当前位置: X-MOL 学术J. Psychiatr. Res. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Child maltreatment and mental health problems in 30-year-old adults: A birth cohort study.
Journal of Psychiatric Research ( IF 3.7 ) Pub Date : 2020-07-02 , DOI: 10.1016/j.jpsychires.2020.06.009
Steve Kisely 1 , Lane Strathearn 2 , Jake Moses Najman 3
Affiliation  

Retrospective studies have shown a high association between child abuse and subsequent psychiatric morbidity. Prospective studies are rarer with limited data at 30-year follow-up. This was a prospective record-linkage analysis to examine whether notified and/or substantiated child maltreatment was associated with adverse psychological outcomes in early adulthood when participants were 30 years old. We used data from 2861 young adults who completed the 30-year follow-up phase of the Mater-University of Queensland Study of Pregnancy and its Outcomes, a prospective study commenced in 1981. Exposure to suspected child maltreatment was measured by linkage with state child protection data. The primary outcomes were DSM-IV diagnoses derived from the Composite International Diagnostic Interview-Auto version (CIDI). There were child abuse notifications on 171 participants, of which 103 were substantiated. The most common notifications were for physical abuse (n=96) followed by emotional abuse and neglect (n=80 each). There were 63 notifications of sexual abuse. Of those completing the CIDI at follow-up, 257 participants (9%) reported a depressive disorder, 703 (25%) an anxiety disorder and 138 (5%) PTSD. After adjustment for potential confounders, there were variations in the long-term effects of different types of abuse with physical abuse having a stronger association with depression, and sexual abuse with PTSD. Both emotional abuse and neglect were associated to varying degrees with depression, anxiety and PTSD. Substantiated abuse or multiple forms of abuse had generally the worst outcomes.



中文翻译:

30岁成人的儿童虐待和心理健康问题:一项出生队列研究。

回顾性研究表明,虐待儿童与随后的精神疾病发病率之间存在高度关联。前瞻性研究很少,在30年的随访中数据有限。这是一项前瞻性记录链接分析,以检查参与者年龄在30岁时,知情和/或证实的儿童虐待是否与成年初期的不良心理后果相关。我们使用了2861名年轻人的数据,他们完成了昆士兰大学母校怀孕研究及其结果的30年随访阶段,这项前瞻性研究始于1981年。通过与州儿童的联系来衡量可疑儿童虐待的风险。保护数据。主要结果是DSM-IV诊断来自综合国际诊断面试自动版本(CIDI)。171名参与者收到了虐待儿童的通知,其中有103项得到了证实。最常见的通知是身体虐待(n = 96),其次是情绪虐待和疏忽(n = 80)。有63次关于性虐待的通知。在随访中完成CIDI的参与者中,有257名参与者(9%)报告了抑郁症,703名(25%)焦虑症和138名(5%)PTSD。在对潜在的混杂因素进行调整之后,不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的长期联系在长期影响方面存在差异。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。最常见的通知是身体虐待(n = 96),其次是情绪虐待和疏忽(n = 80)。有63次关于性虐待的通知。在随访中完成CIDI的参与者中,有257名参与者(9%)报告了抑郁症,703名(25%)焦虑症和138名(5%)PTSD。在对潜在的混杂因素进行调整之后,不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的联系更加密切,其长期影响也各不相同。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。最常见的通知是身体虐待(n = 96),其次是情绪虐待和忽视(n = 80)。有63次关于性虐待的通知。在随访中完成CIDI的参与者中,有257名参与者(9%)报告了抑郁症,703名(25%)焦虑症和138名(5%)PTSD。在对潜在的混杂因素进行调整之后,不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的长期联系在长期影响方面存在差异。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。在随访中完成CIDI的参与者中,有257名参与者(占9%)报告了抑郁症,703名(占25%)焦虑症和138名(占5%)PTSD。在对潜在的混杂因素进行调整之后,不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的联系更加密切,其长期影响也各不相同。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。在随访中完成CIDI的参与者中,有257名参与者(9%)报告了抑郁症,703名(25%)焦虑症和138名(5%)PTSD。在对潜在的混杂因素进行调整之后,不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的联系更加密切,其长期影响也各不相同。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的长期联系在长期影响方面存在差异。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。不同类型的虐待,身体虐待与抑郁症以及与PTSD的性虐待之间的长期联系在长期影响方面存在差异。情绪虐待和忽视都与抑郁,焦虑和创伤后应激障碍有不同程度的关联。充分滥用或多种形式的滥用通常产生最糟糕的后果。

更新日期:2020-07-09
down
wechat
bug