Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
BMC Psychiatry. 2020 Jan 31;20(1):38. doi: 10.1186/s12888-020-2438-3.
Little is known about the prevalence of inconsistent trauma reporting in community samples and about its associations with psychopathology. This study aimed to assess for the first time the prevalence of inconsistent trauma reporting in a community sample of children/adolescents and to explore associations with both psychotic experiences and with psychopathology more generally.
A community-based sample of 86 children/adolescents (baseline mean age 11.5) were interviewed at two time points with data collected in relation to potentially traumatic events through the K-SADS. Emotional and behavioural problems were assessed at follow-up (mean age 15.7) through the Youth Self Report questionnaire while the presence of psychotic experiences was based on expert consensus post interview. Logistic regression models were used to test associations between inconsistent reporting and psychotic experiences at baseline and follow-up, with associations with emotional and behavioral problems at follow-up also assessed.
Overall, 16.3% of adolescents failed to report previously reported potentially traumatic events at follow-up and were therefore defined as inconsistent trauma reporters. Inconsistent reporting was associated with emotional and behavioural problems as assessed by the Youth Self Report with the exception of rule breaking behaviour and with psychotic experiences as assessed on interview.
Inconsistent trauma reporting is associated with psychotic experiences and emotional and behavioural problems in young people and may represent an important marker for psychopathology in youth.
对于社区样本中创伤报告不一致的流行情况及其与精神病理学的关联，人们知之甚少。本研究旨在首次评估社区儿童/青少年样本中创伤报告不一致的流行情况，并探讨其与精神病体验以及更广泛的精神病理学之间的关联。
本研究采用基于社区的样本，共纳入 86 名儿童/青少年（基线平均年龄为 11.5 岁），在两次访谈中通过 K-SADS 收集潜在创伤事件的数据。在随访时（平均年龄 15.7 岁）通过青少年自我报告问卷评估情绪和行为问题，而精神病体验则基于访谈后的专家共识。使用逻辑回归模型来检验基线和随访时不一致报告与精神病体验之间的关联，并评估与随访时情绪和行为问题之间的关联。
总体而言，16.3%的青少年在随访时未能报告之前报告过的潜在创伤事件，因此被定义为创伤报告不一致者。不一致的报告与青少年自我报告评估的情绪和行为问题有关，除了违反规则的行为，还与访谈评估的精神病体验有关。
在年轻人中，创伤报告不一致与精神病体验和情绪及行为问题有关，可能是青少年精神病理学的一个重要标志。
