基于回顾性图表审查的儿童不良事件和经历的评估规模
Mika Yamagishi1, Yoshihiro Satomura1,2, Hanako Sakurada1
1Department of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo Japan.
PCN reports : psychiatry and clinical neurosciences
|June 13, 2024
概括
童年不良经历 (ACE) 是常见的,并影响健康. 一个新的尺度评估了ACE的来源和影响,在精神病患者中经常发现同龄人的心理创伤.
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:
- 童年不良经历 (ACE) 显著影响终身的身体和精神健康.
- 目前的ACE评估缺乏对事件源和影响途径的全面评估.
- 了解ACE的内化对于生物,心理和社会功能至关重要.
研究的目的:
- 开发一个原始的尺度来分类ACE来源,途径和影响方式.
- 使用新开发的尺度评估精神病患者的ACE.
- 调查抑郁症,双相情感障碍和精神分裂症患者中ACE的患病率和类型.
主要方法:
- 医疗图表的回顾性审查,以开发和应用原始的ACE尺度.
- 该规模包括28个项目,证明了足够的可靠性和有效性.
- 研究包括536名被诊断患有精神疾病的患者.
主要成果:
- 开发的ACE尺度被证明是可靠和有效的,用于追溯图表审查.
- 45.9%的精神病患者报告至少有一次ACE.
- 同龄人的心理创伤 (欺凌) 是最常见的ACE (27.2%).
结论:
- 为ACEs开发了一个新的回顾性图表审查工具,详细说明事件来源和影响.
- 在精神疾病中,ACEs非常普遍.
- 在这个群体中,水平创伤 (欺凌) 和垂直创伤 (父母虐待) 一样普遍.
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