身体形障碍青少年的不良童年经历:频率和临床相关性
Benedetta Monzani1,2, Rebecca Luxton1, Amita Jassi1,2
1National and Specialist OCD, BDD and Related Disorders Clinic for Young People, South London and Maudsley NHS Foundation Trust, London, UK.
Clinical psychology & psychotherapy
|July 22, 2024
概括
儿童不良经历 (ACE) 在患有身体形障碍 (BDD) 的青少年中很常见,与强迫症 (OCD) 相比,同龄人受害和虐待儿童的比例更高. 这些青少年受益于以BDD为重点的治疗,类似于没有ACE的青少年.
科学领域:
- 精神病学是一个精神病学.
- 儿童和青少年心理健康
- 创伤研究 创伤研究
背景情况:
- 儿童不良经历 (ACE) 越来越多地与身体形障碍 (BDD) 相关.
- 现有的研究主要集中在成人和非临床BDD样本上.
- 青少年BDD中ACEs的作用仍未得到充分探索.
研究的目的:
- 确定青少年被诊断患有BDD的ACE频率,与那些有强迫症 (OCD) 的青少年相比.
- 检查患有BDD的ACE暴露青少年的临床特征.
- 研究ACEs对青少年BDD临床表现和治疗结果的影响.
主要方法:
- 对ACE电子病历的回顾性分析.
- 包括父母和自我报告对创伤事件的查.
- 青少年BDD (n=50) 和OCD (n=50) 组之间的ACE频率的比较.
主要成果:
- 与强迫症患者相比,患有BDD的青少年报告的同龄人受害率 (74%对38%) 和虐待儿童的比例 (44%对24%) 显著高于强迫症患者.
- 在BDD组中,性虐待是最常见的虐待儿童类型 (28%).
- 父母报告的创伤事件在BDD组中更常见 (40%vs18%).
结论:
- 这项研究是第一个确定青少年BDD中ACE的流行率的研究.
- 这些发现强调了在这个人群中对ACE进行查的必要性.
- 患有BDD和ACE史的青少年表现出类似的临床表现,并从标准BDD治疗中受益.
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