Prodromal Symptoms of Schizophrenia, Childhood Maltreatment, Attachment Insecurity, and Alexithymia: A Correlation Network Approach.

IF 1.3 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2025-09-01 Epub Date: 2025-08-12 DOI:10.1097/NMD.0000000000001844

Lucia Sideli, Andrea Fontana, Lucrezia Trani, Gaia Cuzzocrea, Marta Mascanzoni, Riccardo Pecora, Anna Chiara Franquillo, Arianna Cantiano, Diletta D'Offizi, Patrizia Brogna, Chiara Caprì, Isabella Panaccione, Gianluigi di Cesare, Giuseppe Ducci, Vincenzo Caretti

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引用次数: 0

Abstract

Introduction: Prodromal psychotic symptoms have been increasingly linked to childhood maltreatment, attachment insecurity, and alexithymia, particularly difficulties in identifying and expressing emotions.

Method and results: This study employed correlation network analysis to examine the interplay among early adversities, alexithymia, and prodromal psychosis symptoms in 93 adolescents (64% female) attending their first visit to a youth mental health center. Of these, 39% met the criteria for prodromal symptoms of psychosis. The network identified difficulty identifying feelings, emotional abuse, and physical neglect as the most central nodes. Difficulty identifying feelings and general psychopathology emerged as key bridge nodes connecting symptom domains.

Conclusions: Findings suggest that difficulties in emotion regulation and general psychological distress may mediate the pathway from child maltreatment to prodromal psychotic symptoms. These dimensions represent important targets for early intervention in at-risk adolescents.

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精神分裂症前驱症状、儿童虐待、依恋不安全感和述情障碍：一个相关网络方法。

前驱精神病症状越来越多地与童年虐待、依恋不安全感和述情障碍，特别是识别和表达情绪的困难联系在一起。方法与结果：本研究采用相关网络分析方法，对首次到青少年心理健康中心就诊的93名青少年（女性占64%）进行了早期逆境、述情障碍和前驱精神病症状之间的相互作用研究。其中39%符合精神病前驱症状的标准。该网络发现，难以识别情感、情感虐待和身体忽视是最重要的节点。难以识别的感觉和一般的精神病理出现了连接症状域的关键桥梁节点。结论：研究结果提示情绪调节困难和一般心理困扰可能介导儿童虐待到精神病症状前驱的通路。这些方面是高危青少年早期干预的重要目标。

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

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.