Resilience to adult psychopathology following childhood maltreatment: Evidence from a community sample
Resilience to adult psychopathology following childhood maltreatment: Evidence from a community sample
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DOI：
10.1016/j.chiabu.2007.02.004
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发表时间：
2007-03-01
影响因子：
4.8
通讯作者：
Maughan, Barbara
中科院分区：
文献类型：
--
作者：
Collishaw, Stephan;Pickles, Andrew;Maughan, Barbara
目的：儿童虐待是成人精神病发病的一个重要风险。然而，并非所有受虐待的儿童在成年后都会出现心理健康问题。本研究的目的是解决在一个有代表性的社区样本的弹性成人精神病理学的程度，并探讨一个良好的prejudicator.Methods：数据来自怀特岛的研究，流行病学样本评估在青春期和中年的后续行动。评定的精神障碍，同伴关系和家庭功能在青春期;成人评估包括一生的精神病史，人格和社会功能评估，并回顾性报告的儿童期性和身体abuse.Results：百分之十的个人报告重复或严重的身体或性虐待在童年。前瞻性测量显示，这一群体的青少年精神疾病发病率有所增加。成人精神病理学的发病率也很高。相当一部分受虐待者报告说，他们成年后没有精神健康问题。这种弹性有关的感知父母的照顾，青少年同伴关系，成人的爱情关系的质量，和personalstyles.Conclusion：良好的质量的关系，整个童年，青春期和成年期出现特别重要的成人心理健康的背景下，儿童虐待。(C)2007爱思唯尔有限公司保留所有权利。
Objective: Child abuse is an important risk for adult psychiatric morbidity. However, not all maltreated children experience mental health problems as adults. The aims of the present study were to address the extent of resilience to adult psychopathology in a representative community sample, and to explore predictors of a good prognosis.Methods: Data are drawn from a follow-up of the Isle of Wight study, an epidemiological sample assessed in adolescence and at midlife. Ratings of psychiatric disorder, peer relationships and family functioning were made in adolescence; adult assessments included a lifetime psychiatric history, personality and social functioning assessments, and retrospective reports of childhood sexual and physical abuse.Results: Ten percent of individuals reported repeated or severe physical or sexual abuse in childhood. Prospective measures revealed increased rates of adolescent psychiatric disorders in this group. Rates of adult psychopathology were also high. A substantial minority of abused individuals reported no mental health problems in adult life. Resilience of this kind was related to perceived parental care, adolescent peer relationships, the quality of adult love relationships, and personality style.Conclusion: Good quality relationships across childhood, adolescence and adulthood appear especially important for adult psychological well being in the context of childhood abuse. (C) 2007 Elsevier Ltd. All rights reserved.