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Relation between childhood trauma and social vulnerability in adulthood in patients with first episode psychosis

Published online by Cambridge University Press:  26 August 2025

P. Muñoz-Calero*
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
P. Mola
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
A. Carrasco
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
W. Ahyed
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
M. D. Saiz
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
J. García-Albea
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
M. Díaz Marsá
Affiliation:
Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

The relationship between childhood adversity and psychosis has been the focus of extensive research in recent years. Studies suggest that individuals who experience significant adversity during childhood,such as abuse,neglect,or trauma, hava an increased risk of developing psychotic disorderser later in life.

Enviromental factor have been shown to play a signitficant role in the development of psychosis,often interacting with genetic predispositions.Nevertheless the relation between childhood trauma and social vulnerability in adulthood in patients with a first episode of psychosis (FEP) patients has not been studied.

Objectives

The aim of this work is to study social factors in patients with childhood trauma and their impact on the development of a FEP.

Methods

The sample was divided into 3 groups, controls,first episode psychosis patients with childhood trauma (FEP with CT) and first episode psychosis patients without childhood trauma (FEP without CT). 135 controls and 190 patients with FEP (58.42% with CT) were assesed through questionnaires on traumatic experiences, life stress events and a socio-demographic interviews. The likelihood of experiencing life stress events in the past year, social vulnerability,affective issues and substance use were examined using logistic regression models.

Results

Four covariates demonstrated a significant association with the clinical group with CT: being without a partner (p < .01), unemployment (p < .01), a history of psychiatric conditions (p < .01), and migration status (p < .01). However, stressful events in adulthodd were not found to be significant.

Conclusions

While childhood trauma does not seem to directly trigger re-traumatization in adulthood, it may contribute to place FEP patients in socially vulnerable circumstances that could lead to the development of psychotic symptoms.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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