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Nevertheless, the use of the CTQ may be relevant, as it is widely used in clinical research in BD, while also exploring different subtypes of trauma and not only physical or sexual abuse.
It should also be mentioned here that it is a challenge to separate into different subtypes of trauma, since they often occur together (for an overview of commonly investigated subtypes of childhood trauma, assessed by the CTQ please see Table 1).
Interestingly, there is evidence that subtypes of trauma, particularly emotional abuse [ 5, 15] is increased in patients with bipolar disorder.
Our data also demonstrate that specific subtypes of trauma (physical, sexual or emotional abuse/neglect) are associated with different clinical characteristics of the disorder.
Besides, we used one standardized operationalized instrument (CTQ) to measure total scores, as well as different subtypes of trauma, which were reduced to three by factor analysis.
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Another important issue concerns the subtypes of childhood trauma (as compared to trauma in general) that drive these effects on clinical characteristics.
However, physical and sexual abuse are also the most frequently studied subtypes of childhood trauma, and only a few studies have paid any attention to emotional abuse or neglect (Daruy-Filho et al. 2011).
In addition, there are no specific headache features known to distinguish the subtypes of headache attributed to trauma or injury to the head and/or neck from other headache types; most often these resemble tension-type headache or migraine [5].
No other subtypes of headache, or head trauma were reported by the patients.
In the study of Williams and Nukada [3], the reported subtypes of headache were: effort migraine, trauma-induced migraine, effort/exertion headache and post-traumatic headache; all effort and trauma-triggered migraine patients (11 and 8, respectively, of 129 patients) reported aura symptoms before the headache (visual and/or sensory disturbances).
Journal of Trauma, 2002.
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