Roos Leslie E, Afifi Tracie O, Martin Christina Gamache, Pietrzak Robert H, Tsai Jack, Sareen Jitender
Department of Psychology, University of Oregon.
Department of Psychiatry, University of Manitoba.
Am J Orthopsychiatry. 2016;86(5):584-93. doi: 10.1037/ort0000144. Epub 2016 Apr 14.
Ecologically valid typologies of adverse child experiences (ACEs) were identified to investigate the link between ACEs and adult incarceration. In a nationally representative sample (N = 34,653, age 20+), latent class analysis (LCA) was conducted with childhood maltreatment (physical, sexual, and emotional abuse, interpersonal violence [IPV] exposure, physical neglect) and caregiver maladjustment (substance use, incarceration, mental illness, and suicidal behavior) indicators. LCA identified a 5-typology model (1. ; 2. ; 3. ; 4. ; and 5. ). Controlling for sociodemographics and substance use problems, logistic regression analyses determined that, compared with the typology, all typologies (except ) had elevated incarceration risk (adjusted odds ratios: 1.76–4.18). Maltreatment experiences were more predictive of incarceration for women versus men. Childhood maltreatment confers risk for incarceration beyond established risk factors, but caregiver maladjustment, alone, does not. Preventative efforts should focus on understanding and targeting pathways to delinquency for individuals with childhood maltreatment.
确定了具有生态学效度的不良儿童经历(ACEs)类型,以研究ACEs与成人监禁之间的联系。在一个具有全国代表性的样本(N = 34,653,年龄20岁以上)中,对儿童期虐待(身体虐待、性虐待、情感虐待、人际暴力[IPV]暴露、身体忽视)和照顾者适应不良(物质使用、监禁、精神疾病和自杀行为)指标进行了潜在类别分析(LCA)。LCA确定了一个5类型模型(1. ;2. ;3. ;4. ;和5. )。在控制社会人口统计学和物质使用问题后,逻辑回归分析确定,与该类型相比,所有类型(除 外)的监禁风险均有所升高(调整后的优势比:1.76 - 4.18)。与男性相比,虐待经历对女性监禁的预测性更强。儿童期虐待会带来超出既定风险因素的监禁风险,但照顾者适应不良本身并不会。预防措施应侧重于了解和针对有儿童期虐待经历的个体的犯罪途径。