AI Article Synopsis
- - The study investigates the link between Childhood Trauma (CT) and self-harm behaviors in youth diagnosed with Bipolar Disorder (BD), highlighting that a significant number of these youths engage in self-harm.
- - Data was collected from 273 participants, which included 96 with BD and 177 healthy controls, using a questionnaire to determine the history of CT, revealing that those with BD who self-harm experienced higher rates of various forms of abuse compared to both healthy individuals and their BD peers without self-harm.
- - The results indicate that emotional abuse is a key predictor of self-harm in youth with BD, emphasizing the need for healthcare providers to evaluate experiences of childhood trauma, especially emotional abuse, in these individuals.
Article Abstract
Background: Bipolar disorders (BD) in youth are associated with a high risk of self-harm behaviors. Childhood trauma (CT) is a relevant environmental stressor that is related to both BD diagnosis and self-harm in adulthood. It is not yet established whether CT may impact self-harm risk in youth. Therefore, the aim of this study was to investigate the distribution patterns of CT in youth BD with and without self-harm.
Methods: We assessed 273 participants (aged 13-25 years), 96 youths with BD according to DSM-5 criteria and 177 healthy controls (HC). History of CT was obtained using the Childhood Trauma Questionnaire (CTQ). The association between CT and self-harm was tested using multivariate statistical models.
Results: Over 45% of participants with BD reported lifetime self-harm. The BD Self-harm group reported more emotional abuse, emotional neglect, sexual abuse, and physical abuse than HC. The BD No-Self-harm group reported more emotional abuse than HC. The BD Self-harm group reported more emotional abuse and neglect than the BD No-Self-harm group. The BD Self-harm group also reported separated parents, hospitalizations, smoking, use of antiepileptics, antipsychotics and lithium. Emotional abuse was an independent predictor of self-harm in youths with BD.
Conclusion: Findings support the importance of assessing CT, in particular emotional abuse, in youth with BD at risk for self-harm.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10716889 | PMC |
| http://dx.doi.org/10.2174/1570159X21666230213155249 | DOI Listing |
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