儿童虐待、述情障碍、负面情绪和认知偏差与精神病症状和类精神病经历的相互作用

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-06-11 DOI:10.1002/cpp.70096

Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Nika Eskandari, Farangis Sharifibastan, Morteza Aghaeimazraji, Michael Berk, Azra Mohammadpanah Ardakan, Mina Shirmohammadali

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引用次数: 0

摘要

先前的研究已经单独检查了精神病背景下的儿童虐待、述情障碍、负面影响和认知偏见。本研究在三组（n = 1383）中调查了这些与精神病症状和精神样经历（ple）相关的因素之间的相互作用：精神分裂症住院患者（n = 302）和精神病高（n = 205）和低风险的非临床个体（n = 876）。采用自我报告和临床评定量表。精神分裂症患者和高危人群比低危人群表现出更高的认知偏差、述情障碍、童年虐待和负面情绪。在每一组中，报告童年虐待和述情障碍的参与者也比没有这些报告的人表现出更高的认知偏见、负面情绪、精神病症状、分裂型或ple。关于认知偏见和负面影响，同样的结果在整个样本中得到了重复，在述情障碍和童年虐待的个体中观察到的最不利的情况。此外，认知偏见方面的特定维度在儿童虐待、述情障碍和负面情绪与精神病症状和PLEs的联系中表现出不同的中介作用。该研究强调儿童虐待、述情障碍、负面影响和认知偏见方面是精神病连续体的重要风险因素。此外，该研究强调了认知偏见方面在将儿童虐待、述情障碍和负面影响与精神病症状和ple联系起来方面的作用。对精神分裂症患者、精神病高危人群和低危人群的童年虐待、述情障碍、负面情绪、精神病症状和ple进行评估。与低风险组相比，高风险组和精神分裂症组在几个变量上得分更高。在每一组中，有童年虐待和述情障碍的人与没有虐待和述情障碍的人不同。在总样本中，儿童期虐待和述情障碍患者表现出显著差异，同时患有述情障碍和儿童期虐待的个体表现出最不利的特征。特定的认知偏见将童年虐待、述情障碍和负面影响与精神病症状和ple联系起来。

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Interplay Between Childhood Maltreatment, Alexithymia, Negative Affect and Cognitive Bias in Relation to Psychotic Symptoms and Psychotic-Like Experiences

Prior research has individually examined childhood maltreatment, alexithymia, negative affect and cognitive biases in the context of psychosis. This study investigated the interplay among these factors in relation to psychotic symptoms and psychotic-like experiences (PLEs) among three groups (n = 1383): hospitalized individuals with schizophrenia (n = 302) and nonclinical individuals at high (n = 205) and at low risk for psychosis (n = 876). Both self-report and clinician-rated scales were conducted. Individuals with schizophrenia and those at high risk exhibited higher measures of cognitive bias, alexithymia, childhood maltreatment and negative affect than those at low risk. Within each group, participants reporting childhood maltreatment and alexithymia also demonstrated elevated cognitive bias, negative affect, psychotic symptoms, schizotypy or PLEs than people without such reports. The same result was replicated across the entire sample regarding cognitive bias and negative affect, with the most adverse profile observed in individuals with both alexithymia and childhood maltreatment. Further, specific dimensions of cognitive bias facets behaved differently in their mediating roles in the links of childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs. The study highlights childhood maltreatment, alexithymia, negative affect and cognitive bias facets as significant risk factors along the psychosis continuum. Additionally, the study emphasizes the role of cognitive bias facets in linking childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.

Key Practitioner Messages

Individuals with schizophrenia and those at high and low risk for psychosis were evaluated for childhood maltreatment, alexithymia, negative affect, psychotic symptoms and PLEs.
The high-risk and schizophrenia groups scored higher on several variables than those at low risk group.
In each group, people with childhood maltreatment and alexithymia differed from those without.
In the total sample, people with childhood maltreatment and alexithymia showed significant differences, with individuals having both alexithymia and childhood maltreatment demonstrating the most adverse profile.
Specific cognitive biases linked childhood maltreatment, alexithymia and negative affect to psychotic symptoms and PLEs.

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.