Bullying victimisation and risk of psychotic phenomena: analyses of British national survey data
Bullying victimisation and risk of psychotic phenomena: analyses of British national survey data
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DOI：
10.1016/s2215-0366(15)00055-3
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发表时间：
2015-07-01
影响因子：
64.3
通讯作者：
Broome, Matthew
中科院分区：
文献类型：
--
作者：
Catone, Gennaro;Marwaha, Steven;Broome, Matthew
被欺负是一种具有短期和长期后果的令人厌恶的经历，并且被纳入精神病的生物心理社会模型。我们使用2000年和2007年的英国成人精神病发病率调查来检验欺凌与个体精神病现象和精神病有关的假设，并预测了后来出现的受迫害观念和幻觉。方法我们分析了英国（2000年）和英格兰（2007年）两项具有全国代表性的16岁或以上的个人调查。研究人员向受访者发放了一张卡片，上面列出了压力事件，以确定他们一生中遭受欺凌的经历。我们评估了受迫害观念、听觉和视觉幻觉以及可能的精神病诊断与因变量的关联。所有的分析都控制了社会人口学混杂因素、智商（IQ）和其他创伤。我们使用了2000年8580名受访者和2007年7403名受访者的数据。欺凌与受迫害的想法和幻觉的存在有关，在调整了社会人口因素、智商、其他创伤和童年性虐待后仍然如此。欺凌与疑似精神病的诊断有关。如果在基线上报告，在2000年的调查中，欺凌预示着在18个月的随访中出现和维持受迫害的想法和幻觉。控制其他创伤和童年性虐待不影响欺凌和精神病症状之间的联系，但降低了与可能精神病诊断的联系的重要性。霸凌与同时出现的受迫害意念和幻觉联系最为密切。欺凌受害者增加了个体精神病症状和疑似精神病诊断的风险。欺凌的早期发现和针对其心理后果的治疗可能会改善精神病的病程。
Background Being bullied is an aversive experience with short-term and long-term consequences, and is incorporated in biopsychosocial models of psychosis. We used the 2000 and the 2007 British Adult Psychiatric Morbidity Surveys to test the hypothesis that bullying is associated with individual psychotic phenomena and with psychosis, and predicts the later emergence of persecutory ideation and hallucinations.Methods We analysed two nationally representative surveys of individuals aged 16 years or older in Great Britain (2000) and England (2007). Respondents were presented with a card listing stressful events to identify experiences of bullying over the entire lifespan. We assessed associations with the dependent variables persecutory ideation, auditory and visual hallucinations, and diagnosis of probable psychosis. All analyses were controlled for sociodemographic confounders, intelligence quotient (IQ), and other traumas.Findings We used data for 8580 respondents from 2000 and 7403 from 2007. Bullying was associated with presence of persecutory ideation and hallucinations, remaining so after adjustment for sociodemographic factors, IQ, other traumas, and childhood sexual abuse. Bullying was associated with a diagnosis of probable psychosis. If reported at baseline, bullying predicted emergence and maintenance of persecutory ideation and hallucinations during 18 months of follow-up in the 2000 survey. Controlling for other traumas and childhood sexual abuse did not affect the association between bullying and psychotic symptoms, but reduced the significance of the association with diagnosis of probable psychosis. Bullying was most strongly associated with the presence of concurrent persecutory ideation and hallucinations.Interpretation Bullying victimisation increases the risk of individual psychotic symptoms and of a diagnosis of probable psychosis. Early detection of bullying and use of treatments oriented towards its psychological consequences might ameliorate the course of psychosis.