Traumatisme sexuel ou physique dans l’enfance : quel impact sur l’évolution d’un premier épisode psychotique ? [Sexual and physical abuse during childhood; what is the impact on outcome in first episode psychosis patients?]

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State: Public
Version: Final published version
License: All rights reserved
Serval ID
serval:BIB_0DAE5998AC45
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Traumatisme sexuel ou physique dans l’enfance : quel impact sur l’évolution d’un premier épisode psychotique ? [Sexual and physical abuse during childhood; what is the impact on outcome in first episode psychosis patients?]
Journal
L'Encephale
Author(s)
Thonney J., Conus P., Golay P.
ISSN
0013-7006 (Print)
ISSN-L
0013-7006
Publication state
Published
Issued date
06/2021
Peer-reviewed
Oui
Volume
47
Number
3
Pages
215-220
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
If exposure to childhood trauma increases the risk to later develop a psychotic disorder, the impact of such events on clinical presentation and outcome after a first psychotic episode deserves attention both in order to identify specific patients' needs and to develop adapted therapeutic interventions.
Three hundred and sixty-two patients treated at TIPP-Lausanne, a specialized program for the treatment of the early phase of psychotic disorders, were assessed prospectively, from baseline and every six months until the end of the 36 months of treatment. We compared characteristics of patients exposed to childhood sexual and/or physical abuse to those of non-exposed patients.
One hundred and eight patients (29.8 %) were exposed to at least one episode of physical and/or sexual abuse during childhood. Exposed patients displayed higher levels of positive and depressive symptoms and had lower levels of functioning throughout the entire three year follow-up period.
The prevalence of exposure to major traumatic events during childhood in early psychosis patients is very high, and it has an important impact on symptomatic and functional outcome. However, when clinical care is adapted, such patients seem to have a great potential for recovery. This justifies the implementation of specialized early psychosis programs and additional research in order to develop specific and adapted therapeutic strategies for such patients.
Keywords
Abus physique, Abus sexuel, Early intervention, Intervention précoce, Physical abuse, Prognosis, Pronostic, Psychose, Psychosis, Sexual abuse, Trauma
Pubmed
Web of science
Create date
22/06/2020 7:58
Last modification date
19/08/2021 6:38
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