探究精神分裂症患者童年创伤的发生率及相关影响

To explore the incidence and related effects of childhood trauma in patients with schizophrenia

目的探讨精神分裂症患者不同童年创伤的发生率及对其认知功能的影响。方法选择2015年8月~2016年8月期间本院接收的符合DSD-IV-TR精神分裂症诊断的患者108例作为研究对象,对所有患者资料进行分析,并总结患者有童年创伤的发生率,并在治疗稳定后,通过调查问卷的方式,就有无童年创伤经历两组患者的基本资料和认知功能进行比较分析。结果 108例患者童年创伤经历64.81%,性虐待、躯体虐待、情感虐待、躯体忽视及情感忽视分别25.71%、15.71%、15.71%、41.43%、32.85%。有无童年创伤患者性别、年龄、首次发病年龄、总病程、用药情况、学习困难史及社交困难史等比较均无统计学意义;有无童年创伤患者连线测验评分、言语流畅性评分、情绪管理评分比较均具有统计学意义(P<0.05)。结论有童年创伤经历的精神分裂症患者占比较高,虽然该类患者更容易出现敌对情绪和冲动行为,但总体而言对认知功能的影响较小。

Objective To study the incidence of schizophrenia patients with different childhood trauma and its effect on cognitive function.Methods During August2015to August2016in our hospital received with DSD-IV-TR diagnosis of schizophrenia patients108cases as the research object,all patients were analyzed retrospectively,and summarize the patients with childhood trauma the incidence of,and in the treatment of stable,through the questionnaire,there is no basic data of childhood trauma experience and cognitive function in the patients of the two groups were compared.Results108cases of patients with childhood sexual abuse,the body64.81%.Abuse,emotional abuse,physical neglect and emotional neglect are respectively25.71%,15.71%,15.71%,41.43%,32.85%.has no gender,childhood trauma patients age,age of onset,course of disease,medication history,learning and social difficulties were no statistical significance;there is no connection test in patients with childhood trauma score,verbal fluency,emotional management scores were statistically significant(P<0.05).Conclusion Childhood schizophrenia patients accounted for relatively high,while the patients more prone to emotional enemy and impulsive behavior,but generally have little effect on cognitive function