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早期逆境与注意力缺陷多动障碍之间的关系。

The relationship between early adversities and attention-deficit/hyperactivity disorder.

作者信息

Fuller-Thomson Esme, Lewis Danielle A

机构信息

Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St. W., Toronto, ON, Canada M5S 1A1.

出版信息

Child Abuse Negl. 2015 Sep;47:94-101. doi: 10.1016/j.chiabu.2015.03.005. Epub 2015 Apr 15.

Abstract

This study examined whether retrospectively reported childhood physical abuse, childhood sexual abuse and/or exposure to parental domestic violence were associated with self-report of a health-professional diagnosis of attention-deficit/hyperactivity disorder (ADHD) among adults. We analyzed nationally representative data from the 2012 Canadian Community Health Survey-Mental Health using gender-specific bivariate and logistic regression analyses (n=10,496 men; n=12,877 women). For both men and women, childhood physical abuse was associated with significantly higher odds of reporting ADHD (men odds ratio [OR]=1.66, p<.001; women OR=1.95, p<.001). For both genders, childhood sexual abuse was also significantly related to higher odds of ADHD (men OR=2.57, p<.001; women OR=2.55, p<.001); however, exposure to parental domestic violence was only associated with elevated odds of ADHD among women (men OR=0.89, p=.60; women OR=1.54, p=.03). The results demonstrate a link between childhood physical and sexual abuse and ADHD for both men and women. Future prospective studies are required to further understand this interesting relationship.

摘要

本研究调查了成年人中,回顾性报告的童年期身体虐待、童年期性虐待和/或遭受父母家庭暴力经历,是否与卫生专业人员诊断的注意力缺陷多动障碍(ADHD)的自我报告相关。我们使用特定性别的双变量和逻辑回归分析,分析了2012年加拿大社区健康调查-心理健康的全国代表性数据(男性n = 10,496;女性n = 12,877)。对于男性和女性而言,童年期身体虐待与报告患ADHD的几率显著较高相关(男性优势比[OR]=1.66,p<.001;女性OR=1.95,p<.001)。对于两性来说,童年期性虐待也与患ADHD的较高几率显著相关(男性OR=2.57,p<.001;女性OR=2.55,p<.001);然而,遭受父母家庭暴力仅与女性患ADHD的几率升高相关(男性OR=0.89,p=.60;女性OR=1.54,p=.03)。结果表明,童年期身体虐待和性虐待与男性和女性的ADHD之间存在联系。需要未来的前瞻性研究来进一步了解这种有趣的关系。

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