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.
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.
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。
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