Ered Arielle, Ellman Lauren M
Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
J Clin Med. 2019 Sep 25;8(10):1537. doi: 10.3390/jcm8101537.
Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization.
We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample ( = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas.
Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis ( = 14).
Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.
童年创伤经历一直与精神病风险相关；然而，童年创伤类型与基于访谈的轻度阳性精神病症状之间的特异性尚未得到充分探讨。此外，尽管有多重受害的证据，但先前研究创伤与特定阳性症状特异性时并未考虑同时发生的创伤类型。
我们在一个非临床的年轻成人样本（n = 130）中，研究了童年创伤（儿童创伤问卷）与轻度阳性症状类型之间的关系，轻度阳性症状由精神病风险综合征结构化访谈（SIPS）测量。进行线性回归以预测每种轻度阳性症状，将所有创伤类型纳入模型以控制同时发生的创伤。
结果表明，童年性虐待与言语紊乱显著相关，童年情感忽视与怀疑/迫害观念增加显著相关，这超出了其他同时发生创伤的影响。即使剔除临床高风险（CHR）精神病个体（n = 14）后，这些关系仍具有显著性。
我们的结果表明，即使在非临床样本中，创伤类型对特定阳性症状领域也有不同影响。我们的结果还证实了控制同时发生创伤类型的重要性，因为不控制多重创伤时结果会有所不同。
