Health Surveillance and Epidemiology Division, Public Health Agency of Canada, 200 Eglantine Driveway, Ottawa, Ontario, Canada.
J Adolesc Health. 2011 May;48(5):493-8. doi: 10.1016/j.jadohealth.2010.08.009. Epub 2010 Nov 17.
To examine five types of child maltreatment and other risk correlates to establish associations with anxiety and/or depression confirmed or suspected in children investigated by child welfare services.
The present study used the data of a subsample of 10-15-year-olds (n = 4,381) investigated by child welfare services across Canada obtained from the Canadian Incidence Study of Reported Child Abuse and Neglect-2003. The analysis took into account the nested structure of the data by considering the variability existing among families and the clustering of siblings within them. Several models were analyzed for the construction of the presented hierarchical model. Striving for parsimony, we included only statistically significant variables in the final model.
The strongest associations were found with child substance abuse, substantiated emotional maltreatment, primary caregiver's mental health problems, and substantiated sexual abuse. Among the child maltreatment variables, substantiated physical abuse and substantiated exposure to domestic violence did not show any statistically significant associations with anxiety and/or depression in the model.
This analysis helped us in understanding child maltreatment and other adverse experiences in childhood that were related to anxiety and/or depression, which can further aid in the development of mental health and child welfare policies and programs.
研究五种类型的儿童虐待以及其他风险因素，以确定与儿童福利服务调查的儿童焦虑和/或抑郁的关联。
本研究使用了 2003 年加拿大报告的儿童虐待和忽视发生率研究-2003 年加拿大儿童福利服务调查的一个亚组（n=4381）10-15 岁儿童的数据。通过考虑家庭之间存在的可变性以及兄弟姐妹之间的聚类，分析考虑了数据的嵌套结构。分析了几个模型来构建呈现的层次模型。为了保持简约，我们只在最终模型中纳入了具有统计学意义的变量。
与儿童物质滥用、经证实的情感虐待、主要照顾者的心理健康问题和经证实的性虐待的关联最强。在儿童虐待变量中，经证实的身体虐待和经证实的家庭暴力暴露与模型中的焦虑和/或抑郁无任何统计学显著关联。
该分析帮助我们理解了与焦虑和/或抑郁相关的儿童虐待和其他不良童年经历，这可以进一步有助于制定心理健康和儿童福利政策和计划。
