精神分裂症患者的不良童年经历:相关因素和临床影响
Lei Zhang1, Nan Zhao1, Minghuan Zhu1
1Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Frontiers in psychiatry
|September 13, 2023
概括
在精神分裂症患者中,不良童年经历 (ACE) 是常见的,身体疏忽是最常见的. 特定的ACE与人格特征和负面症状相关,突出了针对性干预的必要性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 儿童不良经历 (ACE) 与各种心理健康状况有关.
- ACE 和精神分裂症症状之间的具体关系尚不清楚.
研究的目的:
- 确定精神分裂症患者中ACEs的患病率和类型.
- 探索ACE,精神分裂症症状和人格病理学之间的相关性.
主要方法:
- 在中国上海对571名精神分裂症患者进行的横截面研究.
- 使用儿童创伤问卷-简短表格 (CTQ-SF) 进行ACE评估.
- 通过积极和消极症状量表 (PANSS) 评估症状学和通过人格诊断问卷第四版加 (PDQ-4+) 评估人格病理学.
主要成果:
- 在精神分裂症患者中ACE的高患病率 (80.8%).
- 最常见的ACE:身体疏忽 (69.8%),情感疏忽 (28.2%) 和情感虐待 (22.9%).
- 情绪虐待与人格障碍特征相关;情绪和身体忽视与负面症状相关.
结论:
- 在精神分裂症患者中,ACE非常普遍.
- 特定的ACE与不同的临床特征相关,包括负面症状和人格病理.
- 建议对这一群体的ACE进行全面评估和量身定制的干预措施.
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