[Childhood Traumas, Attachment and Alexithymia in Adolescentswith Psychogenic Nonepileptic Seizure Type of Conversion Disorder].

Özlem Uzun, D. Akdemir, M. Topçu, B. Özsungur
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引用次数: 5

Abstract

OBJECTIVE In this cross-sectional study, childhood traumas, attachment security and alexithymia in adolescents with psychogenic nonepileptic seizures (PNES) were compared with those of adolescents without any psychiatric disorder using both semi-structured clinical interviews and self-report scales. METHOD This study included 42 adolescents with PNES aged between 12-18 and 38 healthy adolescents who were matched with the study group in respect to socio-demographic variables. All adolescents and their parents were interviewed using Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version in order to evaluate psychiatric disorders. Clinician- Administered Posttraumatic Stress Disorder (PTSD) Scale for Children and Adolescents was used to examine the presence of PTSD symptoms. All adolescents completed the Childhood Trauma Questionnaire-28, Short Form of Inventory of Parent and Peer Attachment, Toronto Alexithymia Scale and Rosenberg Self Esteem Scale. RESULTS Adolescents with PNES had more emotional and sexual traumatic experiences and PTSD symptoms compared to the control group. PNES group perceived higher "communication" but lower "trust" in attachment relationships with their mothers and fathers. Higher alexithymia and lower self-esteem were determined in the PNES group. Childhood traumas, lifetime PTSD symptoms and alexithymia were found to be significant risk factors for PNES in adolescents. CONCLUSION Results indicate that comorbid psychiatric disorders, traumatic experiences, attachment problems and alexithymia need to be evaluated and treated in adolescents with PNES.
青少年心因性非癫痫发作型转换障碍的童年创伤、依恋和述情障碍[j]。
目的采用半结构化临床访谈和自我报告量表,比较心因性非癫痫发作(PNES)青少年的童年创伤、依恋安全感和述情障碍与无精神障碍青少年的情况。方法本研究纳入42名年龄在12-18岁之间的PNES青少年和38名在社会人口统计学变量方面与研究组匹配的健康青少年。使用《学龄儿童情感障碍和精神分裂症量表-现在版和终生版》对所有青少年及其父母进行访谈,以评估精神障碍。临床医生管理的儿童和青少年创伤后应激障碍(PTSD)量表用于检查PTSD症状的存在。所有青少年均完成了《童年创伤问卷-28》、《父母与同伴依恋简表》、《多伦多述情障碍量表》和《罗森博格自尊量表》。结果与对照组相比,PNES青少年有更多的情感和性创伤经历和PTSD症状。PNES组在与父母的依恋关系中“沟通”程度较高,“信任”程度较低。PNES组有较高的述情障碍和较低的自尊。儿童期创伤、终生PTSD症状和述情障碍是青少年PNES的重要危险因素。结论青少年PNES患者的共病精神障碍、创伤经历、依恋问题和述情障碍需要评估和治疗。
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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