Relación entre psicosis y experiencias traumáticas tempranas
- Ordóñez Camblor, Nuria 1
- Lemos Giráldez, Serafín 1
- Paino Piñeiro, María de las Mercedes 1
- Fonseca Pedrero, Eduardo 2
- García Alvarez, Leticia 1
- Pizarro Ruiz, Juan Pablo 3
-
1
Universidad de Oviedo
info
-
2
Universidad de La Rioja
info
-
3
Universidad de Burgos
info
ISSN: 0066-5126
Any de publicació: 2014
Volum: 44
Número: 3
Pàgines: 283-294
Tipus: Article
Altres publicacions en: Anuario de psicología
Resum
Estudios previos han destacado el papel de las experiencias traumáticas tempranas como un factor predisponente importante de gran variedad de alteraciones psicopatológicas. Sin embargo, el papel del trauma en el desarrollo de la psicosis es un área poco estudiada a día de hoy, especialmente en nuestro país. En este sentido, el objetivo de esta investigación fue analizar la prevalencia de diferentes experiencias traumáticas tempranas en una muestra clínica de 48 pacientes psicóticos (31 varones y 17 mujeres) y estudiar el posible efecto que dichas experiencias tienen en el curso y en la evolución de los trastornos psicóticos. Los resultados mostraron que el 75% de los pacientes estudiados refirieron historia previa de trauma, no existiendo entre varones y mujeres importantes diferencias en la prevalencia de dichas experiencias. Sí se encontraron diferencias en la presencia de sintomatología positiva, siendo más frecuente en los pacientes con historia previa de experiencias traumáticas. Estos resultados ponen de manifiesto la relación existente entre experiencias traumáticas tempranas y psicosis, sin embargo, aún hay que seguir profundizando en el estudio de dicha relación para estudiar cómo afecta al curso y a la evolución de los trastornos psicóticos.
Referències bibliogràfiques
- Álvarez, M.J., Roura, P., Osés, A., Forguet, Q., Solá, J., Arrufat, F.X. (2011). Prevalence and clinical impact of childhood trauma in patients with severe mental disorders. The Journal of Nervous and Mental Disease, 199 (3), 156-161.
- Bendall, S., Jackson, H.J., Hulbert, C.A., McGorry, P.D. (2008). Childhood trauma and psychotic disorders: A systematic, critical review of the evidence. Schizophrenia Bulletin, 34(3), 568-579.
- Falukozi, E., Addington, J. (2012). Impact of trauma on attenuated psychotic symptoms. Psychosis, 4(3), 203-212.
- Friedman, S., Smith, L., Fogel, D., Paradis, C., Viswanathan, R., Ackerman, R., Trappler, B. (2002). The incidence and influence of early traumatic life events in patients with panic disorder: A comparison with other psychiatric outpatients. Journal Anxiety Disorders, 16(3), 259-272.
- Hammersley, P., Dias, A., Todd, G., Bowen-Jones, K., Reilly, B., Bentall, R.P. (2003). Childhood trauma and hallucinations in bipolar affective disorder: Preliminary investigation. The Brithis Journal of Psychiatry, 182, 543-547.
- Hardy, A., Fowler, D., Freeman, D., Smith, B., Steel, C., Evans, J., ... Dunn, G. (2005). Trauma and hallucinatory experience in psychosis. Journal of Nervous and Mental Disease, 193(8), 501-507.
- Heins, T., Gray, A., Tennant, M. (1990). Persisting hallucinations following childhood sexual abuse. Australian and New Zealand Journal of Psychiatry, 24(4), 561-565.
- Holowka, D.W., King, S., Saheb, D., Pukall, M., Brunet, A. (2003). Childhood abuse and dissociative symptoms in adult schizophrenia. Schizophrenia Research, 60(1), 87-90.
- Janssen, I., Krabbendam, L., Bak, M., Hanssen, M., Vollebergh, W., de Graaf, R., van Os, J. (2004). Childhood abuse as a risk factor for psychotic experiences. Acta Psychiatrica Scandinavica, 109(1), 38-45.
- Kendler, K.S., Bulik, C.M., Silberg, J., Hettema, J.M., Myers, J., Prescott, C.A. (2000). Childhood sexual abuse and adult psychiatric and substance use disorders in women: An epidemiological and cotwin control analysis. Archives of General Psychiatry, 57(10), 953-959.
- Lataster, J., Myin-Germeys, I., Lieb, R., Wittchen, H.U., van Os, J. (2012). Adversity and psychosis: A 10-year prospective study investigating synergism between early and recent adversity in psychosis. Acta Psychiatrica Scandinavica, 125(5), 388-399.
- Lysaker, P.H., Beattie, N.L., Strasburger, A.M., Davis, L.W. (2005). Reported history of child sexual abuse in schizophrenia: Associations with heightened symptom levels and poorer participation over four months in vocational rehabilitation. Journal of Nervous and Mental Disease, 193(12), 790-795.
- McGrath, J., Saha, S., Chant, D., Welham, J. (2008). Schizophrenia: A concise overview of incidence, prevalence, and mortality. Epidemiologic Reviews, 30, 67-76.
- MacMillan, H.L., Fleming, J.E., Streiner, D.L., Lin, E., Boyle, M.H., Jamieson, E., ... Beardslee, M.D. (2001). Childhood abuse and lifetime psychopathology in a community sample. American Journal of Psychiatry, 158(11), 1878-1883.
- Margo, G. M., McLees, E.M. (1991). Further evidence for the significance of a childhood abuse history in psychiatric inpatients. Comprehensive Psychiatry, 32(4), 362-366.
- Morgan, C., Fisher, H. (2007). Environment and schizophrenia: Environmental factors in schizophrenia: childhood trauma-A critical review. Schizophrenia Bulletin, 33(1), 3-10.
- Muenzenmaier, K., Meyer, I., Struening, E., Ferber, J. (1993). Childhood abuse and neglect among women outpatients with chronic mental illness. Hospital and Community Psychiatiy, 44(7), 666-670.
- Nelson, E.C., Heath, A.C., Madden, P.A., Cooper, M.L., Dinwiddie, S.H., Bucholz, K.K., ... Martin, N.G. (2002). Association between self-reported childhood sexual abuse and adverse psychosocial outcomes: Results from a twin study. Archives of General Psychiatry, 59(2), 139-145.
- Pereda, N., Gallardo-Pujol, D., Jiménez Padilla, R. M. (2011). Trastornos de la personalidad en víctimas de abuso sexual infantil. Actas Españolas de Psiquiatría, 39(2), 131-139.
- Read, J., Agar, K., Argyle, N., Aderhold, V. (2003). Sexual and physical abuse during childhood and adulthood as predictors of hallucinations, delusions and thought disorder. Psychology and Psychotherapy, 76, 1-22.
- Read, J, Bentall, R. (2012) Negative childhood experiences and mental health: Theoretical, clinical and primary prevention implications. The British Journal of Psychiatry, 200, 89-91. doi:10.1192/bjp.bp.111.096727.
- Read, J., Bentall, R.P., Fosse, R. (2009). Time to abandon the bio-bio-bio model of psychosis: Exploring the epigenetic and psychological mechanisms by which adverse life events lead to psychotic symptoms. Epidemiologia e Psichiatria Sociale, 18, 299-310.
- Read, J., van Os, J., Morrison, A.P., Ross, C.A. (2005). Childhood trauma, psychosis and schizophrenia: A literature review with theoretical and clinical implications. Acta Psychiatrica Scandinavica, 112(5), 330-350.
- Resnick, S.G., Bond, G.R., Mueser, K.T. (2003). Trauma and posttraumatic stress disorder in people with schizophrenia. Journal of Abnormal Psychology, 112(3), 415-423.
- Ros-Morente, A., Vilagra-Ruiz, R., Rodriguez-Hansen, G., Wigman, J.H., Barrantes-Vidal, N. (2011). Process of adaptation to Spanish of the Community Assessment of Psychic Experiences (CAPE). Actas Españolas de Psiquiatria, 39(2), 95-105. Disponible en http://cape42.homestead.com/.
- Ross, C.A., Anderson, G., Clark, P. (1994). Childhood abuse and the positive symptoms of schizophrenia. Hospital and Community Psychiatry, 45(5), 489-491.
- Schafer, I., Harfst, T., Aderhold, V., Briken, P., Lehmann, M., Moritz, S., ... Dieter, N. (2006). Childhood trauma and dissociation in female patients with schizophrenia spectrum disorders: An exploratory study. Journal of Nervous and Mental Disease, 194(2), 135-138.
- Scheller-Gilkey, G., Thomas, S.M., Woolwine, B.J., Miller, A.H. (2002). Increased early life stress and depressive symptoms in patients with comorbid substance abuse and schizophrenia. Schizophrenia Bulletin, 28(2), 223-231.
- Shevlin, M., Houston, J. E., Dorahy, M.J., Adamson, G. (2008). Cumulative traumas and psychosis: An analysis of the national comorbidity survey and the British Psychiatric Morbidity Survey. Schizophrenia Bulletin, 34(1), 193-199.
- Shevlin, M., Murphy, J., Read, J., Mallett, J., Adamson, G., Houston, J.E. (2011). Childhood adversity and hallucinations: A community-based study using the National Comorbidity Survey Replication. Social Psychiatry and Psychiatric Epidemiology, 46(12), 1203-1210.
- Spence, W., Mulholland, C., Lynch, G., McHugh, S., Dempster, M., Shannon, C. (2006). Rates of childhood trauma in a sample of patients with schizophrenia as compared with a sample of patients with non-psychotic psychiatric diagnoses. Journal of Trauma Dissociation, 7(3), 7-22.
- Stefanis, N.C., Hanssen, M., Smirnis, N.K., Avramopoulos, D.A., Evdokimidis, I.K., Stefanis, C.N., et al. (2002). Evidence that three dimensions of psychosis have a distribution in the general population. Psychological Medicine, 32(2), 347-358.
- Thompson, A.D., Nelson, B., Yuen, H.P., Lin, A., McGorry, P.D., Wood, S.J., Yung, A.R. (2014). Sexual trauma increases the risk of developing psychosis in an ultra high-risk "prodromal" population. Schizophrenia Bulletin, 40(3), 697-706. doi:10.1093/schbul/sbt032.
- van Os, J., Kapur, S. (2009). Schizophrenia. The Lancet, 374(9690), 635-645.
- Varese F, Smeets F, Drukker M, Lieverse R, Lataster T, Viechtbauer W, Read, J., ... Bentall, R.P. (2012).Childhood adversities increase the risk of psychosis: A meta analysis of patientcontrol, prospective-And cross-sectional cohort studies. Schizophrenia Bulletin, 38, 661-671.
- Wurr, C.J., Partridge, I.M. (1996). The prevalence of a history of childhood sexual abuse in an acute adult inpatient population. Child Abuse and Neglect, 20(9), 867-872.