Child Maltreatment and Mental Health in Middle Childhood: A Longitudinal Study in Japan
Child Maltreatment and Mental Health in Middle Childhood: A Longitudinal Study in Japan
复制标题
DOI：
10.1093/aje/kwab275
复制
发表时间：
2022-01-12
影响因子：
5
通讯作者：
Fujiwara, Takeo
中科院分区：
文献类型：
--
作者：
Isumi, Aya;Doi, Satomi;Fujiwara, Takeo
儿童虐待引起的毒性压力可能会导致晚年的不良心理健康结果，但在许多先前的研究中，未测量的混杂一直是一个主要问题。为了研究儿童虐待与小学学龄前儿童的韧性和行为问题之间的关系，我们使用了2015年在日本东京都阿达奇市的一个区以所有一年级儿童为对象的基于人口的纵向调查数据。在2015年（一年级;年龄6-7岁），2016年（二年级;年龄7-8岁）和2018年（四年级;年龄9-10岁）研究波期间提供有效回答的儿童被纳入分析（n = 2，920）。固定效应回归模型显示，儿童虐待与恢复力呈负相关（β =-0.89，95%置信区间（CI）：-1.05，-0.72）和亲社会行为（beta =-0.03，95%CI：-0.05，-0.003），与行为问题呈正相关（β = 0.32，95% CI：0.27，0.37），在控制所有时不变混杂因素和测量的时变混杂因素和调查年份后，随访4年（2015-2018年）。这些关联在不同性别之间是一致的。儿童虐待可能会阻碍弹性和亲社会行为的发展，并随着时间的推移诱发早期小学儿童的行为问题。未来的研究人员应该确定可修改的保护因素，以改善受虐待儿童的心理健康。
Toxic stress caused by child maltreatment can lead to adverse mental health outcomes in later life, yet unmeasured confounding has been a major issue in many previous studies. To examine the association between child maltreatment and resilience and behavior problems among early elementary school-age children, we used data from a population-based longitudinal survey targeting all first-grade children in 2015 in Adachi City, a ward in Tokyo, Japan. Children whose caregivers provided valid responses during the 2015 (first grade; ages 6-7 years), 2016 (second grade; ages 7-8 years), and 2018 (fourth grade; ages 9-10 years) waves of the study were included in the analysis (n = 2,920). Fixed-effects regression models revealed that child maltreatment was inversely associated with resilience (beta = -0.89, 95% confidence interval (CI): -1.05, -0.72) and prosocial behavior (beta = -0.03, 95% CI: -0.05, -0.003) and positively associated with behavior problems (beta = 0.32, 95% CI: 0.27, 0.37) over 4 years of follow-up (2015-2018), after controlling for all time-invariant confounders and measured time-varying confounders and survey year. These associations were consistent across sex. Child maltreatment may hamper the development of resilience and prosocial behavior and induce behavior problems in early elementary school children over time. Future researchers should identify modifiable protective factors for better mental health among maltreated children.