在有或没有复杂PTSD的求助者中听觉语言幻觉:患病率和与分离症状的关系
Cherry Tin Yan Cheung1, Chak Hei Ocean Huang2, Fulei Geng3
1Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
听觉语言幻觉 (AVHs) 在复杂的PTSD中更常见. 身份分离,而不仅仅是记忆问题,在创伤幸存者中显著预测了AVH,这表明AVH可能源于身份障碍.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 分离性障碍 分离性障碍
背景情况:
- 听觉语言幻觉 (AVHs) 越来越多地与创伤和分离有关.
- 在ICD-11后复杂创伤后应激障碍 (CPTSD) 和特定离散相关的AVH的患病率仍未得到充分研究.
研究的目的:
- 确定患有或没有可能的CPTSD的个体中AVH的患病率.
- 研究创伤幸存者中AVH和特定分离性症状集群之间的关联.
主要方法:
- 对213名寻求创伤干预的人进行横截面研究.
- 使用了对童年创伤,中重症情绪障碍,解离和AVHs的验证措施.
- 统计分析控制了CPTSD症状,以检查AVHs的离散相关物.
主要成果:
- 27.9%的可能患有CPTSD的参与者报告了AVH (n=165) 与可能患有PTSD的15.4%相比.
- 记忆障碍 (β=0.217,p=0.024) 和身份分离 (β=0.478,p<0.001) 在控制CPTSD症状后与AVH显著相关.
- 身份分离成为AVH的特别强有力的预测因素.
结论:
- 这项研究提出了关于AVH患病率与ICD-11CPTSD相关的新数据.
- 研究结果支持分离过程的作用,特别是身份分离,解释AVHs.
- 在一些有创伤史的个人中,AVH可能代表身份分离的表现.
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