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Yet, it remains unexplored whether childhood trauma predicts symptom load and the level of neurocognitive functioning in <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We included 225 individuals with <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content> and 127 healthy controls. Childhood trauma was evaluated using the Childhood Trauma Questionnaire, and schizotypal traits were assessed using the Schizotypal Personality Questionnaire. Standard neurocognitive assessments covered six cognitive domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All types of reported childhood trauma were significantly associated with <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content>, in a linear fashion. Severe sexual abuse showed the greatest magnitude of association with higher cognitive\u2013perceptual load (e.g., ideas of reference, odd belief or magical thinking); severe emotional neglect was associated with interpersonal scores (e.g., excessive social anxiety, constricted affect) within the <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content> group. <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content> individuals who reported severe trauma showed worse cognitive functioning (i.e., working memory, verbal\/visual learning and memory, as well as verbal fluency).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Particular severe childhood trauma types were associated with higher cognitive\u2013perceptual and interpersonal symptoms in <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content>, along with worse cognitive functioning. These findings highlight the need for clinicians to enquire about childhood trauma in <jats:styled-content style=\"fixed-case\">SPD<\/jats:styled-content> patients, since unaddressed early adverse experiences may carry long\u2010term negative consequences.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.13032","type":"journal-article","created":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T09:33:45Z","timestamp":1554543225000},"page":"50-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Severe childhood trauma and clinical and neurocognitive features in schizotypal personality disorder"],"prefix":"10.1111","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5675-3325","authenticated-orcid":false,"given":"T.","family":"Velikonja","sequence":"first","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine Mount Sinai NY USA"},{"name":"Seaver Center of Research and Treatment Icahn School of Medicine Mount Sinai NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Velthorst","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine Mount Sinai NY USA"},{"name":"Seaver Center of Research and Treatment Icahn School of Medicine Mount Sinai NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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