精神分裂症童年创伤经历与心理理论水平的相关研究  

Study about the relationship between childhood trauma experience and theory of mind capacity in patients with schizophrenia

作　　者：张开元[1] 阚博[1] 施剑飞[2] 申变红[2] 朱春燕[2] 

机构地区：[1]安徽医科大学医学心理学系,安徽合肥230032 [2]浙江省杭州市第七人民医院

出　　处：《精神医学杂志》2014年第1期39-41,共3页Journal of Psychiatry

摘　　要：目的探讨精神分裂症患者童年创伤经历及其与心理理论能力的相关性。方法采用儿童期创伤问卷(CTQ)对56例精神分裂症患者(研究组)进行评估,同时用失言察觉(faux pas)任务、连环漫画(comic strips)任务、隐喻(Hunting task)任务评估患者的心理理论(TOM)能力,并与54名健康对照(对照组)进行比较。结果研究组CTQ总分及各因子分均显著高于对照组(P<0.05,P<0.01);研究组CTQ总分与TOM总分、隐喻任务、失言觉察任务、连环漫画任务呈负相关(P<0.05,P<0.01);情感虐待与TOM总分、连环漫画任务呈负相关(P<0.05,P<0.01);躯体虐待与失言觉察任务呈负相关(P<0.05);性虐待与连环漫画任务呈负相关(P<0.05);情感忽视与TOM总分、隐喻任务呈负相关(P<0.05,P<0.01);躯体忽视与失言觉察任务呈负相关(P<0.05)。结论精神分裂症患者童年创伤与心理理论存在负相关,童年创伤可能影响患者的社会认知功能。Objective To investigate the relationship between childhood trauma experience and theory of mind （TOM） capacity in patients with schizophrenia. Methods 56 patients with schizophrenia （ study group） and 54 healthy controls （ control group） were assessed with Childhood Trauma Questionnaire （CTQ） and Theory Of Mind （TOM） task including faux pas task, comic strips task and hunting task. Results Total score and all factor scores of CTQ in study group were significantly higher than those in control group （P 〈 O. 01 or P 〈 0.05 ）. Total score of CTQ in study group was significantly negatively correlated with total score of TOM, score of hunting task, faux pas task, comic strips task （P 〈0.01 or P 〈0.05）. In study group, factor score of emotional abuse in CTQ was significantly negatively correlated with total score of TOM and score of comic strips （ P 〈 0.01 or P 〈0.05 ）. Factor score of physical abuse in CTQ was significantly negatively correlated with score of faux pas task （P 〈 O. 05 ）. Factor score of sexual abuse was significantly negatively correlated with scol＇e of comic strips （ P 〈 0.05 ）. Factor score of emotional neglect in CTQ was significantly negatively correlated with total score of TOM and score of hunting task （ P 〈 0.01 or P 〈 O. 05 ）. Factor score of physical neglect in CTQ was significantly negatively correlated with score of faux pas task （ P 〈 O. 05）. Conclusion Childhood trauma experiences is negatively correlated with theory of mind capacity in patients with schizophrenia. Childhood trauma experiences can influence the social cognition of schizophrenic patients.

关 键 词：精神分裂症 童年创伤 心理理论 社会认知 

分 类 号：R749.3[医药卫生—神经病学与精神病学]