精神分裂症患者快感缺失与童年创伤经历的相关性

发布时间：2018-03-13 08:25

本文选题：快感缺失　切入点：童年创伤　出处：《安徽医科大学学报》2014年06期 　论文类型：期刊论文

【摘要】：目的探讨精神分裂症患者快感缺失与童年创伤经历的关系。方法采用中文版修订社会快感缺失量表(RSAS-C)、中文版修订躯体快感缺失量表(RPAS-C)和童年创伤问卷(CTQ)对198例精神分裂症患者和271例正常健康者进行评估,分析快感缺失与童年创伤间的关系。结果患者组RSAS-C评分(13.32±6.12)、RPAS-C评分(19.04±8.53)、CTQ总分(47.63±13.49)及其各因子分均显著高于正常组(分别为10.40±5.05,16.80±7.89,38.82±10.05),差异有统计学意义(P0.05);患者组RSAS-C评分、RPASC评分与阳性与阴性症状量表(PANSS)总分及阴性症状分均呈正相关(rs=0.266~0.439,P0.01);患者组RSAS-C评分(rs=0.419,P0.01)和RPAS-C评分(rs=0.322,P0.01)与CTQ总分呈正相关,控制PANSS总分后,快感缺失评分与童年创伤评分间的相关性仍存在。结论精神分裂症患者快感缺失程度较高,与童年创伤经历之间存在关联,提示早年的创伤经历可能会影响个体对躯体及社会交往快乐的体验能力。
[Abstract]:Objective to investigate the relationship between schizophrenia anhedonia and childhood trauma. Methods Chinese revised social anhedonia scale (RSAS-C), Chinese revised physical anhedonia scale (RPAS-C) and childhood trauma questionnaire (CTQ) were evaluated in 198 schizophrenic patients and 271 normal healthy people, analysis the relationship between childhood trauma and anhedonia. Results the patients with RSAS-C score (13.32 + 6.12), RPAS-C score (19.04 + 8.53), CTQ (47.63 + 13.49) total score and each factor score was significantly higher than the normal group (10.40 + 5.05,16.80 + 7.89,38.82 + 10.05), the difference was statistically significant (P0.05); patients with RSAS-C score, RPASC score and the positive and negative symptom scale (PANSS) score and negative symptom score were positively correlated (rs=0.266~0.439, P0.01); group of patients with RSAS-C score (rs=0.419, P0.01) and RPAS-C score (rs=0.322, P0.01) and the CTQ score was Positive correlation, control the total score of PANSS, correlation between anhedonia scores and childhood trauma score among schizophrenia patients. Conclusion there is still a higher degree of anhedonia split, associated with childhood trauma, suggesting that early traumatic experiences may influence on individual physical and social happy experience ability.

【作者单位】：安徽医科大学医学心理学系;安徽省精神卫生中心;
【基金】：国家自然科学基金(编号:81171273) 安徽省高校省级自然科学研究重点项目(编号:KJ2010A165)
【分类号】：R749.3

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