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Childhood maltreatment in individuals at risk of psychosis

Results from the Brazilian SSAPP cohort

Bibliographic Data

ID19271611
AuthorsElder Lanzani Freitas (0000-0003-0531-2532, Universidade de São Paulo, corresponding author), Alexandre A Loch (0000-0002-0006-8107, Conselho Nacional de Desenvolvimento Científico e Tecnológico), Camille Chianca (Universidade de São Paulo), Júlio César Andrade (0009-0007-7955-2658, Universidade de São Paulo), Mauricio H Serpa (0000-0001-9384-5587, Conselho Nacional de Desenvolvimento Científico e Tecnológico), Tania Maria Alves (Universidade de São Paulo), Lucas Hortêncio (0000-0001-5572-6093, Universidade de São Paulo), Marcel Tavares Camilo Pinto (0009-0006-4323-3690, Universidade de São Paulo), Martinus Theodorus van de Bilt (0000-0001-7916-5358, Universidade de São Paulo), Wagner F Gattaz (0000-0001-5215-4077, Conselho Nacional de Desenvolvimento Científico e Tecnológico), Wulf Rössler (0000-0003-0049-4533, Universidade de São Paulo)
Year2020
Volume66
Issue6
Pages566-575
Publication date2020-09-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0020764020922252
PMID32438879
OpenAlexW3026514860
LanguageEN
Citations received1
References cited76

BACKGROUND: Childhood maltreatment is a known risk factor for the development of mental disorders, such as psychotic symptoms. An extensive body of literature about childhood maltreatment and mental health has been developed in wealthy countries, but information about this connection is lacking in developing countries. AIMS: To explore a possible relationship between childhood maltreatment and ultra-high risk of psychosis in a non-help-seeking population in a low- and middle-income country. METHODS: A household survey was conducted in Sao Paulo, Brazil, involving over 2,500 individuals aged 18-30 years who were randomly selected from the general population. The participants underwent screening with the Prodromal Questionnaire. Ultra-high risk status was assessed using the Structured Interview for Prodromal Syndromes, and childhood maltreatment was assessed using the Childhood Trauma Questionnaire. The final sample comprised 87 ultra-high risk individuals and 115 controls. RESULTS: Childhood maltreatment was significantly more present among ultra-high risk individuals. In ultra-high risk individuals, physical and emotional neglect were inversely related to grandiosity symptoms, physical abuse was related to perceptual abnormalities and physical neglect was related to disorganized speech and thought. CONCLUSION: This is the first study to investigate the relationship between childhood maltreatment and ultra-high risk status and psychopathological features in a large Latin American sample. Further studies in this field are necessary to better understand the specific influence of various early life adversities on psychosis risk

Child abuse · Environmental health · Grandiosity · Mental health · Neglect · Physical abuse · Poison control · Population · Psychiatry · Psychological abuse · Psychopathology · Psychosis · Suicide prevention · Child Abuse and Related Trauma · Child Abuse and Trauma · Clinical Psychology · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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