SYMPOSIA
SYMPOSIA
SYMPOSIA
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Poster Presentations<br />
[PP-113] Ref. No: 255<br />
Clinical correlations of childhood trauma and dissociation in a sample of female<br />
inpatients diagnosed with schizophrenia spectrum disorders and severe<br />
nonpsychotic disorders: the preliminary data<br />
Selma Bozkurt Zincir, Ümit Başar Semiz, Aysun Demir, Yücel Yılmaz, Sevgi Gül Kabak<br />
Erenköy Mental Health Training and Research Hospital, Istanbul, Turkey<br />
E-mail: sbozkurtzincir@yahoo.com<br />
Background: There is recent increasing interest in the relationship between early childhood trauma and the risk of developing psychotic<br />
experiences later in life (2,3). Although a large number of studies of psychiatric patients, a majority of whom have a psychotic disorder,<br />
indicate that the prevalence of childhood trauma in this group is high, whether childhood trauma is of etiological importance in psychosis<br />
remains controversial (1, 2, 4).<br />
Objectives: In the present study, we aimed to investigate the possibility of a link between psychotic disorders and childhood traumatic<br />
experiences by comparing trauma exposure in a group of female patients with a diagnosis of psychotic disorders to a group diagnosed<br />
with severe non-psychotic disorders. The secondary purpose of this study was to examine the clinical correlations between trauma<br />
exposure, dissociative phenomena, and psychiatric symptomatology and psychosocial functioning for these two groups.<br />
Methods: Patients with psychotic disorders, mostly schizophrenic (n=54), and with a non-psychotic diagnosis (n=24), were recruited<br />
at the Women’s Clinic of the Istanbul Erenköy Mental Health Hospital. The data were collected through a semi-structured interview for<br />
demographic, psychiatric, and trauma histories. Psychotic symptoms were measured by using the Positive and Negative Symptom Scale<br />
(PANSS). At the main interview, the Childhood Traumatic Questionnaire (CTQ), Dissociative Experiences Scale (DES), Traumatic Experiences<br />
Checklist (TEC), and SCL-90-R were administered to all participants by psychiatrists, who were blind to trauma history.<br />
Results: In this preliminary study, high prevalence rates of childhood traumatic experiences and dissociative phenomenon were found in<br />
a sample of consecutively admitted moderately ill psychotic inpatients. Another finding of the present study was that emotional abuse<br />
during childhood was most strongly correlated with the experience of dissociative symptoms in adult schizophrenia patients. Additionally,<br />
in this group a history of trauma was significantly related to somatization, poor communication skills, and depressive symptoms.<br />
Conclusions: The results of this study are consistent with previous studies raising the possibility that such trauma is of etiological<br />
importance in schizophrenia and other related disorders (4-6).<br />
Key words: Childhood trauma, dissociation, psychosis, schizophrenia<br />
References:<br />
1. Schafer I, Harfst T, Aderhold V, Briken P, Lehmann M, Moritz S, Read J, Naber D. Childhood trauma and dissociation in female patients with schizophrenia spectrum<br />
disorders an exploratory study. J Nerv Ment Dis 2006; 194: 135- 138.<br />
2. Spence W, Mulholland C, Lynch G, Mchugh S, Dempster M, Shannon C. Rates of childhood trauma in a sample of patients with schizophrenia as compared with a<br />
sample of patients with non-psychotic diagnosis. Journal of Trauma & Dissociation 2006; 7(3): 7- 22.<br />
3. Lysaker PH, LaRocco VA. The prevalence and correlates of trauma-related symptoms in schizophrenia spectrum disorder. Comprehensive Psychiatry 2008; 49: 330- 334.<br />
4. Larkin W, Read J. Childhood trauma and psychosis: Evidence, pathways, and implications. J Postgrad Med 2008; 54(4): 287- 293.<br />
5. Bendall S, Jackson HJ, Hulbert CA, McGorry PD. Childhood trauma and psychotic disorders: a systematic, critical review of the evidence. Schizophrenia Bulletin 2008; 34(3): 568- 579.<br />
6. Morgan C, Fisher H. Environmental factors in schizophrenia: childhood trauma- a critical review. Schizophrenia Bulletin 2007; 33(1): 3- 10.<br />
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S192<br />
[PP-114] Ref. No: 256<br />
Comparison of neurocognitive skills between generalized anxiety disorder<br />
and premenstrual dysphoric disorder patients: A controlled study<br />
Selma Bozkurt Zincir, Aynil Yenel, Selvinaz Çınar Parlak, Gülnihal Şimşek, Arzu Bayrak, Dicle Bilge, Ümit Başar Semiz, Mustafa Bilici<br />
Erenköy Mental Health Training and Research Hospital, Istanbul, Turkey<br />
E-mail: sbozkurtzincir@yahoo.com<br />
Background: Recently, there has been increased interest in the ability of female reproductive hormones to impact psychoneurological<br />
processes involving the interplay of several body systems. This lends reliability to the view of premenstrual dysphoric disorder (PMDD)<br />
S192 Bulletin of Clinical Psychopharmacology, Vol: 21, Supplement: 2, 2011 - www.psikofarmakoloji.org