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童年期虐待和忽视与中年期身体健康:前瞻性纵向证据。

Childhood abuse and neglect and physical health at midlife: Prospective, longitudinal evidence.

机构信息

University of Minnesota.

Northwestern University.

出版信息

Dev Psychopathol. 2017 Dec;29(5):1935-1946. doi: 10.1017/S095457941700150X.

DOI:10.1017/S095457941700150X
PMID:29162194
Abstract

Previous research suggests that the experience of abuse and neglect in childhood has negative implications for physical health in adulthood. Using data from the Minnesota Longitudinal Study of Risk and Adaptation (N = 115), the present research examined the predictive significance of childhood physical abuse, sexual abuse, and physical/cognitive neglect for multilevel assessments of physical health at midlife (age 37-39 years), including biomarkers of cardiometabolic risk, self-reports of quality of health, and a number of health problems. Analyses revealed that childhood physical/cognitive neglect, but not physical or sexual abuse, predicted all three health outcomes in middle adulthood, even when controlling for demographic risk factors and adult health maintenance behaviors. We discuss possible explanations for the unique significance of neglect in this study and suggest future research that could clarify previous findings regarding the differential impact of different types of abuse and neglect on adult health.

摘要

先前的研究表明,儿童时期遭受虐待和忽视会对成年后的身体健康产生负面影响。本研究利用明尼苏达风险与适应纵向研究(N=115)的数据,考察了童年期身体虐待、性虐待和身体/认知忽视对中年(37-39 岁)身体健康的多层次评估的预测意义,包括心血管代谢风险的生物标志物、健康自评以及许多健康问题。分析结果显示,童年期身体/认知忽视,而不是身体或性虐待,可预测成年中期的所有三种健康结果,即使在控制人口统计学风险因素和成年期健康维护行为后也是如此。我们讨论了忽视在本研究中具有独特意义的可能解释,并提出了未来的研究,以澄清先前关于不同类型的虐待和忽视对成年健康的不同影响的发现。

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