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The impact of traumatic childhood events on functioning in patients with schizophrenia

Published online by Cambridge University Press:  01 September 2022

C. Neily ,
N. Charfi ,
G. Smaoui ,
R. Feki ,
S. Omri ,
L. Zouari ,
J. Ben Thabet ,
M. Maâlejboauli  and
M. Maalej
C. Neily*
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
N. Charfi
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
G. Smaoui
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
R. Feki
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
S. Omri
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
L. Zouari
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
J. Ben Thabet
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
M. Maâlejboauli
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
M. Maalej
Affiliation:
Hedi Chaker hospital, Psychiatry Department, SFAX, Tunisia
*
*Corresponding author.

Abstract

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Introduction

A history of adverse childhood experiences (ACEs) can increase the risk of schizophrenia spectrum disorders and might be related to unfavorable clinical and functional outcomes of psychosis

Objectives

To assess the relationship between the history of ACEs and functioning in stabilized patients with schizophrenia or schizoaffective disorder.

Methods

We conducted a cross-sectional, descriptive and analytical study. It was carried out on out patients with stabilized schizophrenia or schizoaffective disorder. The diagnosis of schizophrenia and schizoaffective disorder was established based on DSM-5 criteria. We used the ACEs scale to screen for traumatic events that occurred in the childhood and we used the Functional Assessment Staging Scale (FAST) to assess the patients’ ability to function and perform tasks of daily living

Results

Seventy five patients were included.The mean age was 39.81 ±9.96 years.The sex ratio was 4 .34. The mean score of ACE was 3.55 ± 2.41 and 88% of patients had experienced at least one traumatic event.The mean sore of the FAST scale was 33 ± 14.95.The total score of FAST was significantly higher in case of physical negligence in childhood (p=0.018). No correlation was found with the others ACEs.The FAST sub score of cognitive functioning correlated with the history of parents separation (p= 0.47) and physical negligence (p= 0.03). we also found that The FAST sub score of interpersonal relationships correlated with the history of emotional abuse (p=0.021)

Conclusions

Our data has shown that ACEs contribute to functioning impairment in schizophrenia and schizoaffective disorder.This impairment affects mainly the cognitive functioning and the interpersonal relationships

Disclosure

No significant relationships.

Keywords

adverse childhood experiencesschizophrénia
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S769
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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