Childhood trauma and neighborhood-level crime interact in predicting adult posttraumatic stress and major depression symptoms
Childhood trauma and neighborhood-level crime interact in predicting adult posttraumatic stress and major depression symptoms
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DOI：
10.1016/j.chiabu.2015.10.007
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发表时间：
2016-01-01
影响因子：
4.8
通讯作者：
Bradley, Bekh
中科院分区：
文献类型：
--
作者：
Lowe, Sarah R.;Quinn, James W.;Bradley, Bekh
先前的研究已经确定了几个个体层面的因素，这些因素可以改变童年创伤对成人精神症状的影响，包括重度抑郁症（MD）和创伤后应激障碍（PTS）的症状。社区层面的因素也会影响个人层面的暴露对成人精神病理学的影响。然而，据我们所知，之前的研究还没有探讨童年创伤和社区因素对 MD 和 PTS 症状之间的跨层面相互作用。因此，本研究的目的是探讨社区层面的因素（社区层面的犯罪）与儿童创伤对 MD 和 PTS 症状之间的跨层面相互作用。这项研究的参与者 (N = 3192) 是从一家大型公立医院招募的，并完成了儿童创伤、MD 和 PTS 症状的自我报告清单。参与者地址被映射到 2010 年人口普查区域，并收集了每个区域内的犯罪数据。多层次模型发现童年创伤和社区犯罪对MD症状之间存在显着的跨层次交互作用，因此对于居住在高犯罪社区的参与者来说，高水平的童年创伤对MD症状的影响会增强。补充分析发现，跨层次互动项的强度因童年创伤和犯罪的类型而异，其中最强的关联包括情感忽视与人身和财产犯罪。研究结果为干预措施提供了初步支持，帮助儿童创伤幸存者在不太脆弱的社区找到住房，并培养应对社区犯罪的技能。 (C) 2015 Elsevier Ltd. 保留所有权利。
Previous research has identified several individual-level factors that modify the risk of childhood trauma on adult psychiatric symptoms, including symptoms of major depression (MD) and posttraumatic stress (PTS). Neighborhood-level factors also influence the impact of individual-level exposures on adult psychopathology. However, no prior studies to our knowledge have explored cross-level interactions between childhood trauma and neighborhood-level factors on MD and PTS symptoms. The purpose of this study was therefore to explore cross-level interactions between a neighborhood-level factor - neighborhood-level crime - and childhood trauma on MD and PTS symptoms. Participants in this study (N = 3192) were recruited from a large public hospital, and completed self-report inventories of childhood trauma and MD and PTS symptoms. Participant addresses were mapped onto 2010 census tracts, and data on crime within each tract were collected. Multilevel models found a significant cross-level interaction between childhood trauma and neighborhood crime on MD symptoms, such that the influence of high levels of childhood trauma on MD symptoms was enhanced for participants living in high-crime neighborhoods. Supplementary analyses found variation in the strength of cross-level interaction terms by types of childhood trauma and crime, with the strongest associations including emotional neglect paired with personal and property crime. The results provide preliminary support for interventions that help childhood trauma survivors find housing in less vulnerable neighborhoods and build skills to cope with neighborhood crime. (C) 2015 Elsevier Ltd. All rights reserved.