Disentangling the mental health impact of childhood abuse and neglect
Disentangling the mental health impact of childhood abuse and neglect
复制标题
DOI：
10.1016/j.chiabu.2016.11.024
复制
发表时间：
2017-01-01
影响因子：
4.8
通讯作者：
McCrory, Eamon J.
中科院分区：
文献类型：
--
作者：
Cecil, Charlotte A. M.;Viding, Essi;McCrory, Eamon J.
目前还不清楚虐待类型是否对心理健康产生共同或特定的影响。在目前的研究中，我们的目的是系统地描述独特的，共享的和累积的虐待类型对精神症状的影响，使用的数据来自社区样本的高风险青年（n = 204，M = 18.85）。分析控制了一系列潜在的混杂变量，包括社会人口变量，邻里贫困和社区暴力暴露水平。结果的措施，包括多线人报告的内化困难，以及数据外化的问题和创伤相关的症状。我们发现（i）与先前的研究一致，虐待类型是高度相关的，并且经常共同发生;（ii）症状严重程度随着经历的虐待类型的数量线性增加（自我报告与线人评级更是如此）;和（iii）虽然大多数形式的虐待在单独检查时与心理健康结果显著相关，在同时对虐待类型进行建模时，观察到的独特影响很少，这表明共同方差在推动虐待对心理健康的影响方面发挥着重要作用。情绪虐待是精神疾病的主要独立预测因素-高于其他虐待类型-这种影响对男性和女性是相当的（即与性别没有显著的相互作用）。调查结果有助于更好地了解异质性的个人反应虐待。(C)2016爱思唯尔有限公司版权所有
It is unclear whether maltreatment types exert common or specific effects on mental health. In the current study, we aimed to systematically characterize the unique, shared and cumulative effects of maltreatment types on psychiatric symptoms, using data drawn from a community sample of high-risk youth (n = 204, M = 18.85). Analyses controlled for a range of potentially confounding variables, including socio-demographic variables, neighbourhood deprivation and levels of community violence exposure. Outcome measures included multi-informant reports of internalizing difficulties, as well as data on externalizing problems and trauma-related symptoms. We found that (i) consistent with previous studies, maltreatment types were highly interrelated and frequently co-occurred; (ii) symptom severity linearly increased with the number of maltreatment types experienced (more so for self-report vs informant ratings); and (iii) while most forms of maltreatment were significantly associated with mental health outcomes when examined individually, few unique effects were observed when modelling maltreatment types simultaneously, pointing to an important role of shared variance in driving maltreatment effects on mental health. Emotional abuse emerged as the main independent predictor of psychiatric symptomatology - over and above other maltreatment types - and this effect was comparable for males and females (i.e. no significant interaction with sex). Findings contribute to a better understanding of heterogeneity in individual responses to maltreatment. (C) 2016 Elsevier Ltd. All rights reserved.