Child maltreatment and attentional problems: A longitudinal birth cohort study
Child maltreatment and attentional problems: A longitudinal birth cohort study
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DOI：
10.1016/j.chiabu.2019.104170
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发表时间：
2019-12-01
影响因子：
4.8
通讯作者：
Mills, Ryan
中科院分区：
文献类型：
--
作者：
Boyd, Melinda;Kisely, Steve;Mills, Ryan
目的：研究虐待儿童是否与青少年注意力问题有关（14岁）和青年期（21年），以及结果是否取决于虐待的类型（性与非性）。方法：数据来自一项基于人群的队列研究，涉及3778名母亲，将儿童对与州儿童保护机构的数据联系起来，以检查虐待和忽视儿童与注意力问题之间的联系，测量使用Achenbach儿童行为检查表（CBCL）和Achenbach年轻成人自我报告（YASR）。结果：245（6.5%）参与者已被通知的主题非性虐待（一个或多个忽视，情感或身体虐待）相比，只有54（1.4%）谁已被通知怀疑性虐待。在调整了包括母亲、参与者和社会人口因素在内的潜在混杂变量后，我们发现，与那些没有经历过非性虐待的参与者相比，那些暴露于非性虐待的参与者在14岁（p < .001）和21岁（p = .044）时可能会出现注意力问题。相比之下，在14岁时，性虐待仅与参与者报告的注意力问题有关，而不是他们的照顾者。结果在21岁的那些暴露于性虐待儿童（p = 0.655）再次在对比观察到的注意力问题和非性虐待儿童（p = 0.035）之间的关联：结论：在这项研究中，非性虐待儿童与注意力问题在14岁和21岁。这些发现强调了有必要进行有针对性的研究，以更好地了解暴露于非性虐待的儿童的长期心理健康结果。对精神卫生服务的潜在影响包括需要在就诊时进行更广泛的筛查，重要的是，需要与学校、全科医生和儿科医生加强合作，因为最大的影响可以说是在这些环境中。
Objective: To examine whether child maltreatment is associated with attentional problems in adolescence (14 years) and young adulthood (21 years), and whether outcomes depend on the type of maltreatment (sexual vs non-sexual).Methods: Data from a population based cohort study involving 3778 mother-child pairs were linked with data from the state child protection agency to examine associations between child abuse and neglect and attention problems, measured using the Achenbach Child Behaviour Checklist (CBCL) and the Achenbach Young Adult Self Report (YASR).Results: 245 (6.5%) participants had been the subject of notification for non-sexual maltreatment (one or more of neglect, emotional or physical abuse) compared with only 54 (1.4%) who had been subject of notification for suspected sexual abuse. After adjusting for potential confounding variables including maternal, participant and sociodemographic factors, we found those exposed to non sexual maltreatment were likely to experience attentional problems at 14 years (p < .001) and 21 years of age (p = .044), compared with those participants who had not experienced non sexual maltreatment. By contrast, at age 14 years, sexual abuse was associated with attentional problems only as reported by the participant, not their carer. Results at 21 years of age for those exposed to sexual child maltreatment (p = .655) were again in contrast to the observed association between attentional problems and non sexual child maltreatment (p = .035).Conclusion: In this study, non-sexual maltreatment in childhood is associated with attentional problems at both 14 years and 21 years of age. These findings highlight the need for targeted research to better understand the longer term mental health outcomes for children exposed to non-sexual maltreatment. Potential implications for mental health services include the need for broader screening at presentation and importantly, greater collaboration with schools, general practitioners and paediatricians, given the greatest impact would arguably be within these settings.