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成年精神科门诊患者的童年早期虐待与边缘系统评级

Early childhood abuse and limbic system ratings in adult psychiatric outpatients.

作者信息

Teicher M H, Glod C A, Surrey J, Swett C

机构信息

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

出版信息

J Neuropsychiatry Clin Neurosci. 1993 Summer;5(3):301-6. doi: 10.1176/jnp.5.3.301.

DOI:10.1176/jnp.5.3.301
PMID:8369640
Abstract

The authors investigated the hypothesis that early abuse might affect the development of the limbic system. During initial psychiatric evaluation, 253 outpatients completed a self-report scale, the Limbic System Checklist-33 (LSCL-33), designed to measure somatic, sensory, behavioral, and memory symptoms suggestive of temporal lobe epilepsy, along with a questionnaire about physical or sexual abuse. Physical abuse was associated with a 38% increase in LSCL-33 scores (P < 0.01), sexual abuse with a 49% increase (P < 0.02), and combined abuse with a 113% increase (P < 0.0001). Physical or sexual abuse alone was associated with elevated LSCL-33 scores only if the abuse occurred before age 18.

摘要

作者们对早期虐待可能影响边缘系统发育这一假说进行了研究。在初次精神病学评估期间,253名门诊患者完成了一份自我报告量表——边缘系统检查表-33(LSCL-33),该量表旨在测量提示颞叶癫痫的躯体、感觉、行为和记忆症状,同时还完成了一份关于身体虐待或性虐待的问卷。身体虐待使LSCL-33得分增加了38%(P < 0.01),性虐待使其增加了49%(P < 0.02),而综合虐待使其增加了113%(P < 0.0001)。只有当虐待发生在18岁之前时,单独的身体虐待或性虐待才与LSCL-33得分升高有关。

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