The Relationship of Childhood Trauma and Spiritual Well-Being with Dysfunctional Thoughts in Individuals with Schizophrenia or Bipolar Disorder in Türkiye.

This study aimed to examine the relationships of childhood trauma and spiritual well-being with dysfunctional thoughts in individuals diagnosed with schizophrenia or bipolar disorder. This descriptive and cross-sectional study included 39 individuals diagnosed with schizophrenia and 45 individuals with bipolar disorder who were receiving treatment and care at the psychiatric clinic of a training and research hospital and at a Community Mental Health Center in a province. The research was conducted between March 15, 2023, and March 15, 2024. The data collection tools included the Sociodemographic Information Form, the Childhood Trauma Questionnaire (CTQ), the Dysfunctional Attitude Scale-Revised (DAS-R), and the Spiritual Well-Being Scale (SWBS). Childhood trauma was negatively correlated with transcendence (r = - 0.217) and harmony with nature (r = - 0.315) and positively correlated with anomie (r = 0.342). Similarly, dysfunctional thoughts were negatively associated with transcendence (r = - 0.313) and harmony with nature (r = - 0.326) and positively associated with anomie (r = 0.338) (p < 0.05). Regression analysis showed that the dimensions of spirituality explained approximately 20% of the variance in dysfunctional thoughts, with transcendence significantly and negatively predicting dysfunctional thoughts (β = - 0.34, p < 0.05), and anomie positively predicting them (β = 0.30, p < 0.05). Childhood trauma and harmony with nature did not significantly predict dysfunctional thoughts. These results indicate that while childhood trauma did not have a direct effect on dysfunctional thoughts, spiritual well-being-particularly specific dimensions such as transcendence and anomie-plays a significant role in shaping cognitive functioning.