Impact of childhood exposure to psychological trauma on the risk of psychiatric disorders and somatic discomfort: Single vs. multiple types of psychological trauma

Impact of childhood exposure to psychological trauma on the risk of psychiatric disorders and somatic discomfort: Single vs. multiple types of psychological trauma
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童年时期遭受心理创伤对精神疾病和躯体不适风险的影响:单一与多种类型的心理创伤

DOI:
10.1016/j.psychres.2014.06.009
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发表时间:
2014
影响因子:
11.3
通讯作者:
M. Cho
M. Cho
中科院分区:
医学2区
文献类型:
--
作者:
Subin Park;J. Hong;J. Bae;Seong;Dong;Jun;S. Chang;H. Jeon;B. Hahm;Young Moon Lee;S. Seong;M. Cho

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我们研究了儿童时期接触多种类型的潜在创伤性事件(PTE)相对于单一类型的PTE是否与韩国成年人更高的精神障碍患病率和更大的躯体不适有关。对6027名18-74岁的受试者进行了综合国际诊断访谈2.1(K-CIDI 2.1)。将18岁以前经历过创伤事件的受试者,即童年创伤暴露组,与没有童年时期接触PTE的对照组进行比较。在童年创伤暴露组中,只经历一种类型PTE的受试者与经历两种或两种以上PTE的受试者被进一步比较。儿童时期接触PTE与一系列精神疾病的共病有关,接触多种类型PTE的风险高于接触单一类型PTE的风险。强迫症、广泛性焦虑症和躯体形式障碍与接触多种类型的PTE显著相关,但与接触单一类型的PTE无关。暴露于多种类型的PTE与报告明显的疲劳和疼痛有关。未来的研究应该检查与各种类型的儿童PTE相关的精神后遗症。
We examined whether childhood exposure to multiple types of potentially traumatic events (PTEs) relative to a single type of PTE is associated with a higher prevalence of psychiatric disorders and greater somatic discomfort in Korean adults. The Composite International Diagnostic Interview 2.1 (K-CIDI 2.1) was administered to 6027 subjects aged 18–74 years. Subjects who experienced a traumatic event before the age of 18 years, the childhood trauma exposure group, were compared with controls without childhood exposure to PTEs. In the childhood trauma exposure group, subjects who experienced only a single type of PTE and subjects who experienced two or more types of PTEs were compared further. Childhood exposure to PTEs was linked to a wide range of psychiatric comorbidities, with a higher risk for exposure to multiple types of PTEs than for exposure to a single type of PTE. Obsessive–compulsive disorder, generalized anxiety disorder, and somatoform disorder were significantly associated with exposure to multiple types of PTEs but not with exposure to a single type of PTE. Exposure to multiple types of PTEs was associated with reports of marked fatigue and pain. Future research should examine the psychiatric sequelae associated with various types of childhood PTEs.
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发表时间: 2010-02
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发表时间: 1998-02-01
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