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类精神病体验与儿童期创伤及其他社会人口因素的相关性:中国青少年和青年时期的横断面调查。

Psychotic-like experiences and correlation with childhood trauma and other socio-demographic factors: A cross-sectional survey in adolescence and early adulthood in China.

机构信息

Department of Psychiatry, the Second Xiangya Hospital of Central South University, China National Clinical Research Center on Mental Health Disorders, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, Hunan 410011, China.

Department of Psychology, Gannan Medical University, Ganzhou, China.

出版信息

Psychiatry Res. 2017 Sep;255:272-277. doi: 10.1016/j.psychres.2017.03.059. Epub 2017 May 30.

Abstract

Psychotic-like experiences (PLEs) in adolescence are found to be risk factors for later mental disorders. Previous research has also found that childhood trauma has a positive correlation with mental health problems. However, few studies have focused on the relationship between them, especially in adolescence and early adulthood. A total of 9122 students (age between 10 and 23.3) were surveyed and assessed with the positive and depressive subscales of the Community Assessment of Psychic Experiences and the Trauma History Questionnaire. A total of 20.7% students experienced frequent PLEs, 17.5% had frequent delusional experiences, and 7.6% had frequent hallucinatory experiences. Only a small portion of this sample experienced frequent PLEs, associated with more types of PLEs, more distress, and more depressive experiences. Several socio-demographic factors were associated with frequent PLEs in this sample, which could be further examined in future prevention studies. Students with frequent PLEs experienced significantly higher impact from trauma events, both at the time of the events and in the present, indicating a possible reciprocal effect between childhood trauma and PLEs. The impact of childhood trauma played an important role in the relationship between childhood trauma and PLEs.

摘要

青少年时期出现的类似精神病的体验(PLEs)被发现是日后精神障碍的风险因素。先前的研究还发现,儿童期创伤与心理健康问题呈正相关。然而,很少有研究关注它们之间的关系,特别是在青少年和成年早期。共有 9122 名学生(年龄在 10 到 23.3 岁之间)接受了调查和评估,评估工具是《社区心理体验评估》和《创伤史问卷》的阳性和抑郁分量表。共有 20.7%的学生经常出现 PLEs,17.5%的学生经常出现妄想体验,7.6%的学生经常出现幻觉体验。只有一小部分学生经常出现 PLEs,与更多类型的 PLEs、更多的痛苦和更多的抑郁体验有关。该样本中的几个社会人口因素与频繁的 PLEs 有关,这可以在未来的预防研究中进一步探讨。经常出现 PLEs 的学生经历创伤事件的影响明显更大,无论是在事件发生时还是现在,这表明儿童期创伤和 PLEs 之间可能存在一种相互影响的关系。儿童期创伤的影响在儿童期创伤和 PLEs 之间的关系中起着重要作用。

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