Evidence map›Paper›PMID 29779964›Full record

ArticleSchizophrenia research2019

Childhood trauma and clinical high risk for psychosis.

Rachel L Loewy, Sarah Corey, Felix Amirfathi, Sawsan Dabit, Daniel Fulford, Rahel Pearson, Jessica P Y Hua, Danielle Schlosser, Barbara K Stuart, Daniel H Mathalon and 1 more

Abstract read
In one paragraph

Article in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  7. Synergistic pathways to psychosis: understanding developmental risk and resilience factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rachel L LoewyUniversity of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences, 401 Parnassus Ave., Box 0984-PAR, San Francisco, CA 94143-0984, United States. Electronic address: rachel.loewy@ucsf.edu.
Sarah CoreyPartners HealthCare, 399 Revolution Drive, Somerville, MA 02145, United States.
Felix AmirfathiUniversity of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences, 401 Parnassus Ave., Box 0984-PAR, San Francisco, CA 94143-0984, United States.
Sawsan DabitPosit Science Corporation, 160 Pine Street, Suite 200, San Francisco, CA 94111-5513, United States.
Daniel FulfordDepartment of Occupational Therapy and Rehabilitation Sciences, Boston University, 635 Commonwealth Ave., Boston, MA 02215, United States; Department of Psychological & Brain Sciences, Boston University, 635 Commonwealth Ave., Boston, MA 02215, United States.
Rahel PearsonUniversity of Texas at Austin, Institute for Mental Health Research, Department of Psychology, 305 E. 23rd St Stop A9000, Austin, TX 78712, United States.
Jessica P Y HuaUniversity of Missouri, Department of Psychological Sciences, 210 McAlester Hall, Columbia, MO 65211-2500, United States.
Danielle SchlosserUniversity of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences, 401 Parnassus Ave., Box 0984-PAR, San Francisco, CA 94143-0984, United States; Verily Life Sciences, 269 E Grand Ave, South San Francisco, CA 94080, United States.
Barbara K StuartUniversity of California, San Francisco, Department of Psychiatry, Zuckerberg San Francisco General Hospital and Trauma Center, 1001 Potrero Avenue, Bldg 5, Room 7G42, San Francisco, CA 94110, United States.
Daniel H MathalonUniversity of California, San Francisco, Department of Psychiatry, Weill Institute for Neurosciences, 401 Parnassus Ave., Box 0984-PAR, San Francisco, CA 94143-0984, United States; Mental Health Service, Veterans Affairs San Francisco Healthcare System, San Francisco, CA 94121, United States.
Sophia VinogradovDepartment of Psychiatry, University of Minnesota Medical School, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN 55454, United States.

Funding

CLINICAL SERVICES RESEARCH TRAINING PROGRAMT32MH018261 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kaja Zabrina LeWinn, Rachel L. Loewy · 1985 to 2026
$7.0M
Functional Brain Abnormalities in the Schizophrenia ProdromeR01MH076989 · NIMH · YALE UNIVERSITY · PI MATHALON, DANIEL H · 2007 to 2014
$2.3M
Trauma and stress responsivity in youth at ultra-high-risk for psychosisK23MH086618 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOEWY, RACHEL L. · 2009 to 2013
$851k
NIMH NIH HHS K23 MH086618NIMH NIH HHS R01 MH076989NIMH NIH HHS T32 MH018261
6 · The paper itself

Abstract

As a risk factor for psychosis, childhood trauma rates are elevated in the clinical-high-risk (CHR) syndrome compared to the general population. However, it is unknown whether trauma is typically experienced in childhood or adolescence/young adulthood, whether it occurred prior to CHR syndrome onset, and how severe trauma relates to presenting symptoms. In this study, we examined the relationship of trauma history to symptoms and functioning in individuals diagnosed with the CHR syndrome on the Structured Interview for Psychosis-Risk Syndromes (N = 103). Trauma, defined as meeting the DSM-IV A1 criterion of actual or threatened death or injury, was assessed by semi-structured interview. A large proportion of CHR participants (61%) reported trauma exposure, including interpersonal trauma, trauma prior to CHR onset, and childhood trauma prior to age 12. Those with a trauma history (versus those without trauma) were rated as having more severe perceptual disturbances, general/affective symptoms and more impairment on the Global Assessment of Functioning Scale. The number of traumatic events correlated with more severe ratings in those three domains. Additionally, the number of interpersonal traumas was correlated with ratings of suspiciousness. Trauma was unrelated to specific measures of social and role functioning. A small proportion of CHR participants were diagnosed with formal PTSD (14%), which was unrelated to symptom severity or functioning. Thus, we demonstrate that trauma exposure is often early in life (before age 12), occurs prior to the onset of the CHR syndrome, and is related to both positive and affective symptoms.

Indexed as

Prodromal SymptomsAdolescentAdultAdverse Childhood ExperiencesAge FactorsChildFemaleHumansMalePsychological TraumaPsychotic DisordersRiskSchizophreniaStress Disorders, Post-TraumaticYoung AdultAdverse childhood eventsProdromeSchizophreniaStressUltra high risk

Identifiers

PMID29779964
PMCPMC6939986

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.