Childhood abuse and lifetime psychopathology in a community sample
Childhood abuse and lifetime psychopathology in a community sample
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DOI：
10.1176/appi.ajp.158.11.1878
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发表时间：
2001-11-01
影响因子：
17.7
通讯作者：
Beardslee, WR
中科院分区：
文献类型：
--
作者：
MacMillan, HL;Fleming, JE;Beardslee, WR
目的：作者在一般人群样本中评估了终生精神病理学，并比较了那些报告儿童期身体或性虐待史的人与那些没有报告的人之间五种精神障碍类别的比率。方法：对概率样本（N=7，016）15至64岁的安大略居民。结果：那些报告有童年身体虐待史的人一生中焦虑症、酒精滥用/依赖和反社会行为的发生率显着更高，并且更有可能患有一种或多种疾病比那些没有这样的历史的人。有身体虐待史的女性（而非男性）终生重度抑郁症和非法药物滥用/依赖的发生率显著高于无此类病史的女性。儿童期性虐待史也与女性所有疾病的发生率较高相关。在男性中，报告遭受性虐待的人的疾病患病率往往较高，但只有与酒精滥用/依赖和一种或多种疾病类别的关联达到统计学显著性。儿童期身体虐待史与终生精神病理学之间的关系在除焦虑症外的所有类别中均因性别而异。虽然没有统计学意义上的，类似的关系被认为是童年的性虐待和终身psychopathology.Conclusions：在童年的虐待史增加了终身psychopathology的可能性，这种关联似乎比男性更强的女性。
Objective: The authors assessed lifetime psychopathology in a general population sample and compared the rates of five psychiatric disorder categories between those who reported a childhood history of either physical or sexual abuse and those who did not.Method: A modified version of the Composite International Diagnostic interview and a self-completed questionnaire on child abuse were administered to a probability sample (N=7,016) of Ontario residents 15 to 64 years of age.Results: Those reporting a history of childhood physical abuse had significantly higher lifetime rates of anxiety disorders, alcohol abuse/dependence, and antisocial behavior and were more likely to have one or more disorders than were those without such a history. Women, but not men, with a history of physical abuse had significantly higher lifetime rates of major depression and illicit drug abuse/dependence than did women with no such history, A history of childhood sexual abuse was also associated with higher rates of all disorders considered in women. In men, the prevalence of disorders tended to be higher among those who reported exposure to sexual abuse, but only the associations with alcohol abuse/dependence and the category of one or more disorders reached statistical significance. The relationship between a childhood history of physical abuse and lifetime psychopathology varied significantly by gender for all categories except for anxiety disorders. Although not statistically significant, a similar relationship was seen between childhood history of sexual abuse and lifetime psychopathology.Conclusions: A history of abuse in childhood increases the likelihood of lifetime psychopathology; this association appears stronger for women than men.