童年创伤在整体受理和精神分裂症中alexithymia的作用
Samantha Narvaez1, Krista Wisner2, Alina Siatka3
1Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Journal of psychiatric research
|December 4, 2025
概括
儿童创伤 (CT) 与精神分裂症和难以识别情绪 (alexithymia) 和身体信号 (interoception) 有关. 这项研究发现CT与精神分裂症患者对身体感觉的信心降低有关.
科学领域:
- 精神病学和神经科学 精神病学和神经科学
- 创伤研究 创伤研究
背景情况:
- 儿童创伤 (CT) 是精神分裂症的一个重要风险因素.
- CT与alexithymia和受体内感受受损害有关,这两种情况都在精神分裂症中观察到.
- 在精神分裂症中这些自我认知缺陷中,CT在这些自我认知缺陷中的具体作用仍然不清楚.
研究的目的:
- 研究精神分裂症或精神分裂情绪障碍 (SSD) 患者的童年创伤,alexithymia和整体感受之间的关系.
- 澄清CT如何影响精神分裂症背景下的自我感知障碍.
主要方法:
- 通过使用多维感知意识评估 (MAIA) 评估整体感知.
- 用多伦多亚历克西西米亚尺度 (TAS-20) 测量亚历克西西米亚.
- 在73名SSD患者和50名健康对照中使用童年创伤问卷 (CTQ) 量化了童年创伤.
主要成果:
- 精神分裂症患者的alexithymia得分高于对照组.
- 在整个样本中,童年创伤得分与整体感知意识 (MAIA"信任"子表) 有负相关性,与alexithymia (TAS-20总得分) 有正相关性.
- 在SSD组中,CT与对身体感觉的信心降低之间的关联仍然存在.
结论:
- 儿童创伤与精神分裂症患者对身体感觉的信心下降有关.
- 这些发现突出了早期生活逆境对精神分裂症中整体感知和情绪处理的影响.
- 这些结果与之前的研究结合在一起,该研究将CT与其他精神疾病中的自我感知缺陷联系起来.
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