Histories of childhood trauma in adult hypochondriacal patients.
Histories of childhood trauma in adult hypochondriacal patients.
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成年疑病症患者的童年创伤史。
DOI：
10.1176/ajp.151.3.397
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Cleary,PD
中科院分区：
文献类型：
--
作者：
Barsky,AJ;Wool,C;Barnett,MC;Cleary,PD
目的探讨成年疑病症患者的童年创伤史、父母健康态度和身体疾病。方法将60例患有DSM-III-R型疑病症的门诊患者与60例非疑病症的门诊患者进行比较。所有患者都完成了童年创伤事件量表和一份关于儿童疾病和健康的八项问卷。通过医疗记录审计评估医疗发病率。结果17岁前有疑病症的患者比无疑病症的患者报告有创伤性接触（28.6%比7.3%）、身体暴力（32.1%比7.3%）和重大父母剧变（28.6%比9.1%）。在多变量回归分析控制各组间的社会人口统计学差异后，这些差异仍然具有统计学意义。两组在创伤发生的年龄和经历的创伤程度上没有差异。明显地，更多的疑病症患者报告说，他们在儿童时期生病，并且由于健康原因缺课，但他们在儿童疾病和父母对疾病的态度的其他衡量标准上没有差异。两组的总体医疗发病率水平相似。结论即使在控制了社会人口统计学差异后，患有疑病症的成年人对童年创伤的回忆也比非疑病症患者多。他们还回忆起更多的儿童疾病，尽管他们目前没有更多的医学疾病。
ObjectiveThis study examined the childhood histories of trauma, parental attitudes toward health, and physical illness in hypochondriacal adults.MethodSixty outpatients with DSM-III-R hypochondriasis and 60 nonhypochondriacal outpatients from the same general medical clinic were compared. All patients completed the Childhood Traumatic Events Scale and an eight-item questionnaire about childhood illness and health. Medical morbidity was assessed with a medical record audit.ResultsSignificantly more hypochondriacal than nonhypochondriacal patients reported traumatic sexual contact (28.6% versus 7.3%), physical violence (32.1% versus 7.3%), and major parental upheaval (28.6% versus 9.1%) before the age of 17. These differences remained statistically significant after sociodemographic differences between the groups were controlled for with multivariate regression analysis. The two groups did not differ in the age at which these traumas occurred or in the degree of trauma experienced. Significantly more hypochondriacal patients reported being sick as children and missing school for health reasons, but they did not differ in other measures of childhood illness and parental attitudes toward illness. The two groups had similar levels of aggregate medical morbidity.ConclusionsHypochondriacal adults recall more childhood trauma than do nonhypochondriacal patients, even after sociodemographic differences are controlled for. They also recall more childhood illness, although they are not currently more medically sick.