"创伤性生活事件与精神病之间的关联:肯尼亚西部的一项病例对照研究"
Mohamed Aden Hillow1, Lukoye Atwoli2, Edith Kamaru Kwobah3
1Wajir County Referral Hospital, Wajir, Kenya.
Heliyon
|July 24, 2023
概括
创伤性生活事件 (TLEs) 是常见的,虽然在精神病患者和对照人群中同样普遍,但直接经历它们会增加精神病风险. 特定的创伤,如袭击和突然死亡,与精神病有显著的联系.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 创伤性生命事件 (TLEs) 在全球普遍存在,影响大约70%的人口.
- 儿童和成年人接触TLEs是精神病发展的已知危险因素.
- 非洲人群中创伤和精神病之间的联系的研究有限.
研究的目的:
- 在非洲人口中调查TLEs与精神病之间的关联.
- 为了比较患有精神疾病的患者和健康对照患者的TLEs的患病率和类型.
主要方法:
- 一项涉及254名精神病患者和254名匹配对照的病例控制研究.
- 用DSM-5 (LEC-5) 的生命事件检查清单收集的TLE数据.
- 参与者根据年龄和性别进行了匹配;这项研究是在国家转诊医院进行的.
主要成果:
- 经历TLE的个体总比例在病例 (80%) 和对照 (80%) 之间是相似的.
- 案件更有可能报告TLEs直接发生在他们身上 (60.3%,p=0.004).
- 对于身体攻击,武器攻击,性侵犯,亲人的突然死亡和严重伤害/伤害他人,发现了统计学上显著的关联.
结论:
- 虽然TLEs的整体经历相似,但直接的创伤经历是非洲人口中精神病的重要风险因素.
- 特定类型的创伤事件,特别是袭击和目睹对他人的伤害,与精神障碍密切相关.
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