Association between childhood adversity and functional outcomes in people with psychosis

Schizophrenia BulletinScott Cunningham MD PhD, et al. | September 19, 2022



It has been estimated that two-thirds of children experience at least one childhood adversity event.

Childhood adversity is associated with mental health disorders, substance abuse, decreased education achievement, unemployment, financial difficulties, and as shown in the current study, decreased overall functioning.

The literature was searched for terms related to psychosis, childhood adversity (general abuse, sexual abuse, physical abuse and neglect, and emotional abuse and neglect), and functional outcomes (social, occupational, and general).

General childhood adversity was negatively associated with general and social functioning, but not occupational outcomes.

All subtypes of childhood adversity, except sexual abuse, were negatively associated with general functioning. Emotional and physical neglect had the greatest effect on general functioning.