Adigüzel Vesile, Özdemir Nurgül, Şahin Şengül Kocamer
Department of Psychiatric Nursing. Faculty of Health Science. Gaziantep University , Gaziantep , Turkey.
Department of Psychiatry. Faculty of Medicine. Gaziantep University , Gaziantep , Turkey.
Nord J Psychiatry. 2019 Nov;73(8):490-496. doi: 10.1080/08039488.2019.1655589. Epub 2019 Aug 29.
The aim of this study was to determine the relationship between childhood trauma and aggression-suicidal behavior in patients with bipolar disorder. A total of 112 outpatients diagnosed with bipolar disorder in remission in the province of Siirt on the east coast of Turkey were included in this study carried out between January and June 2018. Personal Information Form, Childhood Trauma Questionnaire (CTQ), Buss-Perry Aggression Scale (BPAS) and Suicide Probability Scale (SPS) were used for data acquisition. It was determined that patients with bipolar disorder have 89.3% of physical neglect, 74.1% of emotional neglect, 75.9% of physical abuse, 79.5% of emotional abuse and 40.2% of sexual abuse. The mean score of CTQ was 66.8 ± 19.2, the total score of BPAS was 94.6 ± 28.8 and the total score of SPS was 85.3 ± 17.9. A statistically significant and positive correlation was determined between CTQ, BPAS and SPS ( < 0.05). There was a weak and positive relationship between BPAS, CTQ ( = 0.325**; p < 0.05) and subscales of CTQ which are emotional abuse ( = 0.350**; < 0.05), physical abuse ( = 0.354**; < 0.01), physical neglect ( = 0.313**; < 0.01) and emotional neglect ( = 0.316**; < 0.01). A statistically significant difference was observed between the regular use of drugs, violence against others and total score of CTQ, BPAS and SPS ( < 0.05). It is suggested that patients diagnosed with bipolar disorder should be evaluated with regards to childhood trauma history by taking into consideration sociodemographic characteristics and psychiatric support in order to prevent their aggression and suicide attempts.
本研究的目的是确定双相情感障碍患者童年创伤与攻击 - 自杀行为之间的关系。2018年1月至6月期间,在土耳其东海岸锡尔特省对112名处于缓解期的双相情感障碍门诊患者进行了本研究。使用个人信息表、儿童创伤问卷(CTQ)、布斯 - 佩里攻击量表(BPAS)和自杀概率量表(SPS)进行数据采集。结果发现,双相情感障碍患者中身体忽视发生率为89.3%,情感忽视发生率为74.1%,身体虐待发生率为75.9%,情感虐待发生率为79.5%,性虐待发生率为40.2%。CTQ的平均得分为66.8±19.2,BPAS的总分是94.6±28.8,SPS的总分是85.3±17.9。CTQ、BPAS和SPS之间存在统计学上显著的正相关(<0.05)。BPAS与CTQ(=0.325**;p<0.05)以及CTQ的情感虐待子量表(=0.350**;<0.05)、身体虐待子量表(=0.354**;<0.01)、身体忽视子量表(=0.313**;<0.01)和情感忽视子量表(=0.316**;<0.01)之间存在弱正相关。在药物常规使用、对他人暴力行为以及CTQ、BPAS和SPS总分之间观察到统计学上的显著差异(<0.05)。建议对诊断为双相情感障碍的患者,应结合社会人口学特征和精神支持,评估其童年创伤史,以预防其攻击行为和自杀企图。