PMID- 27209524 OWN - NLM STAT- MEDLINE DCOM- 20180102 LR - 20180111 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 175 IP - 1-3 DP - 2016 Aug TI - Differential effects of childhood trauma and cannabis use disorders in patients suffering from schizophrenia. PG - 161-167 LID - S0920-9964(16)30190-6 [pii] LID - 10.1016/j.schres.2016.04.042 [doi] AB - BACKGROUND: Childhood trauma (CT) and cannabis use are both environmental and modifier risk factors for schizophrenia. However, little is known about how they interact in schizophrenia. We examined the main effect of each of these two environmental factors on the clinical expression of the disease using a large set of variables, and we tested whether and how cannabis and CT interact to influence the course and the presentation of the illness. METHODS: A sample of 366 patients who met the DSM-IV-TR criteria for schizophrenia was recruited through the FACE-SCZ (Fondamental Advanced Centre of Expertise - Schizophrenia) network. Patients completed a large standardized clinical evaluation including Structured Clinical Interview for DSM Disorders-I (SCID-I), Positive and Negative Symptoms Scale (PANSS), Columbia-Suicide Severity Rating Scale (C-SSRS), Global Assessment of Functioning (GAF), Short-Quality of Life-18 (S-QoL-18), and Medication Adherence Rating Scale (MARS). We assessed CT with the Childhood Trauma Questionnaire and cannabis status with SCID-I. RESULTS: CT significantly predicted the number of hospitalizations, GAF, and S-QoL-18 scores, as well as the PANSS total, positive, excitement, and emotional distress scores. Cannabis use disorders significantly predicted age of onset, and MARS. There was no significant interaction between CT and cannabis use disorders. However, we found evidence of a correlation between these two risk factors. CONCLUSIONS: CT and cannabis both have differential deleterious effects on clinical and functional outcomes in patients with schizophrenia. Our results highlight the need to systematically assess the presence of these risk factors and adopt suitable therapeutic interventions. CI - Copyright (c) 2016 Elsevier B.V. All rights reserved. FAU - Baudin, G AU - Baudin G AD - Fondation FondaMental, Creteil F94000, France; INSERM U955, Equipe de Psychiatrie Translationnelle, Creteil F94000, France; AP-HP, DHU Pe-PSY, Pole de Psychiatrie des Hopitaux Universitaires H Mondor, Creteil F94000, France; Universite Francois-Rabelais de Tours, PAV EA 2114, Tours F37000, France. FAU - Godin, O AU - Godin O AD - Fondation FondaMental, Creteil F94000, France; Sorbonne Universites, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'epidemiologie et de Sante Publique (IPLESP UMRS 1136), F75013 Paris, France. FAU - Lajnef, M AU - Lajnef M AD - INSERM U955, Equipe de Psychiatrie Translationnelle, Creteil F94000, France. FAU - Aouizerate, B AU - Aouizerate B AD - Fondation FondaMental, Creteil F94000, France; Centre Hospitalier Charles Perrens, F-33076, Bordeaux, France; Universite de Bordeaux, France; Inserm, Neurocentre Magendie, Physiopathologie de la Plasticite Neuronale, U862, F-33000, Bordeaux, France. FAU - Berna, F AU - Berna F AD - Fondation FondaMental, Creteil F94000, France; Hopitaux Universitaires de Strasbourg, Universite de Strasbourg, INSERM U1114, Federation de Medecine Translationnelle de Strasbourg, Strasbourg, France. FAU - Brunel, L AU - Brunel L AD - Fondation FondaMental, Creteil F94000, France; INSERM U955, Equipe de Psychiatrie Translationnelle, Creteil F94000, France; AP-HP, DHU Pe-PSY, Pole de Psychiatrie des Hopitaux Universitaires H Mondor, Creteil F94000, France; Universite Paris-Est Creteil F94000, France. FAU - Capdevielle, D AU - Capdevielle D AD - Fondation FondaMental, Creteil F94000, France; Service Universitaire de Psychiatrie Adulte, Hopital la Colombiere, CHRU Montpellier, Universite Montpellier 1, Inserm 1061, Montpellier, France. FAU - Chereau, I AU - Chereau I AD - Fondation FondaMental, Creteil F94000, France; CMP B, CHU, EA 7280 Faculte de Medecine, Universite d'Auvergne, BP 69, 63003 Clermont-Ferrand Cedex 1, France. FAU - Dorey, J M AU - Dorey JM AD - Fondation FondaMental, Creteil F94000, France; Universite Claude Bernard Lyon 1, Centre Hospitalier Le Vinatier, Pole Est BP 300 39, 95 bd Pinel, 69678 Bron Cedex, France. FAU - Dubertret, C AU - Dubertret C AD - Fondation FondaMental, Creteil F94000, France; AP-HP, Department of Psychiatry, Louis Mourier Hospital, Colombes, Inserm U894, Universite Paris Diderot, Sorbonne Paris Cite, Faculte de Medecine, France. FAU - Dubreucq, J AU - Dubreucq J AD - Fondation FondaMental, Creteil F94000, France; Centre Referent de Rehabilitation Psychosociale, CH Alpes Isere, Grenoble, France. FAU - Faget, C AU - Faget C AD - Fondation FondaMental, Creteil F94000, France; Assistance Publique des Hopitaux de Marseille (AP-HM), Pole Universitaire de Psychiatrie, Marseille, France. FAU - Fond, G AU - Fond G AD - Fondation FondaMental, Creteil F94000, France; INSERM U955, Equipe de Psychiatrie Translationnelle, Creteil F94000, France; AP-HP, DHU Pe-PSY, Pole de Psychiatrie des Hopitaux Universitaires H Mondor, Creteil F94000, France; Universite Paris-Est Creteil F94000, France. FAU - Gabayet, F AU - Gabayet F AD - Fondation FondaMental, Creteil F94000, France; Centre Referent de Rehabilitation Psychosociale, CH Alpes Isere, Grenoble, France. FAU - Laouamri, H AU - Laouamri H AD - Fondation FondaMental, Creteil F94000, France. FAU - Lancon, C AU - Lancon C AD - Fondation FondaMental, Creteil F94000, France; Assistance Publique des Hopitaux de Marseille (AP-HM), Pole Universitaire de Psychiatrie, Marseille, France. FAU - Le Strat, Y AU - Le Strat Y AD - Fondation FondaMental, Creteil F94000, France; AP-HP, Department of Psychiatry, Louis Mourier Hospital, Colombes, Inserm U894, Universite Paris Diderot, Sorbonne Paris Cite, Faculte de Medecine, France. FAU - Tronche, A M AU - Tronche AM AD - Fondation FondaMental, Creteil F94000, France; CMP B, CHU, EA 7280 Faculte de Medecine, Universite d'Auvergne, BP 69, 63003 Clermont-Ferrand Cedex 1, France. FAU - Misdrahi, D AU - Misdrahi D AD - Fondation FondaMental, Creteil F94000, France; Universite de Bordeaux, France; Hopitaux Universitaires de Strasbourg, Universite de Strasbourg, INSERM U1114, Federation de Medecine Translationnelle de Strasbourg, Strasbourg, France; CNRS UMR 5287-INCIA, France. FAU - Rey, R AU - Rey R AD - Fondation FondaMental, Creteil F94000, France; Universite Claude Bernard Lyon 1, Centre Hospitalier Le Vinatier, Pole Est BP 300 39, 95 bd Pinel, 69678 Bron Cedex, France. FAU - Passerieux, C AU - Passerieux C AD - Fondation FondaMental, Creteil F94000, France; Service de Psychiatrie d'Adulte, Centre Hospitalier de Versailles, UFR des Sciences de la Sante Simone Veil, Universite Versailles Saint-Quentin en Yvelines, Versailles, France. FAU - Schandrin, A AU - Schandrin A AD - Fondation FondaMental, Creteil F94000, France; Service Universitaire de Psychiatrie Adulte, Hopital la Colombiere, CHRU Montpellier, Universite Montpellier 1, Inserm 1061, Montpellier, France. FAU - Urbach, M AU - Urbach M AD - Fondation FondaMental, Creteil F94000, France; Service de Psychiatrie d'Adulte, Centre Hospitalier de Versailles, UFR des Sciences de la Sante Simone Veil, Universite Versailles Saint-Quentin en Yvelines, Versailles, France. FAU - Vidalhet, P AU - Vidalhet P AD - Hopitaux Universitaires de Strasbourg, Universite de Strasbourg, INSERM U1114, Federation de Medecine Translationnelle de Strasbourg, Strasbourg, France. FAU - Llorca, P M AU - Llorca PM AD - Fondation FondaMental, Creteil F94000, France; CMP B, CHU, EA 7280 Faculte de Medecine, Universite d'Auvergne, BP 69, 63003 Clermont-Ferrand Cedex 1, France. FAU - Schurhoff, F AU - Schurhoff F AD - Fondation FondaMental, Creteil F94000, France; INSERM U955, Equipe de Psychiatrie Translationnelle, Creteil F94000, France; AP-HP, DHU Pe-PSY, Pole de Psychiatrie des Hopitaux Universitaires H Mondor, Creteil F94000, France; Universite Paris-Est Creteil F94000, France. Electronic address: franck.schurhoff@inserm.fr. CN - FondaMental Academic Centers of Expertise for Schizophrenia (FACE-SZ) Collaborators LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20160518 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adult MH - *Adult Survivors of Child Adverse Events/psychology MH - Age of Onset MH - Female MH - Humans MH - Male MH - Marijuana Abuse/*complications/*psychology MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*complications/psychology MH - Schizophrenia/*complications MH - Schizophrenic Psychology MH - Stress, Psychological/complications OTO - NOTNLM OT - Cannabis use disorder OT - Childhood trauma OT - Schizophrenia EDAT- 2016/05/23 06:00 MHDA- 2018/01/03 06:00 CRDT- 2016/05/23 06:00 PHST- 2015/11/06 00:00 [received] PHST- 2016/04/20 00:00 [revised] PHST- 2016/04/25 00:00 [accepted] PHST- 2016/05/23 06:00 [entrez] PHST- 2016/05/23 06:00 [pubmed] PHST- 2018/01/03 06:00 [medline] AID - S0920-9964(16)30190-6 [pii] AID - 10.1016/j.schres.2016.04.042 [doi] PST - ppublish SO - Schizophr Res. 2016 Aug;175(1-3):161-167. doi: 10.1016/j.schres.2016.04.042. Epub 2016 May 18.