The relation of abuse to physical and psychological health in adults with developmental disabilities
The relation of abuse to physical and psychological health in adults with developmental disabilities
复制标题
DOI：
10.1016/j.dhjo.2018.09.007
复制
发表时间：
2019-04-01
影响因子：
4.5
通讯作者：
Nicolaidis, Christina
中科院分区：
文献类型：
--
作者：
Hughes, Rosemary B.;Robinson-Whelen, Susan;Nicolaidis, Christina
背景：发育障碍者遭受虐待的风险不成比例地高。虽然有相当多的证据表明，在一般人群中，虐待的健康相关后果，很少有人知道这些后果在人与developmentaldisability.Objective：探讨虐待与心理和身体健康的结果在成人与发展disability.Methods：我们使用了一个无障碍的音频计算机辅助自我采访，以收集有关人口统计和残疾特征的匿名数据，儿童和成人虐待经历，以及350名发育残疾妇女和男子的身心健康。虐待经历由五个因素得分反映，包括三个儿童虐待因素（儿童期性虐待，儿童期身体虐待，儿童期残疾相关的虐待）和两个成人虐待因素（成人性虐待，成人混合虐待）。我们分别检查了四个健康结果（抑郁症，创伤后应激障碍，身体健康症状，继发性健康状况），以确定在何种程度上儿童和成人虐待的经验，独特的预测心理和身体健康结果以上和超越人口统计学和残疾相关的characteristics.Results：所有五个虐待因素得分显着相关的所有四个健康结果。同时检查时，儿童残疾相关的虐待和成人混合虐待占独特的差异的结果。探索性分析显示，在性别的影响，滥用没有差异。结论：在这项研究中，儿童残疾相关的虐待和成人混合虐待显着预测较低水平的心理和身体健康的样本中的成人发育障碍。我们的研究结果强调了在发育障碍社区解决虐待及其后遗症的重要性。(C)2018爱思唯尔公司All rights reserved.
Background: People with developmental disabilities are at disproportionately high risk of abuse. Although considerable evidence exists on the health-related consequences of abuse in the general population, little is known about those consequences in people with developmental disabilities.Objective: To examine the relation of abuse with psychological and physical health outcomes in adults with developmental disabilities.Methods: We used an accessible audio computer-assisted self-interview to collect anonymous data on demographic and disability characteristics, childhood and adult abuse experiences, and physical and psychological health from 350 women and men with developmental disabilities. Abuse experience was reflected by five factor scores consisting of three child abuse factors (childhood sexual abuse, childhood physical abuse, childhood disability-related abuse) and two adult abuse factors (adult sexual abuse, adult mixed abuse). We examined each of four health outcomes (depression, post trraumatic stress disorder, physical health symptoms, secondary health conditions) separately to determine the extent to which childhood and adult abuse experiences uniquely predicted psychological and physical health outcomes above and beyond demographic and disability-related characteristics.Results: All five abuse factor scores were significantly related to all four health outcomes. When examined simultaneously, childhood disability-related abuse and adult mixed abuse accounted for unique variance in outcomes. Exploratory analyses revealed no difference in the impact of abuse by gender.Conclusions: In this study, childhood disability-related abuse and adult mixed abuse significantly predicted lower levels of psychological and physical health in a sample of adults with developmental disabilities. Our findings highlight the importance of addressing abuse and its sequalae in the developmental disabilities community. (C) 2018 Elsevier Inc. All rights reserved.