Objectives

We investigated the prevalence rates of childhood trauma, depressive symptoms, anxiety symptoms and suicidal behaviors among Vietnamese adolescents and compared the differences between institutionalized adolescents (IAs) and noninstitutionalized adolescents (NIAs). In addition, we examined the multidimensional associations between childhood trauma and psychopathology among IAs.

Methods

Five hundred forty-six participants were recruited into two groups (IAs and NIAs) matched by age, sex and grade. They completed a childhood trauma questionnaire, depression scale, anxiety scale, and 3 suicide-related questions. The chi-squared test and logistic regressions were performed.

Results

The prevalences of anxiety symptoms and suicide attempts among IAs was higher than that among NIAs (25.6 % vs 14.7 %, p = 0.001 and 8.1 vs 3.7, p = 0.03, respectively), while the prevalences of other psychopathologies did not differ significantly. In the IA group, high prevalences of victimization through physical abuse (22.3 %), emotional neglect (57.9 %), and physical neglect (72.9 %) were found, and 58.6 % of the participants had experienced more than one type of trauma. These figures were significantly higher in IAs than in NIAs. Depression and suicidal ideation were more strongly correlated with emotional abuse and neglect than other types of maltreatment, while anxiety, suicide planning and suicide attempts were more strongly correlated with physical abuse. IAs who experienced more than two categories of trauma or greater intensity of trauma were more susceptible to developing depression, anxiety, and suicidal behaviors.

Conclusions

Childhood trauma was multidimensionally associated with adverse psychological outcomes. We suggest that various aspects of childhood trauma, as well as psychopathologies, must be routinely assessed.

中文翻译：

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越南收容所青少年儿童期创伤与抑郁症状、焦虑症状和自杀行为的患病率和相关性

目标

我们调查了越南青少年儿童期创伤、抑郁症状、焦虑症状和自杀行为的患病率，并比较了机构化青少年 (IAs) 和非机构化青少年 (NIA) 之间的差异。此外，我们检查了 IA 中童年创伤与精神病理学之间的多维关联。

方法

五百四十六名参与者被招募到两组（IAs 和 NIAs），按照年龄、性别和年级进行匹配。他们完成了童年创伤问卷、抑郁量表、焦虑量表和 3 个与自杀相关的问题。进行卡方检验和逻辑回归。

结果

IAs 中焦虑症状和自杀未遂的患病率高于 NIAs（分别为 25.6 % 对 14.7 %，p = 0.001 和 8.1 对 3.7，p = 0.03），而其他精神病理学的患病率没有显着差异。在 IA 组中，发现因身体虐待 (22.3%)、情感忽视 (57.9%) 和身体忽视 (72.9%) 而受害的发生率很高，并且 58.6% 的参与者经历了不止一种类型的创伤。这些数字在 IAs 中明显高于 NIAs。与其他类型的虐待相比，抑郁和自杀意念与情感虐待和忽视的相关性更强，而焦虑、自杀计划和自杀企图与身体虐待的相关性更强。

结论

童年创伤与不良心理结果多维相关。我们建议必须定期评估童年创伤的各个方面以及精神病理学。