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恐音症、自我伤害及自杀意念。

Misophonia, self-harm and suicidal ideation.

作者信息

Simner Julia, Rinaldi Louisa J

机构信息

School of Psychology University of Sussex Brighton UK.

出版信息

PCN Rep. 2023 Oct 1;2(4):e142. doi: 10.1002/pcn5.142. eCollection 2023 Dec.

Abstract

AIM

Misophonia is a sound sensitivity disorder characterized by an unusually strong aversion to a specific class of sounds-often human bodily sounds (e.g., chewing). These sounds can cause intense negative emotions which can cause profound difficulties in everyday life. The condition is linked with higher rates of anxiety and depression, and here we ask whether it co-occurs with elevated self-harm and suicidal thinking.

METHODS

We measured self-harm and misophonia in the general population by examining a birth cohort sample from the Avon Longitudinal Study of Parents and Children (ALSPAC). We screened them for misophonia as adults, then analyzed their earlier data on well-being, self-harm, and suicidal thinking.

RESULTS

Adults with misophonia had significantly higher rates of self-harm and suicidal ideation, as well as poorer well-being in a number of different measures at ages 16-17 and 23-24 years. Female misophonics were particularly at risk, from as early as their teenage years, though males, too, show elevated self-harm at 24 years compared to nonmisophonic peers.

CONCLUSION

Our data provide evidence of elevated risks of self-harm associated with misophonia and suggest the need for greater recognition and treatment pathways.

摘要

目的

恐音症是一种声音敏感障碍,其特征是对特定类别的声音(通常是人体发出的声音,如咀嚼声)存在异常强烈的厌恶。这些声音会引发强烈的负面情绪,进而在日常生活中造成严重困扰。该病症与焦虑和抑郁的高发率相关,在此我们探究它是否与自我伤害及自杀念头的增加同时出现。

方法

我们通过研究埃文亲子纵向研究(ALSPAC)中的一个出生队列样本,来测量普通人群中的自我伤害和恐音症情况。我们在他们成年后对其进行恐音症筛查,然后分析他们早期关于幸福感、自我伤害和自杀念头的数据。

结果

患有恐音症的成年人在16 - 17岁和23 - 24岁时,自我伤害和自杀意念的发生率显著更高,并且在多项不同测量指标中的幸福感也较差。女性恐音症患者尤其危险,早在青少年时期就如此,不过男性在24岁时与非恐音症同龄人相比,自我伤害率也有所升高。

结论

我们的数据提供了证据,表明恐音症与自我伤害风险增加有关,并提示需要更多的识别和治疗途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/791d/11114359/eaa2c31fb317/PCN5-2-e142-g002.jpg

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