Abstract:

Childhood trauma in bipolar patients affect multiple clinical variables. Sleep is a parameter affecting prognosis and functionality in bipolar patients. In this study; we aim to evaluate the effect of childhood trauma on sleep and functionality. The study included a healthy control group (n=50) and a total of 100 patients diagnosed with BAD-I according to DSM-5 diagnostic criteria who were admitted to our hospital between January 12, 2021, and June 30, 2021. Sociodemographic data form, Pittsburg Sleep Quality Index (PSQI), Childhood Psychiatric Trauma Scale (CTQ), and Bipolar Disorder Functioning Scale (BDFS) scales were applied to the patient and control groups.Compared to the control group, in the patient group; There was a statistically significant increase in the CTQ total score, emotional abuse, emotional neglect, and sexual abuse subscale scores; The sub-scores for work, emotional functionality, mental functionality, stigmatization, introversion, social participation, daily activities and hobbies, and BDFS total scores were found to be statistically lower (p< 0.05). Because of the correlation between the scale scores, there was a negative correlation between the PSQI total score and the BDFS total score. Childhood traumas and sleep problems are more common in patients with bipolar disorder than in healthy controls. In addition, childhood traumas may cause deterioration in bipolar functionality scores such as emotional functionality and introversion in bipolar patients.

Keywords: