Kasznia Justyna, Pytel Aleksandra, Stańczykiewicz Bartłomiej, Samochowiec Jerzy, Waszczuk Katarzyna, Kulik Małgorzata, Cyran Agnieszka, Misiak Błażej
Inpatient Psychiatric Unit, Municipal General Hospital, Ostrów Wielkopolski, Poland.
Department of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland.
Psychol Res Behav Manag. 2021 Aug 24;14:1315-1323. doi: 10.2147/PRBM.S324152. eCollection 2021.
Several studies have shown that individuals with schizophrenia-spectrum disorders (SSD) employ ineffective coping styles. However, it remains unknown whether a history of adverse childhood experiences (AC Es), associated with a risk of SSD, contributes to these observations. Therefore, in this study, we aimed to investigate whether exposure to ACEs is associated with coping styles in subjects with SSD.
We recruited 127 inpatients with SSD and 56 healthy controls. Coping styles and ACEs were recorded using self-reports.
Individuals with SSD had significantly higher use of using avoidance coping. A history of parental antipathy, physical and sexual abuse was significantly more frequent in subjects with SSD compared to controls. Subjects with SSD had significantly higher multiplicity and severity of ACEs. Individuals with SSD and a history of parental loss had significantly higher use of avoidance coping compared to controls with and without a history of parental loss. Other characteristics of ACEs (age at first exposure, severity and multiplicity) were not associated with using specific coping strategies.
These findings imply that higher use of using avoidance coping by individuals with SSD might be related to a history of parental loss.
多项研究表明，精神分裂症谱系障碍（SSD）患者采用的应对方式无效。然而，与SSD风险相关的童年不良经历（ACEs）史是否导致了这些观察结果仍不清楚。因此，在本研究中，我们旨在调查ACEs暴露是否与SSD患者的应对方式相关。
我们招募了127名SSD住院患者和56名健康对照者。使用自我报告记录应对方式和ACEs。
SSD患者使用回避应对的频率显著更高。与对照组相比，SSD患者中父母反感、身体虐待和性虐待史的发生率显著更高。SSD患者的ACEs的多样性和严重程度显著更高。与有或没有父母丧亲史的对照组相比，有父母丧亲史的SSD患者使用回避应对的频率显著更高。ACEs的其他特征（首次暴露年龄、严重程度和多样性）与使用特定应对策略无关。
这些发现表明，SSD患者更高频率地使用回避应对可能与父母丧亲史有关。
