童年创伤和虐待与成年精神障碍

The Study of Child Abuse and Trauma Experience on Adult Mental Health

目的:探索童年期创伤和虐待经历与成年精神障碍的关系。方法:采用自评童年虐待和创伤量表(CAT)和EPQ问卷,随机选择34位心理科门诊和住院病人为样本组和37位正常人为对照组施测,其中37人在两周后进行CAT重测。结果:EPQ的P维度与CAT总分及各分量表均显著相关(P<0.01),N维度与除性虐待外的其它分量表显著相关(P<0.05),E维度与CAT总分及负面环境、情感虐待呈显著负相关(P<0.05)。病人组在CAT总分和负面环境分上均显著高于正常组(P<0.05)。结论:童年期虐待和创伤经历与成年期罹患精神疾病密切相关,与成年后的人格发展也密切相关。

Objective: To explore the effect of psychological maltreatment in childhood and adolescence on adult mental health. Methods: According to CCMD-3 standard, a clinical sample of 34 inpatient and outpatient subjects with a diagnosis of multiple mental disorder were randomly assigned to patient group and 37 nonclinical volunteers were assigned to normal group, and both groups were administered with two self-report questionnaire, Child Abuse and Trauma Scale (CAT) and EPQ (adult). 37 of them were retested with CAT after two weeks. Results: Relationship analysis revealed that P and N scores have significantly associated with almost all CAT scores except N with sexual abuse. E scores have significantly negatively associated with general CAT, NEG and EA subscale. Patient group have significantly high scores than normal group in general CAT and NEG subscale. Conclusion: Childhood trauma or abuse do have association with adult psychological disorder and the development of adult personality.