Relationship between childhood trauma and social adaptation in a sample of young people attending an early intervention service for psychosis

Ortega, Laura; Montalvo, Itziar; Solé, Montse; Creus, Marta; Cabezas, Ángel; Gutiérrez-Zotes, Alfonso; Vilella, Elisabet; Labad, Javier

doi:10.1016/j.rpsmen.2020.08.002

Cited by 2 publications

(5 citation statements)

References 29 publications

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“…As suggested in our narrative review, depressive symptoms and maladaptive personality traits might be mediators in the pathway between CM and social functioning (Andrianarisoa et al, 2017;Ortega et al, 2020) which is in line with previous research (Alameda et al, 2017;Kampling et al, 2022) and a model on the affective pathway to psychosis (Alameda, Conus, Ramain, Solida, & Golay, 2022;Alameda et al, 2020), suggesting that treatment of sub-diagnostic levels of depressive symptoms and psychotherapy targeting personality functioning (Kampling et al, 2022) (and therapeutic relationship) (Picken, Berry, Tarrier, & Barrowclough, 2010) could help to improve psychotic symptoms, as well as social outcomes.…”

Section: Discussionsupporting

confidence: 88%

“…There was some evidence ( n = 3) for a mediation role of depressive symptoms between CM and impaired global social functioning in schizophrenia (Andrianarisoa et al, 2017 ), and occupational functioning in FEP (Ortega et al, 2020 ), as well as emotion processing in PD (Aas et al, 2017 ). There is also evidence ( n = 2) that maladaptive personality traits (Boyette et al, 2014 ; Lopez-Mongay et al, 2021 ) may mediate between CM and social functioning and relations.…”

Section: Resultsmentioning

confidence: 99%

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Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis

et al. 2023

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Childhood maltreatment (CM) has been related to social functioning and social cognition impairment in people with psychotic disorders (PD); however, evidence across different CM subtypes and social domains remains less clear. We conducted a systematic review and meta-analysis to quantify associations between CM, overall and its different subtypes (physical/emotional/sexual abuse, physical/emotional neglect), and domains of social functioning and social cognition in adults with PD. We also examined moderators and mediators of these associations. A PRISMA-compliant systematic search was performed on 24 November 2022 (PROSPERO CRD42020175244). Fifty-three studies (N = 13 635 individuals with PD) were included in qualitative synthesis, of which 51 studies (N = 13 260) with 125 effects sizes were pooled in meta-analyses. We found that CM was negatively associated with global social functioning and interpersonal relations, and positively associated with aggressive behaviour, but unrelated to independent living or occupational functioning. There was no meta-analytic evidence of associations between CM and social cognition. Meta-regression analyses did not identify any consistent moderation pattern. Narrative synthesis identified sex and timing of CM as potential moderators, and depressive symptoms and maladaptive personality traits as possible mediators between CM and social outcomes. Associations were of small magnitude and limited number of studies assessing CM subtypes and social cognition are available. Nevertheless, adults with PD are at risk of social functioning problems after CM exposure, an effect observed across multiple CM subtypes, social domains, diagnoses and illness stages. Maltreated adults with PD may thus benefit from trauma-related and psychosocial interventions targeting social relationships and functioning.

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Section: Discussionsupporting

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis

et al. 2023

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“…1 ). It included 13 standalone CHR-P services from Australia [ 17 – 20 ], Brazil [ 21 ], Germany [ 22 ], Netherlands [ 23 ], Poland [ 24 , 25 ], South Korea [ 26 ], Singapore [ 27 , 28 ], UK [ 29 – 36 ], and US [ 37 , 38 ], and 40 integrated CHR-P services from Australia [ 39 – 42 ], Canada [ 43 , 44 ], Chile [ 45 ], China (Hong Kong) [ 46 – 48 ], France [ 49 ], Greece [ 50 , 51 ], Italy [ 52 – 61 ], Japan [ 62 ], Norway [ 63 , 64 ], South Korea [ 65 ], Spain [ 66 , 67 ], Switzerland [ 68 – 71 ], Tunisia [ 72 ], UK [ 36 , 73 , 74 ]; three networks of CHR-P services: the Early Detection Intervention and Prevention of Psychosis Program (EDIPPP) [ 75 , 76 ], the Pan-London Network for Psychosis Prevention (PNP) [ 36 ], and Swiss Early Psychosis Project (SWEPP) [ 70 ]; five studies on national or regional surveys: 18 Early Intervention Services (EIS) from Canada [ 77 ], 45 [ 78 ] and 46 [ 79 ] EIS from Italy (two different surveys), 11 EIS from Portugal [ 80 ], and 50 EIS from the United Kingdom [ 81 ]; and one global survey of 47 CHR-P services [ 11 ] (eFig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…[ 39 ] • Comprehensive assessment of lifetime exposure to traumatic events. [ 30 , 67 , 71 ] Social and cultural Universal strategies and corresponding good mental health domains • Mental health awareness and promotion campaigns for the general population, parents, and families. [ 19 , 21 , 22 , 24 , 25 , 27 , 29 , 32 , 36 – 38 , 40 , 44 – 49 , 52 , 56 , 57 , 62 – 64 , 68 – 70 , 75 , 77 , 79 ] Mental health literacy, attitude towards mental disorders • Service-user involvement for the promotion of mental health literacy.…”

Section: Resultsmentioning

confidence: 99%

“…Service delivery has been adapted to respond to traumatic exposures in different ways, either by conducting community engagement projects specifically targeting asylum seekers and refugees [ 32 ], or by adopting a trauma-sensitive model of care [ 39 ], and conducting comprehensive assessments of lifetime exposure to adverse events (e.g. sexual abuse, emotional abuse, physical abuse, and neglect) as part of regular clinical operations [ 30 , 67 , 71 ].…”

Section: Resultsmentioning

confidence: 99%

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Public health primary prevention implemented by clinical high-risk services for psychosis

et al. 2022

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Clinical High Risk for Psychosis (CHR-P) services have been primarily developed to support young people with attenuated symptoms (indicated prevention). No evidence-based appraisal has systematically investigated to what extent these clinics may implement other preventive approaches. PRISMA 2020-compliant systematic review of Web of Science, Cochrane Central Register of Reviews, and Ovid/PsychINFO, from inception until 14th June 2021, identifying original studies describing public health strategies: (a) service characteristics (configuration of mental health service, outreach, pathways to care); (b) universal interventions (general population); (c) selective interventions targeting CHR-P service-users or family/carers. Public health preventive initiatives were systematically stratified according to core social determinants of mental disorders associated with the 2030 Sustainable Development Goals promoted by the United Nations Member States (UN 2030 SDG) and good mental health outcomes. A total of 66 publications were included, providing data on 13 standalone, 40 integrated, three networks, and six regional or international surveys of CHR-P services across Europe, Asia, Oceania, Africa, North and South America, providing care to >28 M people. CHR-P services implement numerous public health initiatives targeting social and cultural (16 initiatives), economic (seven initiatives), demographic (six initiatives), environmental events (four initiatives) and neighbourhood (three initiatives) UN 2030 SGD determinants of mental disorders. There is additional evidence for CHR-P services promoting good mental health. The main barriers were the lack of resources for expanding public health prevention at a large scale. CHR-P services implement numerous public health prevention initiatives and promotion of good mental health beyond indicated prevention of psychosis.

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Relationship between childhood trauma and social adaptation in a sample of young people attending an early intervention service for psychosis

Cited by 2 publications

References 29 publications

Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis

Examining associations, moderators and mediators between childhood maltreatment, social functioning, and social cognition in psychotic disorders: a systematic review and meta-analysis

Public health primary prevention implemented by clinical high-risk services for psychosis

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