The experience of abuse and mental health in the young Thai population A preliminary survey.

The experience of abuse and mental health in the young Thai population A preliminary survey.
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DOI:
10.1007/s00127-005-0983-1
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发表时间:
2005-12
影响因子:
4.4
通讯作者:
Harpham, T
Harpham, T
中科院分区:
医学2区
文献类型:
--
作者:
Jirapramukpitak, T;Prince, M;Harpham, T

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本研究的目的是调查郊区社区泰国人遭受虐待儿童的发生率,并描述虐待经历与常见精神障碍 (CMD)、酒精使用障碍和药物滥用之间的关联。在曼谷北部对 202 名年龄在 16-25 岁的年轻居民进行了一项基于人口的横断面调查。 38% 的受访者表示在童年时期遭受过某种形式的虐待,其中 5.8% 的人遭受过性侵,11.7% 的人遭受过身体虐待,31.8% 的人遭受过精神虐待。研究发现,童年时期遭受虐待的程度与精神问题之间存在分级关系。在控制了潜在的混杂因素后,CMD 仍然与情感虐待显着相关,而酒精使用障碍仍然与性虐待相关。 CMD 与性虐待以及所有形式的滥用与药物滥用之间的关联存在强烈但不显着的趋势。受访者中虐待儿童的经历很常见。童年虐待,特别是性虐待,对成人心理健康具有潜在的破坏性影响。
The aims of this study were to examine the prevalence of child abuse exposure among Thai people in a suburban community and to describe the association of abuse experiences with common mental disorders (CMD), alcohol use disorders and substance use. A population-based cross-sectional survey was conducted in Northern Bangkok on a representative sample of 202 young residents, aged 16–25 years. Thirty eight percent of the respondents reported experiencing some form of abuse during childhood, with 5.8% having been subjected to sexual penetration, 11.7% having been physically abused and 31.8% emotionally abused. A graded relationship was found between the extent of exposure to abuse during childhood and mental problems. After controlling for potential confounders, CMD remained significantly associated with emotional abuse, and alcohol use disorders remained associated with sexual abuse. Strong but non-significant trends were present for associations between CMD and sexual abuse and all forms of abuse with substance use. Child abuse experiences were common among the respondents. Childhood abuse, particularly sexual abuse, has a potentially devastating impact on adult mental health.
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