Adverse childhood experiences and their relationship to gender and depression among young adults in Iraq: a cross-sectional study
Adverse childhood experiences and their relationship to gender and depression among young adults in Iraq: a cross-sectional study
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DOI：
10.1186/s12889-019-7957-9
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发表时间：
2019-12-16
影响因子：
4.5
通讯作者：
Altaha, Mahasin A.
中科院分区：
文献类型：
--
作者：
Al Shawi, Ameel F.;Sarhan, Yassen T.;Altaha, Mahasin A.
背景：不良童年经历（ACE）被认为是普遍的公共卫生问题，与成年期间的精神障碍和危险行为有关。本文的目的是估计伊拉克年轻人中不良童年经历 (ACE) 的患病率，以及估计 ACE 与抑郁症之间的关联。 方法：从伊拉克中部和西部地区（主要来自大学）选取 18-20 岁年轻人的方便样本。不良童年经历是通过不良童年经历问卷来衡量的。抑郁量表源自抑郁、焦虑和压力量表（DASS）。统计检验：卡方用于衡量不良童年经历与性别和抑郁等其他变量之间的关联。计算优势比来估计抑郁症的风险。 P值小于0.05被认为具有统计学意义。 结果：参与者总数为401人，其中38.9%的受试者为男性，61.1%为女性。参与者的平均年龄为 18.88 +/- 0.745。结果显示，受试者中最常见的 ACE 形式是身体忽视（19.8%）和情感忽视（19.2%），其次是身体虐待（17.21%），性虐待为 7.52%。大多数不良童年经历，特别是情感虐待、情感忽视、身体虐待和身体忽视与抑郁之间存在统计学上显着的关联。结论：ACE 在伊拉克年轻人中并不罕见，并且与成年后的抑郁有关。可能有必要制定支持心理健康康复的国家计划，以减少 ACE 对伊拉克人民的影响，尤其是对青少年和年轻人的影响。
Background: Adverse childhood experiences (ACEs) are considered as universal public health problem that associate with mental disorders and risky behaviors during adulthood. The aims of the paper are to estimate the prevalence of Adverse childhood experiences (ACEs) among young adults in Iraq as well as to estimate the association between ACEs and depression.Methods: A convenience sample of young adults of 18-20 years was chosen from centre and west of Iraq, mainly from universities. The adverse childhood experiences were measured by Adverse Childhood Experiences Questionnaire. A depression scale was derived from the Depression, Anxiety and Stress Scales (DASS). Statistical tests: chi square was used to measure the association between adverse childhood experiences and other variables like gender and depression. Odds ratios were computed to estimate the risk for depression. A P value of less than 0.05 was considered statistically significant.Results: The total number of participants was 401, 38.9% of the subjects were men, while 61.1% were women. The mean age of the participants was 18.88 +/- 0.745. The results revealed that the most common forms of ACEs among the subjects were physical neglect (19.8%) and emotional neglect (19.2%) followed by physical abuse (17.21%) while sexual abuse was 7.52%.There was statistically significant association between most forms of adverse childhood experiences especially emotional abuse, emotional neglect, physical abuse and physical neglect with depression.Conclusion: ACEs are not uncommon among young adults in Iraq and are associated with depression in adulthood. National programmes to support mental health rehabilitation might be necessary to reduce the effect of ACEs among Iraqi people, especially for adolescents and young adults.