贫困青少年精神病性体验及其影响因素  

Psychotic-like Experiences and Associated Factors among Poor Adolescents

作　　者：王莹莹[1,2] 刘哲宁[1,2] 王东方 阳洁 张雯[1,2] 蒲唯丹[4] 张劲强 WANG Ying-ying;LIU Zhe-ning;WANG Dong-fang;YANG Jie;ZHANG Wen;PU Wei-dan;ZHANG Jin-qiang(Department of Psychiatry,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Mental Health Institute of the Second Xiangya Hospital,Central South University,National Clinical Research Center for Mental Disorders,National Technology Institute of Psychiatry,Hunan Key Laboratory of Psychiatry and Mental Health,Changsha 410011,China;College of Education,Rural Children and Adolescents Research Center for Health Promotion,Hunan Agriculture University,Changsha 410128,China;Medical Psychological Center,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Third Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院精神病学科,长沙410011 [2]中南大学湘雅二医院精神卫生研究所,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室,精神病学与精神卫生学湖南省重点实验室,长沙410011 [3]湖南农业大学教育学院,湖南省儿童青少年健康促进研究中心,长沙410128 [4]中南大学湘雅二医院医学心理中心,长沙410011 [5]中南大学湘雅三医院,长沙410011

出　　处：《中国临床心理学杂志》2020年第5期902-905,共4页Chinese Journal of Clinical Psychology

基　　金：国家自然科学基金青年项目(81801353)。

摘　　要：目的:探讨贫困青少年精神病性体验的现况及其影响因素。方法:采用一般资料问卷、社区精神病性体验评估问卷、青少年心理弹性量表、创伤史问卷对湖南省4987名青少年进行调查。结果:贫困青少年精神病性体验检出率高于非贫困青少年;线性回归分析发现创伤经历对贫困青少年阳性症状(B=0.562,P<0.001)、阴性症状(B=0.208,P=0.033)、抑郁情绪(B=0.149,P=0.007)有正向预测作用。心理弹性对贫困青少年阳性症状有负向预测趋势(B=-0.033,P=0.088)。一般社会人口学变量中,年龄对贫困青少年阳性症状(B=0.91,P<0.001)、阴性症状(B=1.11,P<0.001)、抑郁情绪(B=0.457,P<0.001)有正向预测作用,少数民族对贫困青少年阳性症状(B=-1.338,P=0.02)、抑郁情绪(B=-0.724,P=0.015)有负向预测作用。结论:创伤经历是贫困青少年精神病性体验的危险因素。年龄、民族可能是贫困青少年精神病性体验的重要影响因素。Objective:To investigate psychotic-like experiences and associated factors among poor adolescents.Methods:Investigation was conducted among 4987 adolescents in Hunan by using the general socio-demographic questionnaire,the Community Assessment of Psychic Experiences(CAPE),Resilience Scale for Chinese Adolescents(RSCA)and the Trauma History Questionnaire(THQ-child version).Results:Compared with non-poor adolescents,poor adolescents exhibited higher detection rate of psychotic-like experiences.Stepwise regression analysis found that childhood trauma positively predicted the positive symptoms(B=0.562,P<0.001),negative symptoms(B=0.208,P=0.033)and depressed symptoms(B=0.149,P=0.007)of poor adolescents.Resilience had a significance trending in negatively predicting positive symptoms in poor adolescents(B=-0.033,P=0.088).Age positively predicted the positive symptoms(B=0.91,P<0.001),negative symptoms(B=1.11,P<0.001)and depressed symptoms(B=0.457,P<0.001)of poor adolescents,while minority negatively predicted the positive symptoms(B=-1.338,P=0.02)and depressed symptoms(B=-0.724,P=0.015)of poor adolescents.Conclusion:Childhood trauma is a risk factor for psychotic-like experiences in poor adolescents.Age and ethnicity may be important potential predictors for psychotic-like experiences of poor adolescents in China.

关 键 词：精神病性体验 贫困 青少年 

分 类 号：R395.2[哲学宗教—心理学]