Department of Psychiatry, University College Hospital, Ibadan, Nigeria.
Br J Psychiatry. 2010 Mar;196(3):186-91. doi: 10.1192/bjp.bp.109.063677.
Adverse childhood experiences have been associated with a variety of mental health problems in adult life.
To examine whether this reported link between childhood experiences and mental health disorders in adult life applies in a Sub-Saharan African setting where cultural and family attributes may be different.
A multistage random sampling was used in the Nigerian Survey of Mental Health and Well-Being (NSMHW) to select respondents for face-to-face interviews. Assessments of family-related adverse childhood experiences and lifetime mental health disorders were conducted with the Composite International Diagnostic Interview (CIDI 3.0).
Almost half of the respondents had experienced an adverse childhood experience within the context of the family before they were 16 years of age. Associations between adverse childhood experiences and adult mental health disorders were few and were attenuated when clustering of adverse childhood experience and disorder comorbidities were accounted for. There was an elevated likelihood of adult substance use disorders among individuals who had experienced family violence and neglect or abuse. Parental psychopathology was associated with a significantly increased risk for developing mood disorders.
Adverse childhood experiences reflecting violence in the family, parental criminality and parental mental illness and substance misuse were more likely to have significant mental health consequences in adulthood.
不良的童年经历与成年后的各种心理健康问题有关。
检验在文化和家庭属性可能不同的撒哈拉以南非洲地区，这种报告的童年经历与成年后精神障碍之间的联系是否存在。
尼日利亚精神健康和幸福感调查（NSMHW）采用多阶段随机抽样方法选择面对面访谈的受访者。使用复合国际诊断访谈（CIDI 3.0）评估与家庭相关的不良童年经历和终身精神障碍。
近一半的受访者在 16 岁之前在家庭环境中经历过不良的童年经历。不良童年经历与成年精神障碍之间的关联很少，当考虑到不良童年经历和障碍共病的聚类时，关联就减弱了。经历过家庭暴力、忽视或虐待的人更有可能患上成年物质使用障碍。父母的精神病理学与发展情绪障碍的风险显著增加有关。
反映家庭中的暴力、父母犯罪和父母精神疾病以及物质滥用的不良童年经历更有可能对成年后的心理健康产生重大影响。
