克洛扎耐药精神分裂症的童年创伤:患病率和与症状的关系
Robert Dudley1,2, Douglas Turkington1, Naomi Coulthard1
1Early Intervention in Psychosis Service, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Gosforth, Newcastle Upon Tyne, NE3 3XT, UK.
Schizophrenia bulletin open
|August 15, 2024
概括
早期的逆境,特别是虐待,在精神病中很常见,并且与幻觉等积极症状有关. 治疗应该解决这些创伤性经历,以改善精神病患者的结果.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 早期的逆境和创伤越来越被认为是精神病的重要因素.
- 目前的心理治疗往往缺乏针对创伤及其在精神病中的后果的具体干预措施.
研究的目的:
- 调查治疗耐药精神病患者早期逆境的患病率.
- 检查特定类型的逆境 (虐待与忽视) 与精神病症状,特别是积极症状和幻觉之间的关系.
- 探索负面信念在逆境和积极症状之间的关系中扮演的调解角色.
主要方法:
- 评估了292名患有耐治疗精神病的患者的样本.
- 这些措施包括对早期逆境 (虐待和忽视) 和当前精神病症状的评估.
- 统计分析探讨了关联和调解效应.
主要成果:
- 早期的逆境,包括虐待和忽视,在三分之一的样本中普遍存在.
- 逆境与更高的整体精神病症状有关,与积极症状的联系比负面症状更强.
- 滥用,而不是忽视,与积极的症状和幻觉特别相关. 对自己和其他人的负面信念与虐待和忽视有关.
- 女性比男性更容易遭受虐待.
结论:
- 这些发现支持了早期逆境,特别是虐待,和令人痛苦的精神病症状 (如幻觉) 之间的联系.
- 这些结果强调了心理治疗的必要性,以解决和准精神病患者早期生命逆境.
更多相关视频
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
81
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
81
Schizophrenia
72
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
72
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
529
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
529
Biological Causes of Schizophrenia
51
Schizophrenia, a severe psychiatric disorder, arises from a complex interplay of biological factors, including genetic predisposition, structural brain abnormalities, neurotransmitter dysregulation, and developmental irregularities. These factors collectively contribute to the onset and progression of the disorder, which typically manifests in late adolescence or early adulthood.
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
51
Post-traumatic Stress Disorder
30
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
30
Positive Symptoms of Schizophrenia: Hallucinations and Delusions
69
Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
Thought Disorders
Disorganized and unusual thought processes mark thought disorders in schizophrenia. One key feature is disorganized speech, where an individual's conversation includes...
69


