The challenge of ascertainment of exposure to childhood maltreatment: Issues and considerations.

The challenge of ascertainment of exposure to childhood maltreatment: Issues and considerations.
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DOI:
10.1016/j.psyneuen.2020.105102
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发表时间:
2021-03
影响因子:
3.7
通讯作者:
Buss, Claudia
Buss, Claudia
中科院分区:
医学2区
文献类型:
--
作者:
Moog, Nora K.;Wadhwa, Pathik D.;Entringer, Sonja;Heim, Christine M.;Gillen, Daniel L.;Buss, Claudia

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“儿童虐待”一词是指父母或其他照顾者对儿童造成伤害、潜在伤害或威胁的行为(虐待)或疏忽(忽视)(1)。暴露于CM是社会中最普遍和有害的压力源之一。它是一种公认的主要健康风险,具有短期和长期的后遗症,包括不良的心理、生物、生物物理和行为状态,并增加发生精神和身体疾病的可能性,如抑郁症、创伤后应激障碍、吸毒成瘾、肥胖、心血管、代谢和自身免疫性疾病(2-4)。暴露于CM很少被直接观察到,因此它的确定对研究(以及临床)设置提出了重大挑战。在这种情况下,广泛的讨论最终导致所谓的“前瞻性”或“回顾性”措施是否更适合可靠地确定CM暴露的存在或不存在。术语“前瞻性”和“回顾性”通常是指确定时间窗口-是否进行了评估
The term ‘childhood maltreatment’(CM) refers to acts of commission (abuse) or omission (neglect) by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child (1). Exposure to CM represents among the most pervasive and pernicious stressors in society. It represents a well-established and major health risk with short-and long-term sequelae, including adverse psychological, biological, biophysical, and behavioral states, and increased likelihood of developing mental and physical disorders such as depression, posttraumatic stress disorder, drug addiction, obesity, cardiovascular, metabolic, and autoimmune disease (2-4). Exposure to CM is rarely observed directly, and therefore its ascertainment poses a significant challenge in the research (as well as clinical) setting. In this context, extensive discussion has culminated in the question of whether so-called ‘prospective’or ‘retrospective’measures are more appropriate to reliably determine presence or absence of CM exposure. The terms ‘prospective’and ‘retrospective’typically refer to the ascertainment time window–whether assessments were performed
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