Childhood Maltreatment and Psychiatric Disorders Among Detained Youths
Childhood Maltreatment and Psychiatric Disorders Among Detained Youths
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DOI：
10.1176/appi.ps.004412010
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发表时间：
2011-12-01
影响因子：
3.8
通讯作者：
Teplin, Linda A.
中科院分区：
文献类型：
--
作者：
King, Devon C.;Abram, Karen M.;Teplin, Linda A.
目的：探讨在押青少年儿童虐待的发生率及其与当前精神疾病的关系。方法：临床研究访谈者使用《儿童虐待评估档案》评估儿童虐待史，并使用《儿童诊断访谈表》（2.3版）评估精神病学诊断，对库克国家青少年临时拘留中心的1829名青少年进行分层随机抽样（最终样本，N= 1735）。虐待史也从库克县法院儿童保护处的记录中确定。结果：超过四分之三的女性和超过三分之二的男性有身体虐待史（中度或重度）。超过40%的女性和10%的男性有过性虐待史。女性和非西班牙裔白人的儿童虐待发生率最高。在女性中，性虐待与各种类型的精神疾病有关。遭受过各种虐待的女性患任何疾病的可能性是没有遭受虐待的女性的2.6到10.7倍。在男性中，虐待与除焦虑症外的所有障碍相关（比值比范围为1.9-7.9）。在遭受性虐待的青少年中，暴力虐待与女性的焦虑和情感障碍以及男性的注意力缺陷多动或破坏性行为障碍和物质使用障碍有关。结论：儿童虐待在被拘留的青少年中很常见，并且与精神疾病高度相关。精神卫生、儿童福利和少年司法系统必须合作，确保青少年在返回社区时得到保护和照顾。（精神科服务62:1430-1438,2011）
Objective: This study examined the prevalence of childhood maltreatment and its relationship with current psychiatric disorders among detained youths. Methods: Clinical research interviewers assessed history of childhood maltreatment with the Child Maltreatment Assessment Profile and psychiatric diagnosis with the Diagnostic Interview Schedule for Children, version 2.3, in a stratified, random sample of 1,829 youths detained at the Cook Country Juvenile Temporary Detention Center (final sample, N=1,735). History of maltreatment was also ascertained from Cook County Court Child Protection Division records. Results: More than three-quarters of females and more than two-thirds of males had a history of physical abuse (moderate or severe). More than 40% of females and 10% of males had a history of sexual abuse. Females and non-Hispanic whites had the highest prevalence rates of childhood maltreatment. Among females, sexual abuse was associated with every type of psychiatric disorder. Females who experienced various types of abuse were 2.6 to 10.7 times as likely as females with no maltreatment to have any disorder. Among males, maltreatment was associated with every disorder except anxiety disorders (range of odds ratios, 1.9-7.9). Among youths who were sexually abused, abuse with force was associated with anxiety and affective disorders among females and attention-deficit hyperactivity or disruptive behavior disorders and substance use disorders among males. Conclusions: Childhood maltreatment is common among detained youths and is also highly associated with psychiatric disorders. The mental health, child welfare, and juvenile justice systems must collaborate to ensure that youths receive protection and care when they return to their communities. (Psychiatric Services 62:1430-1438, 2011)