Citation

Vogel M, Meier J, Grönke S, Waage M, Schneider W, Freyberger HJ, Klauer T. Psychiatry Res. 2011; 189(1): 121-127.

Affiliation

Department of Psychosomatic Medicine and Psychotherapy, University of Rostock, Germany.

Copyright

(Copyright © 2011, Elsevier Publishing)

DOI

10.1016/j.psychres.2011.01.008

PMID

21295351

Abstract

Dissociation, though understood as a response to trauma, lacks a proven etiology. The assumption of a dose-response relationship between trauma, dissociation and Schneiderian symptoms led to the proposal of a dissociative subtype of schizophrenia characterized by severe child maltreatment, dissociation and psychosis. Child maltreatment and dissociation are common features of neurotic disorders as well, and the link between trauma, dissociation, and hallucinations is not specific for schizophrenia. This study compares childhood abuse and neglect, posttraumatic distress and adult dissociation in patients with psychotic vs. non-psychotic disorder. Thirty-Five participants with non-psychotic disorder and twenty-five with schizophrenia were analyzed using scale for the assessment of positive symptoms (SAPS), scale for the assessment of negative symptoms (SANS), Montgomery Asberg depression rating scale (MADRS), Posttraumatic Stress Diagnostic Scale PDS (PDS), Childhood Trauma Questionnaire (CTO) and the Arbeitsgemeinschaft Methodik und Dokumentation in der Psychiatrie (AMDP)-module on dissociation. Trauma and clinical syndromes were compared by means of T-testing and logistic regression between 1) the diagnoses and 2) groups with and without post-traumatic stress disorder (PTSD), marked dissociation and psychotic symptoms. While non-psychotic disorder was related to abuse, schizophrenia showed an association with neglect. Childhood trauma predicted posttraumatic symptomatology and negative symptoms. Childhood abuse and neglect may effectuate different outcomes in neurotic and psychotic disorder. The underlying mechanisms, including dissociation, dovetail with cognitive, emotional and behavioural changes involved in depression, posttraumatic distress and chronic schizophrenia symptoms rather than being directly linked to trauma.

Language: en