Child abuse and neglect, social support, and psychopathology in adulthood: a prospective investigation.
Child abuse and neglect, social support, and psychopathology in adulthood: a prospective investigation.
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DOI：
10.1016/j.chiabu.2013.02.006
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发表时间：
2013-06
影响因子：
4.8
通讯作者：
Widom CS
中科院分区：
文献类型：
--
作者：
Sperry DM;Widom CS
确定儿童虐待和忽视是否预示着成年中期的社会支持水平较低，并了解社会支持是否起到调解或缓和儿童虐待和忽视与后续结果（焦虑，抑郁和非法药物使用）之间关系的作用。使用前瞻性队列设计研究的数据，在1967年至1971年期间记录了身体和性虐待和忽视（0-11岁）的历史的儿童和匹配的对照组在成年后进行了随访和访谈。平均年龄39.5岁时评估社会支持，平均年龄41.2岁时评估焦虑、抑郁和非法药物使用。调整年龄、性别和种族后，有虐待和忽视儿童记录的个体在成年后的社会支持水平显著低于对照组[总体（p<.001）、评价（p <.001）、归属感（p <.001）、有形（p<.001）和自尊支持（p<.01）]。调整年龄，性别，种族，和以前的精神病诊断，社会支持介导的虐待和忽视儿童和成年后的焦虑和抑郁之间的关系。四种性别与社会支持的交互作用和一种三向[组（虐待/忽视与控制）×有形社会支持×性别）交互作用调节了焦虑和抑郁水平，特别是对于受高水平社会支持影响更大的男性。社会支持在儿童期虐待的长期后果中起着重要的中介和调节作用。需要努力更好地了解这些关系所涉及的时间和机制，以指导预防干预和治疗。
To determine whether child abuse and neglect predicts low levels of social support in middle adulthood and understand whether social support acts to mediate or moderate the relationship between childhood abuse and neglect and subsequent outcomes (anxiety, depression, and illicit drug use). Using data from a prospective cohort design study, children with documented histories of physical and sexual abuse and neglect (ages 0–11) during the years 1967 through 1971 and a matched control group were followed up and interviewed in adulthood. Social support was assessed at mean age 39.5, and anxiety, depression, and illicit drug use at mean age 41.2. Adjusting for age, sex, and race, individuals with documented histories of child abuse and neglect reported significantly lower levels of social support in adulthood [total (p<.001), appraisal (p<.001), belonging (p<.001), tangible (p<.001), and self-esteem support (p<.01)] than controls. Adjusting for age, sex, race, and prior psychiatric diagnosis, social support mediated the relationship between child abuse and neglect and anxiety and depression in adulthood. Four gender by social support interactions and one three-way [group (abuse/neglect versus control) × tangible social support × gender) interaction moderated levels of anxiety and depression, particularly for males who were more strongly affected by high levels of social support. Social support plays a significant role in mediating and moderating some long term consequences of childhood maltreatment. Efforts to better understand the timing and mechanisms involved in these relationships are needed to guide preventive interventions and treatment.
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影响因子：
168.9
作者：
Gilbert, Ruth;Widom, Cathy Spatz;Janson, Staffan
通讯作者：
Janson, Staffan
影响因子：
1.1
作者：
Bender, Marnette;Cook, Sarah;Kaslow, Nadine
通讯作者：
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影响因子：
5.9
作者：
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通讯作者：
STEER, RA
DOI：
10.1111/j.1083-6101.2007.00367.x
发表时间：
2007-07-01
影响因子：
7.2
作者：
Ellison, Nicole B.;Steinfield, Charles;Lampe, Cliff
通讯作者：
Lampe, Cliff
影响因子：
5.1
作者：
Currie, Janet;Widom, Cathy Spatz
通讯作者：
Widom, Cathy Spatz