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【medical-news】离异家庭儿童容易形成精神病

http://www.stuff.co.nz/stuff/0,2106,3877976a7144,00.html
Broken homes link to schizophrenia
25 November 2006

Children from broken homes are more than twice as likely to develop schizophrenia in later life as those with a stable home life, new research suggests.

Children face the increased risk if the separation lasts a year, whether it is caused through a parent leaving the family or dying, according to psychiatrists leading the largest British study into psychosis.

Lead researcher Dr Craig Morgan said it was unclear whether the later schizophrenia or other manic psychosis was due to the stress of separation, abuse that might have preceded it, or the poverty that often goes along with separation.

Auckland clinical psychologist John Read, who has more than 20 years' experience working with schizophrenia patients, said the findings fitted in with a raft of studies showing adverse events in childhood were a major cause of psychosis.

"Up until recently it was assumed that was true for depression and anxiety but that schizophrenia was a purely biological illness. There has been a massive over-emphasis on the brain and genetics (in the field of schizophrenia)."

Read, whose own research has focused on childhood sexual and physical abuse, said those factors were as predictive as genetic predisposition.

He said the findings had implications for treatment, as it meant talk therapies, such as cognitive counselling, were "very, very effective for schizophrenia with or without the medication".

Christchurch psychiatrist Richard Porter said the UK study might have failed to take into account the reasons for parental separation, which could include the parents themselves having a mental illness.

The UK research, which compared 390 patients with 390 controls, was seeking to explain the difference in schizophrenia incidence between ethnic groups in south London, Nottingham and Bristol. It found African-Caribbean people's rate of schizophrenia was nine times that of white British people.

Family break-up was almost twice as common in African- Caribbean communities as it was in white British families.

Read said while genetics could play a part, social deprivation was the likely explanation for the higher prevalence in different ethnic groups. 本人已认领该文编译,48小时后若未提交译文,请其他战友自由认领。 Broken homes link to schizophrenia
25 November 2006
破碎家庭的儿童易患精神分裂症
2006年11月25日
Children from broken homes are more than twice as likely to develop schizophrenia in later life as those with a stable home life, new research suggests.
新的研究表明,破碎家庭的儿童与生活在稳定家庭的儿童相比,以后发生精神分裂症的可能性要高两倍。
Children face the increased risk if the separation lasts a year, whether it is caused through a parent leaving the family or dying, according to psychiatrists leading the largest British study into psychosis.
领导英国精神病方面最大研究的心理学家Craig Morgan医生认为,不论是因为父母离异,还是身亡而使家庭分裂,只要超过一年以上,儿童患病的风险就会增加。
Lead researcher Dr Craig Morgan said it was unclear whether the later schizophrenia or other manic psychosis was due to the stress of separation, abuse that might have preceded it, or the poverty that often goes along with separation.
目前并不清楚迟发的精神分裂症或其躁狂性精神病是什么因素引发的,可能因素包括:家庭分裂带来的压力,家庭分裂前的虐待,或是家庭分裂后产生的贫困。

Auckland clinical psychologist John Read, who has more than 20 years' experience working with schizophrenia patients, said the findings fitted in with a raft of studies showing adverse events in childhood were a major cause of psychosis.
奥克兰的临床心理学家John Read从事精神分裂症的治疗二十多年了,他说为数众多的研究表明,幼年时不良事件的影响是精神病的主要原因。
"Up until recently it was assumed that was true for depression and anxiety but that schizophrenia was a purely biological illness. There has been a massive over-emphasis on the brain and genetics (in the field of schizophrenia)."
“直到最近大家还认为幼年时的不良事件确实会导致抑郁症及焦虑症,但精神分裂症是单纯的生物学上的疾病。(在精神分裂症领域),人们过分强调大脑及遗传学了。”
Read, whose own research has focused on childhood sexual and physical abuse, said those factors were as predictive as genetic predisposition.
Read本人从事儿童期性虐待及身体虐待相关的精神病研究,他说幼年时不良事件的影响就和遗传倾向一样,是可以预测的。
He said the findings had implications for treatment, as it meant talk therapies, such as cognitive counselling, were "very, very effective for schizophrenia with or without the medication".

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作者:admin@医学,生命科学    2011-05-07 05:11
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