Institute of Psychiatry, King's College London, De Crespigny Park, London, SE5 8AF, UK.
Soc Psychiatry Psychiatr Epidemiol. 2012 Oct;47(10):1581-90. doi: 10.1007/s00127-011-0464-7. Epub 2011 Dec 28.
To establish the prevalence of victimisation in a UK population-based sample and to investigate the association between mental disorder and victimisation in both cross-sectional and prospective manner, whilst adjusting for potential confounds.
Data from the National Child Development Study (NCDS) were used to examine criminal victimisation, violent victimisation, and mental disorder at age 46 yerars, and also to measure history of mental disorder, when cohort members were aged 23, 33 and 42 years. Variables considered to be potential confounders or mediators of the association, including socio-economic status, family income, financial strain, education, housing ownership status, heavy drinking and gender, all measured at age 46 years, were considered in multivariate analyses.
The prevalence of criminal victimisation amongst cohort members in the 12 months preceding interview was 15%; 2.2% of the participants reported experiencing violent victimisation in the past year. Mental disorder at age 46 was significantly associated with criminal and violent victimisation, even after adjusting for potential confounds. A prior history of mental disorder was found to be a robust predictor of criminal and violent victimisation.
This study provides evidence that those with a mental disorder are at elevated risk of victimisation, including violent victimisation. That such an association might reflect an underlying causal relationship is further supported by the confirmation that the association holds true when mental disorder is measured well before the assessment of victimisation risk, and that it persists despite adjustment for a number of potential confounding factors.
在英国基于人群的样本中确定受害的流行率,并以横断面和前瞻性的方式调查精神障碍与受害之间的关联,同时调整潜在的混杂因素。
利用国家儿童发展研究(NCDS)的数据,检查了犯罪受害、暴力受害以及 46 岁时的精神障碍,同时还测量了队列成员 23、33 和 42 岁时的精神障碍病史。在多变量分析中考虑了一些被认为是关联的潜在混杂因素或中介因素,包括社会经济地位、家庭收入、经济压力、教育、住房拥有状况、大量饮酒和性别,这些因素均在 46 岁时进行了测量。
在接受访谈前 12 个月内,队列成员的犯罪受害率为 15%;2.2%的参与者报告在过去一年中经历过暴力受害。即使在调整了潜在混杂因素后,46 岁时的精神障碍与犯罪和暴力受害显著相关。先前存在的精神障碍病史是犯罪和暴力受害的有力预测因素。
本研究提供了证据表明,患有精神障碍的人受害风险升高,包括暴力受害。这种关联可能反映了潜在的因果关系,这进一步得到了证实,即当精神障碍在评估受害风险之前很久就被测量时,这种关联仍然成立,并且即使在调整了许多潜在的混杂因素后,这种关联仍然存在。