Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania

ZHAO Shimiao; FENG Hong

doi:10.16766/j.cnki.issn.1674-4152.003170

Volume 21 Issue 9

Sep. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(9): 1559-1562

ZHAO Shimiao, FENG Hong. Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania[J]. Chinese Journal of General Practice, 2023, 21(9): 1559-1562. doi: 10.16766/j.cnki.issn.1674-4152.003170

Citation:

ZHAO Shimiao, FENG Hong. Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania[J]. Chinese Journal of General Practice, 2023, 21(9): 1559-1562. doi: 10.16766/j.cnki.issn.1674-4152.003170

Citation:

ZHAO Shimiao, FENG Hong. Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania[J]. Chinese Journal of General Practice, 2023, 21(9): 1559-1562. doi: 10.16766/j.cnki.issn.1674-4152.003170

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Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania

doi: 10.16766/j.cnki.issn.1674-4152.003170

ZHAO Shimiao^,
, FENG Hong

Psychiatric Department of the Seventh People's Hospital of Shaoxing, Shaoxing, Zhejiang 312000, China

Funds:

2020RC131

Received Date: 2023-02-08
Available Online: 2023-10-19

Abstract

Abstract

Objective To evaluate the relationship between childhood trauma, self-esteem, impulsivity/aggression and symptom severity and suicide risk in patients with bipolar mania by correlation analysis. Methods A total of 104 first-episode manic patients with bipolar disorder in Shaoxing Seventh People's Hospital from June 2020 to December 2022 were selected and grouped according to the severity of mania and suicidal tendency. The scores of childhood trauma questionnaire (CTQ), self-esteem score (SES), impulsivity (BIS-11) and aggression (AQ-CV) were compared between groups. The correlation between the above indicators and manic symptoms and suicide risk was analyzed respectively. Results There were statistically significant differences in each index between the manic severity groups (all P<0.05). There were significant differences in childhood trauma, impulsivity and aggression between the groups of suicidal tendency severity (all P<0.05). Correlation analysis showed that the correlation coefficients between BRMS mania score and CTQ total score, emotional neglect, emotional abuse and sexual abuse were 0.935, 0.819, 0.828 and 0.837, respectively. The correlation between suicidal behavior questionnaire score and BIS-11 total score, cognitive impulsivity, motor impulsivity and unplanned impulsivity dimension scores were 0.936, 0.871, 0.897 and 0.846, respectively. The BRMS mania score was highly correlated with the total score of the aggression questionnaire (r=0.845), and the scores of each dimension were also more than 0.8. Conclusion Childhood trauma can promote the degree of mania in patients with bipolar disorder. This group is highly aggressive, and impulsiveness can increase suicidal tendency, which should be paid attention to in treatment and intervention.
- Bipolar disorder manic onset,
- Childhood trauma,
- Self-esteem,
- Impulsiveness,
- Aggressive,
- Suicide risk

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[1]	宋彩云, 柳贵芳, 孙华风. 渐进式引导护理与高级共情护理技术对双向情感障碍躁狂发作患者的效果分析[J]. 国际医药卫生导报, 2021, 27(22): 3581-3584. doi: 10.3760/cma.j.issn.1007-1245.2021.22.039 SONG C, LIU G, SUN H F. Application of progressive guided nursing and advanced empathic nursing techniques in patients with bipolar disorder and manic episode[J]. International Medicine and Health Guidance News, 2021, 27(22): 3581-3584. doi: 10.3760/cma.j.issn.1007-1245.2021.22.039
[2]	张瑞环, 何旭, 姚震, 等. 中药联合心境稳定剂治疗双相情感障碍的系统评价[J]. 中医药导报, 2021, 27(7): 165-172, 185. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB202107036.htm ZHANG R H, HE X, YAO Z, et al. Systematic Evaluation of Traditional Chinese Medicine combined with Mood Stabilizer in the Treatment of Bipolar Disorder[J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy, 2021, 27(7): 165-172, 185. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB202107036.htm
[3]	李堃. 双相情感障碍发作间歇期的护理配合措施及效果[J]. 中国医药指南, 2022, 20(11): 49-52. doi: 10.15912/j.cnki.gocm.2022.11.055 LI K. Measures and Effect of Nursing Cooperation in the Intermission Period of Bipolar Disorder[J]. Guide of China Medicine, 2022, 20(11): 49-52. doi: 10.15912/j.cnki.gocm.2022.11.055
[4]	房萌, 刘珊珊, 尹冬青, 等. 女性双相情感障碍住院患者高自杀风险的相关因素分析[J]. 神经疾病与精神卫生, 2022, 22(7): 500-504. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJS202207008.htm FANG M, LIU S S, YIN D Q, et al. The analysis of related factors of high suicide risk in female inpatients with bipolar disorder[J]. Journal of Neuroscience and Mental Health, 2022, 22(7): 500-504. https://www.cnki.com.cn/Article/CJFDTOTAL-JBJS202207008.htm
[5]	芦云平, 崔伟, 于超, 等. 伴精神病性症状躁狂首发双相障碍Ⅰ型患者疾病特征及长期功能预后[J]. 中国神经精神疾病杂志, 2022, 48(1): 34-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ202201006.htm LU Y P, CUI W, YU C, et al. Diseases features and long-term functional prognosis in first-episode manic bipolar disorder-Ⅰ patients with psychotic symptoms[J]. Chinese Journal of Nervous and Mental Diseases, 2022, 48(1): 34-39. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSJJ202201006.htm
[6]	左甜甜, 王康程, 胡宇飞, 等. 童年创伤与同伴环境对青少年抑郁症患者非自杀性自伤行为的预测作用[J]. 中华精神科杂志. 2022, 55(4): 272-280. ZUO T T, WANG K C, HU Y F, et al. The predictive role of childhood trauma and peer environment on non-suicidal self-injurious behavior in adolescents with depression[J]. Chinese Journal of Psychiatry. 2022, 55(4): 272-280.
[7]	SLYEPCHENKO A, ALLEGA O R, LENG X M, et al. Association of functioning and quality of life with objective and subjective measures of sleep and biological rhythms in major depressive and bipolar disorder[J]. Aust N Z J Psychiatry, 2019, 53(7): 683-696. doi: 10.1177/0004867419829228
[8]	周绍宇, 靳西龙, 冯振晓, 等. 碳酸锂缓释片治疗双相情感障碍的躁狂发作的疗效探讨[J]. 中国药物与临床, 2019, 19(19): 3282-3285. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201919006.htm ZHOU S Y, JIN X L, FENG Z X, et al. Effect of lithium carbonate sustained release tablets on manic episode of bipolar disorder[J]. Chin Remed Clin, 2019, 19(19): 3282-3285. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201919006.htm
[9]	何文知, 温健, 王瑶, 等. 失眠在中学生童年创伤与自杀风险之间的中介作用[J]. 中华行为医学与脑科学杂志, 2022, 31(4): 359-365. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-OGSF202209001338.htm HE W Z, WEN J, WANG Y, et al. Mediating effect of insomnia in the relationship between childhood trauma and suicide risk in middle school students[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2022, 31(4): 359-365. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-OGSF202209001338.htm
[10]	曹华, 汪志君, 杨玲, 等. 童年创伤对青少年网络成瘾的影响: 自我隐瞒的中介作用[J]. 中华行为医学与脑科学杂志, 2021, 30(9): 811-816. https://cdmd.cnki.com.cn/Article/CDMD-12121-1023007727.htm CAO H, WANG Z J, YANG L, et al. The effect of childhood trauma on adolescent Internet addiction : the mediating role of self-concealment[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2021, 30(9): 811-816. https://cdmd.cnki.com.cn/Article/CDMD-12121-1023007727.htm
[11]	杨秀英, 李晓梅, 甘宇, 等. 自尊在抑郁症患者童年期创伤与攻击行为间的中介作用[J]. 中华行为医学与脑科学杂志, 2020, 29(4): 351-352, 355. YANG X Y, LI X M, GAN Y, et al. The mediating effect of self-esteem between childhood trauma and aggressive behavior in patients with major depressive disorder[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2020, 29(4): 351-352, 355.
[12]	王孝艳, 李凤丹, 都继微. 女性护士冲动性人格与自杀意念间的关系: 社会支持的中介作用[J]. 中国实用护理杂志, 2020, 36(34): 2641-2645. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT202304012.htm WANG X Y, LI F D, DU J W. The relationship between impulsive personality and suicide ideation of female nurses: the mediating role of social support[J]. Chinese Journal of Practical Nursing, 2020, 36(34): 2641-2645. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT202304012.htm
[13]	陈程, 陈方方, 汪莲籽, 等. 大学生情绪失调和特质愤怒在童年期虐待与攻击行为间的链式中介作用[J]. 中华行为医学与脑科学杂志, 2021, 30(7): 621-626. CHEN C, CHEN F F, WANG L Z, et al. A chain mediating model of emotion dysregulation and trait anger in the relationship between childhood abuse and aggressive behavior within the undergraduate students[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2021, 30(7): 621-626.
[14]	张森, 白宏英, 李倩倩, 等. 深髓静脉征与脑小血管病影像学标志物相关性及危险因素研究[J]. 中国全科医学, 2023, 26(6): 681-686. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202306004.htm ZHANG S, BAI H Y, LI Q Q, et al. Total Deep Medullary Veins Score in Cerebral Small Vessel Disease: Association with Imaging Markers and Factors Related to Its Elevation[J]. Chinese General Practice, 2023, 26(6): 681-686. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202306004.htm
[15]	冯雪. 现状-背景-评估-建议护理沟通模式对双相情感障碍躁狂发作患者躁狂水平的影响[J]. 山西医药杂志, 2022, 51(3): 354-356. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202203042.htm FENG X. Effect of Status-Background-Assessment-Recommendation Nursing Communication Model on Mania Level in Patients with Bipolar Disorder Manic Episode[J]. Shanxi Medical Journal, 2022, 51(3): 354-356. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202203042.htm
[16]	朱肖飞. 喹硫平+碳酸锂对双相情感障碍躁狂患者认知功能的影响: 评《精神障碍患者家属手册》[J]. 中国国境卫生检疫杂志, 2021, 44(5): 382. https://www.cnki.com.cn/Article/CJFDTOTAL-GJWJ202105028.htm ZHU X F. Effects of Quetiapine + Lithium Carbonate on Cognitive Function in Patients with Bipolar Disorder Mania - Review of 'Handbook for Family Members of Patients with Mental Disorders'[J]. Chinese Journal of Frontier Health and Quarantine, 2021, 44(5): 382. https://www.cnki.com.cn/Article/CJFDTOTAL-GJWJ202105028.htm
[17]	崔亚楠, 黄云衡, 郭雅如, 等. 情感虐待对青少年失眠的中介模型分析[J]. 中华全科医学, 2023, 21(3): 454-457, 472. doi: 10.16766/j.cnki.issn.1674-4152.002906 CUI Y N, HUANG Y H, GUO Y R, et al. A mediation model analysis of emotional abuse on adolescent insomnia[J]. Chinese Journal of General Practice, 2023, 21(3): 454-457, 472. doi: 10.16766/j.cnki.issn.1674-4152.002906
[18]	谢军, 耿峰, 董毅, 等. 抑郁症患者童年期虐待与自我病耻感水平的相关性研究[J]. 中华全科医学, 2019, 17(7): 1171-1173. doi: 10.16766/j.cnki.issn.1674-4152.000893 XIE J, GENG F, DONG Y, et al. The correlational study between childhood trauma and self-stigma in depression[J]. Chinese Journal of General Practice, 2019, 17(7): 1171-1173. doi: 10.16766/j.cnki.issn.1674-4152.000893
[19]	曾宝尔. 大学生自杀行为与风险决策的关系研究[D]. 广州: 南方医科大学, 2019. ZENG B R. Research on the relationship between suicidal behavior and risk decision-making among college students[D]. Guangdong : Southern Medical University, 2019.
[20]	赵杰, 刘泱慧, 马雄英, 等. 双相障碍躁狂发作患者反应抑制能力的研究[J]. 临床精神医学杂志, 2019, 29(4): 217-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201904001.htm ZHAO J, LIU Y H, MA X Y, et al. Study on the ability of response inhibition in bipolar disorder patients with manic episode[J]. Journal of Clinical Psychiatry, 2019, 29(4): 217-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201904001.htm
[21]	周淼, 钟瑞, 王清, 等. 精神分裂症患者社交焦虑与正念和自尊的关系[J]. 中国心理卫生杂志, 2022, 36(9): 734-738. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209002.htm ZHOU M, ZHONG R, WANG Q, et al. Relationship among social anxiety, mindfulness and self-esteem in patients with schizophrenia[J]. Chinese Mental Health Journal, 2022, 36(9): 734-738. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202209002.htm
[22]	马澜毓, 罗震雷, 许博洋. 女性服刑人员攻击性与儿童期性虐待的关系[J]. 中国心理卫生杂志, 2022, 36(10): 869-876. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202210009.htm MA L Y, LUO Z L, XU B Y. Relationship between aggression and childhood sexual abuse in female prisoners[J]. Journal of Clinical Psychiatry, 2022, 36(10): 869-876. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXWS202210009.htm

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Correlation between childhood trauma, self-esteem, impulsivity/aggression and the severity of symptoms and suicide risk in patients with bipolar mania

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