Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample
Associations between childhood trauma, bullying and psychotic symptoms among a school-based adolescent sample
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DOI：
10.1192/bjp.bp.108.049536
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发表时间：
2008-11-01
影响因子：
10.5
通讯作者：
Cannon, Mary
中科院分区：
文献类型：
--
作者：
Kelleher, Ian;Harley, Michelle;Cannon, Mary
报告精神病症状的儿童和青少年在成年后出现精神病障碍的风险增加，这是一个假定的“有症状的”高危群体。然而，很少有研究调查这些高危人群是否会增加儿童时期创伤性事件的暴露率，就像精神病患者所看到的那样。目的探讨有精神病症状的青少年是否有较高的创伤经历率。方法对211名年龄在12 ~ 15岁的青少年及其父母进行精神病学访谈，询问其早期创伤事件，包括身体虐待和性虐待、遭受家庭暴力和欺凌。结果14名青少年（6.6%）报告有至少一种精神病症状。报告有精神病症状的青少年在童年时期遭受身体虐待、遭受家庭暴力以及被认定为欺凌者/受害者（即欺凌者和受害者）的可能性比没有报告这些症状的青少年要大得多。这些发现与共病性精神疾病或精神病史家族史无关。结论童年创伤可能增加精神病性经历的发生风险。欺凌者/受害者的特征值得进一步研究。利益声明资金详情见致谢。
BackgroundChildren and adolescents who report psychotic Symptoms appear to be at increased risk for psychotic disorders in adulthood - a putative 'symptomatic' high-risk group. however, little research has investigated whether those in this high-risk population have increased rates of exposure to traumatic events in childhood, as seen in patients who have a psychotic illness.AimsTo examine whether adolescents with psychotic symptoms have an increased rate of traumatic experiences.MethodPsychiatric interviews were carried out with 211 adolescents aged between 12 and 15 years and their parents as part of a population-based study, The interview enquired about a number of early traumatic events including physical and sexual abuse, exposure to domestic violence and bullying.ResultsFourteen adolescents (6.6% of those interviewed) reported experiencing at least one psychotic symptom. Adolescents who reported psychotic symptoms were significantly more likely to have been physically abused in childhood, to nave been exposed to domestic violence and to be identified as a bully/victim (that is, both a perpetrator and victim of bullying) than those who did not report such symptoms, These findings were not confounded by comorbid psychiatric illness or family history of psychiatric history.ConclusionsOur findings suggest that childhood trauma may increase the risk of psychotic experiences. The characteristics of bully/victims deserve further study.Declaration of interestNone. Funding detailed in Acknowledgements.