Childhood sexual and physical abuse and the 1-year prevalence of medical problems in the national comorbidity survey
Childhood sexual and physical abuse and the 1-year prevalence of medical problems in the national comorbidity survey
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DOI：
10.1037/0278-6133.24.1.32
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发表时间：
2005-01-01
影响因子：
4.2
通讯作者：
Arnow, B
中科院分区：
文献类型：
--
作者：
Sachs-Ericsson, N;Blazer, D;Arnow, B
在人口样本中（N = 5,877，年龄在15岁至54岁之间），作者发现儿童时期的性虐待和身体虐待与1年内男性和女性出现严重健康问题的普遍程度有关。作者还发现，参与者的精神疾病在一定程度上介导了身体虐待和性虐待对成人健康的影响。然而，在作者控制了精神疾病之后，童年虐待继续独立地影响健康状况。与预期相反，同时遭受性虐待和身体虐待的人出现健康问题的频率并不比单独遭受任何一种虐待的人高。讨论了这些发现的含义，包括可能解释儿童虐待与成人健康问题之间关联的机制。
In a population sample (N = 5,877; ages 15 to 54), the authors found childhood sexual and physical abuse to be associated with the 1-year prevalence of serious health problems for both men and women. The authors also found that participants' psychiatric disorders partially mediated the effects of physical and sexual abuse on adult health. However, childhood abuse continued to independently influence health status after the authors controlled for psychiatric disorders. Contrary to expectations, individuals who experienced a combination of sexual and physical abuse did not have a higher frequency of health problems than those who experienced either type of abuse alone. Implications for these findings are discussed, including possible mechanisms that may account for the association between childhood abuse and adult health problems.