双相情感障碍患者自杀态度与儿童期虐待的相关研究  

The correlation between suicidal attitude and childhood trauma in the patients with bipolar disorder

作　　者：毕建强[1] 周志坚[1] 王建[1] 冀二妮[1] 朱炼[1] 杨海晨[1] 刘铁榜[1] 

机构地区：[1]深圳市康宁医院,深圳市心理健康重点实验室,深圳518020

出　　处：《中华行为医学与脑科学杂志》2015年第7期622-624,共3页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：目的探讨双相情感障碍患者自杀态度与儿童期虐待的相互关系。方法使用自杀态度问卷（QSA）及儿童期虐待量表（CTQ）对纳入的67例双相情感障碍患者及101例健康对照组进行比较。结果研究组与健康对照组在自杀行为的态度、对自杀者的态度、对自杀者家属的态度、对安乐死的态度的比较上，两组均差异无统计学意义（P〉0．05）。但在儿童期虐待的评分上，研究组在情感忽视（中位数M=10分）及躯体忽视（中位数M=9分）两个维度上得分均显著高于对照组，分别为（中位数M=8分）、（中位数M=6分），差异具有统计学意义（P〈0．05）。在研究组儿童期虐待与自杀态度的相关分析中，情感忽视与对自杀行为的态度呈负相关，差异具有统计学意义（r=-0．181，P〈0．05）。结论双相情感障碍患者存在儿童期虐待，主要表现为情感忽视及躯体忽视。情感忽视越重，患者对自杀行为的态度愈肯定，从而在一定程度上增加了双柑晴感障碍患者的自杀风险。Objective To study the relationship between suicidal attitude and childhood trauma in bipolar disorders. Methods 67 patients with bipolar disorder and 101 healthy individuals were assessed with the Ques- tionnaire of Suicidal Attitude （QSA） and Childhood Trauma Questionnaire（CTQ）. Results There was no statis- tical difference between the patients group and healthy control group in the results of suicidal attitude （P〉0.05）. The scores of emotional neglect（ M = 10）and physical neglect （M = 9） in patients group were significantly higher than those of the healthy control group（ M = 8, M = 6） （P〈0.05）. The attitude to suicidal behavior was negative cor- relation with emotion neglect（ r=-0.181, P〈0.05）in patients group. Conclusion Emotional and physical neglect are the main types of trauma in patients with BD, and may increase the risk of suicide. It is important to survey the patients with BD on childhood trauma,and intervention is necessary.

关 键 词：双相情感障碍 儿童期虐待 情感虐待 躯体虐待 自杀态度 

分 类 号：R749.4[医药卫生—神经病学与精神病学]