Triangulating evidence on the role of perceived versus objective experiences of childhood adversity in psychopathology.

Triangulating evidence on the role of perceived versus objective experiences of childhood adversity in psychopathology.
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DOI:
10.1111/jcv2.12010
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发表时间:
2021-04
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其他
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童年的逆境,如虐待,欺凌和社会经济剥夺,是精神病理学的既定风险因素。最近的证据表明,这是感知的,而不是客观的(即,实际的)与精神病理学相关的童年逆境经历(Danese & Widom,2020)。然而,目前尚不清楚是否对童年逆境的看法导致精神病理学,因为这不能通过随机对照试验进行伦理或可行性测试。三角测量可以用来改善观察性研究中的因果推理,通过整合具有不同偏倚来源的多种方法的证据。从这个角度来看,我们描述了三种不同的方法测量比较,家庭内比较,和跨上下文比较,可以用来测试的作用,感知与客观的经验,童年逆境中的精神病理学。我们回顾了每种方法的现有证据,然后对发现进行三角分析以加强因果推断。每种方法及其潜在偏倚来源的总结见表1。
Childhood adversities, such as maltreatment, bullying, and socioeconomic deprivation, are well‐established risk factors for psychopathology. Recent evidence suggests that it is the perceived, rather than objective (ie, actual) experience of childhood adversity which is associated with psychopathology (Danese & Widom, 2020). However, it is unclear whether perceptions of childhood adversity cause psychopathology, as this cannot be tested ethically or feasibly with randomised controlled trials. Triangulation can instead be used to improve causal inference in observational research, by integrating evidence across multiple approaches with different sources of bias. In this perspective, we describe three different approaches—measurement comparisons, within‐family comparisons, and cross‐context comparisons—that can be used to test the role of perceived versus objective experiences of childhood adversity in psychopathology. We review current evidence from each approach, before triangulating findings to strengthen causal inference. A summary of each approach and its potential sources of bias is in Table 1.
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