@article{ecefc71c920e4f0abd1d808146e0663c,
title = "The impact of childhood sexual trauma on intimacy and sexuality needs among people with non-affective psychosis",
abstract = "Background: Childhood trauma, in particular childhood sexual abuse (CSA), and unmet sexuality and intimacy needs are prevalent among people with psychosis spectrum disorders. The association between CSA and sexuality and intimacy needs over time in adults with psychosis spectrum disorders were examined.Method: Patients (n = 1119) were recruited as part of the Genetic Risk and OUtcome of Psychosis (GROUP) study, a representative cohort of patients with non-affective psychotic disorder. At baseline, three-year and six-year follow-up, sexuality and intimacy needs were assessed with the Camberwell Assessment of Needs. CSA was assessed with the Childhood Trauma Questionnaire.Results: At baseline, sexuality (26%) and intimacy (40%) needs were prevalent; 90% of these needs remained unmet. Cross-sectionally, CSA was associated with sexuality needs (OR = 1.68, 95% CI: 1.13-2.04) and intimacy needs (OR = 1.75, 95% CI: 1.04-1.77). Childhood emotional abuse (CEA) was also cross-sectionally associated with sexuality and intimacy needs. Others forms of trauma were not. Prospectively, CSA predicted incidence of a sexuality need (HR = 2.1, 95% CI: 1.23-3.74) as well as an intimacy need (HR = 1.7, 95% CI: 1.11-2.66), as did CEA (sexuality: HR = 1.8, 95% CI: 1.11-2.89; intimacy: HR = 1.4, 95% CI: 1.03-1.96). CSA and CEA were not associated with persistence of sexuality or intimacy.Conclusion: CSA and CEA are associated with a higher prevalence and incidence of sexuality and intimacy needs in patients with psychotic disorders. High rates of unmet sexuality and intimacy needs may indicate an under-lying need for trauma-related treatment as well as a need for novel interventions targeting these needs.",
keywords = "Sexuality, Intimacy, Recovery, Trauma, Childhood sexual abuse, Needs, QUALITY-OF-LIFE, MENTAL-HEALTH, CAMBERWELL ASSESSMENT, UNMET NEEDS, ABUSE, WOMEN, CARE, SATISFACTION, RISK",
author = "{de Jager}, Jose and Maurice Topper and Annet Nugter and {van Os}, Jim and {Genetic Risk and Outcome of Psychosis (GROUP) Investigators} and {van Amelsvoort}, Th{\'e}r{\`e}se and Claudia Simons",
note = "Funding Information: The infrastructure for the GROUP study is funded through the Geestkracht programme of the Dutch Health Research Council (Zon-Mw, grant number 10-000-1001), and matching funds from participating pharmaceutical companies (Lundbeck, AstraZeneca, Eli Lilly, Janssen Cilag) and universities and mental health care organizations (Amsterdam: Academic Psychiatric Centre of the Academic Medical Center and the mental health institutions: GGZ Ingeest, Arkin, Dijk en Duin, GGZ Rivierduinen, Erasmus Medical Centre, GGZ Noord Holland Noord. Groningen: University Medical Center Groningen and the mental health institutions: Lentis, GGZ Friesland, GGZ Drenthe, Dimence, Mediant, GGNet Warnsveld, Yulius Dordrecht and Parnassia psycho-medical center The Hague. Maastricht: Maastricht University Medical Centre and the mental health institutions: GGzE, GGZ Breburg, GGZ Oost-Brabant, Vincent van Gogh voor Geestelijke Gezondheid, Mondriaan, Virenze riagg, Zuyderland GGZ, MET ggz, Universitair Centrum Sint-Jozef Kortenberg, CAPRI University of Antwerp, PC Ziekeren Sint-Truiden, PZ Sancta Maria Sint-Truiden, GGZ Overpelt, OPZ Rekem. Utrecht: University Medical Center Utrecht and the mental health institutions Altrecht, GGZ Centraal and Delta). Funding Information: The infrastructure for the GROUP study is funded through the Geestkracht programme of the Dutch Health Research Council (Zon-Mw, grant number 10-000-1001), and matching funds from participating pharmaceutical companies ( Lundbeck , AstraZeneca , Eli Lilly , Janssen Cilag ) and universities and mental health care organizations (Amsterdam: Academic Psychiatric Centre of the Academic Medical Center and the mental health institutions: GGZ Ingeest , Arkin , Dijk en Duin , GGZ Rivierduinen , Erasmus Medical Centre , GGZ Noord Holland Noord . Groningen: University Medical Center Groningen and the mental health institutions: Lentis , GGZ Friesland , GGZ Drenthe , Dimence , Mediant , GGNet Warnsveld , Yulius Dordrecht and Parnassia psycho-medical center The Hague. Maastricht: Maastricht University Medical Centre and the mental health institutions: GGzE , GGZ Breburg , GGZ Oost-Brabant , Vincent van Gogh voor Geestelijke Gezondheid , Mondriaan , Virenze riagg , Zuyderland GGZ , MET ggz , Universitair Centrum Sint-Jozef Kortenberg , CAPRI University of Antwerp , PC Ziekeren Sint-Truiden , PZ Sancta Maria Sint-Truiden , GGZ Overpelt , OPZ Rekem . Utrecht: University Medical Center Utrecht and the mental health institutions Altrecht , GGZ Centraal and Delta ). Publisher Copyright: {\textcopyright} 2021",
year = "2021",
month = oct,
doi = "10.1016/j.schres.2021.08.003",
language = "English",
volume = "236",
pages = "97--103",
journal = "Schizophrenia Research",
issn = "0920-9964",
publisher = "Elsevier Science",
}