Pôle de Psychiatrie et Santé Mentale, CHRU Strasbourg, France.
Child Abuse Negl. 2011 May;35(5):329-32. doi: 10.1016/j.chiabu.2011.01.008.
To determine the prevalence of five forms of abuse/neglect during childhood and adolescence in a group of schizophrenic patients with a history of violence.
Twenty-eight patients hospitalized in a highly secured psychiatric unit were included. Abuse and neglect during patients' growth were evaluated with the childhood trauma questionnaire (CTQ). History of substance abuse (consumption of cannabis, and/or alcohol, and/or heroin, and/or cocaine during the year that preceded the hospitalization), incarceration, and death of a close parent were also collected.
We found that 46.4% of patients experienced at least 1 form of abuse and/or neglect during childhood and 21.4% of them had experienced more than 2 forms of abuse and/or neglect. The 2 most frequent forms of neglect and abuse were physical abuse (39.3%) and emotional neglect (17.9%). History of substance abuse was found for cannabis (57.1%), alcohol (57.1%), and cocaine and/or heroin (35.7%). We found that 42.8% of patients had 1 close relative who had died during their growth and that 41.6% of these deaths were violent.
It appears important to systematically search for and assess a history of abuse and neglect during growth in schizophrenic patients with a history of violence, in order to offer specific treatments for this group of patients.
在一组有暴力史的精神分裂症患者中，确定五种形式的虐待/忽视在童年和青少年时期的流行情况。
纳入了 28 名住院于高度安全精神科病房的患者。使用童年创伤问卷（CTQ）评估患者成长过程中的虐待和忽视情况。还收集了滥用药物史（住院前一年吸食大麻、酒精、海洛因、可卡因）、监禁和直系亲属死亡情况。
我们发现，46.4%的患者在童年时期至少经历过一种形式的虐待和/或忽视，21.4%的患者经历过两种或两种以上形式的虐待和/或忽视。最常见的两种忽视和虐待形式是身体虐待（39.3%）和情感忽视（17.9%）。滥用大麻（57.1%）、酒精（57.1%）和可卡因和/或海洛因（35.7%）的患者有滥用药物史。我们发现，42.8%的患者在成长过程中有 1 位近亲死亡，其中 41.6%的死亡是暴力性的。
对于有暴力史的精神分裂症患者，系统地搜索和评估成长过程中的虐待和忽视史似乎很重要，以便为这组患者提供特定的治疗。
