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童年或青少年期受虐成年人的精神病理学:基于以色列的世界心理健康调查结果

Psychopathology among adults abused during childhood or adolescence: results from the Israel-based World Mental Health Survey.

作者信息

Gal Gilad, Levav Itzhak, Gross Raz

机构信息

Unit of Mental Health Epidemiology and Psychosocial Aspects of Illness, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

J Nerv Ment Dis. 2011 Apr;199(4):222-9. doi: 10.1097/NMD.0b013e31820c7543.

Abstract

Childhood and adolescence abuse is a risk factor for later psychopathology. We examined the association between the age when sexual (SA) and physical (PA) abuse first occurred and mood and anxiety disorders and their respective age of onset, emotional distress, and sleep disturbances. Data were gathered from the Israel-based component of the World Mental Health Survey (N = 4859). Abuse was elicited by direct questions. Psychiatric disorders were diagnosed with the Composite International Diagnostic Interview, emotional distress with the 12-item General Health Questionnaire, and sleep disturbances by self-report. Multivariate analyses indicated an increased risk for psychopathology among subjects who reported childhood SA and PA. SA was associated with lifetime mood (odds ratio [OR] = 1.7) and anxiety (OR = 2.3) disorders; PA with lifetime anxiety disorder (OR = 2.8); and any abuse with increased risk for lifetime mood (OR = 1.7) and 12-month anxiety disorders (OR = 1.8). Earlier onset of SA or PA was associated with increased risk for later psychopathology.

摘要

童年期和青少年期受虐是日后出现精神病理学问题的一个风险因素。我们研究了首次发生性虐待(SA)和身体虐待(PA)的年龄与情绪和焦虑障碍及其各自的发病年龄、情绪困扰和睡眠障碍之间的关联。数据来自世界心理健康调查中以色列部分(N = 4859)。通过直接提问来了解虐待情况。使用复合国际诊断访谈来诊断精神疾病,用12项一般健康问卷来评估情绪困扰,通过自我报告来了解睡眠障碍。多变量分析表明,报告童年期SA和PA的受试者出现精神病理学问题的风险增加。SA与终生情绪障碍(优势比[OR] = 1.7)和焦虑障碍(OR = 2.3)相关;PA与终生焦虑障碍(OR = 2.8)相关;任何形式的虐待都与终生情绪障碍(OR = 1.7)和12个月内焦虑障碍(OR = 1.8)的风险增加相关。SA或PA的发病越早,日后出现精神病理学问题的风险就越高。

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