Xiamen Xianyue Hospital, Xiamen 361000, China.
Institute of Higher Education, Hunan University of Science and Engineering, Linglin District, Yongzhou 425100, China.
Psychiatry Res. 2020 May;287:112897. doi: 10.1016/j.psychres.2020.112897. Epub 2020 Feb 26.
Adolescents with childhood trauma may be associated with psychotic-like experiences (PLEs) and is at high risk for later development of psychoses. Exploring early age risk factors for childhood trauma may provide useful information for prevention of mental disorders and improvement of mental health, yet no studies have examined the association between exposure to specific forms of trauma and different types of PLEs in a sample of Chinese adolescents. Thus, the Childhood Trauma Questionnaire-Short Form was used to measure five types of childhood trauma (emotional abuse, EA; physical abuse, PA; sexual abuse, SA; emotional neglect, EA; physical neglect, PA) in junior middle school students. And the positive subscale of Community Assessment of Psychic Experiences divided into four types (bizarre experiences, perceptual abnormalities, persecutory ideation and magical thinking) was used to measure PLEs. Then the possible associations among demographic information and specific types of childhood trauma on specific forms of PLEs was compared. The rates of EA, PA, SA, EA and PA were 14.2%, 13.0%, 16.1%, 60.0%, and 78.6%, respectively. Moreover, childhood trauma seems to be a main role in the development of PLE, and EA and SA patients are particularly likely to experience PLEs.
青少年时期经历过创伤可能与类精神病体验（PLE）有关，并且以后发展为精神病的风险很高。探索儿童期创伤的早期风险因素可为预防精神障碍和改善精神健康提供有用信息，但尚无研究在青少年样本中检查暴露于特定形式的创伤与不同类型的 PLE 之间的关联。因此，使用儿童期创伤问卷-短式版来衡量初中生的五种类型的儿童期创伤（情绪虐待，EA；身体虐待，PA；性虐待，SA；情感忽视，EA；身体忽视，PA）。并且使用社区心理体验评估的阳性量表将 PLE 分为四种类型（奇异体验、知觉异常、迫害观念和神奇思维）。然后比较了人口统计学信息和特定类型的儿童创伤与特定类型的 PLE 之间的可能关联。EA、PA、SA、EA 和 PA 的发生率分别为 14.2%、13.0%、16.1%、60.0%和 78.6%。此外，儿童创伤似乎是 PLE 发展的主要因素，并且 EA 和 SA 患者特别容易经历 PLE。
