南非精神分裂症患者早期童年逆境、社会认知和攻击之间的关系研究

IF 3 Q2 PSYCHIATRY
K. van der Walt , O. Wootton , J. Rokicki , A. Vaskinn , D. Jonker , M. Campbell , E. Susser , U.K. Haukvik , R.C. Gur , D.J. Stein , C. Friestad
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引用次数: 0

摘要

精神分裂症患者成为暴力受害者和施暴者的风险增加。最近的研究表明,社会认知障碍可能会导致精神分裂症患者的攻击性增强。童年创伤是精神分裂症和攻击的一个公认的危险因素,也与PLS中更严重的认知缺陷有关。很少有研究在大样本中探索童年创伤、社会认知和攻击之间的关系,特别是在低收入和中等收入环境中,不同的社会经济因素和暴力暴露可能影响这些关联。在本研究中,来自南非科萨人精神分裂症基因组学研究的子样本(PLS = 585,对照组= 882)完成了童年创伤问卷(CTQ)、Penn情绪识别测试(ER)、攻击生活史问卷(LHA)和DSM-IV轴I障碍的结构化诊断访谈。CTQ、ER、LHA以及选定的人口学和临床因素的组间差异采用t检验和卡方检验进行评估。采用多变量线性回归检验CTQ、ER和LHA之间的相关性。我们发现PLS的儿童创伤和终身攻击得分显著高于对照组,情绪识别表现较差。较高的童年创伤与较高的终身攻击性和较差的情绪识别表现相关。然而,情绪识别表现与终身攻击无关。在这种情况下,童年创伤预示着终身攻击和较差的情绪识别,但没有证据表明情绪识别能力与攻击有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the relationships between Early Childhood Adversity, Social Cognition, and Aggression in a South African Study of People Living with Schizophrenia
People living with schizophrenia (PLS) are at increased risk of being both victims and perpetrators of violence. Recent research suggests that social cognitive impairments may contribute to heightened aggression in schizophrenia. Childhood trauma, a well-established risk factor for both schizophrenia and aggression, is also linked to more severe cognitive deficits in PLS. Few studies have explored the relationships between childhood trauma, social cognition, and aggression in large sample sizes, particularly in low- and middle-income settings, where varying socioeconomic factors and exposure to violence may influence these associations. In this study, a subsample of participants (PLS = 585; controls = 882) from the Genomics of Schizophrenia in the South African Xhosa People study completed The Childhood Trauma Questionnaire (CTQ), Penn Emotion Identification Test (ER), Life History of Aggression Questionnaire (LHA), and Structured Diagnostic Interview for DSM-IV Axis I Disorders. Group differences in CTQ, ER, LHA, and selected demographic and clinical factors were assessed using t-tests and chi-square tests. Multivariable linear regressions were employed to test for associations among CTQ, ER, and LHA. We found that PLS had significantly higher childhood trauma and lifetime aggression scores and poorer emotion recognition performance than controls. Higher childhood trauma was associated with higher lifetime aggression and worse emotion recognition performance. However, emotion recognition performance was not associated with lifetime aggression. In this setting, childhood trauma predicts lifetime aggression and poorer emotion recognition, but there is no evidence that emotion recognition ability is related to aggression.
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来源期刊
CiteScore
5.60
自引率
10.70%
发文量
54
审稿时长
67 days
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