Reliability and Comparability of Psychosis Patients' Retrospective Reports of Childhood Abuse
Reliability and Comparability of Psychosis Patients' Retrospective Reports of Childhood Abuse
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DOI：
10.1093/schbul/sbp103
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发表时间：
2011-05-01
影响因子：
6.6
通讯作者：
Morgan, Craig
中科院分区：
文献类型：
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作者：
Fisher, Helen L.;Craig, Thomas K.;Morgan, Craig
越来越多的研究表明，儿童期虐待和精神病之间存在联系。然而，其中大多数依赖于成年后的回顾自我报告，这可能会受到当前精神病理学的不适当影响。因此，我们开始探索首发精神病患者关于儿童期虐待的报告的可靠性和可比性。精神病病例受试者来自精神分裂症和其他精神病的病因学和种族(伊索)流行病学研究，并完成了儿童护理和虐待经历问卷，以引出发生在16岁之前的虐待经历。亲子关系量表具有较高的同时效度(反感：R(S)=0.350-0.737，P&t；.001；忽视：R(S)=0.688-0.715，P&t；.001)，与临床病例记录显示良好的趋同效度(性虐待：Kappa=0.526，P&t；.001；身体虐待：Kappa=0.394，P&t；.001)。精神病患者的报告在7年内也相当稳定(性虐待：Kappa=0.590，P<；.01；身体虐待：Kappa=0.634，P<；.001；厌恶：Kappa=0.492，P<；.01；忽视：Kappa=0.432，P<；.05)。儿童期虐待报告与精神症状的严重程度无关(性虐待：U=1768.5，P=.998；身体虐待：U=2167.5，P=.815；反感：U=2216.5，P=.988；忽视：U=1906.0，P=.835)或抑郁情绪(性虐待：CHI(2)=0.634，P=.277；身体虐待：CHI(2)=0.159，P=.419；反感：CHI(2)=0.868，P=.229；忽略：X(2)=0.639，P=.274)。这些发现为在未来的研究中使用从精神障碍患者那里获得的儿童期虐待的回顾报告提供了理由。
An increasing number of studies are demonstrating an association between childhood abuse and psychosis. However, the majority of these rely on retrospective self-reports in adulthood that may be unduly influenced by current psychopathology. We therefore set out to explore the reliability and comparability of first-presentation psychosis patients' reports of childhood abuse. Psychosis case subjects were drawn from the Aetiology and Ethnicity of Schizophrenia and Other Psychoses (AESOP) epidemiological study and completed the Childhood Experience of Care and Abuse Questionnaire to elicit abusive experiences that occurred prior to 16 years of age. High levels of concurrent validity were demonstrated with the Parental Bonding Instrument (antipathy: r(s) = 0.350-0.737, P < .001; neglect: r(s) = 0.688-0.715, P < .001), and good convergent validity was shown with clinical case notes (sexual abuse: kappa = 0.526, P < .001; physical abuse: kappa = 0.394, P < .001). Psychosis patients' reports were also reasonably stable over a 7-year period (sexual abuse: kappa = 0.590, P < .01; physical abuse: kappa = 0.634, P < .001; antipathy: kappa = 0.492, P < .01; neglect: kappa = 0.432, P < .05). Additionally, their reports of childhood abuse were not associated with current severity of psychotic symptoms (sexual abuse: U = 1768.5, P = .998; physical abuse: U = 2167.5, P = .815; antipathy: U = 2216.5, P = .988; neglect: U = 1906.0, P = .835) or depressed mood (sexual abuse: chi(2) = 0.634, P = .277; physical abuse: chi(2) = 0.159, P = .419; antipathy: chi(2) = 0.868, P = .229; neglect: chi(2) = 0.639, P = .274). These findings provide justification for the use in future studies of retrospective reports of childhood abuse obtained from individuals with psychotic disorders.