Dissociative symptoms in patients with schizophrenia: relationships with childhood trauma and psychotic symptoms

Schäfer, Ingo; Fisher, Helen L.; Aderhold, Volkmar; Huber, Bárbara; Hoffmann-Langer, Liv; Golks, Dietmar; Karow, Anne; Ross, Colin A.; Read, John; Harfst, Timo

doi:10.1016/j.comppsych.2011.05.010

Cited by 84 publications

(80 citation statements)

References 45 publications

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“…In schizophrenia (SCZ), ACE increase the risk of developing the illness (Jones et al, 1994) and worsen outcome (Rosenberg et al, 2007). A number of studies demonstrated that ACE associated with more severe positive symptoms (increased hallucinations, delusions), dissociative phenomena, levels of general psychopathology, social impairment, and worse cognitive functioning (Gil et al, 2009;Holowka et al, 2003;Lysaker et al, 2001;Rosenberg et al, 2007;Ross et al, 1994;Schafer et al, 2012;Schenkel et al, 2005). ACE also influence brain activity in response to emotional stimuli in amygdala, hippocampus, prefrontal, and cingulate cortex, affecting GM structure and function in healthy controls (HC) and in patients with SCZ Dannlowski et al, 2012b;Dannlowski et al, 2012a;Taylor et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences influence the detrimental effect of bipolar disorder and schizophrenia on cortico-limbic grey matter volumes

Poletti

Vai

Smeraldi

et al. 2016

Journal of Affective Disorders

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Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences influence the detrimental effect of bipolar disorder and schizophrenia on cortico-limbic grey matter volumes

Poletti

Vai

Smeraldi

et al. 2016

Journal of Affective Disorders

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“…In addition, childhood trauma is associated with lower self-esteem (Fowke et al 2012), and elevated behavioural hostility (Lysaker et al 2002) dissociative symptoms (Sar et al 2010;Schäfer et al 2012;Braehler et al 2013) and suicide risk (Etain et al 2013;Ferraz et al 2013;Links et al 2013) compared with those patients without exposure to trauma. These factors may also be driving poor functioning.…”

Section: Clinical Symptomsmentioning

confidence: 99%

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Cotter

Kaess

Yung

2014

Ir. j. psychol. Med.

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Objectives. We aimed to examine the association between childhood trauma and functional impairment in psychotic disorders, bipolar disorder and borderline personality disorder, to speculate on possible mechanisms that underlie this association and discuss the implications for clinical work.Methods. Narrative review of the peer-reviewed English language literature in the area.Results. High rates of childhood trauma in psychotic disorders, bipolar disorder and borderline personality disorder were identified. This was associated with impaired social and occupational functioning in both the premorbid and established phases of each of these psychiatric disorders over and above the deficits typically observed in these populations. Possible mechanisms mediating this relationship include neurocognitive deficits, insecure attachment, higher rates of comorbidities and problems with adherence and response to treatment. Conclusions.Routine clinical inquiry about childhood maltreatment should be adopted within mental health settings. This has potentially important treatment implications for identifying those individuals at elevated risk of functional disability. While there is no clear guidance currently available on how to target childhood trauma in the treatment of psychotic disorders, bipolar disorder or borderline personality disorder, there are several promising lines of enquiry and further research is warranted.

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“…Dissociation is in general linked to positive symptoms of schizophrenia (Spitzer et al, 1997), but dissociative amnesia is related to negative symptoms (Vogel et al, 2009a). In respect to a type of trauma, dissociation has been found related to emotional and physical abuse (Schafer et al, 2012), physical abuse and neglect (Sar et al, 2010), and childhood neglect (Vogel et al, 2009b). Dissociation is probably state related and diminishes in a course of treatment of acute in-patients (Schafer et al, 2012).…”

Section: Trauma and Dissociationmentioning

confidence: 99%

“…In respect to a type of trauma, dissociation has been found related to emotional and physical abuse (Schafer et al, 2012), physical abuse and neglect (Sar et al, 2010), and childhood neglect (Vogel et al, 2009b). Dissociation is probably state related and diminishes in a course of treatment of acute in-patients (Schafer et al, 2012).…”

Section: Trauma and Dissociationmentioning

confidence: 99%

“…Across research reports chronic complex dissociation ranges between 25-40% in patients treated for schizophrenia (Ross, 2009). Dissociation has been considered to be associated with childhood trauma in many studies and a subgroup of schizophrenia patients with more frequent childhood trauma history and more severe symptoms of dissociation has been identified (Moskowitz et al , 2009;Sar et al, 2010;Schafer et al, 2012). Ross (2009) proposed a separated dissociative type of schizophrenia characterized by a history of severe chronic childhood trauma, prominent dissociative symptoms and a lack of cognitive disorganization or thought disorder.…”

Section: Trauma and Dissociationmentioning

confidence: 99%

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Trauma, Dissociation and Synthetic Metacognition in Schizophrenia

2015

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Both childhood trauma and dissociation are associated with schizophrenia. More rudimentary form of dissociation known already from Eugen Bleuler as splitting of association is theoretically close to the modern concept of synthetic metacognition in schizophrenia. The synthetic metacognition as a psychological process is described as a capability to synthesize intentions, thoughts, feelings, and connections between events, and to integrate them into larger complex representations of self and others. Disturbed synthetic metacognition was found in early as well as in late forms of schizophrenia and has its typical formula. Deficit of synthetic metacognition is related to symptoms of schizophrenia and psychosocial functions. Synthetic metacognition is measurable by analyzing discourse using standardized procedures. The level of metacognition is assessed from the sample of narrative on the basis of the Metacognitive Assessment Scale -Abbreviated (MAS-A). Psychotherapies focused on strengthening of metacognitive functions concentrate on integration of fragmented mental content or on promoting of formation of stable mental representations in this disorder.

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Dissociative symptoms in patients with schizophrenia: relationships with childhood trauma and psychotic symptoms

Cited by 84 publications

References 45 publications

Adverse childhood experiences influence the detrimental effect of bipolar disorder and schizophrenia on cortico-limbic grey matter volumes

Adverse childhood experiences influence the detrimental effect of bipolar disorder and schizophrenia on cortico-limbic grey matter volumes

Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

Trauma, Dissociation and Synthetic Metacognition in Schizophrenia

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