Associations between childhood abuse and interpersonal aggression and suicide attempt among U.S. adults in a national study.
Associations between childhood abuse and interpersonal aggression and suicide attempt among U.S. adults in a national study.
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DOI：
10.1016/j.chiabu.2014.02.011
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发表时间：
2014-08
影响因子：
4.8
通讯作者：
Grant BF
中科院分区：
文献类型：
--
作者：
Harford TC;Yi HY;Grant BF
本研究的目的是研究儿童时期身体、情感或性虐待与自我暴力（自杀企图[SA]）和他人暴力（人际攻击[IA]）之间的关系。数据来自全国酒精及相关疾病流行病学调查第1和第2波（n = 34,653）。多项逻辑回归检验了儿童虐待类型和暴力类别之间的关联，调整了人口统计学变量、其他童年逆境和DSM-IV精神疾病。报告的儿童期虐待发生率为身体虐待的4.60%，精神虐待的7.83%，性虐待的10.20%。大约18%的成年人报告了某种形式的暴力行为，分布如下：IA， 13.37%；SA, 2.64%;SA与IA的比例为1.85%。在对人口统计变量、其他童年逆境和精神障碍进行调整后，与无暴力类别相比，每种类型的儿童虐待与每种暴力类别的风险增加显著相关。此外，SA合并IA的儿童期身体虐待的比值比显著高于IA， SA和SA合并IA的儿童期性虐待的比值比显著高于IA。童年时期的身体、情感和性虐待与对自己和他人的暴力行为的风险直接相关。内化和外化精神障碍都会影响儿童虐待与暴力之间的关系。将自杀行为和人际攻击以及精神疾病的内化/外化纳入一个综合概念框架，将有助于对虐待儿童的长期影响进行更有效的干预。
The aim of this study is to examine associations among childhood physical, emotional, or sexual abuse and violence toward self (suicide attempts [SA]) and others (interpersonal aggression [IA]). Data were obtained from the National Epidemiologic Survey on Alcohol and Related Conditions Waves 1 and 2 (n = 34,653). Multinomial logistic regression examined associations between type of childhood abuse and violence categories, adjusting for demographic variables, other childhood adversity, and DSM-IV psychiatric disorders. The prevalence of reported childhood abuse was 4.60% for physical abuse, 7.83% for emotional abuse, and 10.20% for sexual abuse. Approximately 18% of adults reported some form of violent behavior, distributed as follows: IA, 13.37%; SA, 2.64%; and SA with IA, 1.85%. After adjusting for demographic variables, other childhood adversity, and psychiatric disorders, each type of childhood abuse was significantly related to increased risk for each violence category as compared with the no violence category. Furthermore, the odds ratio of childhood physical abuse was significantly higher for SA with IA when compared with IA, and the odds ratio of childhood sexual abuse was significantly higher for SA and SA with IA when compared with IA. Childhood physical, emotional, and sexual abuse is directly related to the risk for violent behaviors to self and others. Both internalizing and externalizing psychiatric disorders impact the association between childhood abuse and violence. The inclusion of suicidal behaviors and interpersonal aggression and internalizing/externalizing psychiatric disorders within an integrated conceptual framework will facilitate more effective interventions for long-lasting effects of child abuse.
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DOI：
10.1097/00004583-199507000-00015
发表时间：
1995-07-01
影响因子：
13.3
作者：
APTER, A;GOTHELF, D;TYANO, S
通讯作者：
TYANO, S
影响因子：
4.8
作者：
Fergusson, DM;Lynskey, MT
通讯作者：
Lynskey, MT
影响因子：
2.5
作者：
Bossarte, Robert M.;Simon, Thomas R.;Swahn, Monica H.
通讯作者：
Swahn, Monica H.
影响因子：
8
作者：
Duke, Naomi N.;Pettingell, Sandra L.;Borowsky, Iris W.
通讯作者：
Borowsky, Iris W.
影响因子：
1.9
作者：
Hills, Amber L.;Afrfi, Tracie O.;Sareen, Jitender
通讯作者：
Sareen, Jitender