Prevalence and factors associated with relapse and long hospital stay among adult psychiatric patients with a history of childhood trauma.

Journal: Psychiatry research

Volume: 316

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Department of Psychiatry, Kampala International University Western Campus Bushenyi, Uganda; Department of Internal Medicine, Masereka General Referral Hospital, North-Kivu, Democratic Republic of the Congo. Electronic address: nzanzumutume@kiu.ac.ug. Department of psychiatry, University of Kinshasa, Democratic Republic of Congo. Kinshasa School of Public Health, Faculty of Medicine University of Kinshasa, Kinshasa, Democratic Republic of Congo. Faculty of Medicine, Catholic University of Graben, Butembo, Democratic Republic of the Congo.

Abstract summary 

This cross-sectional multicentre-based study determined the magnitude of relapse, long hospital stay and factors of mental illness associated with a history of childhood trauma. We assessed 335 adult psychiatric patients and living in conflict areas, using a questionnaire established from items of the Adverse Childhood Experience International Questionnaire, Multidimensional Scale of Perceived Social Support, Rosenberg Self-esteem Questionnaire, Relapse Assessment Tool, and Self-report of hospital stay. Logistic regression analyses were used to determine associations between predictors and relapse and long hospital stay. 298 participants (88.9%) had experienced childhood adversities, among which 44.4% reported more than five childhood traumas. Relapse occurred in 40.9% of participants, whereas long hospital stay occurred in 71.1% of cases. Predictors of long hospital stay were emotional abuse, substance use and living in rural settings. Being an employed and experiencing a childhood trauma committed by a parent increase the likelihood risk of relapse of mental illness associated with childhood trauma. Being treated by childhood trauma-focused interventions decreases the risk of relapse and shorter the length of hospital stay. Building a mental health capacity should be centered on detecting patients with childhood trauma committed by the parent, those with low-self esteem, and victims of emotional abuse.

Authors & Co-authors:  Vivalya Bives Mutume Nzanzu BMN Vagheni Martial Mumbere MM Piripiri Astride Lina AL Masuka Rock Kasereka RK Omba Ally Ndjukendi AN Mankubu Adelin Nsitu AN Andjafono Daniel Okitundu Luwa E DOLE Kitoko Germain Manzekele Bin GMB

Study Outcome 

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Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.psychres.2022.114745
SSN : 1872-7123
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Childhood trauma;Conflict zones;Long hospital stay;Mental illness;Relapse
Study Design
Study Approach
Country of Study
Publication Country
Ireland