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The association of childhood maltreatment, somatization and health-related quality of life in adult age: Results from a population-based cohort study
Child Abuse & Neglect ( IF 4.863 ) Pub Date : 2021-08-02 , DOI: 10.1016/j.chiabu.2021.105226
Katharina Piontek 1 , Ulrich Wiesmann 2 , Christian Apfelbacher 1 , Henry Völzke 3 , Hans Jörgen Grabe 4
Affiliation  

Background

Population-based data regarding the relationship between childhood maltreatment (CM), somatization and health-related quality of life (HRQoL) in adults are limited.

Objective

To investigate the association of CM history (emotional and physical abuse and neglect, sexual abuse) with somatization and with physical and mental HRQoL in adults.

Participants and setting

Data from 2305 participants from the population-based Study of Health in Pomerania were analyzed (aged 20 to 80 years).

Methods

We applied the Childhood Trauma Questionnaire. Somatoform disorders were diagnosed according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) in a clinical interview. Using a self-administered questionnaire, we assessed the number of somatic symptoms and physical and mental HRQoL.

Results

Sexual abuse was related to the diagnosis of a somatoform disorder (odds ratio [OR] 1.87; 95% confidence interval [CI] 1.29, 2.69). Emotional abuse and physical neglect were associated with the number of somatic symptoms (B = 0.93; 95% CI 0.42, 1.45 and B = 0.50; 95% CI 0.17, 1.83, respectively). Sexual abuse and physical neglect were related to lower physical HRQoL (B = −1.87; 95% CI −3.17, −0.57 and B = −1.26; 95% CI −2.02, −0.49, respectively), and emotional abuse was associated with lower mental HRQoL (B = −2.83; 95% CI −4.03, −1.62).

Conclusions

A history of CM, in particular sexual abuse, emotional abuse and physical neglect, is a risk factor for somatization and impaired HRQoL in adults. Individuals with somatic symptoms are an important target group for CM screening. Addressing HRQoL might be significant in psychotherapy for individuals with CM experience.



中文翻译:

成年期儿童虐待、躯体化和健康相关生活质量的关联:基于人群的队列研究结果

背景

关于成人儿童虐待 (CM)、躯体化和健康相关生活质量 (HRQoL) 之间关系的基于人群的数据有限。

客观的

调查 CM 病史(情感和身体虐​​待和忽视、性虐待)与成人躯体化以及身心 HRQoL 的关系。

参与者和设置

分析了来自波美拉尼亚基于人群的健康研究的 2305 名参与者的数据(年龄在 20 至 80 岁之间)。

方法

我们应用了童年创伤问卷。在临床访谈中,根据精神疾病诊断和统计手册第 4 版 (DSM-IV) 的标准诊断躯体形式障碍。使用自我管理的问卷,我们评估了躯体症状和身心 HRQoL 的数量。

结果

性虐待与躯体形式障碍的诊断有关(优势比 [OR] 1.87;95% 置信区间 [CI] 1.29, 2.69)。情感虐待和身体忽视与躯体症状的数量相关(B = 0.93;95% CI 0.42、1.45 和 B = 0.50;95% CI 分别为 0.17、1.83)。性虐待和身体忽视与较低的身体 HRQoL 相关(B = -1.87;95% CI -3.17,-0.57 和 B = -1.26;95% CI -2.02,-0.49,分别),情感虐待与较低的心理 HRQoL (B = -2.83; 95% CI -4.03, -1.62)。

结论

CM 病史,特别是性虐待、情感虐待和身体忽视,是成人躯体化和 HRQoL 受损的危险因素。有躯体症状的个体是 CM 筛查的重要目标群体。对于有 CM 经验的个体,解决 HRQoL 可能对心理治疗具有重要意义。

更新日期:2021-08-02
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