000			03264nab a22003497a 4500
999			_c6082 _d6082
005			20250625151501.0
008			181203s2018 -nz||||| |||| 00| 0 eng d
040			_aAFVC
100			_aBell, Caroline J. _98012
245			_aChildhood abuse and psychotic experiences in adulthood : _bfindings from a 35-year longitudinal study _cCaroline J. Bell, James A. Foulds, L. John Horwood, Roger T. Mulder and Joseph M. Boden
260			_bCambridge University Press, _c2018
500			_aBritish Journal of Psychiatry, 2018, Advance online publication, 27 November 2018
520			_aBackground: The extent to which exposure to childhood sexual and physical abuse increases the risk of psychotic experiences in adulthood is currently unclear. Aims: To examine the relationship between childhood sexual and physical abuse and psychotic experiences in adulthood taking into account potential confounding and time-dynamic covariate factors. Method: Data were from a cohort of 1265 participants studied from birth to 35 years. At ages 18 and 21, cohort members were questioned about childhood sexual and physical abuse. At ages 30 and 35, they were questioned about psychotic experiences (symptoms of abnormal thought and perception). Generalised estimating equation models investigated covariation of the association between abuse exposure and psychotic experiences including potential confounding factors in childhood (socioeconomic disadvantage, adverse family functioning) and time-dynamic covariate factors (mental health, substance use and life stress). Results: Data were available for 962 participants; 6.3% had been exposed to severe sexual abuse and 6.4% to severe physical abuse in childhood. After adjustment for confounding and time-dynamic covariate factors, those exposed to severe sexual abuse had rates of abnormal thought and abnormal perception symptoms that were 2.25 and 4.08 times higher, respectively than the ‘no exposure’ group. There were no significant associations between exposure to severe physical abuse and psychotic experiences. Conclusions: Findings indicate that exposure to severe childhood sexual (but not physical) abuse is independently associated with an increased risk of psychotic experiences in adulthood (particularly symptoms of abnormal perception) and this association could not be fully accounted for by confounding or time-dynamic covariate factors. (Authors' abstract). Record #6082
650		5	_945 _aADULT SURVIVORS OF CHILD ABUSE
650		5	_aADULT SURVIVORS OF SEXUAL ABUSE _946
650			_aCHILD ABUSE _9103
650			_aCHILD SEXUAL ABUSE _9121
650		0	_94067 _aChristchurch Health and Development Study
650		5	_9351 _aLONGITUDINAL STUDIES
650			_aMENTAL HEALTH _9377
650			_aPHYSICAL ABUSE _9439
650		0	_96230 _aPSYCHOTIC DISORDERS
651		4	_aNEW ZEALAND _92588
700			_aFoulds, James A. _98013
700			_91381 _aHorwood, Leonard John
700			_aMulder, Roger T. _91772
700			_aBoden, Joseph M. _9800
773	0		_tBritish Journal of Psychiatry, 2018, Advance online publication, 27 November 2018
830			_aBritish Journal of Psychiatry _94659
856			_uhttps://doi.org/10.1192/bjp.2018.264 _yRead abstract
942			_2ddc _cARTICLE