EPP100 - Childhood trauma subtypes and specific symptom expression in first-episode psychosis
EPP100
Childhood trauma subtypes and specific symptom expression in first-episode psychosis
S. Hamzaoui 1,*, K. Mahfoudh 1, S. Walha 1, R. Lansari 1, A. Larnaout 1
1Department of psychiatry D, Razi Hospital, Manouba, Tunisia
Introduction: Childhood trauma is a well-established risk factor for psychosis. Beyond its global effect on symptom severity and prognosis, emerging evidence suggests that distinct trauma subtypes may be linked to specific psychotic symptoms.
Objectives: This study examined the associations between childhood maltreatment and individual symptom dimensions in first-episode psychosis (FEP).
Methods: We recruited 65 outpatients with FEP stabilized for at least three months. Childhood trauma was assessed with the Childhood Trauma Questionnaire–Short Form (CTQ-SF), and symptoms with the Positive and Negative Syndrome Scale (PANSS). Correlations were explored between CTQ subscales and PANSS items. A p-value < 0.05 was considered statistically significant.
Results: The total CTQ score correlated positively with delusions (p=0.017, r=0.307), suspiciousness/persecution (p=0.025, r=0.289), unusual thought content (p=0.002, r=0.394), poor judgment and lack of insight (p=0.049, r=0.256), and poor impulse control (p=0.033, r=0.276). The significant correlations between CTQ subscales ans PANSS items are summarized in Table 1.
Table 1 : Correlations between types of Childhood adversity and PANSS Items
Type of Adversity |
PANSS Items |
p-value |
r |
|
Emotional abuse |
Delusions |
0.004 |
0.369 |
|
Suspiciousness/Persecution |
0.009 |
0.335 | |
|
Unusual thought content |
0.001 |
0.425 | |
|
Physical abuse |
Delusions |
0.009 |
0.334 |
|
Suspiciousness/Persecution |
0.042 |
0.263 | |
|
Unusual thought content |
0.000 |
0.440 | |
|
Sexual abuse |
Poor judgment and lack of insight |
0.036 |
0.271 |
|
Emotional neglect |
Inattention |
0.025 |
0.290 |
|
Physical neglect |
Inattention |
0.008 |
0.341 |
Conclusions: Our findings highlight the impact of early adversity on psychosis expression. Abuse was strongly related to positive symptoms while neglect was linked to attentional and social deficits. These results support the importance of trauma-based, individualized approaches in early intervention.
Disclosure of Interest: None Declared