The relationship between child abuse, parental divorce, and lifetime mental disorders and suicidality in a nationally representative adult sample
The relationship between child abuse, parental divorce, and lifetime mental disorders and suicidality in a nationally representative adult sample
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DOI：
10.1016/j.chiabu.2008.12.009
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发表时间：
2009-03-01
影响因子：
4.8
通讯作者：
Sareen, Jitender
中科院分区：
文献类型：
--
作者：
Afifi, Trade O.;Boman, Jonathan;Sareen, Jitender
目的：确定虐待儿童和父母离婚的经历如何与长期的心理健康成果有关，在调整社会人口统计学变量和父母心理病理学后使用全国代表性的成人样本。 Logistic regression models were used to determine the odds of experiencing lifetime psychiatric disorders and suicidal ideation and attempts.Results: Parental divorce alone was associated with some psychiatric disorders after adjusting for sociodemographic variables (AOR ranging from 1.30 to 2.37), while child abuse alone was associated with psychiatric disorders (AOR ranging from 1.39 to 6.07) and suicidal在调整社会人口统计学变量后，Iseation（AOR = 2.08; 95％CI = 1.57-2.77）和尝试（AOR = 1.54; 95％Cl = 1.02-2.31）。 However, having experienced both parental divorce and child abuse together resulted in significantly increased odds for lifetime PTSD (AOR=9.87; 95% CI=6.69-14.55), conduct disorder (AOR=4.01; 95% CI=2.92-5.51) and suicide attempts (AOR=2.74; 95% CI=1.84-4.08) compared to having experienced either parental divorce or child abuse 独自的。当父母心理病理学进一步调整时，这些结果会减弱。结论：当父母离婚的经验伴随着虐待儿童时，与父母离婚或虐待儿童的影响相比，与自己的心理健康成果不佳的协会相比，其协会差得多。因此，父母离婚是一种额外的童年逆境，极大地导致心理健康状况不佳，尤其是在与虐待儿童结合时。父母的心理病理学减弱了这些关系，表明这可能是一种可能是一种可能机制，可以解释虐待儿童，父母离婚，精神病和自杀企图之间的关系。 （c）2009 Elsevier Ltd.保留所有权利。
Objectives: To determine how the experiences of child abuse and parental divorce are related to long-term mental health outcomes using a nationally representative adult sample after adjusting for sociodemographic variables and parental psychopathology.Methods: Data were drawn from the National Comorbidity Survey (NCS, n=5,877; age 15-54 years; response rate 82.4%). Logistic regression models were used to determine the odds of experiencing lifetime psychiatric disorders and suicidal ideation and attempts.Results: Parental divorce alone was associated with some psychiatric disorders after adjusting for sociodemographic variables (AOR ranging from 1.30 to 2.37), while child abuse alone was associated with psychiatric disorders (AOR ranging from 1.39 to 6.07) and suicidal ideation (AOR=2.08; 95% CI=1.57-2.77) and attempts (AOR=1.54; 95% Cl=1.02-2.31) after adjusting for sociodemographic variables. However, having experienced both parental divorce and child abuse together resulted in significantly increased odds for lifetime PTSD (AOR=9.87; 95% CI=6.69-14.55), conduct disorder (AOR=4.01; 95% CI=2.92-5.51) and suicide attempts (AOR=2.74; 95% CI=1.84-4.08) compared to having experienced either parental divorce or child abuse alone. These results were attenuated when further adjusting for parental psychopathology.Conclusions: When the experience of parental divorce is accompanied with child abuse, the associations with some poor mental health outcomes are significantly greater compared to the impact of either parental divorce or child abuse on its own. Therefore, parental divorce is an additional childhood adversity that significantly contributes to poor mental health outcomes especially when in combination with child abuse. Parental psychopathology attenuated these relationships suggesting that it may be one possible mechanism to explain the relationships between child abuse, parental divorce, and psychiatric disorders and suicide attempts. (C) 2009 Elsevier Ltd. All rights reserved.