TY - JOUR
T1 - The experience of childhood trauma and its influence on the course of illness in first-episode psychosis
T2 - A qualitative study
AU - Jansen, Jens Einar
AU - Pedersen, Marlene Buch
AU - Trauelsen, Anne Marie
AU - Nielsen, Hanne-Grethe Lyse
AU - Haahr, Ulrik Helt
AU - Simonsen, Erik
PY - 2016
Y1 - 2016
N2 - Persons with schizophrenia spectrum disorders often report high levels of childhood trauma, which often exacerbates symptoms and impede the process of recovery. However, little is known about how these traumas are experienced by service users and how they are integrated in their life stories. To examine this, we conducted in-depth interviews with 15 service users with a diagnosis of a first-episode nonaffective psychosis who had reported 1 or more childhood traumas in self-report measures. Therewas an unexpected discrepancy between the number of traumas reported in self-report measures and in semistructured interviews, and many of the traumas did not seem integrated in their personal narratives. The analyses further revealed that although participants often described complicated and traumatic childhood environments, they still felt supported by their families; they reported a range of ways in which they tried to copewith and gain control of their psychotic disorder, and they described a general optimistic view of the future.
AB - Persons with schizophrenia spectrum disorders often report high levels of childhood trauma, which often exacerbates symptoms and impede the process of recovery. However, little is known about how these traumas are experienced by service users and how they are integrated in their life stories. To examine this, we conducted in-depth interviews with 15 service users with a diagnosis of a first-episode nonaffective psychosis who had reported 1 or more childhood traumas in self-report measures. Therewas an unexpected discrepancy between the number of traumas reported in self-report measures and in semistructured interviews, and many of the traumas did not seem integrated in their personal narratives. The analyses further revealed that although participants often described complicated and traumatic childhood environments, they still felt supported by their families; they reported a range of ways in which they tried to copewith and gain control of their psychotic disorder, and they described a general optimistic view of the future.
KW - Adverse events
KW - Early intervention
KW - First-episode psychosis
KW - Qualitative research
KW - Sealing over
KW - Trauma
U2 - 10.1097/NMD.0000000000000449
DO - 10.1097/NMD.0000000000000449
M3 - Journal article
C2 - 26675249
AN - SCOPUS:84959871648
SN - 0022-3018
VL - 204
SP - 210
EP - 216
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 3
ER -