Cullberg Johan
Stockholm Center of Public Health, POB 17533, SE-11891 Stockholm, Sweden.
Nord J Psychiatry. 2003;57(3):209-14. doi: 10.1080/08039480310001373.
The aim of the study was to investigate the frequency and types of psychologically stressful life events preceding first episode psychoses. In a defined urban area, all first-episode psychosis patients aged 18-45, without signs of organic brain disorder or heavy abuse, were investigated and followed-up during 2-3 years. In the majority of cases, significant releasing factors could be depicted. The need to understand the specific, private meaning of the preceding events is illustrated by case vignettes. A stressful life situation may not be regarded as the "cause" of the psychosis but as a more or less important boosting factor. This is a complicated interaction between biological and psychological vulnerability factors. It seems important that the patients after the acute phase are given opportunities to talk about the events and how to manage them in the future.
该研究的目的是调查首次发作精神病之前心理应激性生活事件的频率和类型。在一个特定的城市区域，对所有年龄在18 - 45岁、无器质性脑障碍或严重滥用迹象的首次发作精神病患者进行了调查，并在2至3年期间进行随访。在大多数病例中，可以描绘出显著的促发因素。病例 vignettes 说明了理解先前事件的特定、个人意义的必要性。应激性生活状况可能不被视为精神病的“病因”，而被视为一个或多或少重要的促发因素。这是生物和心理易损因素之间的复杂相互作用。急性期过后给予患者谈论这些事件以及未来如何应对它们的机会似乎很重要。
