Sansone Randy A, Wiederman Michael W, McLean Jamie S
Wright State University, Dayton, Ohio, USA.
Int J Psychiatry Med. 2008;38(4):469-79. doi: 10.2190/PM.38.4.f.
This study was designed to explore the relationship between five forms of childhood trauma and medically self-sabotaging behaviors (i.e., the intentional induction, exaggeration, and/or exacerbation of medical symptoms).
Using a cross-sectional sample of convenience, 120 psychiatric inpatients were surveyed about childhood sexual, physical, and emotional abuses, the witnessing of violence, and physical neglect, as well as 19 medically self-sabotaging behaviors (i.e., intentional behaviors that represent attempts to sabotage medical care).
As expected, in this sample there were high prevalence rates of trauma (62.5% emotional abuse, 58.3% witnessing of violence, 46.7% physical abuse, 37.5% sexual abuse, 28.3% physical neglect). Simple correlations demonstrated statistically significant relationships between sexual abuse and physical neglect and medically self-sabotaging behaviors. Using multiple regression analysis, only physical neglect remained a unique predictor of medically self-sabotaging behaviors.
These findings indicate that among psychiatric inpatients there appears to be a relationship between physical neglect in childhood and the generation of medically self-sabotaging behaviors in adulthood. Perhaps physical neglect in childhood contributes to the generation of somatic behaviors in adulthood for the purpose of eliciting caring responses from others.
本研究旨在探讨五种形式的童年创伤与医疗自我破坏行为（即故意诱发、夸大和/或加重医疗症状）之间的关系。
采用便利抽样的横断面样本，对120名精神科住院患者进行了调查，内容包括童年期的性虐待、身体虐待和情感虐待、目睹暴力以及身体忽视，以及19种医疗自我破坏行为（即代表破坏医疗护理企图的故意行为）。
正如预期的那样，在这个样本中，创伤的患病率很高（情感虐待62.5%，目睹暴力58.3%，身体虐待46.7%，性虐待37.5%，身体忽视28.3%）。简单相关性分析表明，性虐待和身体忽视与医疗自我破坏行为之间存在统计学上的显著关系。使用多元回归分析，只有身体忽视仍然是医疗自我破坏行为的唯一预测因素。
这些发现表明，在精神科住院患者中，童年期的身体忽视与成年期医疗自我破坏行为的产生之间似乎存在关联。也许童年期的身体忽视会导致成年期出现躯体行为，目的是从他人那里获得关爱反应。
