Hosang Georgina M, Manoli Athina, Shakoor Sania, Fisher Helen L, Parker Camilla
Centre for Psychiatry & Mental Health, Wolfson Institute of Population Health, Faculty of Medicine & Dentistry, Queen Mary, University of London, London, UK.
Centre for Psychiatry & Mental Health, Wolfson Institute of Population Health, Faculty of Medicine & Dentistry, Queen Mary, University of London, London, UK.
Psychiatry Res. 2023 Mar;321:115105. doi: 10.1016/j.psychres.2023.115105. Epub 2023 Feb 10.
Childhood maltreatment is associated with the etiology and clinical course of bipolar disorder. Most studies employ retrospective maltreatment self-reports which are vulnerable to bias, raising questions about their validity and reliability. This study examined the test-retest reliability over 10 years, the convergent validity and the impact of current mood on retrospective reports of childhood maltreatment in a bipolar sample. 85 participants with bipolar I disorder completed the Childhood Trauma Questionnaire [CTQ] and the Parental Bonding Instrument [PBI] at baseline. Beck Depression Inventory and Self Report Mania Inventory assessed depressive and manic symptoms, respectively. 53 participants completed the CTQ at baseline and 10-year follow-up. Good levels of convergent validity were observed between the CTQ and PBI. Correlations ranged from r= -0.35 (CTQ emotional abuse and PBI paternal care) to r= -0.65 (CTQ emotional neglect and PBI maternal care). Good agreement between CTQ reports at baseline and 10-year follow-up were found (range: κ=0.41 for physical neglect to κ=0.83 for sexual abuse). Higher depression and mania scores were recorded among participants who reported abuse (but not neglect) compared to those without such reports. These findings support using this method in research and clinical practice, though current mood should be taken into account.
童年期受虐与双相情感障碍的病因及临床病程相关。大多数研究采用回顾性受虐自我报告，这种报告容易出现偏差，从而引发了对其效度和信度的质疑。本研究考察了双相情感障碍样本中童年期受虐回顾性报告在10年期间的重测信度、收敛效度以及当前情绪的影响。85名I型双相情感障碍患者在基线时完成了儿童创伤问卷[CTQ]和父母教养方式问卷[PBI]。贝克抑郁量表和自我报告躁狂量表分别评估抑郁和躁狂症状。53名参与者在基线和10年随访时完成了CTQ。CTQ和PBI之间观察到良好水平的收敛效度。相关性范围从r = -0.35（CTQ情感虐待与PBI父亲关怀）到r = -0.65（CTQ情感忽视与PBI母亲关怀）。在基线和10年随访时的CTQ报告之间发现了良好的一致性（范围：身体忽视的κ = 0.41到性虐待的κ = 0.83）。与未报告此类情况的参与者相比，报告遭受虐待（而非忽视）的参与者抑郁和躁狂得分更高。这些发现支持在研究和临床实践中使用这种方法，不过应考虑当前情绪。
