Psychotic symptoms in young adults exposed to childhood trauma-A 20 year follow-up study
Psychotic symptoms in young adults exposed to childhood trauma-A 20 year follow-up study
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DOI：
10.1016/j.schres.2010.12.010
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发表时间：
2011-04-01
影响因子：
4.5
通讯作者：
McFarlane, Alexander
中科院分区：
文献类型：
--
作者：
Galletly, Cherrie;Van Hooff, Miranda;McFarlane, Alexander
童年的逆境已被证明会增加成年后出现精神病症状的风险。然而，以前没有研究关注童年经历自然灾害与成年后精神病症状发展之间的关系。1983年南澳大利亚丛林大火后，对860名接触过森林大火的儿童和725名对照儿童进行了评估。森林大火组的529人（65.6%）和对照组的464人（64%）参加了20年后的随访研究。儿童时期关于情绪和行为障碍以及不正常的养育方式的数据是可用的。成人评估包括澳大利亚国家健康和福祉精神病筛查以及有关创伤、童年逆境、酒精和大麻滥用的详细信息。5.6%的受试者对精神病筛查有积极反应，2.6%的受试者对进一步的探索问题有积极反应。精神病症状在遭受较多创伤的受试者中更为常见，并且与较高的童年逆境、情绪和行为障碍、不正常的养育方式以及酗酒和大麻滥用率有关。儿童时期接触过森林大火的研究对象患精神病的风险并不高。我们的研究结果表明，暴露于多重创伤，而不是单一的主要创伤，增加了后期精神病的风险。(C) 2010 Elsevier B.V.版权所有
Childhood adversity has been shown to increase the risk of psychotic symptoms in adult life. However, there are no previous studies looking at the association between experiencing a natural disaster during childhood and the development of psychotic symptoms in young adulthood.Eight hundred and six bushfire-exposed children and 725 control children were evaluated following the 1983 South Australian bushfires. Five hundred and twenty nine (65.6%) of the bushfire group and 464 (64%) controls participated in a follow up study 20 years later. Childhood data on emotional and behavioural disorders and dysfunctional parenting was available. The adult assessment included the Australian National Health and Well-Being psychosis screen and detailed information about trauma, childhood adversity and alcohol and cannabis abuse.5.6% of subjects responded positively to the psychosis screen and 2.6% responded positively to a further probe question. Psychotic symptoms were more common in subjects exposed to a greater number of traumas, and were associated with higher rates of childhood adversity, emotional and behavioural disturbance, dysfunctional parenting, and alcohol and cannabis abuse. Subjects exposed to bushfires as children did not have a greater risk of psychosis. Our results indicate that exposure to multiple traumas, rather than a single major trauma, increases the risk of later psychosis. (C) 2010 Elsevier B.V. All rights reserved.