Brañas Antía, Lahera Guillermo, Barrigón María Luisa, Canal-Rivero Manuel, Ruiz-Veguilla Miguel
Departamento de Psiquiatría, Complexo Hospitalario Universitario de Ourense, Ourense, España; Facultad de Medicina, Universidad de Alcalá, Madrid, España.
Facultad de Medicina, Universidad de Alcalá, Madrid, España; CIBERSAM, Madrid, España.
Rev Psiquiatr Salud Ment (Engl Ed). 2019 Mar 11. doi: 10.1016/j.rpsm.2019.01.005.
Childhood trauma has been reported as a risk factor for psychosis. Different types of traumatic experiences in childhood could lead to different clinical manifestations in psychotic disorders.
We studied differences in social cognition (emotion recognition and theory of mind) and clinical symptoms in a sample of 62 patients with psychosis (less than 5 years of illness) and childhood trauma, analysing performance by trauma type.
Psychotic patients with a history of childhood trauma other than sexual abuse were more capable of recognizing fear as a facial emotion (especially when facial stimuli were non-degraded) than participants with a history of sexual abuse or with no history of childhood trauma (P=.008). We also found that the group that had suffered sexual abuse did not show improvement in fear recognition when exposed to clearer stimuli, although this intergroup difference did not reach statistical significance (P=.064). We have not found other differences between abuse groups, neither in clinical symptoms (PANSS factors) nor in Hinting Task scores.
We have found differences in fear recognition among patients with psychotic disorders who have experienced different types of childhood trauma.
据报道，童年创伤是精神病的一个风险因素。童年时期不同类型的创伤经历可能导致精神障碍出现不同的临床表现。
我们研究了62例患有精神病（病程少于5年）且有童年创伤的患者在社会认知（情绪识别和心理理论）及临床症状方面的差异，按创伤类型分析其表现。
有童年创伤史但非性虐待的精神病患者比有性虐待史或无童年创伤史的参与者更能将恐惧识别为一种面部情绪（尤其是当面部刺激未退化时）（P = 0.008）。我们还发现，遭受性虐待的组在接触更清晰的刺激时恐惧识别能力并未改善，尽管这种组间差异未达到统计学显著性（P = 0.064）。我们未在虐待组之间发现其他差异，无论是在临床症状（阳性和阴性症状量表因子）还是在暗示任务得分方面。
我们发现，经历不同类型童年创伤的精神障碍患者在恐惧识别方面存在差异。
