在第一发精神病中,欺凌和症状呈现之间的关系
Ioannis Kosteletos1, Alexandros Hatzimanolis1, Lida-Alkisti Xenaki1
1The Athens First Episode Psychosis Research Study Group. 1st Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, Athens.
Psychiatrike = Psychiatriki
|October 4, 2023
概括
欺凌受害者与第一发精神病 (FEP) 患者的持续负面和总症状有关,即使最初与精神病症状增加或缓解缓解无关. 这凸显了欺凌对FEP发展的影响.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理健康中的环境因素
- 青少年健康 青少年健康
背景情况:
- 不良的精神创伤经历,特别是欺凌,是精神分裂症谱系障碍的重要环境因素.
- 青少年欺凌的发生率有所上升,这可能是由于通信技术和社交媒体.
- 了解欺凌对早期精神病的影响对于有效干预至关重要.
研究的目的:
- 调查第一发精神病 (FEP) 患者的欺凌受害和精神病症状之间的关联.
- 假设欺凌史可能会导致精神病症状增加和不太有利的早期治疗轨迹.
- 检查欺凌史与FEP患者的症状严重程度,缓解和早期治疗结果之间的相关性.
主要方法:
- 评估了225名具有FEP的希腊普通人群 (16-45岁) 样本.
- 用追溯性欺凌问卷 (RBQ) 评估欺凌史.
- 在基线和4周随访时,使用正负综合征量表 (PANSS) 测量精神病症状和精神病理;用安德里森的标准评估缓解.
主要成果:
- 51.4%的FEP患者报告有欺凌史,男性和女性的患病率相等.
- 在有或没有欺凌病史的患者之间,没有观察到基线精神病症状的显著差异.
- 有欺凌病史的患者在4周的随访中显著增加了负面症状和总PANSS分数.
结论:
- 在FEP患者中,欺凌受害与持续的负面和整体症状有关.
- 欺凌史影响了第一阶段精神病的发展和早期发展轨迹.
- 在FEP的诊断和治疗规划过程中,建议对欺凌史进行临床考虑.
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