Life events in schizoaffective disorder: A systematic review

Vardaxi, Chrysoula Ch.; Gonda, Xénia; Fountoulakis, Konstantinos Ν.

doi:10.1016/j.jad.2017.11.076

Cited by 7 publications

(4 citation statements)

References 62 publications

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“…Bivariate correlation and multiple regression analyses revealed the effect of SLE on depression, anxiety and general health controlling for sociodemographic variables. In line with other studies (Spinhoven et al 2010;Vardaxi et al 2018;Kessler 1997), aggregated SLEs in terms of SLE sum scores were significant and consistent positive predictors of both indicators of mental distress. Weaker or no effects were found between cumulated SLEs and general health.…”

Section: Discussionsupporting

confidence: 91%

Frequency of stressful life events and associations with mental health and general subjective health in the general population

Tibubos

Burghardt

Klein

et al. 2020

J Public Health (Berl.)

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Aim We aim to determine the frequency of stressful life events (SLEs) and investigate the association of single and aggregated SLEs with mental health and general subjective health, which has not been reported for an aging representative sample to date. Subjects and methods A total of 12,947 participants (35-74 years old) of the Gutenberg Health Study (GHS) in Germany were analyzed. SLEs were analyzed at the item and aggregated level with unweighted and weighted sum scores. Additionally, the survey included measures of mental health, general subjective health and demographics. Descriptive analyses were stratified by sex, age and socioeconomic status. Results Multivariate analyses of variance with SLE at the item level revealed large main effects for sex (η p 2 = 0.30) and age (η p 2 = 0.30); a moderate effect was found for socioeconomic status (η p 2 = 0.08). Interaction effects of sex with age and SES were also significant, but with negligible effect sizes. Regression analyses revealed similar results for unweighted and weighted SLE sum scores controlling for sociodemographic variables, supporting the detrimental relations among cumulated SLEs, depression (β = 0.18/0.19) and anxiety (β =0.17/0.17), but not general health. Mental health indicators showed the highest correlations with single SLEs such as change of sleep habits or personal finances. Severe SLEs according to proposed weight scores showed no or only weak associations with mental health. Conclusion Representative data support a more distinct impact of SLEs on mental health than on general health. Single SLEs show strong associations with mental health outcome (e.g., change of sleep habits). The low associations between severe single SLEs and mental health merit further attention.

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Section: Discussionsupporting

confidence: 91%

Frequency of stressful life events and associations with mental health and general subjective health in the general population

Tibubos

Burghardt

Klein

et al. 2020

J Public Health (Berl.)

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“…These data are beyond the 70% of lifetime prevalence of one psychological trauma event found in the world-wide adult population [6], indicating that this population is vulnerable to suffering a greater number of negative life experiences than the general population [43]. Furthermore, our sample presented an overwhelming number of stressful life events in the 12 months prior to evaluation, supporting again the evidence of a high exposure to adverse events in both groups, which is similar to other psychiatric disorders, such as depression, bipolar disorder, or schizoaffective disorders [44][45][46][47].…”

Section: Discussionsupporting

confidence: 77%

Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics

Blanco

Sió²,

Hogg

et al. 2020

JCM

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Psychological trauma has been identified in substance use disorders (SUD) as a major etiological risk factor. However, detailed and systematic data about the prevalence and types of psychological trauma in dual disorders have been scarce to date. In this study, 150 inpatients were recruited and cross-sectionally screened on their substance use severity, psychological trauma symptoms, comorbidities, and clinical severity. One hundred patients fulfilled criteria for a dual disorder, while 50 patients were diagnosed with only SUD. Ninety-four percent of the whole sample suffered from at least one lifetime traumatic event. The prevalence rates of Posttraumatic Stress Disorder diagnosis for dual disorder and only SUD was around 20% in both groups; however, patients with dual disorder presented more adverse events, more childhood trauma, more dissociative symptoms, and a more severe clinical profile than patients with only SUD. Childhood maltreatment can also serve as a predictor for developing a dual disorder diagnosis and as a risk factor for developing a more complex and severe clinical profile. These data challenge our current clinical practice in the treatment of patients suffering from dual disorder or only SUD diagnosis and favor the incorporation of an additional trauma-focused therapy in this population. This may improve the prognosis and the course of the illness in these patients.

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“…Understanding these issues is of interest to both gerontology and geriatric medicine, since different studies have shown that the accumulation of stressful events has an effect on the mental and physical health of older people (Kahana et al, 2012; Lim et al, 2015; Tibubos et al, 2020; Vardaxi et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Stressful Events in Old Age: Who are Most Exposed and Who are Most Likely to Overcome Them

Herrera

Fernández

2020

Gerontology and Geriatric Medicine

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Objectives: This study investigated self-reported events that were rated as stressful and being affecting wellbeing among older people. It also examined the variables associated with the perception of overcoming these stressful events. Methods: Face-to-face survey on a representative sample of 1,431 older people in Santiago-Chile. Instruments included open-ended questions for distinguishing events as losses, problems, conflicts, and others’ difficulties. The associations between the occurrence and overcoming of events with individual and social characteristics were examined through multivariate logistic regression. Results: 39.5% mentioned at least one stressful event, being mostly perceived as solvable problems rather than losses. Higher-income, better health, self-efficacy, and social support were associated with a higher perception of event overcoming. Conclusion: The occurrence and the probability of events’ overcoming does not increase in old-old age in this sample group. Better health and individual and social resources such as self-efficacy and social support, are protective resources for overcoming the stressful events, but they are not generally considered in public policies.

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Life events in schizoaffective disorder: A systematic review

Cited by 7 publications

References 62 publications

Frequency of stressful life events and associations with mental health and general subjective health in the general population

Frequency of stressful life events and associations with mental health and general subjective health in the general population

Traumatic Events in Dual Disorders: Prevalence and Clinical Characteristics

Stressful Events in Old Age: Who are Most Exposed and Who are Most Likely to Overcome Them

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