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Relating Childhood Trauma to the Phenomenology of Schizophrenia: Pathways of Impairment for Social Cognition, Paranoia, and Social Functioning

Abstract Details

2018, PHD, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
Among individuals with schizophrenia disorders, the experience of trauma during childhood is common. Childhood trauma has been connected to numerous adverse outcomes, yet its impact on the phenomenology of schizophrenia is still largely unknown. The present study's primary aim was to test the relationships of emotion perception, paranoia, and social functioning with self-reported childhood traumatic experiences in a sample of community mental health outpatients diagnosed with schizophrenia. Potential mechanisms of these relationships were tested in two sets of mediation models: the first set tested if the effect of childhood trauma acted on paranoia through emotion perception, and the second tested if the effect of childhood trauma acted on social functioning through emotion perception and paranoia. We also tested the relationships of these variables with specific symptoms in schizophrenia. Results indicated significant relationships between emotion perception and paranoia, as well as between paranoia and social functioning. Analyses found no evidence of significant relationships between childhood trauma and any of the other tested variables. Consequently, both sets of mediation models did not show evidence of significant mediational effects. Exploratory results indicated that paranoia displays different relationships depending upon whether contextual information is present (i.e., accidental situations) or not (i.e., ambiguous situations). Findings and limitations are discussed in detail, as well as possible explanations for the hypothesized relationships that were not supported by our results. To conclude, implications of this study are examined and potential future research is suggested to continue improving early detection of those at risk for worse deficits in schizophrenia.
Nancy Docherty, Ph.D. (Committee Chair)
Jeffrey Ciesla, Ph.D. (Committee Member)
John Updegraff, Ph.D. (Committee Member)
Deborah Barnbaum, Ph.D. (Committee Member)
Richard Adams, Ph.D. (Committee Member)
101 p.

Recommended Citations

Citations

  • Gallagher, C. J. (2018). Relating Childhood Trauma to the Phenomenology of Schizophrenia: Pathways of Impairment for Social Cognition, Paranoia, and Social Functioning [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1531766165829747

    APA Style (7th edition)

  • Gallagher, Colin. Relating Childhood Trauma to the Phenomenology of Schizophrenia: Pathways of Impairment for Social Cognition, Paranoia, and Social Functioning. 2018. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1531766165829747.

    MLA Style (8th edition)

  • Gallagher, Colin. "Relating Childhood Trauma to the Phenomenology of Schizophrenia: Pathways of Impairment for Social Cognition, Paranoia, and Social Functioning." Doctoral dissertation, Kent State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1531766165829747

    Chicago Manual of Style (17th edition)