泰国年轻人群体中的虐待经历与心理健康：一项初步调查
The experience of abuse and mental health in the young Thai population A preliminary survey.
作者信息
Jirapramukpitak Tawanchai, Prince Martin, Harpham Trudy
机构信息
Postgraduate Studies Office, Thammasat University, Paholyothin Road, Klong Luang, Pathumthani, 12120, Thailand.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2005 Dec;40(12):955-63. doi: 10.1007/s00127-005-0983-1. Epub 2005 Nov 24.
OBJECTIVES
The aims of this study were to examine the prevalence of child abuse exposure among Thai people in a suburban community and to describe the association of abuse experiences with common mental disorders (CMD), alcohol use disorders and substance use.
METHODS
A population-based cross-sectional survey was conducted in Northern Bangkok on a representative sample of 202 young residents, aged 16-25 years.
RESULTS
Thirty eight percent of the respondents reported experiencing some form of abuse during childhood, with 5.8% having been subjected to sexual penetration, 11.7% having been physically abused and 31.8% emotionally abused. A graded relationship was found between the extent of exposure to abuse during childhood and mental problems. After controlling for potential confounders, CMD remained significantly associated with emotional abuse, and alcohol use disorders remained associated with sexual abuse. Strong but non-significant trends were present for associations between CMD and sexual abuse and all forms of abuse with substance use.
CONCLUSION
Child abuse experiences were common among the respondents. Childhood abuse, particularly sexual abuse, has a potentially devastating impact on adult mental health.
目的
本研究旨在调查泰国城郊社区居民中儿童期遭受虐待的情况，并描述虐待经历与常见精神障碍（CMD）、酒精使用障碍及物质使用之间的关联。
方法
在曼谷北部对202名年龄在16 - 25岁的年轻居民代表性样本进行了一项基于人群的横断面调查。
结果
38%的受访者报告在童年时期经历过某种形式的虐待，其中5.8%遭受过性侵犯，11.7%遭受过身体虐待，31.8%遭受过情感虐待。童年期受虐待程度与心理问题之间存在分级关系。在控制了潜在混杂因素后，CMD仍与情感虐待显著相关，酒精使用障碍仍与性虐待相关。CMD与性虐待以及所有形式的虐待与物质使用之间存在强烈但不显著的关联趋势。
结论
受访者中儿童期受虐待经历很常见。童年期虐待，尤其是性虐待，对成年后的心理健康有潜在的毁灭性影响。
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