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Pretreatment and outcome correlates of past sexual and physical trauma in 118 bipolar I disorder patients with a first episode of psychotic mania
Author(s) -
Conus Philippe,
Cotton Sue,
Schimmelmann Benno G,
Berk Michael,
Daglas Rothanthi,
McGorry Patrick D,
Lambert Martin
Publication year - 2010
Publication title -
bipolar disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 129
eISSN - 1399-5618
pISSN - 1398-5647
DOI - 10.1111/j.1399-5618.2010.00813.x
Subject(s) - mania , psychiatry , context (archaeology) , bipolar disorder , sexual abuse , psychosis , psychology , clinical psychology , bipolar i disorder , intervention (counseling) , psychological intervention , medicine , pediatrics , poison control , injury prevention , lithium (medication) , environmental health , paleontology , biology
Conus P, Cotton S, Schimmelmann BG, Berk M, Daglas R, McGorry PD, Lambert M. Pretreatment and outcome correlates of past sexual and physical trauma in 118 bipolar I disorder patients with a first episode of psychotic mania.
Bipolar Disord 2010: 12: 244–252. © 2010 The Authors.
Journal compilation © 2010 John Wiley & Sons A/S. Objectives: To assess the prevalence and correlates of childhood and adolescent sexual and/or physical abuse (SPA) in bipolar I disorder (BDI) patients treated for a first episode of psychotic mania. Methods: The Early Psychosis Prevention and Intervention Centre admitted 786 first‐episode psychosis patients between 1998 and 2000. Data were collected from patients’ files using a standardized questionnaire. A total of 704 files were available; 43 were excluded because of a nonpsychotic diagnosis at endpoint and 3 due to missing data regarding past stressful events. Among 658 patients with available data, 118 received a final diagnosis of BDI and were entered in this study. Results: A total of 80% of patients had been exposed to stressful life events during childhood and adolescence and 24.9% to SPA; in particular, 29.8% of female patients had been exposed to sexual abuse. Patients who were exposed to SPA had poorer premorbid functioning, higher rates of forensic history, were less likely to live with family during treatment period, and were more likely to disengage from treatment. Conclusions: SPA is highly prevalent in BDI patients presenting with a first episode of psychotic mania; exposed patients have lower premorbid functional levels and poorer engagement with treatment. The context in which such traumas occur must be explored in order to determine whether early intervention strategies may contribute to diminish their prevalence. Specific psychological interventions must also be developed.