Barnes Georgina L, Emsley Richard, Garety Philippa, Hardy Amy
Psychosis. 2021 Dec 21;15(1):66-76. doi: 10.1080/17522439.2021.2009903. eCollection 2023.
People with psychosis experience higher rates of childhood victimisation compared to the general population, which may impact on mental health and recovery. This study aimed to identify childhood victimisation profiles in a clinical sample to inform recommendations for routine care.
Participants were 146 adults (ages 19-65 years; M = 42.2) with schizophrenia-spectrum diagnoses reporting trauma. Childhood trauma was assessed using two retrospective measures, and a latent class analysis (LCA) was performed on four trauma types (sexual abuse, emotional abuse, physical abuse and neglect). Multinomial logistic regression investigated demographic differences between the classes.
Four distinct childhood trauma classes were identified: Emotional abuse/neglect (n = 29); physical abuse (n = 14); sexual abuse (n = 19); and poly-victimisation (n = 84). There were no differences between the classes in terms of age, ethnicity, relationship status, education or current employment (relative risk (RR) = 0.85-1.27, > 0.05). Participants in the poly-victimisation class were significantly more likely to be female (RR = 0.22-0.28, < 0.04).
Adults with psychosis, particularly females, are likely to report poly-victimisation in childhood. This highlights the need to comprehensively but concisely assess experiences of abuse and neglect in clinical care, in line with trauma-informed approaches.
与普通人群相比，患有精神病的人童年受侵害的发生率更高，这可能会影响心理健康和康复。本研究旨在确定临床样本中的童年受侵害情况，为常规护理建议提供依据。
参与者为146名患有精神分裂症谱系诊断且报告有创伤经历的成年人（年龄19 - 65岁；平均年龄M = 42.2岁）。使用两种回顾性测量方法评估童年创伤，并对四种创伤类型（性虐待、情感虐待、身体虐待和忽视）进行潜在类别分析（LCA）。多项逻辑回归研究了不同类别之间的人口统计学差异。
确定了四种不同的童年创伤类别：情感虐待/忽视（n = 29）；身体虐待（n = 14）；性虐待（n = 19）；多重受害（n = 84）。在年龄、种族、恋爱状况、教育程度或当前就业方面，不同类别之间没有差异（相对风险（RR）= 0.85 - 1.27，P > 0.05）。多重受害类别的参与者女性比例显著更高（RR = 0.22 - 0.28，P < 0.04）。
患有精神病的成年人，尤其是女性，在童年时期可能报告有多重受害经历。这凸显了在临床护理中需要根据创伤知情方法全面而简洁地评估虐待和忽视经历的必要性。
