Evidence map›Paper›PMID 39907752›Full record

ArticleSocial psychiatry and psychiatric epidemiology2025

Gender differences in the association between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.

ZhaoXuan Shang, ChunQing Fang, GuoShuai Luo, XiaoE Lang, Xiangyang Zhang

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Article in Social psychiatry and psychiatric epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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5 · Who and what money

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5 authors.

ZhaoXuan Shang *Department of Psychology and Cognitive Science, East China Normal University, Shanghai, China.
ChunQing Fang *Department of Psychology and Cognitive Science, East China Normal University, Shanghai, China.
GuoShuai Luo *Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China.
XiaoE LangDepartment of Psychiatry, First Hospital of Shanxi Medical University, Taiyuan, China.
Xiangyang ZhangCAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. zhangxy@psych.ac.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigates the gender-specific associations between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.

methodsA total of 601 patients with chronic schizophrenia were evaluated using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Positive and Negative Syndrome Scale (PANSS), and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Correlation and regression analyses were performed to explore the relationships between childhood trauma and clinical symptoms and cognitive function, considering gender differences.

resultsChildhood trauma prevalence showed no gender differences. In male patients, physical neglect predicted PANSS Positive symptoms (β = 0.123), and physical abuse was linked to lower Visuospatial Construction scores (β = -0.103). In female patients, emotional neglect predicted PANSS Positive (β = 0.225) and Excitement factors (β = 0.197), and emotional abuse predicted Depressive symptoms (β = 0.186). Sexual abuse was associated with lower language scores (β = -0.204), and physical neglect with deficits in Immediate (β = -0.261) and Delayed Memory (β = -0.157).

conclusionThe findings highlight distinct gender-specific patterns in the impact of childhood trauma on clinical symptoms among patients with chronic schizophrenia. This suggests the necessity for gender-specific therapeutic interventions to address these differences effectively.

Indexed as

Adult Survivors of Child AbuseChild AbuseCognitionSchizophreniaSchizophrenic PsychologyAdultChinaChronic DiseaseEast Asian PeopleFemaleHumansMaleMiddle AgedNeuropsychological TestsPrevalencePsychiatric Status Rating ScalesChildhood traumaClinical symptomsCognitive functionGender differenceSchizophrenia

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