Consistency in adult reporting of adverse childhood experiences

Consistency in adult reporting of adverse childhood experiences
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DOI:
10.1017/s0033291715002032
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发表时间:
2016-02-01
影响因子:
6.9
通讯作者:
Thompson, A. H.
Thompson, A. H.
中科院分区:
医学1区
文献类型:
--
作者:
Colman, I.;Kingsbury, M.;Thompson, A. H.

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许多研究使用回顾性报告来评估早期生活压力的长期后果。然而,当前的个人特征和经历可能会使这些报告的回忆产生偏差。特别是,抑郁情绪可能会增加回忆负面经历的可能性。该研究的目的是评估是否有特定因素与儿童不良经历报告的一致性有关。方法从1994/1995年和2006/2007年加拿大全国人口健康调查中报告了7次童年不良经历的7466名成年人作为样本。使用逻辑回归来探讨那些持续报告不良经历的人与报告不一致的人之间的差异。结果在1994/1995年和2006/2007年的儿童创伤经历回顾性报告中,39%的报告不一致。抑郁症的发展、心理困扰程度的增加,以及工作和慢性压力的增加,与2006/2007年报告童年不良经历的可能性增加有关,而这些经历在以前没有报告过。在2006/2007年期间,掌握程度的提高与儿童不良经历新报告的可能性降低有关。抑郁症的发展、慢性压力和心理困扰的增加也与遗忘的可能性降低有关。结论同时存在的心理健康因素可能影响儿童创伤经历的报告。使用回顾性报告来估计童年逆境和与心理健康相关的成年结果之间的关联的研究可能存在偏差。
Background Many studies have used retrospective reports to assess the long-term consequences of early life stress. However, current individual characteristics and experiences may bias the recall of these reports. In particular, depressed mood may increase the likelihood of recall of negative experiences. The aim of the study was to assess whether specific factors are associated with consistency in the reporting of childhood adverse experiences.Method The sample comprised 7466 adults from Canada's National Population Health Survey who had reported on seven childhood adverse experiences in 1994/1995 and 2006/2007. Logistic regression was used to explore differences between those who consistently reported adverse experiences and those whose reports were inconsistent.Results Among those retrospectively reporting on childhood traumatic experiences in 1994/1995 and 2006/2007, 39% were inconsistent in their reports of these experiences. The development of depression, increasing levels of psychological distress, as well as increasing work and chronic stress were associated with an increasing likelihood of reporting a childhood adverse experience in 2006/2007 that had not been previously reported. Increases in mastery were associated with reduced likelihood of new reporting of a childhood adverse experience in 2006/2007. The development of depression and increases in chronic stress and psychological distress were also associated with reduced likelihood of forgetting' a previously reported event.Conclusions Concurrent mental health factors may influence the reporting of traumatic childhood experiences. Studies that use retrospective reporting to estimate associations between childhood adversity and adult outcomes associated with mental health may be biased.