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Psychotic Experiences, Childhood Trauma, and Alcohol-Related Self-Efficacy in a Nonpsychiatric Sample of Individuals in Alcohol Dependence Treatment: A Pilot Study

Journal article
Authors Jonas Stålheim
Kristina Berglund
Ulf Berggren
Jan Balldin
Claudia Fahlke
Published in Alcoholism Treatment Quarterly
Volume 36
Issue 3
Pages 387-398
ISSN 0734-7324
Publication year 2018
Published at Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
Department of Psychology
Pages 387-398
Language en
Links dx.doi.org/10.1080/07347324.2018.14...
Keywords alcohol use disorders, psychotic experiences, childhood trauma, self-efficacy, affect regulation, general-population, substance-abuse, symptoms, schizophrenia, metaanalysis, medication, severity, system, scale
Subject categories Psychology, Public health medicine research areas, Psychiatry

Abstract

There is a substantial co-occurrence between alcohol dependence and psychiatric symptoms. Moreover, research suggests that such symptoms, including psychotic experiences, are continuously distributed in the population. There is a lack of research concerning psychotic symptoms in otherwise non-psychiatric populations with alcohol dependence. The aim of this study was to investigate the prevalence of psychotic symptoms in this population, and to relate this to childhood trauma and management of alcohol dependence. From a population with alcohol dependence two sub-groups were extracted, with low and high levels of psychotic experiences respectively. These were compared concerning childhood trauma and management of dependence using ANOVA, and the resulting model was examined using binary logistic regression. There was a sub-group of 14,3% of the population with elevated levels of psychotic experiences. This group displayed higher degree of self-reported childhood trauma as well as difficulties in managing alcohol dependence, when compared to a sub-group with low levels of psychotic experiences. There may be a substantial sub-group in the otherwise non-psychiatric population with alcohol dependence, with significant difficulties concerning psychotic symptoms, trauma and management of dependence, where anxiety may have a mediating function. If so, this group calls for broader assessment and treatment than standard alcohol interventions.

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