Childhood maltreatment and impulsivity as predictors of interpersonal violence, self-injury and suicide attempts: A national study.
Childhood maltreatment and impulsivity as predictors of interpersonal violence, self-injury and suicide attempts: A national study.
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DOI：
10.1016/j.psychres.2018.08.059
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发表时间：
2018-11
影响因子：
11.3
通讯作者：
Blanco C
中科院分区：
文献类型：
--
作者：
McMahon K;Hoertel N;Olfson M;Wall M;Wang S;Blanco C
先前的研究表明，童年虐待和冲动增加了不同类型暴力的风险，包括针对自我和他人的暴力行为。然而，儿童期虐待和冲动是否对不同的暴力行为有独立的影响尚不清楚。因此，本研究探讨了童年虐待和冲动对人际暴力，自杀企图和自我伤害的不同影响。数据来自一项对34，653名美国成年人的全国代表性调查，即2004-2005年全国酒精及相关疾病流行病学调查（NESARC）。结构方程模型被用来同时检查五种类型的儿童虐待和冲动对不同的暴力行为（即人际暴力，自杀企图和自我伤害）的风险的共同和具体的影响。分析按性别分层，并根据年龄和种族进行调整。冲动和童年虐待独立增加自杀企图，自我伤害和人际暴力的风险。童年虐待有更强的影响，对自己的暴力比人际暴力在两种性别，而冲动有更强的影响，自我伤害比自杀企图或人际暴力的男子。这些研究结果表明，童年虐待和冲动与不同类型暴力的风险有不同的关系。
Prior research indicates that childhood maltreatment and impulsivity increase the risk for different types of violence, including violent behaviors directed toward the self and others. However, it is not known whether childhood maltreatment and impulsivity have independent effects on different violent behaviors. Therefore, this study examined the differential effects of childhood maltreatment and impulsivity on interpersonal violence, suicide attempts, and self-injury. Data were drawn from a nationally representative survey of 34,653 US adults, the 2004–2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Structural equation modeling was used to simultaneously examine the shared and specific effects of five types of childhood maltreatment and impulsivity on the risk of different violent behaviors (i.e. interpersonal violence, suicide attempts, and self-injury). Analyses were stratified by gender and adjusted for age and ethnicity. Impulsivity and childhood maltreatment independently increased the risk of suicide attempt, self-injury, and interpersonal violence. Childhood maltreatment had stronger effects on violence directed towards the self than on interpersonal violence in both genders, while impulsivity had a stronger effect on self-injury than on suicide attempt or interpersonal violence in men. These findings indicate that childhood maltreatment and impulsivity relate differently to the risk of different types of violence.
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