Childhood trauma is associated with theory of mind deficits in obsessive-compulsive disorder

IF 1.9 Q3 PSYCHIATRY
Tamini Soondrum , Jie Fan , Feng Gao , Xiang Wang , Qian Liu , Yao Liu , Jingjie Lu , Quanhao Yu , Hongyu Du , Xiongzhao Zhu
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引用次数: 0

Abstract

Background

Previous studies have shown that social impairments such as Theory of Mind (ToM) may be influenced by childhood trauma (CT), however the extent to which CT influence ToM ability, and whether OCD patients with CT are more vulnerable to ToM deficits than healthy controls (HC) have never been established. Therefore, this study attempts to understand the effect of CT on ToM ability in OCD.

Methods

81 OCD patients and 108 healthy controls were included in this study. ToM deficits were assessed on four dimensions, namely first and second order affective and cognitive ToM. The effect of CT on ToM deficits was assessed using the 2 × 2 Analysis of Covariance (ANCOVAs) and the hierarchical regression.

Results

Simple effect analysis revealed a positive effect of CT>No CT in OCD and effect of OCD>HC in CT for both affective and cognitive second-order ToM deficits. Within the OCD group, emotional abuse was found to have an effect on affective ToM deficits (p = .028) and sexual abuse on cognitive ToM deficits (p = .040).

Conclusions

Only OCD patients with CT showed deficits on second order cognitive and affective ToM and emotional and sexual abuse were the most influential CT subtypes on second-order ToM deficits in OCD.
童年创伤与强迫症的心理理论缺陷有关
以往的研究表明,心理理论(ToM)等社会障碍可能受到童年创伤(CT)的影响,但CT对心理理论能力的影响程度,以及患有CT的强迫症患者是否比健康对照组(HC)更容易出现心理理论缺陷,这些都尚未得到证实。因此,本研究试图了解CT对强迫症患者ToM能力的影响。方法选择强迫症患者81例,健康对照108例。从一、二级情感和认知四个维度对认知障碍进行评估。采用2 × 2协方差分析(ANCOVAs)和层次回归评估CT对ToM缺陷的影响。结果简单效应分析显示,CT检查对OCD有积极作用,CT检查对情感和认知二级ToM缺陷均有积极作用。在OCD组中,发现情绪虐待对情感ToM缺陷有影响(p = 0.028),性虐待对认知ToM缺陷有影响(p = 0.040)。结论只有CT表现为二级认知和情感性ToM缺陷的强迫症患者,情感和性虐待是对强迫症二级ToM缺陷影响最大的CT亚型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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