Childhood maltreatment: A predictor of mental health problems among adolescents and young adults
Childhood maltreatment: A predictor of mental health problems among adolescents and young adults
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DOI：
10.1016/j.chiabu.2018.03.011
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发表时间：
2018-06-01
影响因子：
4.8
通讯作者：
Al-Rashidi, Dana
中科院分区：
文献类型：
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作者：
Badr, Hanan E.;Naser, Jumana;Al-Rashidi, Dana
虐待儿童是对心理健康产生有害影响的一个风险因素，这种影响可能延续到成年。本研究旨在探讨儿童受虐经历、社会人口学因素与学生心理健康状况及自尊的关系。一项横断面研究招募了来自科威特大学的1270名学生作为代表性样本。采用匿名自填问卷，包括学生的社会人口学特征、儿童时期身体和/或情感虐待史、DASS-21评估心理健康状况和Rosenberg自尊量表。采用卡方检验和二元logistic回归模型。研究发现，在参与者中，分别有49.6%（95% CI: 64.8%-52.4%）、63.0%（95% CI: 60.3%-65.7%）和43.8%（95% CI: 41.1%-46.6%）报告有抑郁、焦虑和压力。此外，分别有22.5%（95% CI: 20.1%-24.8%）和18.6%（95% CI:16.5%-20.9%）报告儿童时期遭受身体和情感虐待；而12.7%的人认为两者都有。多变量分析显示，童年时期遭受身体和情感虐待是报告抑郁和焦虑的独立因素；而只暴露于情感虐待会导致报告压力。性别、平均绩点、童年在私立/公立学校的入学情况、亲密朋友的数量是导致心理健康问题的其他因素。自尊的中位数得分为17/ 30，在校正其他混杂因素后，只有童年时期的情绪虐待是低自尊的显著预测因子。心理健康问题以及童年时期遭受身体和情感虐待的现象在大学生中相对较高。儿童期身体虐待和情感虐待是青少年和青壮年心理健康问题的独立预测因子。童年经历情感虐待预示着低自尊。建议进一步研究评估与儿童虐待有关的文化因素。
Child maltreatment is a risk factor for detrimental effects on mental health that may extend to adulthood. This study aimed to examine the association between exposure to childhood maltreatment, socio-demographic factors, and students' mental health status and self-esteem. A cross-sectional study enrolled a representative sample of 1270 students from Kuwait University. An anonymous self-administered questionnaire included students' socio-demographic characteristics, history of exposure to childhood physical and/or emotional maltreatment, DASS-21 to assess mental health status, and Rosenberg self-esteem scale was used. Chi-square test and binary logistic regression models were applied. The study found that among participants, 49.6%(95% CI: 64.8%-52.4%), 63.0%(95% CI: 60.3%-65.7%), and 43.8%(95% CI: 41.1%-46.6%) reported having depression, anxiety, and stress respectively. Moreover, 22.5%(95% CI: 20.1%-24.8%) and 18.6%(95% CI:16.5%-20.9%) reported childhood physical and emotional maltreatment, respectively; while 12.7% reported both. Multivariate analysis revealed that experiencing childhood physical and emotional maltreatment were independent contributors to reporting depression and anxiety; while exposure to only emotional maltreatment contributed to reporting stress. Gender, GPA, childhood enrollment in private/public schools, number of close friends, were other contributors to mental health problems. Participants' median score of self-esteem was 17/ 30, and only childhood emotional maltreatment was a significant predictor to low self-esteem after adjustment for other confounders. Mental health problems, and experiencing childhood physical and emotional maltreatment were prevalent relatively high among university students. Childhood corporal and emotional maltreatment were independent predictors to adolescents and young adults' mental health problems. Experiencing childhood emotional maltreatment predicted low self-esteem. Further research to assess culture factors associated with childhood maltreatment is recommended.