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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Childhood trauma increases the risk of post-traumatic stress disorder in response to first-episode psychosis
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Childhood trauma increases the risk of post-traumatic stress disorder in response to first-episode psychosis

机译：儿童创伤增加了创伤后应激障碍的风险，以应对第一集发作的精神病

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Objective: To investigate the relationship between childhood trauma, post-traumatic stress symptoms due to the experience of childhood trauma, and post-traumatic stress symptoms due to the experience of psychosis.Method: The current study assessed childhood trauma and post-traumatic stress disorder (PTSD) symptoms as a result of both childhood trauma and psychosis using the Impact of Events Scale - Revised, in a group of 36 people with first-episode psychosis.Results: Reported rates of clinical level post-psychotic PTSD symptoms, childhood trauma and childhood trauma-related clinical level PTSD symptoms were 47% (95% CI 31-64%), 64% (95% CI 48-80%) and 39% (95% CI 23-55%), respectively. Reporting childhood trauma increased the risk of developing post-psychosis PTSD 27-fold (95% CI 2.96-253.80, p = 0.01). Having childhood trauma-related PTSD increased the risk of developing post-psychosis PTSD 20-fold (95% CI 3.38-123.25, p = 0.01). These risks were not explained by illness factors such as duration of untreated psychosis, age of onset or severity of psychotic symptoms. Those without post-psychotic PTSD symptoms at clinical levels were unlikely to report childhood trauma (6%; 95% CI 3-8%).Conclusions: These results suggest the cognitive, social and biological consequences of childhood trauma can prevent effective recovery from the trauma of acute first-episode psychosis resulting in post-psychotic PTSD. Treatment strategies for post-psychotic PTSD must address childhood trauma and related PTSD.
机译：目的：探讨儿童创伤与创伤后应激症状的关系，由于儿童创伤的经验，由于心理学的经验，创伤后应激症状。方法：目前的研究评估了儿童创伤和创伤后创伤后应激障碍（PTSD）症状由于童年创伤和精神病使用事件的影响 - 修订 - 修订，在一组36人中有一流的精神病症。结果：报告临床水平后的精神病患者症状，儿童创伤和儿童创伤相关的临床专目的应激症状47％（95％CI 31-64％），64％（95％CI 48-80％）和39％（95％CI 23-55％）。报告儿童创伤增加了开发精神病症后PTSD 27折的风险（95％CI 2.96-253.80，P = 0.01）。患有儿童创伤相关的可行科技，增加了开发精神病症后PTSD 20倍的风险（95％CI 3.38-123.25，P = 0.01）。这些风险未被疾病因素解释，例如未经治疗的精神病的持续时间，发病的年龄或精神病症状的严重程度。临床水平患有精神病药物治疗药物症状的人不太可能报告儿童创伤（6％; 95％CI 3-8％）。结论：这些结果表明儿童创伤的认知，社会和生物后果可以防止有效的恢复急性第一集集精神病的创伤导致精神病后应激障碍。精神病医学症的治疗策略必须解决儿童创伤和相关的应激障碍。

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