中国临床心理学杂志

童年创伤和虐待与成年精神障碍

作者：阎燕燕¹ 孟宪璋²

单位：1. 暨南大学人力资源管理研究所广州 510632
2. 暨南大学第一附属医院心理科广州 510632

分类号：R395.4

出版年,卷(期):页码：2005,13(2):208-209

摘要：

目的:探索童年期创伤和虐待经历与成年精神障碍的关系。方法:采用自评童年虐待和创伤量表(CAT)和EPQ问卷,随机选择34位心理科门诊和住院病人为样本组和37位正常人为对照组施测,其中37人在两周后进行CAT重测。结果:EPQ的P维度与CAT总分及各分量表均显著相关(P<0.01),N维度与除性虐待外的其它分量表显著相关(P<0.05),E维度与CAT总分及负面环境、情感虐待呈显著负相关(P<0.05)。病人组在CAT总分和负面环境分上均显著高于正常组(P<0.05)。结论:童年期虐待和创伤经历与成年期罹患精神疾病密切相关,与成年后的人格发展也密切相关。

Objective: To explore the effect of psychological maltreatment in childhood and adolescence on adult mental health. Methods: According to CCMD-3 standard, a clinical sample of 34 inpatient and outpatient subjects with a diagnosis of multiple mental disorder were randomly assigned to patient group and 37 nonclinical volunteers were assigned to normal group, and both groups were administered with two self-report questionnaire, Child Abuse and Trauma Scale (CAT) and EPQ (adult). 37 of them were retested with CAT after two weeks. Results: Relationship analysis revealed that P and N scores have significantly associated with almost all CAT scores except N with sexual abuse. E scores have significantly negatively associated with general CAT, NEG and EA subscale. Patient group have significantly high scores than normal group in general CAT and NEG subscale. Conclusion: Childhood trauma or abuse do have association with adult psychological disorder and the development of adult personality.

基金项目：

作者简介：

参考文献：

[1] 车文博主编.弗洛伊德文集(第一卷).长春:长春出版社.1998.22-210
[2] 车文博主编.弗洛伊德文集,(第五卷).长春:长春出版社.1998.298-482
[3] 岳冬梅.父母养育方式评价量表.心理卫生评定量表手册增订版.1999.161-167
[4] Stephen Davies.童年被虐待经历对晚年的心理影响.当代医学文献:精神病学.香港:皇家医学会出版,2003,1 (3):1-5
[5] 孟宪璋.儿童创伤与成年期的精神障碍.美国中华心身医学杂志,1998,2(2):122-123
[6] 孟宪璋.躯体化障碍与童年期的创伤.中国临床心理学杂志,2002,10(3):183-188
[7] 孟宪璋.儿童虐待的精神动力学机制.上海精神医学2002,14(2):122～124
[8] 杨世昌,张亚林,黄国平,郭果毅.儿童受虐方式的研究.中国临床心理学杂志,2004,12(2):140-141
[9] 赵幸福,张亚林,李龙飞.435名儿童的儿童期虐待问卷调查.中国临床心理学杂志,2004,12(4):377-379
[10] Sanders B, Becker-Lausen E. Child Abuse and Trauma Scale(CAT). Child Abuse & Neglect, 1995,19(3):315-323
[11] Kent A, Waller G. The Impact of Childhood Emotional Abuse: An Extension of the Child Abuse and Trauma Scale. Child Abuse & Neglect, 1998, 22(5):393-399
[12] 龚耀先.修订艾森克个性问卷(EPQ)手册.湖南医学院,1986
[13] 杨中芳.现代化、全球化是与本土化对立的吗?-试论现代化研究的本土化.社会学研究,1999,(1):57-72

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