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. Author manuscript; available in PMC: 2017 Nov 1.
Published in final edited form as: Clin Psychol Rev. 2016 Aug 31;49:92–105. doi: 10.1016/j.cpr.2016.08.003

Table 2.

Association Between Traumatic Life Events and Psychiatric Disorders Comorbid With Psychosis

Author Study
Design
Age; Type of TLE
Assessed
Psychiatric Outcome Adjusted Odds
Ratio (95%
Confidence
Interval)
Cutajar et al., 2010b Prospective,
General
population
≤16 year old;
sexual abuse
Psychotic Disorders 2.13 (1.44–3.17)*
Affective Disorders 2.07 (1.59–2.70)*
Posttraumatic Stress Disorder 5.56 (3.44–8.99)*
Other Anxiety Disorders 2.67 (1.97–3.61)*
Alcohol Abuse 5.88 (3.26–10.63)*
Drug Abuse 5.94 (3.68–9.58)*
Borderline Personality Disorder 6.07 (2.87–12.85)*
Spauwen et al., 2006 Prospective,
General
population
14–24 years old;
any trauma
(physical threat,
rape, sexual abuse,
natural catastrophe,
serious accident,
imprisoned or
kidnapped, terrible
event to other)
Broadly Defined Positive Psychotic
Symptoms
1.07 (0.82–1.40)*
Narrowly Defined Positive Psychotic
Symptoms
1.89 (1.16–3.08)*
Bipolar Disorder 0.40 (0.10–1.57)
Major Depression 1.16 (0.79–1.71)
Schurhoff et al., 2009 Cross
sectional,
case control
≥18; any trauma
(physical,
emotional, and
sexual abuse,
physical and
emotional neglect)
Schizophrenia First Degree Relatives 3.60 (1.09–11.80)*
Bipolar First Degree Relatives 1.64 (0.57–4.72)
Matheson et al., 2012 meta-
analysis
(cohort,
case-control,
and cross-
sectional
studies)
<18 years old;
physical abuse,
sexual abuse,
neglect
Schizophrenia vs. Non-Psychiatric
Controls
3.60 (2.08–6.23)*
Schizophrenia vs. Affective Psychosis 1.23 (0.77–1.97)
Schizophrenia vs. Anxiety Disorders 2.54 (1.29–5.01)*
Schizophrenia vs. Depressive Disorder 1.37 (0.53–3.49)
Schizophrenia vs. Dissociative Disorders
& PTSD (sexual abuse only)
0.03 (0.01–0.15)
Schizophrenia vs. Other Psychoses 0.69 (0.28–1.68)
Schizophrenia vs. Personality Disorders
(sexual abuse only)
0.65 (0.09–4.71)
Rubino et al., 2009 Cross
sectional,
case-control
>18 years old; any
abuse (emotional,
psychological,
physical, and
sexual abuse)
Schizophrenia vs. Non-Psychiatric
Controls
6.57 (3.48–12.39)*
Schizophrenia vs. Depressive Disorder 3.24 (1.93–5.45)*
Harley et al., 2010 Cross
sectional,
general
population
12–15 years old;
any trauma (sexual
abuse, physical
abuse, exposure to
domestic violence)
Cannabis Use 4.86 (1.63–14.51)*+
Positive Psychotic Symptoms 6.16 (1.65–23.1)*
Konings et al., 2012 Prospective,
General
population
18–64 (NEMESIS
sample only); any
abuse (emotional,
physical,
psychological, and
sexual abuse)
Positive Psychotic Symptoms 1.96 (1.73–2.20)*
Positive Psychotic Symptoms Controlling
for Cannabis Use
1.93 (1.71–2.18)*
Cannabis Use 1.57 (1.33–1.86)*
van Nierop et al., 2014b Cross
sectional,
general
population
18–65 (NEMESIS-
2 sample only); any
abuse (emotional
neglect, physical
abuse,
psychological
abuse, sexual
abuse, and peer
victimization)
≥1 Depression Symptom 1.21 (1.18–1.23)*
≥1 Anxiety Symptom 1.18 (1.16–1.21)*
≥1 Manic Symptom 1.19 (1.17–1.22)*
≥1 Psychotic Symptom 1.23 (1.20–1.26)*
*

significant association;

+

only unadjusted odds ratio reported