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    The relationships between childhood abuse and neglect, sub-clinical symptoms of psychosis and self-harm in a non-clinical community sample

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    Author
    Green, Kathleen
    Webster, Anthony
    Keyword
    Child abuse
    Delusions
    Hallucinations
    Self-injurious behaviour
    Psychosis
    Adult survivors of child adverse events
    Date
    2021
    
    Metadata
    Show full item record
    DOI
    10.1007/s40653-021-00422-5
    Publisher's URL
    https://link.springer.com/article/10.1007%2Fs40653-021-00422-5
    Abstract
    There is now substantial evidence that childhood adverse events are a significant risk factor for symptoms of psychosis in both clinical and community samples. Both childhood trauma and positive symptoms of psychosis are associated with an increased risk of self-harming behaviours. Therefore the current study aimed to consider the relationship between retrospective reports of childhood adversity, sub-clinical positive symptoms of psychosis and self-harm in a non-clinical community sample. The study employed a cross-sectional survey design, distributed online. Participants were asked to complete psychometric assessments relating to: demographic characteristics including past-year substance misuse; childhood adversity; sub-clinical symptoms of psychosis (delusions and hallucinations) and self-harming behaviours. The results found that, after controlling for substance misuse, childhood adversity predicted significant variance in sub-clinical delusions and hallucinations in the general population. Both symptoms of psychosis and childhood adversity increased the risk of self-harming behaviours. Positive symptoms partially mediated the relationship between early adversity and self-harming behaviours. For some people, the sequelae of early adversity including sub-clinical delusions and hallucinations may increase the risk of self-harming behaviours. Future research would benefit from considering the role of dissociation in these relationships and the affective impact of pseudo-psychotic experiences. Practitioners should consider the impact of childhood adversity, unusual perceptual experiences and distorted beliefs when working with people who self-harm. The current research was limited by the cross-sectional survey design and non-random sampling methodology.
    Citation
    Green, K. & Webster, A. (2021). The relationships between childhood abuse and neglect, sub-clinical symptoms of psychosis and self-harm in a non-clinical community sample. Journal of Child and Adolescent Trauma, 15, 605-614.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/15010
    Collections
    Psychosis and Schizophrenia
    Self-harm and Suicide

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