Childhood trauma is associated with poorer social functioning in severe mental disorders both during an active illness phase and in remission

Ingrid Varvin Hjelseng; Anja Vaskinn; Torill Ueland; Synve Hoffart Lunding; Elina J. Reponen; Nils Eiel Steen; Ole A. Andreassen; Monica Aas

doi:10.1016/j.schres.2020.03.015

Childhood trauma is associated with poorer social functioning in severe mental disorders both during an active illness phase and in remission

Ingrid Varvin Hjelseng, Anja Vaskinn, Torill Ueland, Synve Hoffart Lunding, Elina J. Reponen, Nils Eiel Steen, Ole A. Andreassen, Monica Aas^*

^*Corresponding author for this work

Social Genetic & Developmental Psychiatry

Research output: Contribution to journal › Article › peer-review

22 Citations (Scopus)

Abstract

Background: Impaired social functioning is a core feature of schizophrenia spectrum (SZS) and bipolar spectrum disorders (BDS). Childhood traumatic events are more frequent in SZS and BDS than in healthy individuals (HC), and could represent a cumulative risk for reduced social functioning beyond experiencing ongoing clinical symptoms. Methods: The study comprised 1039 individuals (SZS [n = 348]; BDS [n = 262], and HC [n = 429]). Childhood trauma and level of social functioning was assessed by the Childhood Trauma Questionnaire (CTQ) and the Social Functioning Scale (SFS), respectively. Diagnosis was obtained by the Structured Clinical Interview (SCID) for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Results: Patients had poorer social functioning (F = 819.18, p ˂ 0.001, Cohen's d = 0.44) and reported more childhood trauma experiences than HC (X² = 289.0, p < .001) than HC. Patients with at least one moderate to severe trauma had poorer social functioning than patients without childhood trauma (F = 8.16, p = .004, Cohen's d = 0.17). Within the patients, a cumulative relationship was observed in that more severe childhood trauma was associated with lower social functioning (F = 2.65, p = .02, Cohen's d = 0.20). No significant associations were observed for having at least one moderate to severe trauma or cumulative traumas on social functioning in the HC. Follow-up analysis showed that patients in remission childhood trauma also had poorer social functioning. Conclusion: Patients who reported childhood trauma experiences had poorer social functioning both during an active illness phase and in remission.

Original language	English
Pages (from-to)	241-246
Number of pages	6
Journal	Schizophrenia Research
Volume	243
DOIs	https://doi.org/10.1016/j.schres.2020.03.015
Publication status	Published - May 2022

Keywords

Bipolar disorder
Childhood trauma
Schizophrenia
Social functioning

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10.1016/j.schres.2020.03.015

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@article{fdb31c3226e64577a775379b41a1b56d,

title = "Childhood trauma is associated with poorer social functioning in severe mental disorders both during an active illness phase and in remission",

abstract = "Background: Impaired social functioning is a core feature of schizophrenia spectrum (SZS) and bipolar spectrum disorders (BDS). Childhood traumatic events are more frequent in SZS and BDS than in healthy individuals (HC), and could represent a cumulative risk for reduced social functioning beyond experiencing ongoing clinical symptoms. Methods: The study comprised 1039 individuals (SZS [n = 348]; BDS [n = 262], and HC [n = 429]). Childhood trauma and level of social functioning was assessed by the Childhood Trauma Questionnaire (CTQ) and the Social Functioning Scale (SFS), respectively. Diagnosis was obtained by the Structured Clinical Interview (SCID) for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Results: Patients had poorer social functioning (F = 819.18, p ˂ 0.001, Cohen's d = 0.44) and reported more childhood trauma experiences than HC (X2 = 289.0, p < .001) than HC. Patients with at least one moderate to severe trauma had poorer social functioning than patients without childhood trauma (F = 8.16, p = .004, Cohen's d = 0.17). Within the patients, a cumulative relationship was observed in that more severe childhood trauma was associated with lower social functioning (F = 2.65, p = .02, Cohen's d = 0.20). No significant associations were observed for having at least one moderate to severe trauma or cumulative traumas on social functioning in the HC. Follow-up analysis showed that patients in remission childhood trauma also had poorer social functioning. Conclusion: Patients who reported childhood trauma experiences had poorer social functioning both during an active illness phase and in remission.",

keywords = "Bipolar disorder, Childhood trauma, Schizophrenia, Social functioning",

author = "Hjelseng, {Ingrid Varvin} and Anja Vaskinn and Torill Ueland and Lunding, {Synve Hoffart} and Reponen, {Elina J.} and Steen, {Nils Eiel} and Andreassen, {Ole A.} and Monica Aas",

note = "Funding Information: This study was funded by grants from the South-Eastern Norway Health Authority (# 2017060 ; 2017069 ), the Research Council of Norway (# 223273 ), and the NARSAD Young Investigator Award to Monica Aas (# 22388 ). Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2022",

month = may,

doi = "10.1016/j.schres.2020.03.015",

language = "English",

volume = "243",

pages = "241--246",

journal = "Schizophrenia Research",

issn = "0920-9964",

publisher = "Elsevier",

}

TY - JOUR

T1 - Childhood trauma is associated with poorer social functioning in severe mental disorders both during an active illness phase and in remission

AU - Hjelseng, Ingrid Varvin

AU - Vaskinn, Anja

AU - Ueland, Torill

AU - Lunding, Synve Hoffart

AU - Reponen, Elina J.

AU - Steen, Nils Eiel

AU - Andreassen, Ole A.

AU - Aas, Monica

N1 - Funding Information: This study was funded by grants from the South-Eastern Norway Health Authority (# 2017060 ; 2017069 ), the Research Council of Norway (# 223273 ), and the NARSAD Young Investigator Award to Monica Aas (# 22388 ). Publisher Copyright: © 2021 The Authors

PY - 2022/5

Y1 - 2022/5

N2 - Background: Impaired social functioning is a core feature of schizophrenia spectrum (SZS) and bipolar spectrum disorders (BDS). Childhood traumatic events are more frequent in SZS and BDS than in healthy individuals (HC), and could represent a cumulative risk for reduced social functioning beyond experiencing ongoing clinical symptoms. Methods: The study comprised 1039 individuals (SZS [n = 348]; BDS [n = 262], and HC [n = 429]). Childhood trauma and level of social functioning was assessed by the Childhood Trauma Questionnaire (CTQ) and the Social Functioning Scale (SFS), respectively. Diagnosis was obtained by the Structured Clinical Interview (SCID) for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Results: Patients had poorer social functioning (F = 819.18, p ˂ 0.001, Cohen's d = 0.44) and reported more childhood trauma experiences than HC (X2 = 289.0, p < .001) than HC. Patients with at least one moderate to severe trauma had poorer social functioning than patients without childhood trauma (F = 8.16, p = .004, Cohen's d = 0.17). Within the patients, a cumulative relationship was observed in that more severe childhood trauma was associated with lower social functioning (F = 2.65, p = .02, Cohen's d = 0.20). No significant associations were observed for having at least one moderate to severe trauma or cumulative traumas on social functioning in the HC. Follow-up analysis showed that patients in remission childhood trauma also had poorer social functioning. Conclusion: Patients who reported childhood trauma experiences had poorer social functioning both during an active illness phase and in remission.

AB - Background: Impaired social functioning is a core feature of schizophrenia spectrum (SZS) and bipolar spectrum disorders (BDS). Childhood traumatic events are more frequent in SZS and BDS than in healthy individuals (HC), and could represent a cumulative risk for reduced social functioning beyond experiencing ongoing clinical symptoms. Methods: The study comprised 1039 individuals (SZS [n = 348]; BDS [n = 262], and HC [n = 429]). Childhood trauma and level of social functioning was assessed by the Childhood Trauma Questionnaire (CTQ) and the Social Functioning Scale (SFS), respectively. Diagnosis was obtained by the Structured Clinical Interview (SCID) for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). Results: Patients had poorer social functioning (F = 819.18, p ˂ 0.001, Cohen's d = 0.44) and reported more childhood trauma experiences than HC (X2 = 289.0, p < .001) than HC. Patients with at least one moderate to severe trauma had poorer social functioning than patients without childhood trauma (F = 8.16, p = .004, Cohen's d = 0.17). Within the patients, a cumulative relationship was observed in that more severe childhood trauma was associated with lower social functioning (F = 2.65, p = .02, Cohen's d = 0.20). No significant associations were observed for having at least one moderate to severe trauma or cumulative traumas on social functioning in the HC. Follow-up analysis showed that patients in remission childhood trauma also had poorer social functioning. Conclusion: Patients who reported childhood trauma experiences had poorer social functioning both during an active illness phase and in remission.

KW - Bipolar disorder

KW - Childhood trauma

KW - Schizophrenia

KW - Social functioning

UR - http://www.scopus.com/inward/record.url?scp=85082191380&partnerID=8YFLogxK

U2 - 10.1016/j.schres.2020.03.015

DO - 10.1016/j.schres.2020.03.015

M3 - Article

C2 - 32222348

AN - SCOPUS:85082191380

SN - 0920-9964

VL - 243

SP - 241

EP - 246

JO - Schizophrenia Research

JF - Schizophrenia Research

ER -

Childhood trauma is associated with poorer social functioning in severe mental disorders both during an active illness phase and in remission

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Keywords

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