Alvarez María-José, Roura Pere, Osés Anna, Foguet Quintí, Solà Judit, Arrufat Francesc-Xavier
Department of Mental Health, Vic Hospital Consortium, Vic, Catalonia, Spain.
J Nerv Ment Dis. 2011 Mar;199(3):156-61. doi: 10.1097/NMD.0b013e31820c751c.
A high prevalence of childhood abuse has been reported in patients with severe mental illness. We conducted a cross-sectional study of 102 patients with schizophrenia, bipolar disorder, or schizoaffective disorder. Social, demographic, and clinical data were obtained. Patients were evaluated using Brief Psychotic Relative Scale, and Traumatic Life Events and Distressing Event questionnaires. Almost half (47.5%) of these patients had suffered some kind of child abuse, and our results confirmed a relationship between a history of childhood abuse and more severe psychosis. Diagnosis of schizophrenia was determined 4.1 years earlier in victims of childhood abuse. Hospital admissions were twice as high in victims of psychological abuse. Patients with a history of sexual abuse were more than twice as likely to attempt suicide (68% vs. 28.9%).
据报道，严重精神疾病患者中童年期受虐的发生率很高。我们对102例精神分裂症、双相情感障碍或分裂情感性障碍患者进行了一项横断面研究。获取了社会、人口统计学和临床数据。使用简易精神病相关量表、创伤性生活事件和痛苦事件问卷对患者进行评估。这些患者中近一半（47.5%）曾遭受某种形式的童年虐待，我们的结果证实了童年虐待史与更严重的精神病之间存在关联。童年虐待受害者被诊断为精神分裂症的时间要早4.1年。心理虐待受害者的住院率是其他人的两倍。有性虐待史的患者自杀未遂的可能性是其他人的两倍多（68%对28.9%）。
