The Role of Childhood Trauma in Affective Stress Recovery in Early Psychosis: An Experience Sampling Study.

at-risk mental state clinical staging ecological momentary assessment (EMA) experience sampling methodology (ESM) mental health stress reactivity

Journal

Schizophrenia bulletin
ISSN: 1745-1701
Titre abrégé: Schizophr Bull
Pays: United States
ID NLM: 0236760

Informations de publication

Date de publication:
17 Feb 2024
Historique:
medline: 17 2 2024
pubmed: 17 2 2024
entrez: 17 2 2024
Statut: aheadofprint

Résumé

Affective recovery, operationalized as the time needed for affect to return to baseline levels after daily stressors, may be a putative momentary representation of resilience. This study aimed to investigate affective recovery in positive and negative affect across subclinical and clinical stages of psychosis and whether this is associated with exposure to childhood trauma (sexual, physical, and emotional abuse). We used survival analysis to predict the time-to-recovery from a daily event-related stressor in a pooled sample of 3 previously conducted experience sampling studies including 113 individuals with first-episode psychosis, 162 at-risk individuals, and 94 controls. Negative affective recovery (ie, return to baseline following an increase in negative affect) was longer in individuals with first-episode psychosis compared with controls (hazard ratio [HR] = 1.71, 95% confidence interval [CI; 1.03, 2.61], P = .04) and in at-risk individuals exposed to high vs low levels of emotional abuse (HR = 1.31, 95% CI [1.06, 1.62], P = .01). Positive affective recovery (ie, return to baseline following a decrease in positive affect) did not differ between groups and was not associated with childhood trauma. Our results give first indications that negative affective recovery may be a putative momentary representation of resilience across stages of psychosis and may be amplified in at-risk individuals with prior experiences of emotional abuse. Understanding how affective recovery contributes to the development of psychosis may help identify new targets for prevention and intervention to buffer risk or foster resilience in daily life.

Sections du résumé

BACKGROUND AND HYPOTHESES UNASSIGNED
Affective recovery, operationalized as the time needed for affect to return to baseline levels after daily stressors, may be a putative momentary representation of resilience. This study aimed to investigate affective recovery in positive and negative affect across subclinical and clinical stages of psychosis and whether this is associated with exposure to childhood trauma (sexual, physical, and emotional abuse).
STUDY DESIGN METHODS
We used survival analysis to predict the time-to-recovery from a daily event-related stressor in a pooled sample of 3 previously conducted experience sampling studies including 113 individuals with first-episode psychosis, 162 at-risk individuals, and 94 controls.
STUDY RESULTS RESULTS
Negative affective recovery (ie, return to baseline following an increase in negative affect) was longer in individuals with first-episode psychosis compared with controls (hazard ratio [HR] = 1.71, 95% confidence interval [CI; 1.03, 2.61], P = .04) and in at-risk individuals exposed to high vs low levels of emotional abuse (HR = 1.31, 95% CI [1.06, 1.62], P = .01). Positive affective recovery (ie, return to baseline following a decrease in positive affect) did not differ between groups and was not associated with childhood trauma.
CONCLUSIONS CONCLUSIONS
Our results give first indications that negative affective recovery may be a putative momentary representation of resilience across stages of psychosis and may be amplified in at-risk individuals with prior experiences of emotional abuse. Understanding how affective recovery contributes to the development of psychosis may help identify new targets for prevention and intervention to buffer risk or foster resilience in daily life.

Identifiants

DOI: 10.1093/schbul/sbae004 PMID: 38366989
pubmed: 38366989
pii: 7609848
doi: 10.1093/schbul/sbae004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : German Federal Ministry of Education and Research
ID : 01EC1904B
Organisme : German Research Foundation
ID : 389624707
Organisme : ERC Consolidator
ID : ERC-2012-StG
Organisme : FWO Odysseus
ID : G0F8416N
Organisme : NWO VENI
ID : 451-13-022

Investigateurs

Behrooz Z Alizadeh (BZ)
Therese van Amelsvoort (T)
Wiepke Cahn (W)
Lieuwe de Haan (L)
Frederike Schirmbeck (F)
Claudia J P Simons (CJP)
Jim van Os (J)
Wim Veling (W)

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.

Auteurs

Leonie Ader (L)

Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
ORCID: 0000-0001-8007-0153

Anita Schick (A)

Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
ORCID: 0000-0002-2043-0353

Thomas Vaessen (T)

Department of Neurosciences, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Department of Psychology, Health & Technology, Faculty of Behavioural, Management and Social Sciences (BMS), University of Twente, Enschede, The Netherlands.
Department of Neurosciences, Mind Body Research, KU Leuven, Leuven, Belgium.

Craig Morgan (C)

Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
ESRC Centre for Society and Mental Health, King's College London, London, UK.

Matthew J Kempton (MJ)

Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Lucia Valmaggia (L)

Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
South London and Maudsley NHS Foundation Trust, London, UK.
Department of Psychiatry, KU Leuven, Leuven, Belgium.

Philip McGuire (P)

Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.

Inez Myin-Germeys (I)

Department of Neurosciences, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.

Ginette Lafit (G)

Department of Neurosciences, Center for Contextual Psychiatry, KU Leuven, Leuven, Belgium.
Research Group of Quantitative Psychology and Individual Differences, Faculty of Psychology, KU Leuven, Leuven, Belgium.

Ulrich Reininghaus (U)

Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
ESRC Centre for Society and Mental Health, King's College London, London, UK.
Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Classifications MeSH