Weisbart Cindy E, Thompson Richard, Pelaez-Merrick Melissa, Kim Jeongeun, Wike Traci, Briggs Ernestine, English Diana J, Dubowitz Howard
University of Maryland, Baltimore, MD 21202, USA.
Child Maltreat. 2008 Aug;13(3):235-44. doi: 10.1177/1077559508318392. Epub 2008 May 23.
Little is known about the effects of child versus adult victimization or about the effects of victimization on physical health or social support. Mental and physical health outcomes among 890 female caregivers were examined utilizing data from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). The study examined whether victimized women (compared to nonvictimized women) would endorse higher rates of depression, lower levels of social support, and poorer recent health. Differences between subgroups of victimized women defined by when victimization occurred (child only, adult only, and both child and adult) were also examined. Women with any victimization and women with victimization during both time periods had the worst outcomes. Child-only victimization effects, however, did not differ significantly from adult-only victimization. This study suggests added vulnerability for women victimized during both childhood and adulthood. Clinicians should carefully assess lifetime experiences of victimization; approaches to such assessment should be refined through further research.
关于儿童受侵害与成人受侵害的影响,以及受侵害对身体健康或社会支持的影响,我们知之甚少。利用儿童虐待与忽视纵向研究(LONGSCAN)的数据,对890名女性照料者的心理健康和身体健康状况进行了调查。该研究考察了受侵害女性(与未受侵害女性相比)是否会有更高的抑郁率、更低的社会支持水平以及更差的近期健康状况。同时也考察了根据受侵害时间定义的受侵害女性亚组(仅儿童期受侵害、仅成年期受侵害以及儿童期和成年期均受侵害)之间的差异。有过任何受侵害经历的女性以及在两个时期均受侵害的女性结果最差。然而,仅儿童期受侵害的影响与仅成年期受侵害的影响并无显著差异。这项研究表明,童年期和成年期均受侵害的女性更容易受到伤害。临床医生应仔细评估受侵害的终生经历;此类评估方法应通过进一步研究加以完善。