儿童期性虐待与精神病:病因和机制。

Epidemiologia e psichiatria sociale Pub Date : 2009-10-01
Paul Bebbington
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引用次数: 0

摘要

这篇社论的目的是描述儿童性虐待和精神病之间的联系,并考虑这种联系的潜在机制。这种联系得到了文献的有力支持。来自各种来源的证据被三角化,以创建一个可信的联系模型,然后可以用来指导未来的研究。机制当然是复杂的,有证据表明在遗传、神经生理、行为、认知和情感层面上有相互作用。儿童性侵在理论和临床上都是精神病的重要前因。在理论层面,它潜在地阐明了精神病症状产生的机制,在临床层面,它为改善认知行为治疗方法提供了可能性。
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Childhood sexual abuse and psychosis: aetiology and mechanism.

The aim of this Editorial is to describe the association between child sexual abuse and psychosis, and to consider potential mechanisms for the association. The association is strongly supported by the literature. Evidence from a variety of sources is triangulated in order to create a plausible model of the link, which can then be used to direct future research. The mechanisms are certainly complex, and there is evidence of interacting contributions at genetic, neurophysiological, behavioural, cognitive and emotional levels. Child sexual abuse is an important antecedent in psychosis, both theoretically and clinically. At the theoretical level, it potentially illuminates mechanisms by which psychotic symptoms are generated, at the clinical level it opens possibilities for improving cognitive-behavioural approaches to treatment.

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