首页|注意力损害与童年创伤及抑郁症临床症状的相关性研究

注意力损害与童年创伤及抑郁症临床症状的相关性研究

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目的:探索抑郁症患者注意力与童年创伤及临床症状的相关性.方法:纳入抑郁症患者152 例(研究组),健康对照组250 名,分别采用剑桥神经心理自动化成套测试(CANTAB)中的快速视觉信息处理(RVP)、17 项汉密尔顿抑郁量表(HAMD-17)、童年创伤量表简版(CTQ-SF)评估视觉持续注意力、抑郁症状、童年创伤,采用SPSS 26 进行统计学分析.结果:与对照组相比,研究组快速视觉信息处理中总错过数更多,总正确拒绝数更少,命中率更低,平均反应时间更长(P均<0.01);童年创伤总分及各因子分均高于对照组(P均<0.01);在研究组中发现躯体忽视与快速视觉信息处理总错过数正相关(r =0.226,P =0.012),与反应灵敏度、总正确拒绝数、命中率负相关(r =-0.260、-0.230、-0.224,P均<0.05);HAMD-17 总分与快速视觉信息处理总错过数、错击率、平均反应时间正相关(r =0.228、0.192、0.341,P均<0.05),与反应倾向性、总正确拒绝数、命中率负相关(r =-0.203、-0.324、-0.226,P均<0.05).结论:抑郁症患者的童年可能遭受较多创伤事件,其注意力明显受损;抑郁症状与注意力下降有一定相关性,且抑郁程度越重,注意力越差.
The correlation between attention impairment and childhood trauma with clinical symptoms in patients with depression
Objective:To explore the correlation between attention impairment and childhood trauma with clinical symptoms in patients with depression.Method:A total of 152 depression patients in study group and 250 healthy controls in control group were selected and assessed with the rapid visual information processing(RVP)under Cambridge neuropsychological test automated battery(CANTAB),17-item Hamilton depression rating scale(HAMD-17)and childhood trauma questionnaire-short form(CTQ-SF).Statistical analysis was carried out using SPSS 26.Results:There are more total misses,fewer total correct rejections,lower probabili-ty of hit,and longer mean latency in patients with depression(all P<0.01).The total score and each factor score of CTQ-SF in the study group were significantly higher than those of the control group(all P<0.01).In the depression group,physical neglect was positively correlated with RVP total misses(RVP_TM)(r =0.226,P =0.012),and negatively correlated with RVP A prime(RVP_A_PR),RVP total correct rejections(RVP_TCR)and RVP probability of hit(RVP_PH)(r =-0.260,-0.230,-0.224,all P<0.05).The HAMD-17 total score was positively correlated with RVP toatl missesRVP_TM、RVP probability of false alarm(RVP_PFA)、RVP_ML(r =0.228、0.192、0.341,all P<0.05),and negatively correlated with RVP B double prime(RVP_B_DP)、RVP_TCR、RVP_PH(r =-0.203,-0.324,-0.226,all P<0.05).Conclusion:People with depression might have experienced more traumatic events in childhood,and have more severely impaired at-tention.The more severe the symptoms of depression,the worse the attention will be.

depressionattentionchildhood trauma

刘琼、杨潇、王敏、窦翊愷、杜玥、韦锦学、赵连生、马小红

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610041 四川大学华西医院心理卫生中心,四川大学华西医院精神医学研究室

抑郁症 注意力 童年创伤

科技创新2030重大项目国家自然科学基金四川省科技厅重点研发项目四川省科技厅重点研发项目中国博士后科学基金中国博士后科学基金

2022ZD0211700820014322022YFS03462022YFS03482020TQ02132020M683319

2024

临床精神医学杂志
南京医科大学附属脑科医院

临床精神医学杂志

CSTPCD
影响因子:1.108
ISSN:1005-3220
年,卷(期):2024.34(2)
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