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Adverse childhood experiences and psychological functioning among women with schizophrenia or bipolar disorder: population-based study

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Title: Adverse childhood experiences and psychological functioning among women with schizophrenia or bipolar disorder: population-based study
Authors: Ole Köhler-Forsberg, Fenfen Ge, Arna Hauksdóttir, Edda Bjork Thordardottir, Kristjana Ásbjörnsdóttir, Harpa Rúnarsdóttir, Gunnar Tómasson, Jóhanna Jakobsdóttir, Berglind Guðmundsdóttir, Andri Steinþór Björnsson, Engilbert Sigurðsson, Thor Aspelund, Unnur A. Valdimarsdottir
Source: Br J Psychiatry
Köhler-Forsberg, O, Ge, F, Hauksdóttir, A, Thordardottir, E B, Ásbjörnsdóttir, K, Rúnarsdóttir, H, Tómasson, G, Jakobsdóttir, J, Guðmundsdóttir, B, Björnsson, A S, Sigurðsson, E, Aspelund, T & Valdimarsdottir, U A 2024, 'Adverse childhood experiences and psychological functioning among women with schizophrenia or bipolar disorder : population-based study', British Journal of Psychiatry, vol. 224, no. 1, pp. 6-12. https://doi.org/10.1192/bjp.2023.128
Publisher Information: Royal College of Psychiatrists, 2023.
Publication Year: 2023
Subject Terms: bipolar disorder, Adult, Bipolar Disorder, Schizophrenia/epidemiology, Anxiety, 3. Good health, childhood deprivation, schizophrenia, Adverse Childhood Experiences, Risk Factors, Schizophrenia, Humans, Adverse childhood experiences, Original Article, Female, Anxiety/epidemiology, Bipolar Disorder/epidemiology
Description: BackgroundAdverse childhood experiences (ACEs) are well-known risk factors for schizophrenia and bipolar disorder.AimsThe aim was to study the associations between specific ACEs and psychological functioning in women with schizophrenia or bipolar disorder.MethodAmong 29 367 women (mean age 44 years) from the Icelandic Stress-And-Gene-Analysis (SAGA) study, 534 (1.8%, mean age 40) reported having been diagnosed with schizophrenia or bipolar disorder, which were combined to ‘severe mental disorders’. Participants reported on 13 types of ACEs, childhood deprivation and psychological functioning (defined as coping ability and current symptoms of depression, anxiety and sleep disturbances). Adjusted Poisson regression calculated prevalence ratios (PRs) between ACEs and severe mental disorders. Linear regression assessed the association between ACEs and psychological functioning among women with a severe mental disorder.ResultsWomen with a severe mental disorder reported more ACEs (mean 4.57, s.d. = 2.82) than women without (mean 2.51, s.d. = 2.34) in a dose-dependent manner (fully-adjusted PR = 1.23 per ACE, 95% CI 1.20–1.27). After mutual adjustment for other ACEs, emotional abuse, sexual abuse, mental illness of a household member, emotional neglect, bullying and collective violence were associated with severe mental disorders. Among women with severe mental disorders, a higher number of ACEs was associated with increased symptom burden of depression (β = 2.79, 95% CI = 1.19–4.38) and anxiety (β = 2.04, 95% CI = 0.99–3.09) including poorer sleep quality (β = 0.83, 95% CI = 0.07–1.59). Findings were similar for schizophrenia and bipolar disorder separately.ConclusionWomen with schizophrenia or bipolar disorder show a strong history of ACEs, which may interfere with their psychological functioning and, therefore, need to be addressed as part of their treatment, for example, with trauma-focused psychotherapy.
Document Type: Article
Other literature type
Language: English
ISSN: 1472-1465
0007-1250
DOI: 10.1192/bjp.2023.128
Access URL: https://pubmed.ncbi.nlm.nih.gov/37850429
https://pure.au.dk/portal/en/publications/33a52f6b-ecb4-47a9-984e-ec8eee14d734
http://www.scopus.com/inward/record.url?scp=85175495314&partnerID=8YFLogxK
https://doi.org/10.1192/bjp.2023.128
Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Accession Number: edsair.doi.dedup.....8e34a7bec422eb9f4841421ca5280d38
Database: OpenAIRE
Description
Abstract:BackgroundAdverse childhood experiences (ACEs) are well-known risk factors for schizophrenia and bipolar disorder.AimsThe aim was to study the associations between specific ACEs and psychological functioning in women with schizophrenia or bipolar disorder.MethodAmong 29 367 women (mean age 44 years) from the Icelandic Stress-And-Gene-Analysis (SAGA) study, 534 (1.8%, mean age 40) reported having been diagnosed with schizophrenia or bipolar disorder, which were combined to ‘severe mental disorders’. Participants reported on 13 types of ACEs, childhood deprivation and psychological functioning (defined as coping ability and current symptoms of depression, anxiety and sleep disturbances). Adjusted Poisson regression calculated prevalence ratios (PRs) between ACEs and severe mental disorders. Linear regression assessed the association between ACEs and psychological functioning among women with a severe mental disorder.ResultsWomen with a severe mental disorder reported more ACEs (mean 4.57, s.d. = 2.82) than women without (mean 2.51, s.d. = 2.34) in a dose-dependent manner (fully-adjusted PR = 1.23 per ACE, 95% CI 1.20–1.27). After mutual adjustment for other ACEs, emotional abuse, sexual abuse, mental illness of a household member, emotional neglect, bullying and collective violence were associated with severe mental disorders. Among women with severe mental disorders, a higher number of ACEs was associated with increased symptom burden of depression (β = 2.79, 95% CI = 1.19–4.38) and anxiety (β = 2.04, 95% CI = 0.99–3.09) including poorer sleep quality (β = 0.83, 95% CI = 0.07–1.59). Findings were similar for schizophrenia and bipolar disorder separately.ConclusionWomen with schizophrenia or bipolar disorder show a strong history of ACEs, which may interfere with their psychological functioning and, therefore, need to be addressed as part of their treatment, for example, with trauma-focused psychotherapy.
ISSN:14721465
00071250
DOI:10.1192/bjp.2023.128