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童年创伤的累积效应:多重创伤、解离与精神分裂症。

Cumulative effects of childhood traumas: polytraumatization, dissociation, and schizophrenia.

作者信息

Álvarez María-José, Masramon Helga, Peña Carlos, Pont Marina, Gourdier Caroline, Roura-Poch Pere, Arrufat Francesc

机构信息

Mental Health Department, Vic Hospital Consortium, 1, Francesc Pla Street, 08500, Vic, Barcelona, Spain,

出版信息

Community Ment Health J. 2015 Jan;51(1):54-62. doi: 10.1007/s10597-014-9755-2. Epub 2014 Jul 15.

Abstract

The study objective was to measure and compare the presence of childhood trauma and dissociative symptoms in a convenience sample of healthy controls and a probabilistic sample of outpatients with a diagnosis of schizophrenia. Patients reported more childhood trauma and more polytraumatization than the controls, and had a higher average dissociation score. In both cases and controls, the presence of childhood trauma was related to the intensity of the dissociation observed. Childhood trauma, clinical dissociation and schizophrenia are closely related, particularly when the patient has been the victim of more than one type of abuse.

摘要

本研究的目的是测量并比较健康对照的便利样本以及诊断为精神分裂症的门诊患者概率样本中童年创伤和解离症状的存在情况。患者报告的童年创伤和多重创伤比对照组更多,且平均解离得分更高。在病例组和对照组中,童年创伤的存在都与观察到的解离强度相关。童年创伤、临床解离和精神分裂症密切相关,尤其是当患者曾遭受不止一种类型的虐待时。

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