Department of Psychiatry, University of Massachusetts Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Child Adolesc Psychiatr Clin N Am. 2022 Jan;31(1):91-98. doi: 10.1016/j.chc.2021.08.002.
Significant evidence suggests strong links between childhood trauma and psychosis, with childhood trauma considered a significant risk factor for psychosis, causing a more severe presentation of psychotic illness with a dose-response effect. The relationship between anxiety, mood, posttraumatic stress disorder, and childhood trauma and psychosis and the difficulties distinguishing between overlapping symptoms require careful attention of the treating clinician considering the presentation and treatment course. Finally, there also appears to be a link between childhood trauma and violent behavior in individuals with psychotic illness. More research is needed into the effectiveness and safety of trauma-focused psychotherapeutic interventions.
大量证据表明，儿童时期创伤与精神病之间存在紧密联系，儿童时期创伤被认为是精神病的一个重要风险因素，会导致精神病的表现更为严重，并呈现出剂量反应效应。焦虑、情绪、创伤后应激障碍与儿童时期创伤和精神病之间的关系，以及区分重叠症状的困难，都需要治疗临床医生的密切关注，特别是在考虑到患者的表现和治疗过程时。最后，精神病患者的儿童时期创伤与暴力行为之间似乎也存在关联。需要进一步研究以确定以创伤为重点的心理治疗干预措施的有效性和安全性。
