Childhood Trauma, Psychosis and Schizophrenia: a Literature Review with Theoretical and Clinical Implications
Acta Psychiatr Scand 2005: 112: 330–350 Copyright Ó 2005 Blackwell Munksgaard All rights reserved DOI: 10.1111/j.1600-0447.2005.00634.x ACTA PSYCHIATRICA SCANDINAVICA Review article Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications Read J, van Os J, Morrison AP, Ross CA. Childhood trauma, psychosis J. Read1, J. van Os2,3, and schizophrenia: a literature review with theoretical and clinical A. P. Morrison4,5, C. A. Ross6 implications. 1Department of Psychology, The University of Auckland, Acta Psychiatr Scand 2005: 112: 330–350. Ó 2005 Blackwell Munksgaard. Auckland, New Zealand, 2Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Objective: To review the research addressing the relationship of The Netherlands, 3Division of Psychological Medicine, childhood trauma to psychosis and schizophrenia, and to discuss the Institute of Psychiatry, London, 4Department of theoretical and clinical implications. Psychology, University of Manchester, Manchester, 5Psychology Services, Bolton Stafford and Trafford Method: Relevant studies and previous review papers were identified 6 via computer literature searches. Mental Health Partnership, Manchester, UK and Colin Results: Symptoms considered indicative of psychosis and A. Ross Institute for Psychological Trauma, Richardson, TX, USA schizophrenia, particularly hallucinations, are at least as strongly related to childhood abuse and neglect as many other mental health problems. Recent large-scale general population studies indicate the relationship is a causal one, with a dose-effect. Conclusion: Several psychological and biological mechanisms by Key words: child abuse; trauma; psychosis; which childhood trauma increases risk for psychosis merit attention. schizophrenia; hallucinations; delusions; literature Integration of these different levels of analysis may stimulate a more review genuinely integrated bio-psycho-social model of psychosis than John Read, Department of Psychology, The University of currently prevails.
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