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Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia

文献类型：期刊论文

作者Hao, Yuzhu4,5; Peng, Pu4,5; Wang, Qianjin4,5; Zhou, Yanan3; Chen, Shubao4,5; Wu, Qiuxia4,5; Liu, Tieqiao4,5; Zhang, Xiangyang1,2
刊名BJPSYCH OPEN
出版日期2024-05-03
卷号10期号:3页码:9
关键词Schizophrenia insomnia suicide childhood maltreatment mediating effect
ISSN号2056-4724
DOI10.1192/bjo.2024.36
通讯作者Liu, Tieqiao(liutieqiao123@csu.edu.cn)
英文摘要Background Childhood maltreatment is a well-established transdiagnostic risk factor for suicidal ideation; however, previous studies on their association in schizophrenia have produced highly varied results. Moreover, the mechanism linking childhood maltreatment and suicide ideation remains unclear in schizophrenia.Aims This cross-sectional study aimed to investigate the association between childhood maltreatment and suicide ideation in people with schizophrenia and tested whether insomnia mediated this relationship.Method Positive and Negative Syndrome Scale (PANSS), Insomnia Severity Index (ISI), Childhood Trauma Questionnaire - Short Form and Beck Suicidal Ideation Inventory were employed. Logistic regression and mediation analysis were performed.Results (a) The prevalence of suicide ideation, insomnia, sexual abuse, emotional neglect, emotional abuse, physical abuse and physical neglect was 10% (n = 61), 18% (n = 111), 11% (n = 68), 25% (n = 153), 6.3% (n = 39), 17% (n = 106) and 39% (n = 239), respectively. In all, 52% (n = 320) reported childhood maltreatment; (b) patients with suicide ideation demonstrated higher insomnia and childhood maltreatment. PANSS depression factor, ISI, lifetime suicidal attempts and emotional abuse were independently associated with suicide ideation; (c) insomnia partially mediated the effects of emotional abuse and emotional neglect on suicide ideation, and insomnia completely mediated the effects of physical neglect and physical abuse on suicide ideation.Conclusion Our study calls for formal assessments for childhood maltreatment and insomnia in schizophrenia, which might help identify suicide ideation early. In addition, interventions targeting insomnia might help reduce suicide ideation among people with schizophrenia who experience childhood maltreatment.
收录类别SCI
WOS关键词PSYCHOMETRIC PROPERTIES ; SEVERITY INDEX ; TRAUMA ; RISK ; DEPRESSION ; SCALE ; VALIDATION ; SYMPTOMS
资助项目Natural Science Foundation of Hunan Province[2020JJ4795]
WOS研究方向Psychiatry
语种英语
WOS记录号WOS:001258433200001
出版者CAMBRIDGE UNIV PRESS
资助机构Natural Science Foundation of Hunan Province
源URL[http://ir.psych.ac.cn/handle/311026/48365]  
专题心理研究所_中国科学院心理健康重点实验室
通讯作者Liu, Tieqiao
作者单位1.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
2.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China
3.Hunan Brain Hosp, Hunan Peoples Hosp 2, Dept Psychiat, Changsha, Peoples R China
4.Cent South Univ, Xiangya Hosp 2, Natl Ctr Mental Disorders, Changsha, Peoples R China
5.Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Changsha, Peoples R China
推荐引用方式
GB/T 7714		 Hao, Yuzhu,Peng, Pu,Wang, Qianjin,et al. Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia[J]. BJPSYCH OPEN,2024,10(3):9.
APA Hao, Yuzhu.,Peng, Pu.,Wang, Qianjin.,Zhou, Yanan.,Chen, Shubao.,...&Zhang, Xiangyang.(2024).Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia.BJPSYCH OPEN,10(3),9.
MLA Hao, Yuzhu,et al."Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia".BJPSYCH OPEN 10.3(2024):9.

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来源：心理研究所

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