Childhood trauma and suicide risk in hospitalized patients with schizophrenia: the sequential mediating roles of pandemic related post-traumatic stress symptoms, sleep quality, and psychological distress

被引：1

作者：

Xie, Min ^{[1
,2
]}

Zou, Xuemin ^{[1
,2
]}

Xie, Yingjing ^{[1
,2
]}

Hu, Li ^{[1
,2
]}

Tang, Yiguo ^{[1
,2
]}

Cai, Jai ^{[1
,2
]}

Kuang, Yunxue ^{[3
]}

Zhu, Ling ^{[4
]}

Zou, Min ^{[5
]}

Wang, Qiang ^{[1
,2
]}

机构：

[1] Sichuan Univ, West China Hosp, Mental Hlth Ctr, Chengdu, Sichuan, Peoples R China

[2] Sichuan Clin Med Res Ctr Mental Disorders, Chengdu, Peoples R China

[3] Sichuan Univ, West China Longquan Hosp, Peoples Hosp Longquanyi Dist 1, Chengdu, Peoples R China

[4] Third Mil Med Univ, Army Med Univ, Southwest Hosp, Dept Clin Psychol,Hosp Affiliated 1, Chongqing, Peoples R China

[5] Sichuan Univ, West China Hosp, Dept Pharm, Chengdu, Peoples R China

来源：

FRONTIERS IN PSYCHIATRY | 2023年 / 14卷

基金：

中国国家自然科学基金;

关键词：

COVID-19; pandemic; post-traumatic stress symptoms; schizophrenia; childhood trauma; sleep quality; suicide risk; MENTAL-HEALTH; COVID-19; DEPRESSION; VERSION; ADULTS; MALTREATMENT; REACTIVITY; MORTALITY; LOCKDOWN; ANXIETY;

D O I：

10.3389/fpsyt.2023.1221529

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

IntroductionStressful global situation due to the COVID-19 pandemic caused a tremendous impact on mental health in hospitalized patients with schizophrenia. The mediating roles of psychological impact related to COVID-19, sleep quality, and psychological distress were investigated in the association between childhood trauma and suicidal risk in hospitalized patients with schizophrenia.MethodsWe analyzed cross-sectional data of 147 patients with schizophrenia and 189 healthy controls (HCs).ResultsHistories of childhood trauma and schizophrenia were good predictors of COVID-19-related psychological impact, global sleep quality, and psychological distress. Moreover, the series mediation model showed that the effect of childhood trauma on suicidal risk in hospitalized patients with schizophrenia was totally sequential mediated by the psychological impact of COVID-19, sleep quality, and psychological distress.ConclusionClinicians need to recognize the increased suicidal risk associated with COVID-19-related psychological distress in schizophrenia patients with a history of childhood trauma.

引用

页数：10

共 16 条

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