Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women
Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women
复制标题
DOI：
10.1016/j.chiabu.2007.01.003
复制
发表时间：
2007-05-01
影响因子：
4.8
通讯作者：
Carnes, Molly
中科院分区：
文献类型：
--
作者：
Springer, Kristen W.;Sheridan, Jennifer;Carnes, Molly
目的：儿童虐待与成人健康的负面结果有关;然而，过去的许多研究只包括妇女的临床样本，只关注性虐待和/或未能控制家庭背景，地面和儿童特征，这两个潜在的混杂因素。需要进一步的研究来获得准确的、可推广的估计，并教育那些通常不知道儿童虐待与成人健康之间联系的临床医生。本研究的目的是探讨儿童期父母身体虐待对中年身心健康的影响，并探讨家庭背景和儿童期逆境的衰减效应。方法：我们分析了威斯康星州纵向研究中2,000多名中年男性和女性的基于人群的调查数据，采用自我报告的父母童年身体虐待，心理健康（抑郁，焦虑）的措施。愤怒）、身体健康（身体症状和医疗诊断）、家庭背景和童年逆境。结果：11.4%的受访者报告父母身体虐待（10.6%的男性和12.1%的女性）。在控制年龄，性别，童年逆境和家庭背景的多变量模型中，我们发现儿童期身体虐待预测抑郁，焦虑，愤怒，身体症状和医疗诊断的分级增加。儿童时期的身体虐待也预示着严重的健康状况不佳和一系列具体的医疗诊断和身体症状。家庭背景和童年的逆境减弱，但没有消除的童年虐待/成人health relationships.Conclusions：在一个以人口为基础的队列的中年男性和女性，儿童身体虐待预测更糟糕的心理和身体健康的虐待后几十年。这些影响被年龄、性别、家庭背景和童年逆境所减弱，但不能消除。(c)2007爱思唯尔有限公司保留所有权利。
Objective: Child maltreatment has been linked to negative adult health outcomes; however, much past research includes only clinical samples of women, focuses exclusively on sexual abuse and/or fails to control for family back,ground and childhood characteristics, both potential confounders. Further research is needed to obtain accurate, generalizable estimates and to educate clinicians who are generally unaware of the link between childhood abuse and adult health. The purpose of this project is to examine how childhood physical abuse by parents impacts mid-life mental and physical health, and to explore the attenuating effect of family background and childhood adversities.Methods: We analyzed population-based survey data from over 2,000 middle-aged men and women in the Wisconsin Longitudinal Study using self-reported measures of parental childhood physical abuse, mental health (depression, anxiety. anger), physical health (physical symptoms and medical diagnoses), family background, and childhood adversities.Results: Parental physical abuse was reported by 11.4% of respondents (10.6% of males and 12.1 % of females). In multivariate models controlling for age, sex, childhood adversities, and family background, we found that childhood physical abuse predicted a graded increase in depression, anxiety, anger, physical symptoms, and medical diagnoses. Childhood physical abuse also predicted severe ill health and an array of specific medical diagnoses and physical symptoms. Family background and childhood adversities attenuated but did not eliminate the childhood abuse/adult health relationship.Conclusions: In a population-based cohort of middle-aged men and women, childhood physical abuse predicted worse mental and physical health decades after the abuse. These effects were attenuated, but not eliminated, by age, sex, family background, and childhood adversities. (c) 2007 Elsevier Ltd. All rights reserved.