El maltrato infantil y su rol en el curso clínico de pacientes con trastorno bipolar / History of child abuse among patients with bipolar disorders
Rev. méd. Chile
;
148(2): 204-210, feb. 2020. graf
Article
in Spanish
| LILACS
| ID: biblio-1115777
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 andMethods:
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Bipolar Disorder
Type of study:
Practice guideline
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Child
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Dr. Gustavo Fricke/CL
/
Universidad Valparaíso/CL
/
Universidad de Chile/CL
/
Universidad de Valparaíso/CL
/
Universidad del Desarrollo/CL
Similar
MEDLINE
...
LILACS
LIS