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Stressful Childhood Experiences and Clinical Outcomes in People with Serious Mental Illness: a Gender Comparison in a Clinical Psychiatric Sample |
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| Authors: | Kristina Muenzenmaier Andres R Schneeberger Dorothy M Castille Joseph Battaglia Azizi A Seixas Bruce Link |
| Institution: | 1. Bronx Psychiatric Center, Albert Einstein College of Medicine, 1500 Waters Place, New York, NY, 10461, USA 2. Albert Einstein College of Medicine, Psychiatrische Dienste Graubuenden and Department of Psychiatry, University Hospital, Basel, Switzerland 3. New York State Psychiatric Institute, Columbia University, New York, NY, USA 4. Fordham University, City University of New York, New York, NY, USA 5. New York State Psychiatric Institute, Columbia University, New York, NY, USA |
| Abstract: | Objective: This study examines stressful childhood experiences (SCE) including childhood abuse and family context in a cohort of 183 people diagnosed with serious mental illness (SMI) and compares gender specific rates of SCE and clinical outcome variables. Methods: 111 men and 72 women with SMI were interviewed regarding SCE and posttraumatic stress disorder (PTSD) symptoms, dissociative symptoms, risk for self-harm, and adult re-victimization. Results: Both genders endorse high rates of SCE. Cumulative SCE (the sum of seven SCE) are linked to increased levels of all four outcome variables after adjusting for demographic factors. Conclusions: The study addresses the need to assess cumulative SCE in a population with SMI and its effects on clinical outcomes in both genders. |
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