临床精神病高危人群的早期创伤经历。
Early traumatic experiences in those at clinical high risk for psychosis.
机构信息
Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada.
出版信息
Early Interv Psychiatry. 2013 Aug;7(3):300-5. doi: 10.1111/eip.12020. Epub 2013 Jan 24.
Abstract
AIM
Several lines of evidence suggest a possible association between a history of trauma in childhood and later psychosis or psychotic-like experiences. The purpose of this study was to determine the extent of childhood trauma and bullying in young people at clinical high risk (CHR) of developing psychosis.
METHODS
The sample consisted of 360 individuals who were at CHR of developing psychosis and 180 age- and gender-matched healthy controls. All participants were assessed on past trauma and bullying. The CHR participants were also assessed on a range of psychopathology and functioning.
RESULTS
Individuals at CHR reported significantly more trauma and bullying than healthy controls. Those who had experienced past trauma and bullying were more likely to have increased levels of depression and anxiety and a poorer sense of self.
CONCLUSIONS
These results offer preliminary support for an association between a history of trauma and later subthreshold symptoms.
摘要
目的
有几条证据表明，儿童时期的创伤史与后来的精神病或类似精神病的经历之间可能存在关联。本研究的目的是确定有发展为精神病风险的年轻人中童年创伤和欺凌的程度。
方法
该样本包括 360 名处于发展为精神病风险中的个体和 180 名年龄和性别匹配的健康对照组。所有参与者都接受了过去创伤和欺凌的评估。CHR 参与者还接受了一系列精神病理学和功能评估。
结果
处于 CHR 中的个体报告的创伤和欺凌事件明显多于健康对照组。那些经历过过去创伤和欺凌的人更有可能出现抑郁和焦虑程度增加以及自我感觉较差的情况。
结论
这些结果初步支持了创伤史与后来阈下症状之间的关联。
相似文献
1
Early traumatic experiences in those at clinical high risk for psychosis.
Early Interv Psychiatry. 2013 Aug;7(3):300-5. doi: 10.1111/eip.12020. Epub 2013 Jan 24.
2
Childhood trauma and premorbid adjustment among individuals at clinical high risk for psychosis and normal control subjects.
Early Interv Psychiatry. 2013 Feb;7(1):51-7. doi: 10.1111/j.1751-7893.2012.00391.x. Epub 2012 Aug 26.
3
Cyberbullying in those at clinical high risk for psychosis.
Early Interv Psychiatry. 2013 Nov;7(4):427-30. doi: 10.1111/eip.12013. Epub 2013 Jan 24.
4
Childhood trauma and cognitive functioning in individuals at clinical high risk (CHR) for psychosis.
Dev Psychopathol. 2021 Feb;33(1):53-64. doi: 10.1017/S095457941900155X.
5
Early traumatic experiences, perceived discrimination and conversion to psychosis in those at clinical high risk for psychosis.
Soc Psychiatry Psychiatr Epidemiol. 2016 Apr;51(4):497-503. doi: 10.1007/s00127-016-1182-y. Epub 2016 Feb 6.
6
Bullying in clinical high risk for psychosis participants from the NAPLS-3 cohort.
Soc Psychiatry Psychiatr Epidemiol. 2022 Jul;57(7):1379-1388. doi: 10.1007/s00127-022-02239-5. Epub 2022 Feb 3.
7
Traumatic brain injury in individuals at clinical high risk for psychosis.
Schizophr Res. 2016 Jul;174(1-3):77-81. doi: 10.1016/j.schres.2016.04.041. Epub 2016 May 7.
8
The association between early traumatic experiences and the five domains of negative symptoms in participants at clinical high risk for psychosis.
Early Interv Psychiatry. 2023 Nov;17(11):1131-1135. doi: 10.1111/eip.13418. Epub 2023 Apr 11.
9
Anomalous self-experiences (ASE) in relation to clinical high risk for psychosis (CHRP), childhood trauma and general psychopathology among adolescent and young adult help seekers.
Schizophr Res. 2021 Nov;237:182-189. doi: 10.1016/j.schres.2021.09.009. Epub 2021 Sep 15.
10
Longitudinal impact of trauma in the North American Prodrome Longitudinal Study-3.
Early Interv Psychiatry. 2022 Nov;16(11):1211-1216. doi: 10.1111/eip.13270. Epub 2022 Feb 13.
引用本文的文献
1
The association of bullying and self-esteem with psychotic-like experiences and clinical high risk for psychosis symptoms.
Child Adolesc Psychiatry Ment Health. 2025 May 9;19(1):51. doi: 10.1186/s13034-025-00900-w.
2
Core beliefs in psychosis: a systematic review and meta-analysis.
Schizophrenia (Heidelb). 2025 Mar 6;11(1):38. doi: 10.1038/s41537-025-00577-2.
3
The day-to-day influence of trauma exposure and sleep dysfunction on everyday stress in youth at familial high-risk for psychotic disorders.
Schizophr Res. 2024 Dec;274:535-544. doi: 10.1016/j.schres.2024.10.024. Epub 2024 Nov 24.
4
Relations of Lifetime Perceived Stress and Basal Cortisol With Hippocampal Volume Among Healthy Adolescents and Those at Clinical High Risk for Psychosis: A Structural Equation Modeling Approach.
Biol Psychiatry. 2024 Sep 1;96(5):401-411. doi: 10.1016/j.biopsych.2023.11.027. Epub 2023 Dec 12.
5
The effect of stressful life events on the risk for psychosis: differences between Mexican at clinical and familial high risk.
Front Psychiatry. 2023 Sep 29;14:1254993. doi: 10.3389/fpsyt.2023.1254993. eCollection 2023.
6
Associations Between Childhood Area-Level Social Fragmentation, Maladaptation to School, and Social Functioning Among Healthy Youth and Those at Clinical High Risk for Psychosis.
Schizophr Bull. 2023 Nov 29;49(6):1437-1446. doi: 10.1093/schbul/sbad093.
7
Psychosocial stress, interpersonal sensitivity, and social withdrawal in clinical high risk for psychosis: a systematic review.
Schizophrenia (Heidelb). 2023 Jun 17;9(1):38. doi: 10.1038/s41537-023-00362-z.
8
The impact of early factors on persistent negative symptoms in youth at clinical high risk for psychosis.
Front Psychiatry. 2023 May 24;14:1125168. doi: 10.3389/fpsyt.2023.1125168. eCollection 2023.
9
The association between early traumatic experiences and the five domains of negative symptoms in participants at clinical high risk for psychosis.
Early Interv Psychiatry. 2023 Nov;17(11):1131-1135. doi: 10.1111/eip.13418. Epub 2023 Apr 11.
10
Review of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United States.
Front Psychiatry. 2023 Mar 13;14:1117022. doi: 10.3389/fpsyt.2023.1117022. eCollection 2023.
本文引用的文献
1
Adversity and psychosis: a 10-year prospective study investigating synergism between early and recent adversity in psychosis.
Acta Psychiatr Scand. 2012 May;125(5):388-99. doi: 10.1111/j.1600-0447.2011.01805.x. Epub 2011 Nov 30.
2
Childhood trauma and psychosis - what is the evidence?
Dialogues Clin Neurosci. 2011;13(3):360-5. doi: 10.31887/DCNS.2011.13.2/ischaefer.
3
Childhood trauma and psychosis: a case-control and case-sibling comparison across different levels of genetic liability, psychopathology, and type of trauma.
Am J Psychiatry. 2011 Dec;168(12):1286-94. doi: 10.1176/appi.ajp.2011.10101531. Epub 2011 Sep 28.
4
Psychotic-like experiences, appraisals, and trauma.
J Nerv Ment Dis. 2010 Nov;198(11):813-9. doi: 10.1097/NMD.0b013e3181f97c3d.
5
Childhood trauma and children's emerging psychotic symptoms: A genetically sensitive longitudinal cohort study.
Am J Psychiatry. 2011 Jan;168(1):65-72. doi: 10.1176/appi.ajp.2010.10040567. Epub 2010 Oct 15.
6
Psychotic symptoms with sexual content in the "ultra high risk" for psychosis population: frequency and association with sexual trauma.
Psychiatry Res. 2010 May 15;177(1-2):84-91. doi: 10.1016/j.psychres.2010.02.011. Epub 2010 Mar 21.
7
Experience of trauma and conversion to psychosis in an ultra-high-risk (prodromal) group.
Acta Psychiatr Scand. 2010 May;121(5):377-84. doi: 10.1111/j.1600-0447.2010.01542.x. Epub 2010 Feb 25.
8
Using the brief core schema scales with individuals at clinical high risk of psychosis.
Behav Cogn Psychother. 2009 Mar;37(2):227-31. doi: 10.1017/S1352465809005116.
9
Childhood trauma and prodromal symptoms among individuals at clinical high risk for psychosis.
Schizophr Res. 2009 Mar;108(1-3):176-81. doi: 10.1016/j.schres.2008.12.005. Epub 2009 Jan 25.
10
Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample.
Br J Psychiatry. 2008 Nov;193(5):378-82. doi: 10.1192/bjp.bp.108.049536.
Zotero 插件