Hooven Carole, Nurius Paula S, Logan-Greene Patricia, Thompson Elaine A
Department of Psychosocial and Community Health, University of Washington, Box 357263, Seattle, WA 98195-8732, USA.
J Fam Violence. 2012 Aug 1;27(6):511-522. doi: 10.1007/s10896-012-9438-0.
Childhood exposure to violence and victimization is a significant public health problem, with potentially long-lasting, deleterious effects on adult mental health. Using a longitudinal study design, 123 young adults-identified in adolescence as at-risk for high school dropout-were examined for the effects of multi-domain childhood victimization on emotional distress and suicide risk, net of adolescent risk and protective factors, including family dysfunction. The hypothesis that higher levels of cumulative childhood victimization would be significantly associated with mental health maladjustment in young adulthood was confirmed by the analysis. However, the victimization predictors of adult emotional distress were different than the predictors of adult suicide risk. These findings indicate the need for prevention and intervention approaches that include thorough assessment, and focus on the childhood and adolescent problem areas that are most consequential for long-term psychological well-being.
童年时期遭受暴力和侵害是一个重大的公共卫生问题，可能对成年后的心理健康产生长期的有害影响。采用纵向研究设计，对123名在青少年时期被认定有高中辍学风险的年轻人进行了研究，考察了多领域童年期受侵害经历对情绪困扰和自杀风险的影响，同时考虑了青少年风险和保护因素，包括家庭功能失调。分析证实了这样的假设：童年期累积受侵害程度较高与成年后的心理健康失调显著相关。然而，成年期情绪困扰的受侵害预测因素与成年期自杀风险的预测因素不同。这些发现表明，需要采取预防和干预措施，包括进行全面评估，并关注对长期心理健康最为关键的童年和青少年问题领域。
