Child maltreatment and allostatic load: consequences for physical and mental health in children from low-income families.
Child maltreatment and allostatic load: consequences for physical and mental health in children from low-income families.
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儿童虐待和调节负荷：对低收入家庭儿童身心健康的影响。
DOI：
10.1017/s0954579411000587
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发表时间：
2011
影响因子：
3.3
通讯作者：
Cicchetti,Dante
中科院分区：
文献类型：
--
作者：
Rogosch,FredA;Dackis,MelissaN;Cicchetti,Dante
儿童虐待和非稳态负荷的生物标志物与儿童健康问题和心理健康学的关系进行了调查。参与者参加了一个夏季研究日营，其中包括137名虐待和110名非虐待低收入儿童，年龄在8至10岁（M = 9.42），种族和民族多样化; 52%是男性。获得的测量包括唾液皮质醇和脱氢表雄酮，体重指数，腰臀比，血压，这些指标提供了一个复合指数的非稳态负荷。获得了儿童自我报告和营地成人评估报告;母亲提供了关于健康问题的信息。结果表明，较高的非稳态负荷和儿童虐待状态独立预测较差的健康结果和更大的行为问题。调节效应表明，非稳态负荷与躯体的投诉，注意力问题，并认为只有虐待儿童的问题。与高腰臀比、早晨低皮质醇和早晨高脱氢表雄酮相关的风险也仅与受虐待儿童的抑郁症状相关。研究结果支持高环境压力和儿童虐待和忽视对儿童健康和行为结果的影响的非稳态负荷概念化，并对长期的身心健康具有重要意义。
Child maltreatment and biomarkers of allostatic load were investigated in relation to child health problems and psychological symptomatology. Participants attended a summer research day camp and included 137 maltreated and 110 nonmaltreated low-income children, who were aged 8 to 10 years (M = 9.42) and racially and ethnically diverse; 52% were male. Measurements obtained included salivary cortisol and dehydroepiandosterone, body mass index, waist–hip ratio, and blood pressure; these indicators provided a composite index of allostatic load. Child self-report and camp adult-rater reports of child symptomatology were obtained; mothers provided information on health problems. The results indicated that higher allostatic load and child maltreatment status independently predicted poorer health outcomes and greater behavior problems. Moderation effects indicated that allostatic load was related to somatic complaints, attention problems, and thought problems only among maltreated children. Risks associated with high waist–hip ratio, low morning cortisol, and high morning dehydroepiandosterone also were related to depressive symptoms only for maltreated children. The results support an allostatic load conceptualization of the impact of high environmental stress and child abuse and neglect on child health and behavioral outcomes and have important implications for long-term physical and mental health.