Psychiatric co-morbidity in caregivers and children involved in maltreatment: a pilot research study with policy implications
Psychiatric co-morbidity in caregivers and children involved in maltreatment: a pilot research study with policy implications
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DOI：
10.1016/s0145-2134(01)00247-2
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发表时间：
2001-07-01
影响因子：
4.8
通讯作者：
Benitez, JG
中科院分区：
文献类型：
--
作者：
De Bellis, MD;Broussard, ER;Benitez, JG
目的：本研究的目的是确定参与虐待的照顾者及其受虐待儿童的精神障碍终生发病率。53个虐待家庭，包括至少一个主要照顾者和一个先证者虐待儿童或青少年受试者，获得了终身DSM-III-R和IV精神病诊断（28名男性，25名女性），并为46个社会人口统计学上类似的非虐待家庭，包括一名先证者健康的儿童和青少年受试者的对照组（男22例，女22例）。母亲的虐待儿童表现出显着更大的终身发病率的焦虑症（特别是创伤后应激障碍）、情绪障碍、酒精和/或物质滥用或依赖性障碍、自杀企图和两种或多种精神障碍的合并症。与对照组相比，亲生父亲或母亲的同居伴侣在虐待中表现出更大的酒精和/或物质滥用或依赖性障碍的终生发病率。大多数受虐待的儿童和青少年报告患有焦虑症，特别是创伤后应激障碍（因目睹家庭暴力和/或性虐待）、情绪障碍、自杀意念和企图以及破坏性障碍。大多数虐待儿童（72%）患有共病涉及情绪和行为regulation disorders.Conclusions：家庭参与虐待表现出显着的精神共病史。以查明和处理共同受害者为目标的政策可能有助于打破虐待的代际传递。(C)2001爱思唯尔科技有限公司版权所有。
Objective: The purpose of this study was to determine the lifetime incidence of mental disorders in caregivers involved in maltreatment and in their maltreated child.Methods: Lifetime DSM-III-R and IV psychiatric diagnoses were obtained for 53 maltreating families, including at least one primary caregiver and one proband maltreated child or adolescent subject (28 males, 25 females), and for a comparison group of 46 sociodemographically, similar nonmaltreating families, including one proband healthy child and adolescent subject (22 males, 22 females).Results: Mothers of maltreated children exhibited a significantly greater lifetime incidence of anxiety disorders (especially post-traumatic stress disorder), mood disorders, alcohol and/or substance abuse or dependence disorder, suicide attempts, and comorbidity of two or more psychiatric disorders, compared to control mothers. Natural fathers or mothers' live-in mates involved in maltreatment exhibited a significantly greater lifetime incidence of an alcohol and/or substance abuse or dependence disorder compared to controls. The majority of maltreated children and adolescents reported anxiety disorders, especially post-traumatic stress disorder (from witnessing domestic violence and/or sexual abuse), mood disorders, suicidal ideation and attempts, and disruptive disorders. Most maltreated children (72%) suffered from comorbidity involving both emotional and behavioral regulation disorders.Conclusions: Families involved in maltreatment manifest significant histories of psychiatric comorbidity. Policies which target identification and treatment of comorbidity may contribute to breaking the intergenerational transmission of maltreatment. (C) 2001 Elsevier Science Ltd. All rights reserved.