精神障碍患者童年创伤经历及其与文化智力的关联研究

Childhood traumatic experience of patients with mental disorders and its relationship with cultural intelligence

目的:探究精神障碍患者的童年创伤经历及与其文化智力水平的关联。方法:纳入就诊于昆明医科大学第二附属医院精神科的203例精神障碍患者(包括抑郁障碍、焦虑障碍、目前为抑郁发作的双相情感障碍患者),采用童年创伤问卷简化版(CTQ-SF)、文化智商问卷(CIQ)进行调查。根据童年创伤类型对患者进行分组,比较各组间童年创伤和文化智商的关联。结果:忽视组与忽视+虐待组患者的童年创伤经历、文化智商量表总分及各因子分均低于不伴童年创伤组的患者(P均<0.05)。情感忽视与文化智商量表总分、认知因子得分负向关联(β=-0.3、-0.3);躯体忽视与元认知因子得分、行为因子得分负向关联(β=-0.2、-0.2)。结论:与不伴有童年创伤经历的精神障碍患者相比,伴有童年创伤经历的患者的文化智力水平低。情感忽视和躯体忽视与此类患者的文化智力水平有较强的关联性。

Objective:To explore the childhood traumatic experience of patients with mental disorders and its correlation with cultural and intellectual level.Method:203 cases of mental disorders from depart-ment of psychiatry in the second affiliated hospital of Kunming medical university were included and evaluated by using the Self-compiled General Information Questionnaire,Childhood Trauma Questionnaire-Simplified Ver-sion(CTQ-SF),Cultural Intelligence Questionnaire(CIQ).Grouping patients based on the type of childhood trauma and comparing the association between childhood traumatic cxperience and cultural and intellectual level among the groups.Results:The total score and each factor score of the patients with childhood trauma in the neglect group and the neglect+abuse group were lower than those in the patients without childhood trauma(all P<0.05).The results of linear regression analysis showed that emotional neglect was negatively correlated with the total score of CIQ and cognitive factor score(β=-0.29,-0.25).Somatic neglect was negatively correla-ted with metacognitive factor score and behavioral factor score(β=-0.22,-0.22)in different type of child-hood trauma.Conclusion:Patients with childhood trauma experiences have lower cultural intelligence level than those without childhood trauma experiences.Emotional neglect and somatic neglect are influencing factors of the cultural intelligence in patients with mental disorders.