PMID- 26350397 OWN - NLM STAT- MEDLINE DCOM- 20160613 LR - 20150909 IS - 1469-8978 (Electronic) IS - 0033-2917 (Linking) VI - 45 IP - 13 DP - 2015 Oct TI - Childhood sexual and physical abuse: age at exposure modulates impact on functional outcome in early psychosis patients. PG - 2727-36 LID - 10.1017/S0033291715000690 [doi] AB - BACKGROUND: Evidence suggests a relationship between exposure to trauma during childhood and functional impairments in psychotic patients. However, the impact of age at the time of exposure has been understudied in early psychosis (EP) patients. METHOD: Two hundred and twenty-five patients aged 18-35 years were assessed at baseline and after 2, 6, 18, 24, 30 and 36 months of treatment. Patients exposed to sexual and/or physical abuse (SPA) were classified according to age at the time of first exposure (Early SPA: before age 11 years; Late SPA: between ages 12 and 15 years) and then compared to patients who were not exposed to such trauma (Non-SPA). The functional level in the premorbid phase was measured with the Premorbid Adjustment Scale (PAS) and with the Global Assessment of Functioning (GAF) scale and the Social and Occupational Functioning Assessment Scale (SOFAS) during follow-up. RESULTS: There were 24.8% of patients with a documented history of SPA. Late SPA patients were more likely to be female (p = 0.010). Comparison with non-SPA patients revealed that: (1) both Early and Late SPA groups showed poorer premorbid social functioning during early adolescence, and (2) while patients with Early SPA had poorer functional level at follow-up with lower GAF (p = 0.025) and lower SOFAS (p = 0.048) scores, Late SPA patients did not. CONCLUSION: Our results suggest a link between exposure to SPA and the later impairment of social functioning before the onset of the disease. EP patients exposed to SPA before age 12 may present long-lasting functional impairment, while patients exposed at a later age may improve in this regard and have a better functional outcome. FAU - Alameda, L AU - Alameda L AD - Unit for Research in Schizophrenia,Center for Psychiatric Neuroscience,Department of Psychiatry,Lausanne University Hospital (CHUV),Lausanne,Switzerland. FAU - Ferrari, C AU - Ferrari C AD - Service of General Psychiatry,Treatment and Early Intervention in Psychosis,Program (TIPP-Lausanne),Lausanne University Hospital (CHUV),Lausanne,Switzerland. FAU - Baumann, P S AU - Baumann PS AD - Unit for Research in Schizophrenia,Center for Psychiatric Neuroscience,Department of Psychiatry,Lausanne University Hospital (CHUV),Lausanne,Switzerland. FAU - Gholam-Rezaee, M AU - Gholam-Rezaee M AD - Department of Psychiatry,Center for Psychiatric Epidemiology and Psychopathology,Lausanne University Hospital (CHUV),Lausanne,Switzerland. FAU - Do, K Q AU - Do KQ AD - Unit for Research in Schizophrenia,Center for Psychiatric Neuroscience,Department of Psychiatry,Lausanne University Hospital (CHUV),Lausanne,Switzerland. FAU - Conus, P AU - Conus P AD - Service of General Psychiatry,Treatment and Early Intervention in Psychosis,Program (TIPP-Lausanne),Lausanne University Hospital (CHUV),Lausanne,Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Psychol Med JT - Psychological medicine JID - 1254142 SB - IM MH - Adolescent MH - Adult MH - Adult Survivors of Child Abuse/*psychology MH - Bipolar Disorder/*diagnosis MH - Child Abuse, Sexual/*psychology MH - Female MH - Humans MH - Linear Models MH - Male MH - Physical Abuse/*psychology MH - Prognosis MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*diagnosis MH - Schizophrenia/*diagnosis MH - Social Adjustment MH - Young Adult OTO - NOTNLM OT - Childhood trauma OT - first-episode psychosis OT - prospective OT - timing EDAT- 2015/09/10 06:00 MHDA- 2016/06/14 06:00 CRDT- 2015/09/10 06:00 PHST- 2015/09/10 06:00 [entrez] PHST- 2015/09/10 06:00 [pubmed] PHST- 2016/06/14 06:00 [medline] AID - S0033291715000690 [pii] AID - 10.1017/S0033291715000690 [doi] PST - ppublish SO - Psychol Med. 2015 Oct;45(13):2727-36. doi: 10.1017/S0033291715000690.