El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar
Date
2020
Type:
Article
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Abstract
Background: A history of child abuse is common and has a
significant impact in the clinical course of patients diagnosed with
bipolar disorders (BD). Aims: To assess the frequency of child abuse
experiences in patients BD type I and to evaluate its association with
clinical course and cognitive functioning variables. Material and
Methods: 117 patients with BD aged 45 ± 14 years (66% women)
answered the Childhood Trauma Questionnaire (CTQ). The clinical course (illness onset, history of suicide attempts and number of hospitalizations) was obtained from medical records. Cognitive functioning was evaluated through social and non-social cognition tasks.
Results: 64% of participants reported some type of child abuse. This variable was associated with an early onset of the disease (Odds ratio (OR) = 3.3; p < 0.02), increased risk of suicide attempts (OR = 2.4; p < 0.04) and specific disturbances in social cognitive tasks. Conclusions: Our study supports evidence of a common history of child abuse
in patients with BD. Although child abuse predicts a worse clinical course, major clinical practice guidelines, as well as research designs, do not highlight this evidence.
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Citation
Revista Médica de Chile, 2020, vol.148(2): 204-210
Keywords
Bipolar Disorder, Child Abuse, Cognition, Psychological Trauma, Suicide, Attempted