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精神分裂症患者的童年创伤暴露与人格特质。

Childhood trauma exposure and personality traits in schizophrenia patients.

机构信息

Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Ontario, Canada.

出版信息

Schizophr Res. 2022 Mar;241:221-227. doi: 10.1016/j.schres.2022.01.039. Epub 2022 Feb 12.

Abstract

Childhood trauma in schizophrenia (SCZ) is associated with aberrant neurobiological downstream effects and cognitive deficits that markedly hinder patient outcome and functioning. However, the relationship between specific forms of childhood abuse and the tendency for certain personality traits in patients with SCZ has not been comprehensively studied yet. We recruited 374 SCZ patients and screened for history of physical abuse (PA), emotional abuse (EA), sexual abuse (SA), physical neglect (PN) and emotional neglect (EN) using the Childhood Trauma Questionnaire and measured personality traits using the NEO Five-Factor inventory. Using CTQ cut-off scores, the prevalence of EA, PA, SA, EN and PN was 60.7%, 42.0%, 37.7%, 64.2% and 54.3% respectively. Exposure to any form of childhood abuse was associated with increased neuroticism. Exposure to EA, SA, PN and EN was correlated with decreased agreeableness and conscientiousness scores. PN, EN and PA exposure was associated with decreased openness while EA, PN and EN exposure was associated with decreased extraversion. Furthermore, a positive correlation was found between all forms of childhood abuse and trait neuroticism whereas negative correlations were found between certain forms of childhood abuse and all other personality traits. Exposure to specific forms of childhood abuse was associated with specific personality traits in patients with SCZ.

摘要

精神分裂症(SCZ)患者的童年创伤与异常的神经生物学下游效应和认知缺陷有关,这些缺陷明显阻碍了患者的预后和功能。然而,特定形式的儿童虐待与 SCZ 患者某些人格特质之间的关系尚未得到全面研究。我们招募了 374 名 SCZ 患者,使用儿童创伤问卷筛查身体虐待(PA)、情感虐待(EA)、性虐待(SA)、身体忽视(PN)和情感忽视(EN)的病史,并使用 NEO 五因素量表测量人格特质。使用 CTQ 截断分数,EA、PA、SA、EN 和 PN 的患病率分别为 60.7%、42.0%、37.7%、64.2%和 54.3%。任何形式的儿童虐待暴露都与神经质增加有关。EA、SA、PN 和 EN 暴露与随和性和尽责性得分降低有关。PN、EN 和 PA 暴露与开放性降低有关,而 EA、PN 和 EN 暴露与外向性降低有关。此外,所有形式的儿童虐待与特质神经质之间存在正相关,而某些形式的儿童虐待与所有其他人格特质之间存在负相关。特定形式的儿童虐待暴露与 SCZ 患者的特定人格特质有关。

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