Types, prevalence and gender differences of childhood trauma in first-episode psychosis. What is the evidence that childhood trauma is related to symptoms and functional outcomes in first episode psychosis? A systematic review

Vila‐Badia, Regina; Butjosa, Anna; Cacho, N. Del; Serra‐Arumí, Clara; Esteban‐Sanjusto, Marina; Ochoa, Susana; Usall, Judith

doi:10.1016/j.schres.2020.11.047

Cited by 36 publications

(24 citation statements)

References 87 publications

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“…It is not surprising to see that, similarly to UHR patients, consistent evidence of sexual abuse during childhood among people with FEP is also present in literature. A recent systematic review has indeed pointed out how its prevalence spans from 6 to 40%, with women suffering more sexual abuse compared to men ( 62 ). Moreover, the impact of childhood trauma tends to be greater on later-stage symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…Previous research highlighted how younger age, absence of peer support, unemployment, and clinical status were associated with an increased probability of condom misuse in these patients (41). Sexual knowledge among such patients is poor, not only from a physical and technical standpoint (i.e., how to perform sexual intercourse or other sexual practices) but also in terms of prevention of sexually transmissible infections (STIs) (61).…”

Section: First Episode Psychosis and Sexualitymentioning

confidence: 99%

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Sexuality in Ultra-High Risk for Psychosis and First-Episode Psychosis. A Systematic Review of Literature

et al. 2021

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A considerable body of literature reports that individuals with psychotic disorders often suffer from sexual dysfunctions (SDs), with these representing a major unmet need. Long-term antipsychotic drug treatment may be the main cause for SDs in psychotic patients, through a plethora of different mechanisms, including prolactin dyscrasia, histamine-mediated sedation, and serotonin-induced sexual demotivation. However, a few pieces of evidence treat sexuality in patients at risk or the onset of psychosis. For this purpose, we systematically reviewed literature of the last 10 years in order to investigate sexuality in ultra-high risk (UHR) for psychosis and first-episode psychosis (FEP). We included in our review 34 articles fitting our research criteria on SDs in UHR and FEP. Evidence of SDs in the transition from UHR to FEP emerges through the selected studies. In FEP, sexuality is affected by the severity of the psychotic symptoms and, in some cases, by the iatrogenic effects of psychopharmacological treatment. Further experimental and clinical studies should systematically investigate the role of sexual functioning in the transition from UHR to FEP and, consequently, clarify whether or not SDs could be considered a possible marker for the onset of psychosis in at-risk populations. Moreover, psychiatrists and clinical psychologists should take into consideration the role of sexual life in young people with prodromal mental symptoms or at the onset of psychosis. Focusing on a thorough sexual evaluation might be a major challenge that could break down barriers of mental health promotion among young people with schizophrenia-spectrum disorders and therefore achieve better clinical outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: First Episode Psychosis and Sexualitymentioning

confidence: 99%

Sexuality in Ultra-High Risk for Psychosis and First-Episode Psychosis. A Systematic Review of Literature

et al. 2021

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“…The suggestion that women's experiences in emotions are different from those of men, particularly but not only in cultures where gender roles and labels are still persistent, is basic for improving the study of gender-related issues and improving care programs that especially look at women's mental health [34]. For example, it could be useful to take into account that women have a unique risk for developing psychosis in the peripartum period and traumatic events such as intimate partner violence, which affects more women than men, and is linked to an increased risk of psychotic experiences [17,40].…”

Section: Discussionmentioning

confidence: 99%

Psychosis in Women: Time for Personalized Treatment

Mazza

Caroppo

Berardis

et al. 2021

JPM

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Early detection and prompt treatment of psychosis is of the utmost importance. The great variability in clinical onset, illness course, and response to pharmacological and psychosocial treatment is in great part gender-related. Our aim has been to review narratively the literature focusing on gender related differences in the psychoses, i.e., schizophrenia spectrum disorders. We searched the PubMed/Medline, Scopus, Embase, and ScienceDirect databases on 31 July 2021, focusing on recent research regarding sex differences in early psychosis. Although women, compared to men, tend to have better overall functioning at psychotic symptom onset, they often present with more mood symptoms, may undergo misdiagnosis and delay in treatment and are at a higher risk for antipsychotic drug-induced metabolic and endocrine-induced side effects. Furthermore, women with schizophrenia spectrum disorders have more than double the odds of having physical comorbidities than men. Tailored treatment plans delivered by healthcare services should consider gender differences in patients with a diagnosis of psychosis, with a particular attention to early phases of disease in the context of the staging model of psychosis onset.

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“…Remarkably, an alternative study suggests that males are less likely to reveal traumatic experiences and/or any indications of maladapting in adherence with the conventions of masculinity (Vogel et al, 2014). Furthermore, there is strong evidence that experiences of trauma during childhood and early adolescence is strongly associated with the development of mental illness (Vila-Badia et al, 2021). Whether certain types of trauma will lead to more or less healthy romantic attitudes and behavior is unclear.…”

Section: Literature Reviewmentioning

confidence: 99%

Trauma, Gender, Love, and Teen Drama

Labuhn

Klimenko²

2021

UFJUR

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Research suggests that past trauma can contribute to the downfall of long-term romantic partnerships. This study implemented a content analysis of a television show 13 Reasons Why to examine the realism of the depiction of adolescents’ romantic attitudes and quality of relationships. The show is intended to depict real, unfiltered experiences of adolescents in today’s society. The specific goal of the present study was to examine the relationship between the depictions of adolescents’ romantic expressions and their experiences with trauma. Additionally, the study examined differences in the depiction of romantic expressions based on the gender of the characters. Statistical analyses revealed that past traumatic experience was the only significant predictor of romantic expressions. Specifically, characters who had experienced the most trauma were the least likely to express romantic ideals.

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Types, prevalence and gender differences of childhood trauma in first-episode psychosis. What is the evidence that childhood trauma is related to symptoms and functional outcomes in first episode psychosis? A systematic review

Cited by 36 publications

References 87 publications

Sexuality in Ultra-High Risk for Psychosis and First-Episode Psychosis. A Systematic Review of Literature

Sexuality in Ultra-High Risk for Psychosis and First-Episode Psychosis. A Systematic Review of Literature

Psychosis in Women: Time for Personalized Treatment

Trauma, Gender, Love, and Teen Drama

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