儿童期创伤对青少年精神病性体验的影响:心理弹性的调节效应
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摘要
目的:探讨儿童期创伤、心理弹性和青少年精神病性体验的关系。方法:采用社区精神病性体验评估问卷(CAPE)、青少年心理弹性量表(RSCA)和儿童版创伤史问卷(THQ)对湖南省6024名中学生进行调查。结果:儿童期创伤、心理弹性和青少年精神病性体验显著相关:儿童期创伤对青少年阳性症状、阴性症状及抑郁情绪均存在正向预测作用;心理弹性对青少年阳性症状、阴性症状及抑郁情绪均存在负向预测作用;心理弹性和儿童期创伤交互项对精神病性体验不同症状亦存在显著的预测作用,随着心理弹性水平的增加,儿童期创伤对精神病性体验的正向主效应会相应减弱。结论:儿童期创伤是青少年精神病性体验的风险因素,心理弹性是青少年精神病性体验的保护因素,且可以调节儿童期创伤对青少年精神病性体验的影响。
Objective: To investigate relationships between childhood trauma, psychological resilience and psychoticlike experiences(PLEs) among adolescents. Methods: 6024 adolescents in Hunan recruited in the study were assessed by using the Community Assessment of Psychic Experiences(CAPE), Resilience Scale for Chinese Adolescents(RSCA) and the Trauma History Questionnaire(THQ-child version). Results: Childhood trauma and psychological resilience were significantly associated with PLEs in adolescents; childhood trauma was a positive predictor for PLEs, while psychological resilience was a negative predictor in adolescents; Furthermore, the interaction between psychological resilience and childhood trauma had significant predictive effect on PLEs. Higher psychological resilience would more largely diminish the positive main effect of childhood trauma on PLEs. Conclusion: Childhood trauma is a risk factor, while psychological resilience is a protective factor for psychotic-like experiences in adolescents. Psychological resilience could moderate the impacts of childhood trauma on psychotic-like experiences in adolescents.
Objective: To investigate relationships between childhood trauma, psychological resilience and psychoticlike experiences(PLEs) among adolescents. Methods: 6024 adolescents in Hunan recruited in the study were assessed by using the Community Assessment of Psychic Experiences(CAPE), Resilience Scale for Chinese Adolescents(RSCA) and the Trauma History Questionnaire(THQ-child version). Results: Childhood trauma and psychological resilience were significantly associated with PLEs in adolescents; childhood trauma was a positive predictor for PLEs, while psychological resilience was a negative predictor in adolescents; Furthermore, the interaction between psychological resilience and childhood trauma had significant predictive effect on PLEs. Higher psychological resilience would more largely diminish the positive main effect of childhood trauma on PLEs. Conclusion: Childhood trauma is a risk factor, while psychological resilience is a protective factor for psychotic-like experiences in adolescents. Psychological resilience could moderate the impacts of childhood trauma on psychotic-like experiences in adolescents.
引文
1 Lee KW,Chan KW,Chang WC,et al.A systematic review on definitions and assessments of psychotic-like experiences.Early Intervention in Psychiatry,2016,10(1):3-16
2 Poulton R,Caspi A,Moffitt TE,et al.Children’s selfreported psychotic symptoms and adult schizophreniform disorder:a 15-year longitudinal study.Archives of General Psychiatry,2000,57(11):1053-1058
3 Stephan KE,Binder EB,Breakspear M,et al.Charting the landscape of priority problems in psychiatry,part 2:pathogenesis and aetiology.Lancet Psychiatry,2016,3(1):84-90
4 Arseneault L,Cannon M,Fisher HL,et al.Childhood trauma and children’s emerging psychotic symptoms:A genetically sensitive longitudinal cohort study.American Journal of Psychiatry,2011,168(1):65-72
5 Kelleher I,Harley M,Lynch F,et al.Associations between childhood trauma,bullying and psychotic symptoms among a school-based adolescent sample.British Journal of Psychiatry,2008,193(5):378-382
6 Lataster T,Van OJ,Drukker M,et al.Childhood victimisation and developmental expression of non-clinical delusional ideation and hallucinatory experiences:victimisation and non-clinical psychotic experiences.Social Psychiatry&Psychiatric Epidemiology,2006,41(6):423-428
7 Toda H,Inoue T,Tsunoda T,et al.Affective temperaments play an important role in the relationship between childhood abuse and depressive symptoms in major depressive disorder.Psychiatry Research,2016,236:142-147
8 Wiles NJ,Zammit S,Bebbington P,et al.Self-reported psychotic symptoms in the general population:results from the longitudinal study of the British National Psychiatric Morbidity Survey.British Journal of Psychiatry,2006,188:519-526
9 Southwick SM,Charney DS.The science of resilience:implications for the prevention and treatment of depression.Science,2012,338(6103):79
10 Sarkar M,Fletcher D.Psychological resilience in sport performers:a review of stressors and protective factors.Journal of Sports Sciences,2014,32(15):1419-1434
11贾士昱,刘建平,叶宝娟.正念对大学生生活满意度的影响:自尊和心理弹性的链式中介作用.中国临床心理学杂志,2018,26(1):147-150
12张光珍,王娟娟,梁宗保,等.初中生生活事件和心理弹性的相互作用关系.中国临床心理学杂志,2017,25(3):531-535
13孙仕秀,关影红,覃滟云,等.青少年社会支持与情绪行为问题的关系:心理弹性的中介与调节作用.中国临床心理学杂志,2013,21(1):114-118
14 Barahmand U,Heydari SAR.Psychotic-Like Experiences and Psychological Distress:The Role of Resilience.Journal of the American Psychiatric Nurses Association,2016,22(4):312-319
15 Stefanis NC,Hanssen M,Smirnis NK,et al.Evidence that three dimensions of psychosis have a distribution in the general population.Psychological Medicine,2002,32(2):347-358
16 Konings M,Bak M,Hanssen M,et al.Validity and reliability of the CAPE:a self-report instrument for the measurement of psychotic experiences in the general population.Acta Psychiatrica Scandinavica,2006,114(1):55-61
17胡月琴,甘怡群.青少年心理韧性量表的编制和效度验证.心理学报,2008,8:902-912
18 Stover CS,Hahn H,Im JJ,et al.Agreement of Parent and Child Reports of Trauma Exposure and Symptoms in the Peritraumatic Period.Psychological Trauma Theory Research Practice&Policy,2010,2(3):159-168
19 Schreier A,Wolke D,Thomas K,et al.Prospective study of peer victimization in childhood and psychotic symptoms in a nonclinical population at age 12 years.Archives of General Psychiatry,2009,66(5):527-536
20 Campbell ML,Morrison AP.The relationship between bullying,psychotic-like experiences and appraisals in 14-16-year olds.Behaviour Research and Therapy,2007,45(7):1579-1591
21 Sheinbaum T,Kwapil TR,Barrantes-Vidal N.Fearful attachment mediates the association of childhood trauma with schizotypy and psychotic-like experiences.Psychiatry Research,2014,220(1-2):691-693
22 Thompson JL,Kelly M,Kimhy D,et al.Childhood trauma and prodromal symptoms among individuals at clinical high risk for psychosis.Schizophrenia Research,2009,108(1-3):176-181
23 Fisher HL,Schreier A,Zammit S,et al.Pathways between childhood victimization and psychosis-like symptoms in the ALSPAC birth cohort.Schizophrenia Bulletin,2013,39(5):1045-1055
24 Cole CL,Newman-Taylor K,Kennedy F.Dissociation mediates the relationship between childhood maltreatment and subclinical psychosis.Journal of Trauma&Dissociation,2016,17(5):577-592
25 Bartels-Velthuis AA,van de Willige G,Jenner JA,et al.Auditory hallucinations in childhood:associations with adversity and delusional ideation.Psychological Medicine,2012,42(3):583-593
26 Escher S,Romme M,Buiks A,et al.Independent course of childhood auditory hallucinations:a sequential 3-year follow-up study.The British Journal of Psychiatry.Supplement,2002,43:s10-s18
27 Catalano D,Chan F,Wilson L,et al.The buffering effect of resilience on depression among individuals with spinal cord injury:a structural equation model.Rehabilitation Psychology,2011,56(3):200-211
28 Ying L,Wu X,Lin C,et al.Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake.PLoS One,2014,9(2):e89401
2 Poulton R,Caspi A,Moffitt TE,et al.Children’s selfreported psychotic symptoms and adult schizophreniform disorder:a 15-year longitudinal study.Archives of General Psychiatry,2000,57(11):1053-1058
3 Stephan KE,Binder EB,Breakspear M,et al.Charting the landscape of priority problems in psychiatry,part 2:pathogenesis and aetiology.Lancet Psychiatry,2016,3(1):84-90
4 Arseneault L,Cannon M,Fisher HL,et al.Childhood trauma and children’s emerging psychotic symptoms:A genetically sensitive longitudinal cohort study.American Journal of Psychiatry,2011,168(1):65-72
5 Kelleher I,Harley M,Lynch F,et al.Associations between childhood trauma,bullying and psychotic symptoms among a school-based adolescent sample.British Journal of Psychiatry,2008,193(5):378-382
6 Lataster T,Van OJ,Drukker M,et al.Childhood victimisation and developmental expression of non-clinical delusional ideation and hallucinatory experiences:victimisation and non-clinical psychotic experiences.Social Psychiatry&Psychiatric Epidemiology,2006,41(6):423-428
7 Toda H,Inoue T,Tsunoda T,et al.Affective temperaments play an important role in the relationship between childhood abuse and depressive symptoms in major depressive disorder.Psychiatry Research,2016,236:142-147
8 Wiles NJ,Zammit S,Bebbington P,et al.Self-reported psychotic symptoms in the general population:results from the longitudinal study of the British National Psychiatric Morbidity Survey.British Journal of Psychiatry,2006,188:519-526
9 Southwick SM,Charney DS.The science of resilience:implications for the prevention and treatment of depression.Science,2012,338(6103):79
10 Sarkar M,Fletcher D.Psychological resilience in sport performers:a review of stressors and protective factors.Journal of Sports Sciences,2014,32(15):1419-1434
11贾士昱,刘建平,叶宝娟.正念对大学生生活满意度的影响:自尊和心理弹性的链式中介作用.中国临床心理学杂志,2018,26(1):147-150
12张光珍,王娟娟,梁宗保,等.初中生生活事件和心理弹性的相互作用关系.中国临床心理学杂志,2017,25(3):531-535
13孙仕秀,关影红,覃滟云,等.青少年社会支持与情绪行为问题的关系:心理弹性的中介与调节作用.中国临床心理学杂志,2013,21(1):114-118
14 Barahmand U,Heydari SAR.Psychotic-Like Experiences and Psychological Distress:The Role of Resilience.Journal of the American Psychiatric Nurses Association,2016,22(4):312-319
15 Stefanis NC,Hanssen M,Smirnis NK,et al.Evidence that three dimensions of psychosis have a distribution in the general population.Psychological Medicine,2002,32(2):347-358
16 Konings M,Bak M,Hanssen M,et al.Validity and reliability of the CAPE:a self-report instrument for the measurement of psychotic experiences in the general population.Acta Psychiatrica Scandinavica,2006,114(1):55-61
17胡月琴,甘怡群.青少年心理韧性量表的编制和效度验证.心理学报,2008,8:902-912
18 Stover CS,Hahn H,Im JJ,et al.Agreement of Parent and Child Reports of Trauma Exposure and Symptoms in the Peritraumatic Period.Psychological Trauma Theory Research Practice&Policy,2010,2(3):159-168
19 Schreier A,Wolke D,Thomas K,et al.Prospective study of peer victimization in childhood and psychotic symptoms in a nonclinical population at age 12 years.Archives of General Psychiatry,2009,66(5):527-536
20 Campbell ML,Morrison AP.The relationship between bullying,psychotic-like experiences and appraisals in 14-16-year olds.Behaviour Research and Therapy,2007,45(7):1579-1591
21 Sheinbaum T,Kwapil TR,Barrantes-Vidal N.Fearful attachment mediates the association of childhood trauma with schizotypy and psychotic-like experiences.Psychiatry Research,2014,220(1-2):691-693
22 Thompson JL,Kelly M,Kimhy D,et al.Childhood trauma and prodromal symptoms among individuals at clinical high risk for psychosis.Schizophrenia Research,2009,108(1-3):176-181
23 Fisher HL,Schreier A,Zammit S,et al.Pathways between childhood victimization and psychosis-like symptoms in the ALSPAC birth cohort.Schizophrenia Bulletin,2013,39(5):1045-1055
24 Cole CL,Newman-Taylor K,Kennedy F.Dissociation mediates the relationship between childhood maltreatment and subclinical psychosis.Journal of Trauma&Dissociation,2016,17(5):577-592
25 Bartels-Velthuis AA,van de Willige G,Jenner JA,et al.Auditory hallucinations in childhood:associations with adversity and delusional ideation.Psychological Medicine,2012,42(3):583-593
26 Escher S,Romme M,Buiks A,et al.Independent course of childhood auditory hallucinations:a sequential 3-year follow-up study.The British Journal of Psychiatry.Supplement,2002,43:s10-s18
27 Catalano D,Chan F,Wilson L,et al.The buffering effect of resilience on depression among individuals with spinal cord injury:a structural equation model.Rehabilitation Psychology,2011,56(3):200-211
28 Ying L,Wu X,Lin C,et al.Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake.PLoS One,2014,9(2):e89401