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墨西哥样本中家庭暴力暴露情况及儿童创伤后应激障碍的相关风险因素

Family violence exposure and associated risk factors for child PTSD in a Mexican sample.

作者信息

Erolin Kara S, Wieling Elizabeth, Parra R Elizabeth Aguilar

机构信息

Department of Family Social Science, University of Minnesota, 290 McNeal Hall, 1985 Buford Circle, St. Paul, MN 55108, USA.

Centro de Investigacíon Familiar, A.C., Monterrey, NL, Mexico.

出版信息

Child Abuse Negl. 2014 Jun;38(6):1011-22. doi: 10.1016/j.chiabu.2014.04.011. Epub 2014 May 20.

Abstract

This study was undertaken in an effort to help illuminate the deleterious effects of traumatic stress on children and families in Mexico. Rates of exposure to traumatic events, family and community violence, and posttraumatic stress disorder (PTSD) were investigated in 87 school-age children and their mothers. Binary logistic regression analysis was performed to examine potential family and ecological risk factors for the presence of child PTSD. A total of 51 children (58.6%) reported an event that met the DSM-IV A criteria, and 36 children (41.4%; 20 boys and 16 girls) met criteria for full PTSD. Traumatic exposure in this sample was considerable, particularly intense, and chronic as a result of interpersonal violence in the home and community. Results support the need for preventive systemic interventions targeting the individual level, parent-child dyadic level, and the larger cultural and community context.

摘要

本研究旨在帮助阐明创伤应激对墨西哥儿童及其家庭的有害影响。对87名学龄儿童及其母亲进行了创伤事件暴露率、家庭和社区暴力以及创伤后应激障碍(PTSD)的调查。采用二元逻辑回归分析来检验儿童PTSD存在的潜在家庭和生态风险因素。共有51名儿童(58.6%)报告了符合《精神疾病诊断与统计手册》第四版A标准的事件,36名儿童(41.4%;20名男孩和16名女孩)符合完全PTSD的标准。由于家庭和社区中的人际暴力,该样本中的创伤暴露相当严重,尤其是强烈且长期的。结果支持需要针对个体层面、亲子二元层面以及更大的文化和社区背景进行预防性系统干预。

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