NHS Foundation Trust, Preston, UK; 4Queen’s University, Kingston, Ontario, Canada Aim: There is evidence that childhood trauma is a risk factor for the development of psychosis and it is recommended that childhood trauma is inquired about in all patients presenting with psychosis. This study aimed to determine the prevalence of childhood trauma in patients in the UK Early Intervention Service based on a case note review.Methods: This is a retrospective case note study of 296 patients in an UK Early Intervention Service. Trauma history obtained on service entry was reviewed and trauma experienced categorized. Results were analyzed using crosstab and frequency analysis.Results: The mean age of the sample was 24 years, 70% were male, 66% were White, and 23% Asian (ethnicity not documented in 11% of the sample). Approximately 60% of patients reported childhood trauma, 21% reported no childhood trauma, and data were not recorded for the remaining 19%. Among those reporting trauma, the prevalence of most frequently reported traumas were: severe or repeated disruption (21%), parental mental illness (19%), bullying (18%), absence of a parent (13%), and ‘other’ trauma (24%) – the majority of which were victimization events. Sixty-six percent of those reporting trauma had experienced multiple forms of trauma.Conclusion: A high prevalence of childhood trauma (particularly trauma related to the home environment or family unit) was reported. This is consistent with other studies reporting on trauma and psychosis. The main weakness of the study is a lack of a control group reporting experience of childhood trauma in those without psychosis. Guidelines recommend that all patients with psychosis are asked about childhood trauma; but in 19% of our sample there was no documentation that this had been done indicating the need for improvement in assessment. Keywords: childhood trauma, psychosis, abuse, bullying, family
format	article
author	Reeder FD Husain N Rhouma A Haddad PM Munshi T Naeem F Khachatryan D Chaudhry IB
author_facet	Reeder FD Husain N Rhouma A Haddad PM Munshi T Naeem F Khachatryan D Chaudhry IB
author_sort	Reeder FD
title	The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
title_short	The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
title_full	The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
title_fullStr	The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
title_full_unstemmed	The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study
title_sort	relationship between childhood trauma and adult psychosis in a uk early intervention service: results of a retrospective case note study
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/1c1095e51fac4867a44e2f2b16a78c9b
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The relationship between childhood trauma and adult psychosis in a UK Early Intervention Service: results of a retrospective case note study

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