Childhood maltreatment and poor functional outcomes at the transition to adulthood: a comparison of prospective informant- and retrospective self-reports of maltreatment.

Childhood maltreatment and poor functional outcomes at the transition to adulthood: a comparison of prospective informant- and retrospective self-reports of maltreatment.
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DOI:
10.1007/s00127-020-01926-5
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发表时间:
2021-07
影响因子:
4.4
通讯作者:
Fisher HL
Fisher HL
中科院分区:
医学2区
文献类型:
--
作者:
Latham RM;Quilter E;Arseneault L;Danese A;Moffitt TE;Newbury JB;Fisher HL

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越来越多的证据表明,儿童虐待的前瞻性线人报告和回顾性自我报告可能与成人精神病理学存在不同的相关性。然而,在考虑功能结果时,尚不清楚这两种虐待报告类型的关联如何比较。本研究使用这两种方法比较了儿童期虐待与 18 岁时功能结果之间的关联。我们使用了环境风险(E-Risk)纵向双胞胎研究的数据,该研究是一个具有全国代表性的出生队列,包含 1994 年至 1995 年在英格兰和威尔士出生的 2232 名儿童。对 12 岁之前的虐待行为进行了前瞻性评估(在出生至 12 岁之间的多次家访中,基于对照顾者的访谈、研究人员的观察以及儿童保护转介的从业者的信息)和回顾性评估(在 18 岁时通过儿童创伤问卷的自我报告)。在 18 岁时测量了九项功能结果,形成了两个变量:(i) 社会心理和 (ii) 职业劣势。在拥有可用数据的 2054 名参与者中,儿童期虐待与较差的功能结果相关,无论这是否仅前瞻性报告、仅回顾性报告或两者兼而有之。参与者回顾性回忆(OR = 8.25,95% CI 4.93–13.82)与线人虐待的前瞻性报告(OR = 2.03,95% CI 1.36–3.04)相比,与心理社会劣势的关联更强。相反,虐待的前瞻性线人报告(OR = 2.19,95% CI 1.42–3.38)和回顾性自我报告(OR = 1.93,95% CI 1.33–2.81)与职业劣势的关联具有可比性。结果强调了在解释儿童虐待的功能性后果时考虑所使用的虐待报告类型的重要性。本文的在线版本 (10.1007/s00127-020-01926-5) 包含补充材料,可供授权用户使用。
Growing evidence suggests that prospective informant-reports and retrospective self-reports of childhood maltreatment may be differentially associated with adult psychopathology. However, it remains unknown how associations for these two maltreatment reporting types compare when considering functional outcomes. The present study compared associations between childhood maltreatment and functional outcomes at age 18 years using these two methods. We used data from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative birth cohort of 2232 children born in England and Wales in 1994–1995. Maltreatment prior to age 12 years was assessed prospectively (during multiple home visits between birth and age of 12 years based on interviews with caregivers, researcher observations, and information from practitioners where child protection referrals were made) and retrospectively (at age 18 via self-report on the Childhood Trauma Questionnaire). Nine functional outcomes were measured at age 18, forming two variables capturing: (i) psychosocial and (ii) vocational disadvantage. Among the 2054 participants with available data, childhood maltreatment was associated with poorer functional outcomes regardless of whether this was reported only prospectively, only retrospectively, or both. Stronger associations with psychosocial disadvantage arose in the context of retrospective recall by participants (OR = 8.25, 95% CI 4.93–13.82) than prospective reports by informants (OR = 2.03, 95% CI 1.36–3.04) of maltreatment. Conversely, associations with vocational disadvantage were comparable for both prospective informant-reports (OR = 2.19, 95% CI 1.42–3.38) and retrospective self-reports (OR = 1.93, 95% CI 1.33–2.81) of maltreatment. Results highlight the importance of considering the maltreatment report type used when interpreting the functional consequences of childhood maltreatment. The online version of this article (10.1007/s00127-020-01926-5) contains supplementary material, which is available to authorized users.
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发表时间: 2017-04-01
期刊: The American journal of psychiatry
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