TY  - JOUR
PY  - 2019//
TI  - Childhood maltreatment and treatment outcome in psychotic disorders: a systematic review and meta-analysis
JO  - Acta psychiatrica Scandinavica
A1  - Trautmann, Sebastian
A1  - Schäfer, Ingo
A1  - Hofler, Michael
A1  - Thomas, Sarah
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: Childhood maltreatment (CM) plays an important role in the aetiology and course of psychotic disorders and is associated with characteristics that could be relevant for treatment. We aimed to conduct a systematic review and meta-analysis on the association between CM and treatment outcome in psychotic disorders. <br><br>METHODS: Treatment outcome was defined as change in psychotic symptoms or in social or occupational functioning between first and last reported measurement in the course of a pharmacological and/or psychological treatment. <br><br>RESULTS: Twelve treatment results from seven studies (636 patients, average treatment duration: 59.2 weeks) were included. CM was related to poorer treatment outcomes in psychotic disorders (OR = 1.51, 95% CI = [1.08, 2.10]). There is evidence that this association might increase with illness duration and increasing age and might be stronger in schizophrenia samples. <br><br>CONCLUSIONS: CM is highly understudied with regard to treatment outcome in psychotic disorders. The need for more studies is emphasised by the fact that this meta-analysis reveals evidence for a poorer treatment response in patients with CM. If this association is confirmed, the identification of patients with CM and the consideration of associated clinical and biological conditions could contribute to improve treatment outcome in psychotic disorders. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0001-690X
UR  - http://dx.doi.org/10.1111/acps.13077
ID  - ref1
ER  -