Depressive symptoms among physically abused and psychiatrically disturbed children.
Depressive symptoms among physically abused and psychiatrically disturbed children.
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遭受身体虐待和精神失常的儿童的抑郁症状。
DOI：
10.1037//0021-843x.94.3.298
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发表时间：
1985
影响因子：
4.6
通讯作者：
Bell,R
中科院分区：
文献类型：
--
作者：
Kazdin,AE;Moser,J;Colbus,D;Bell,R
本研究探讨了79名儿童精神病住院患者（6至13岁）的身体虐待和抑郁症状的关系。儿童抑郁症，绝望和自尊进行了评估，通过问卷调查或访谈措施管理的儿童。母亲们还完成了评估其子女功能障碍的措施。正如所预测的那样，身体虐待的儿童，与非身体虐待的病人对照组相比，表现出显着较低的自尊和更大的抑郁和对他们的未来的负面预期。在受虐待的儿童中，那些过去和现在都受到虐待的儿童表现出更严重的抑郁症状，而那些过去或现在都受到虐待的儿童则表现出更严重的抑郁症状。受虐待儿童和非受虐待儿童之间抑郁症状的差异不能用儿童精神病诊断、年龄、种族、性别、智商或精神病理学严重程度或父母精神病诊断、婚姻或社会经济状况的差异来解释。结果表明，身体虐待，至少对精神病患者样本来说，与抑郁症状有关。这种关系的可能基础和这些发现的治疗意义进行了简要讨论。
The present investigation examined the relation of physical abuse and depressive symptoms among 79 child psychiatric inpatients (ages 6 to 13). Childhood depression, hopelessness, and self-esteem were assessed through questionnaire or interview measures administered to the children. Mothers also completed measures to evaluate their children's dysfunction. As predicted, physically abused children, compared to nonphysically abused patient control subjects, evinced significantly lower self-esteem and greater depression and negative expectations toward their futures. Among abused children, those with both past and current abuse showed more severe symptoms of depression that did those with either past or current abuse only. The differences in depressive symptoms between abused and nonabused children could not be accounted for by differences in child psychiatric diagnosis, age, race, gender, IQ, or severity of psychopathology or parent psychiatric diagnoses, marital, or socioeconomic status. The results suggest that physical abuse, at least for a psychiatric patient sample, is related to symptoms of depression. The possible basis for this relation and the treatment implications of these findings are briefly discussed.