El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar

Background: A history of child abuse is common and has a significant impact in the clinical course of patients diagnosed with bipolar disorders (BD). Aims: To assess the frequency of child abuse experiences in patients BD type I and to evaluate its association with clinical course and cognitive fu...

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Autores principales: Ríos,Ulises, Moya,Pablo R., Urrejola,Óscar, Hermosilla,Jimena, Gonzalez,René, Muñoz,Paulina, Moran,Javier, Solervicens,Paula, Jiménez,Juan Pablo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200204
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spelling oai:scielo:S0034-988720200002002042020-06-11El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolarRíos,UlisesMoya,Pablo R.Urrejola,ÓscarHermosilla,JimenaGonzalez,RenéMuñoz,PaulinaMoran,JavierSolervicens,PaulaJiménez,Juan Pablo Bipolar Disorder Child Abuse Cognition Psychological Trauma Suicide, Attempted Background: A history of child abuse is common and has a significant impact in the clinical course of patients diagnosed with bipolar disorders (BD). Aims: To assess the frequency of child abuse experiences in patients BD type I and to evaluate its association with clinical course and cognitive functioning variables. Material and Methods: 117 patients with BD aged 45 ± 14 years (66% women) answered the Childhood Trauma Questionnaire (CTQ). The clinical course (illness onset, history of suicide attempts and number of hospitalizations) was obtained from medical records. Cognitive functioning was evaluated through social and non-social cognition tasks. Results: 64% of participants reported some type of child abuse. This variable was associated with an early onset of the disease (Odds ratio (OR) = 3.3; p < 0.02), increased risk of suicide attempts (OR = 2.4; p < 0.04) and specific disturbances in social cognitive tasks. Conclusions: Our study supports evidence of a common history of child abuse in patients with BD. Although child abuse predicts a worse clinical course, major clinical practice guidelines, as well as research designs, do not highlight this evidence.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.2 20202020-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200204es10.4067/s0034-98872020000200204
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Bipolar Disorder
Child Abuse
Cognition
Psychological Trauma
Suicide, Attempted
spellingShingle Bipolar Disorder
Child Abuse
Cognition
Psychological Trauma
Suicide, Attempted
Ríos,Ulises
Moya,Pablo R.
Urrejola,Óscar
Hermosilla,Jimena
Gonzalez,René
Muñoz,Paulina
Moran,Javier
Solervicens,Paula
Jiménez,Juan Pablo
El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
description Background: A history of child abuse is common and has a significant impact in the clinical course of patients diagnosed with bipolar disorders (BD). Aims: To assess the frequency of child abuse experiences in patients BD type I and to evaluate its association with clinical course and cognitive functioning variables. Material and Methods: 117 patients with BD aged 45 ± 14 years (66% women) answered the Childhood Trauma Questionnaire (CTQ). The clinical course (illness onset, history of suicide attempts and number of hospitalizations) was obtained from medical records. Cognitive functioning was evaluated through social and non-social cognition tasks. Results: 64% of participants reported some type of child abuse. This variable was associated with an early onset of the disease (Odds ratio (OR) = 3.3; p < 0.02), increased risk of suicide attempts (OR = 2.4; p < 0.04) and specific disturbances in social cognitive tasks. Conclusions: Our study supports evidence of a common history of child abuse in patients with BD. Although child abuse predicts a worse clinical course, major clinical practice guidelines, as well as research designs, do not highlight this evidence.
author Ríos,Ulises
Moya,Pablo R.
Urrejola,Óscar
Hermosilla,Jimena
Gonzalez,René
Muñoz,Paulina
Moran,Javier
Solervicens,Paula
Jiménez,Juan Pablo
author_facet Ríos,Ulises
Moya,Pablo R.
Urrejola,Óscar
Hermosilla,Jimena
Gonzalez,René
Muñoz,Paulina
Moran,Javier
Solervicens,Paula
Jiménez,Juan Pablo
author_sort Ríos,Ulises
title El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
title_short El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
title_full El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
title_fullStr El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
title_full_unstemmed El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
title_sort el maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
publisher Sociedad Médica de Santiago
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000200204
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