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Childhood Abuse in First-Episode Psychosis

Published online by Cambridge University Press:  02 January 2018

Shelly F. Greenfield*
Division of Psychotic Disorders Research, Department of Psychiatry, University of Cincinnati College of Medicine, Cincinnati
Stephen M. Strakowski
Alcohol and Drug Abuse Ambulatory Treatment Program and Alcohol and Drug Abuse Research Center, McLean Hospital and Harvard Medical School
Mauricio Tohen
McLean Hospital and Harvard Medical School
Susan C. Batson
Psychotic Disorders Program, McLean Hospital
Meredith L. Kolbrener
Psychotic Disorders Program, McLean Hospital, Belmont, Massachusetts, USA
McLean Hospital, 115 Mill Street, Belmont, MA 02178, USA


Of 38 adult patients admitted for first-episode psychosis, 20 reported childhood abuse, with equal prevalence in men and women. Patients with histories of childhood abuse had significantly more dissociative symptoms, but not more severe psychiatric symptoms. Childhood abuse was not related to rate of recovery and was only marginally related to longer stays in hospital. Although childhood abuse did not affect recovery during first-episode psychosis, it may contribute to a chronic course in some patients.

Short papers
Copyright © 1994 The Royal College of Psychiatrists 

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