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1.
目的 探讨首发精神分裂症和抑郁症患者症状严重程度与儿童期创伤、心理弹性及社会支持的关系。方法 采用方便抽样法,选取2019年12月至2022年1月在河北医科大学第一医院精神卫生中心住院和门诊就诊的91例首发精神分裂症患者、121例抑郁症患者为精神分裂症组和抑郁症组。同期选取在我院进行体检的110名健康人为对照组。采用阳性与阴性症状量表(PANSS)、汉密尔顿抑郁量表(HAMD)、儿童期创伤问卷(CTQ)、心理弹性量表(CD-RlSC)及社会支持量表(SSRS)进行测评。采用Spearson相关分析精神分裂症患者、抑郁症患者症状严重程度与童年期创伤、心理弹性、社会支持的相关性。结果 精神分裂症组患者的PANSS评分为(90.70±12.36)分,CTQ总分为39(32,46)分,CD-RISC总分为31(24,37)分,SSRS评分为30(24,34)分。抑郁症组患者的HAMD评分为(19.60±3.92)分,CTQ总分为37(33,45)分,CD-RISC总分为36(28,42)分,SSRS评分为31(27,35)分。对照组的CTQ总分为35(31,40)分,CD-RISC总分为44(...  相似文献   

2.
目的探索伴自伤行为的女性青少年抑郁障碍患者所感知的家庭功能健康状况与其童年创伤经历的关系,为对其进行有针对性的家庭心理干预提供参考。方法纳入符合《国际疾病分类(第10版)》(ICD-10)抑郁障碍诊断标准且伴有自伤行为的青少年女生为研究组(n=50),选取年龄和家庭结构与研究组相匹配的正常青少年女生为对照组(n=42)。采用贝克抑郁自评量表第2版(BDI-II)、家庭功能评定量表(FAD)、童年创伤问卷(CTQ)评定两组抑郁程度、家庭功能和童年创伤经历。结果除行为控制维度外,研究组FAD其余各分量表评分均高于对照组(P均0.01),CTQ总评分及各因子评分均高于对照组(P0.05或0.01)。研究组FAD中问题解决、沟通、角色、情感反应、情感介入、行为控制、总体功能评分与CTQ中躯体忽视、情感虐待、情感忽视评分均呈正相关(r=0.285~0.677,P0.05或0.01);FAD中问题解决、沟通、角色、行为控制、总体功能评分与CTQ中躯体虐待、性虐待评分均呈正相关(r=0.232~0.470,P0.05或0.01)。多重回归分析显示,情感忽视评分与家庭总体功能正向关联(β=0.318,P0.05)。结论伴自伤行为的女性青少年抑郁障碍患者所感知的家庭功能健康状况较差,可能与其童年创伤经历有关,尤其与情感忽视有关。  相似文献   

3.
目的 探讨童年期虐待、应对方式、自尊与青少年社交恐惧症的相关性,并探讨其与青少年社交恐惧症的起病年龄、病程及严重程度的关系.方法 对符合CCMD-3诊断标准的110例青少年社交恐惧症患者(病例组)以及142例健康对照(对照组)进行童年期虐待问卷(Childhood Trauma Questionnaire-28 item Short Form,CTQ-SF)、简易应对方式量表(Simplified Coping Style Questionnaire,SCSQ)、自尊量表(Self-Esteem Scale,SES)评估,并对青少年社交恐惧症患者进行临床资料、社交回避及苦恼量表(Social Avoidance and Distress Scale,SAD)的评定.结果 相对于对照组,病例组CTQ-SF总分及其各维度分、积极应对和消极应对分更高(P<0.05),SES 评分更低(P<0.05).相关分析结果表明:青少年SAD分与CTQ-SF总分及其各维度分、消极应对分存在显著正相关(P<0.01),与积极应对分、SES分呈显著负相关(P<0.01).非条件Logistic回归分析发现,童年期虐待水平、情感虐待(EA)、情感忽视(EN)、消极应对、自尊为影响青少年社交恐惧症发病的因素,且CTQ-SF总分、EA分、EN分与青少年社交恐惧症患者的起病年龄成显著负相关(P<0.01),EA、EN的严重程度与病程呈显著正相关(P<0.05).结论 青少年社交恐惧症患者有更多的童年期虐待经历.童年期虐待水平、情感虐待、情感忽视、消极应对、自尊为影响青少年社交恐惧症发病的危险因素,积极应对是青少年社交恐惧症发病的保护因素,且童年期虐待经历越多,其起病年龄越早,经历的情感虐待、情感忽视越多,其病情越严重、病程越长.  相似文献   

4.
目的评估成年抑郁障碍与童年期被虐待经历的关系。方法使用童年期创伤性经历问卷(CTQ)对120例抑郁障碍患者进行评估,并与120例正常人群做对照。结果抑郁障碍组情感忽视、性虐待平均秩次分别为134.94、129.45与对照组比较差异有统计学意义(P〈0.05)。男性抑郁障碍组情感忽视平均秩次为102.21与对照组比较差异有显著性(P〈0.05)。女性抑郁障碍组情感忽视、性虐待平均秩次分别为107.72、109.86与对照组比较差异有统计学意义(P〈0.05)。结论儿童期情感忽视、性虐待是成年抑郁障碍的危险因素,情感忽视是男性成年抑郁障碍的危险因素,情感忽视、性虐待是女性成年抑郁障碍的危险因素。  相似文献   

5.
目的探讨女护生情绪调节自我效能感与儿童期虐待经历的关系,为维护其心理健康采取有效的干预措施提供参考。方法采用整群抽样方法,于2016年1月在南充市3所职业卫校选取966名在校女护生,用中文版情绪调节自我效能感量表(RES)和儿童期虐待问卷(CTQ)进行评定。结果 (1)966名女护生的情感忽视、情感虐待、躯体忽视评分相对较高,分别为(11. 43±4. 94)分、(8. 61±3. 04)分、(8. 07±3. 07)分;躯体虐待和性虐待评分较低,分别为(6. 62±2. 38)分、(5. 62±1. 69)分;(2)相关分析散点图显示,RES和CTQ评分无线性关系;(3)回归分析显示,儿童期情感虐待和情感忽视对情绪调节自我效能感有负向预测作用(t=-4. 026、-3. 739,P均0. 01),总贡献率为5. 4%。结论儿童期虐待经历对女护生情绪调节自我效能感有负性预测作用,即儿童期经历的虐待越多,情绪调节自我效能感越低。  相似文献   

6.
目的:探讨躯体形式障碍(SFD)童年期受虐经历与认知情绪调节策略、述情障碍及抑郁的关系。方法:采用儿童期受虐经历问卷(CTQ-SF)、贝克抑郁问卷(BDI)、认知情绪调节问卷-中文版(CERQ-C)、多伦多述情量表(TAS)对109例SFD患者进行评定;以CTQ-SF得分均数为界,将SFD患者分为CTQ-SF高分组与低分组,分析CTQ-SF得分与CERQ-C、BDI、TAS的关系。结果:分别有48例及61例患者归入CTQ-SF高分组与低分组。与CTQ-SF低分组比较,CTQ-SF高分组在CERQ-C中积极重新评价因子分偏低,灾难化、责难他人因子及不适应性策略总分明显偏高,差异有统计学意义(P均0.05);BDI总分及TASII因子分偏高,差异有统计学意义(P均0.05)。CERQ-C中的不适应性策略总分与CTQ-SF的情感虐待因子及总分呈正相关(r=0.414,0.217;P0.05或P0.01)。BDI总分与CTQ-SF的情感虐待、性虐待、情感忽视、躯体忽视因子及总分呈正相关(r=0.220,0.230,0.204,0.281,0.298;P0.05或P0.01);TAS总分与CTQ-SF的情感虐待及躯体忽视因子呈正相关(r=0.188,0.254;P均0.05)。结论:童年期受虐经历与SFD患者认知情绪调节、抑郁情绪及述情障碍有较密切的关系。童年期受虐越严重,认知情绪调节能力越差,更易出现严重的抑郁情绪与述情障碍。  相似文献   

7.
目的 分析中学生童年期虐待与失眠之间的关系,探讨创伤后应激障碍(PTSD)症状在二者关系中的中介作用以及心理韧性的调节作用。方法 于2021年4月-5月,采用方便抽样法,从中国西部某市3所中学共抽取3 412名学生,完成了童年期创伤问卷(CTQ)、创伤后应激障碍量表(PCL)、失眠严重程度指数量表(ISI)和心理韧性量表评定,使用Process 3.4进行有调节的中介效应检验。结果 中学生CTQ评分与PCL和ISI评分均呈正相关(r=0.540、0.320,P均<0.05),CTQ、PCL和ISI评分与心理韧性量表评分均呈负相关(r=-0.049、-0.193、-0.132,P均<0.05)。PTSD症状在童年期虐待和失眠之间起部分中介作用(β=0.161,P<0.05),中介效应占总效应的80.5%。心理韧性在童年期虐待与PTSD症状的前半路径起调节作用(β=-0.008,P<0.01)。结论 在中学生中,PTSD症状在童年期虐待与失眠症状中起部分中介作用,且心理韧性在儿童期虐待与PTSD症状中起调节作用。  相似文献   

8.
目的探讨暴力犯罪人员的三维人格特征和童年期创伤经历的特点及两者间的关系,为暴力犯罪的心理矫治及其犯罪行为的预防提供科学依据。方法采用三维人格问卷、童年期创伤史问卷(CTQ)及自行编制的在押服刑罪犯一般情况登记表对符合纳入、排除标准的400名对象的资料进行收集、整理。根据是否暴力犯罪者分为两组,对两组资料进行比较;最后将TPQ与CTQ各因子进行相关分析。结果暴力犯罪组寻求刺激维度及NS4因子高于非暴力犯罪组,奖赏依赖维度及RD1、RD3因子低于非暴力犯罪组,差异均有统计学意义(P〈0.05或0.01),余维度及因子差异无统计学意义。暴力犯罪组童年期创伤史中的情感虐待、躯体虐待、性虐待、情感忽视及躯体忽视等因子分均高于非暴力犯罪组,差异均有统计学意义(P〈0.05或0.01)。三维人格量表寻求刺激维度和躯体虐待、情感虐待、性虐待、躯体忽视均呈正相关(P〈0.05或0.01)),躲避伤害维度和躯体忽视、情感忽视因子呈正相关(P〈0.05或0.01),而奖赏依赖维度则和童年期创伤的五个因子均呈负相关(P〈0.05或0.01)。结论暴力犯具有冲动、探索、易变、兴奋、脾气急躁、外向和不守陈规等人格特征。童年遭受虐待可增加个体的冲动、攻击性,从而增加暴力犯罪的几率,因而暴力犯心理矫治时要了解其人格特征,结合其童年期的经历才能更加有的放矢。  相似文献   

9.
目的:探索童年期创伤和神经认知功能对精神分裂症发病风险的交互效应。方法:采用中文版本的童年期创伤问卷-简版(CTQ-SF)及计算机自动化成套剑桥神经认知测试(CANTAB)对146例首发未用药精神分裂症患者(患者组)及141名匹配的健康对照者(对照组)进行童年期创伤及神经认知功能评估;采用中介分析,将神经认知功能作为中介变量,探索童年期创伤与精神分裂症发病的关系。结果:患者组在CTQ-SF中的情感虐待(28.8%)、情感忽视(54.1%)、躯体忽视(41.8%)及性虐待(21.2%)的童年期创伤比率明显高于对照组(9.9%、23.4%、19.1%、9.2%)(P均0.05,经过多重校正);患者组CANTAB中38个神经认知功能测验结果显著差于对照组(P均0.001);进一步分析成功地建立了27个有统计学显著性的中介模型;童年期创伤主要通过影响延迟匹配(DMS)、快速视觉信息处理(RVP)两个认知范式的相关指标影响精神分裂症发病,其平均因果效应为情感虐待(0.0054~0.0078)、情感忽视(0.0035~0.0107)、躯体忽视(0.0060~0.0147)、性虐待(0.0162)(P均0.001,经过多重校正)。结论:童年期创伤可通过影响神经认知功能升高精神分裂症的发病风险。  相似文献   

10.
目的:探讨精神分裂症患者的童年虐待经历对其认知功能和临床症状的影响。方法:对46例精神分裂症患者依据儿童期虐待问卷(CTQ)评分分为轻度虐待组(27例)和重度虐待组(19例);并采用阳性和阴性症状量表(PANSS)、临床总体印象量表(CGI)及CogState量表(CSB)评估其临床症状及认知功能;分析童年虐待与认知功能和临床症状的关系。结果:重度虐待组CTQ总分及情感虐待、躯体虐待、性虐待、躯体忽视评分显著高于轻度虐待组(P均0.01);PANSS总分、阳性因子及CGI评分明显高于轻度虐待组(P0.05或P0.01);CSB中的注意力及警觉高于轻度虐待组,工作记忆评分明显低于轻度虐待组(P0.05或P0.01)。结论:童年经历严重虐待的精神分裂症患者其精神症状更重,认知功能损害更明显。  相似文献   

11.
Abstract

Purpose: The aim of this study was to determine the relationship between childhood trauma and aggression-suicidal behavior in patients with bipolar disorder.

Material and Methods: A total of 112 outpatients diagnosed with bipolar disorder in remission in the province of Siirt on the east coast of Turkey were included in this study carried out between January and June 2018. Personal Information Form, Childhood Trauma Questionnaire (CTQ), Buss–Perry Aggression Scale (BPAS) and Suicide Probability Scale (SPS) were used for data acquisition.

Results: It was determined that patients with bipolar disorder have 89.3% of physical neglect, 74.1% of emotional neglect, 75.9% of physical abuse, 79.5% of emotional abuse and 40.2% of sexual abuse. The mean score of CTQ was 66.8?±?19.2, the total score of BPAS was 94.6?±?28.8 and the total score of SPS was 85.3?±?17.9. A statistically significant and positive correlation was determined between CTQ, BPAS and SPS (p?<?0.05).

There was a weak and positive relationship between BPAS, CTQ (r?=?0.325**; p?<?0.05) and subscales of CTQ which are emotional abuse (r?=?0.350**; p?<?0.05), physical abuse (r?=?0.354**; p?<?0.01), physical neglect (r?=?0.313**; p?<?0.01) and emotional neglect (r?=?0.316**; p?<?0.01). A statistically significant difference was observed between the regular use of drugs, violence against others and total score of CTQ, BPAS and SPS (p?<?0.05).

Conclusion: It is suggested that patients diagnosed with bipolar disorder should be evaluated with regards to childhood trauma history by taking into consideration sociodemographic characteristics and psychiatric support in order to prevent their aggression and suicide attempts.  相似文献   

12.
Roy A 《Psychiatry research》2001,102(1):97-101
The objective of this study is to look for a relationship between childhood trauma and hostility as an adult. Toward this end, 294 recently abstinent cocaine or opiate dependent patients were asked to complete two questionnaires: the Childhood Trauma Questionnaire (CTQ) and the Hostility and Direction of Hostility Questionnaire (HDHQ). It was found that there were significant correlations between the HDHQ total hostility score and scores on the CTQ for childhood emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect. Thus, these results suggest the possibility that childhood trauma may be a determinant of the personality dimension of hostility as an adult.  相似文献   

13.
Childhood trauma, a risk factor of psychosis, is associated the clinical expression of the illness (greater severity of psychotic symptoms; poorer cognitive performance). We aimed to explore whether there are sex differences in this relationship. We studied 79 individuals with a psychotic disorder (PD) with < 3 years of illness and 59 healthy subjects (HS). All participants were administered the MATRICS Cognitive Consensus Cognitive Battery (MCCB) to assess cognition. Depressive, positive and negative psychotic symptoms, and global functioning were also assessed. History of childhood trauma was assessed using the Childhood Trauma Questionnaire (CTQ). Patients reported a greater history of childhood trauma on all CTQ domains (emotional, physical and sexual abuse, and physical and emotional neglect). A poorer cognitive performance was also observed in PD when compared to HS. No sex differences were found in the CTQ scores. In the relationship between childhood trauma and psychopathological symptoms, significant correlations were found between CTQ scores and positive and negative psychotic symptoms, depressive symptoms and poorer functionality, but only in women. Childhood trauma was associated with poorer social cognition in both men and women. Of all CTQ dimensions, emotional neglect and physical neglect were more clearly associated with a more severe psychopathological and cognitive profile. Our results suggest that childhood trauma, particularly emotional and physical neglect, is associated with the clinical expression of psychosis and that there are sex differences in this relationship.  相似文献   

14.

Objective

Previous studies demonstrated that a history of childhood trauma is linked to mental disorders in adulthood, particularly to depression. Adverse childhood experiences are also considered to contribute to the risk of hypochondriasis, but the results of previous studies have not been conclusive with respect to the strength and specificity of this association. Therefore, we compared the association of adverse childhood experiences with both hypochondriasis and depression.

Methods

Fifty-eight patients with hypochondriasis, 52 patients with depression, and 52 healthy control participants completed the Childhood Trauma Questionnaire (CTQ) which assesses 5 varieties of abuse and neglect. A clinical interview (SCID-I) was used to establish DSM-IV diagnoses. Associations between childhood maltreatment, hypochondriasis and depression were estimated by means of analyses of variance and multiple linear regression analyses.

Results

In comparison to hypochondriacal and healthy participants, patients with a current depressive disorder reported more emotional abuse as well as more emotional and physical neglect during childhood. Patients with hypochondriasis reported more emotional neglect than healthy individuals. However, when predicting the CTQ trauma types by diagnostic category adjusting for sex and comorbid DSM-IV diagnoses, emotional abuse, emotional neglect, physical abuse, physical neglect, as well as the CTQ total score were significantly associated with depression, but none of the CTQ scores was significantly related to hypochondriasis.

Conclusions

The findings suggest a robust association of childhood maltreatment with depression but not with hypochondriasis. This result does not support etiological models of hypochondriasis which rely on childhood maltreatment as a risk factor for the development of this disorder.  相似文献   

15.
The aim of this study was to examine the relationship between childhood trauma and psychotic symptoms in schizophrenic patients after controlling for the possible confounding factors, such as depression and dissociative symptoms. Ninety-eight schizophrenic inpatients participated. Childhood trauma was examined using the Childhood Trauma Questionnaires (CTQ), which consists of physical abuse (PA), sexual abuse (SA), emotional abuse (EA), physical neglect (PN), and emotional neglect (EN). Positive and Negative Syndrome Scale (PANSS), Dissociative Experience Scale (DES), and Beck''s Depression Inventory (BDI) were also administered. Data were analyzed by partial correlation and general linear model. The total score of CTQ was positively correlated with positive, general, and total scores of PANSS. All five types of childhood trauma were associated with dissociative symptoms. EA and EN were positively correlated with depressive symptoms. Only SA significantly predicted positive symptoms of schizophrenia after controlling for age, sex, BDI, and DES scores, with a dose-response relationship between SA and positive symptoms.  相似文献   

16.
目的研究儿童期虐待对新兵社会支持及应对方式的影响。方法对505名入伍新兵进行儿童受虐问卷(CTQ-SF)、简易应对方式问卷(SCSQ)、青少年社会支持量表评定。结果遭受儿童期虐待的新兵在应付方式选择及社会支持上显著低于无虐待组(P〈0.05)。简单相关分析显示儿童期情感虐待、情感忽视、躯体忽视及总虐待分均与积极应对呈负相关(P〈0.01);儿童期经历过情感虐待、情感忽视、性虐待、躯体虐待、躯体忽视及虐待总分均与消极应对呈正相关(P〈0.05,P〈0.01)。儿童期情感虐待、躯体虐待、情感忽视、躯体忽视及总虐待分均与社会支持总分、客观支持、支持利用度呈负相关(P〈0.01);儿童期经历过情感虐待、情感忽视、性虐待、躯体虐待、躯体忽视及虐待总分均与主观支持成负相关(P〈0.05,P〈0.01)。情感忽视、躯体忽视与积极应对方式呈负相关(P=0.000,P=0.003);虐待总分、情感虐待与消极应对方式呈正相关(P=0.032,P=0.026),与社会支持总分呈负相关(P=0.000,P=0.011)。结论儿童期遭受虐待的新兵在应对方式上往往采取消极应对,且社会支持不良。  相似文献   

17.
There is relatively little data on the link between childhood trauma and obsessive-compulsive/putative obsessive-compulsive spectrum disorders. The revised Childhood Trauma Questionnaire (CTQ), which assesses physical, emotional, and sexual abuse as well as physical and emotional neglect, was administered to female patients with obsessive-compulsive disorder (OCD; n = 74; age: 36.1 plus minus 16.3), TTM (n = 36; age: 31.8 plus minus 12.3), and a group of normal controls (n = 31; age: 21.5 plus minus 1.0). The findings showed a significantly greater severity of childhood trauma in general, and emotional neglect specifically, in the patient groups compared to the controls. Although various factors may play a role in the etiology of both OCD and trichotillomania (TTM), this study is consistent with some evidence from previous studies suggesting that childhood trauma may play a role in the development of these disorders.  相似文献   

18.
Background: There is a paucity of data examining the prevalence and impact of childhood maltreatment in patients presenting with a primary diagnosis of social anxiety disorder (SAD). We thus examined the presence of a broad spectrum of childhood maltreatment, including physical, sexual, and emotional abuse and neglect, in treatment‐seeking individuals with the generalized subtype of SAD (GSAD). We hypothesized that a history of childhood maltreatment would be associated with greater SAD symptom severity and poorer associated function. Methods: One hundred and three participants with a primary diagnosis of GSAD (mean age 37±14; 70% male) completed the well‐validated, self‐rated Childhood Trauma Questionnaire (CTQ), as well as measures of SAD symptom severity and quality of life. Results: Fully 70% (n=72) of the GSAD sample met severity criteria for at least one type of childhood abuse or neglect as measured by the CTQ subscales using previously established thresholds. CTQ total score adjusted for age and gender was associated with greater SAD severity, and poorer quality of life, function, and resilience. Further, the number of types of maltreatment present had an additive effect, with specific associations for emotional abuse and neglect with SAD severity. Conclusions: Despite the use of validated assessments, our findings are limited by the retrospective and subjective nature of self‐report measures used to assess childhood maltreatment. Nonetheless, these data suggest a high rate of childhood maltreatment in individuals seeking treatment for GSAD, and the association of maltreatment with greater disorder severity suggests that screening is clinically prudent. Depression and Anxiety 26:1027–1032, 2009. © 2009 Wiley‐Liss, Inc.  相似文献   

19.

Objective

The aims of this study were: i) to compare the severity of somatoform and psychoform dissociation and childhood trauma among migraine patients, tension-type headache patients (TTH), and healthy controls; and, ii) to identify any relationships between headache characteristics and dissociative symptoms and traumatic childhood experiences among tertiary care patients with headache.

Methods

The study sample consisted of 79 patients with migraine, 49 patients with TTH and 40 healthy controls. They completed the socio-demographic form, Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), and the Somatoform Dissociation Questionnaire (SDQ).

Results

The average score for childhood emotional abuse was significantly higher in the TTH and migraine patients than in healthy controls; mean scores for emotional neglect and physical abuse were higher in TTH patients than healthy controls; and the total CTQ score was higher in TTH patients than in either migraine patients or healthy controls. Average DES scores were significantly higher in TTH patients versus migraine patients and controls; and SDQ scores were higher in both headache groups than in controls. Headache duration and severity were found to be significantly related to childhood abuse scores among migraine but not TTH patients.

Conclusion

Our findings support the evidence of a relationship between childhood trauma and migraines, and suggest that childhood traumatic events are common and deleteriously effect migraine characteristics. Also our study suggests that childhood trauma may have a role in TTH. Significant differences in the DES and SDQ scores between groups may be explained by the differences in childhood trauma experiences.  相似文献   

20.
OBJECTIVE: To examine the relationship between childhood trauma and dissociative experience in adulthood in patients with borderline personality disorder. METHOD: Dissociative experiences scale scores and subscale scores for the Childhood Trauma Questionnaire were correlated in 139 patients. Patients were dichotomized into high or low dissociators using the Median Dissociative Experiences Scale score as the cut-off. RESULTS: Childhood Trauma Questionnaire Subscale scores for emotional and physical abuse and emotional neglect but not sexual abuse correlated significantly with Dissociative Experiences Scale scores. High dissociators reported significantly greater levels of emotional abuse, physical abuse, emotional neglect and physical neglect but not sexual abuse than low dissociators. CONCLUSION: Patients with borderline personality disorder therefore demonstrated levels of dissociation that increased with levels of childhood trauma, supporting the hypothesis that traumatic childhood experiences engender dissociative symptoms later in life. Emotional abuse and neglect may be at least as important as physical and sexual abuse in the development of dissociative symptoms.  相似文献   

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