Does childhood trauma predict poorer metacognitive abilities in people with first-episode psychosis?

PSYCHIATRY RESEARCH

卷:273

Article

Trauelsen, Anne Marie¹  Gumley, Andrew²  Jansen, Jens Einar³  Pedersen, Marlene Buch⁴  Nielsen, Hanne-Grethe Lyse⁴  Haahr, Ulrik H.⁵  Simonsene, Erik^5,6 

[1] Mental Hlth Ctr Amager, Psychotherapeut Ambulatory, Digevej 110, DK-2300 Copenhagen, Capital Region, Denmark

[2] Univ Glasgow, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland

[3] Mental Hlth Ctr Copenhagen, Copenhagen, Capital Region, Denmark

[4] Psychiat East Reg Zealand, Early Psychosis Intervent Ctr, Roskilde, Denmark

[5] Psychiat Reg Zealand, Psychiat Res Unit, Slagelse, Denmark

[6] Univ Copenhagen, Fac Hlth & Med Sci, Inst Clin Med, Copenhagen, Denmark

关键词: case-control;    schizophrenia;    schizoaffective;    child abuse;    child neglect;    mentalization;    social cognition;    theory of mind;   

DOI  :  10.1016/j.psychres.2019.01.018

来源: Elsevier

【 摘 要 】

Research suggests that people with first-episode psychosis (FEP) report more childhood traumas and have lower metacognitive abilities than non-clinical controls. Childhood trauma negatively affects metacognitive development in population studies, while the association remains largely unexplored in FEP populations. Metacognition refers to the identification of thoughts and feelings and the formation of complex ideas about oneself and others. This study hypothesized that childhood trauma would be associated with lower metacognitive abilities in people with FEP. In a representative sample of 92 persons with non-affective FEP, we assessed childhood trauma, metacognitive abilities and symptoms of psychosis. We used the Childhood Trauma Questionnaire (CTQ) and the Metacognitive Assessment Scale-Abbreviated which includes Self-reflectivity, Awareness of the Mind of the Other, Decentration and Mastery. Hierarchical regression analyses were performed with metacognitive domains as outcome variables and childhood traumas as independent variables, while controlling for age, gender, first-degree psychiatric illness and negative symptoms. We found few significant associations between the different types of childhood trauma and metacognitive domains, and they suggested childhood trauma are associated with better metacognitive abilities. Study limitations included the cross-sectional design and use of self-report measures. Future studies could preferably be prospective and include different measures of psychopathology and neuropsychology.

【 授权许可】

Free