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寻求帮助的城市女性的心理健康:童年不良经历、性虐待与自杀倾向之间的关系。

Mental Health Among Help-Seeking Urban Women: The Relationships Between Adverse Childhood Experiences, Sexual Abuse, and Suicidality.

作者信息

Hamdullahpur Kevin, Jacobs Kahá Wi J, Gill Kathryn J

机构信息

1 McGill University, Montreal, Quebec, Canada.

出版信息

Violence Against Women. 2018 Dec;24(16):1967-1981. doi: 10.1177/1077801218761602. Epub 2018 Mar 26.

DOI:10.1177/1077801218761602
PMID:29575973
Abstract

Adverse childhood experiences (ACEs) and adult mental health were explored in a sample of urban Aboriginal ( n = 83) and non-Aboriginal ( n = 89) women. Childhood sexual abuse (CSA) was associated with negative home environments, teenage pregnancy, lifetime suicide attempts, and treatment seeking. Aboriginal women with CSA witnessed higher levels of physical/sexual abuse of family members. The severity of current psychological distress was associated with a history of childhood neglect. The results indicate that CSA rarely occurs in isolation, and that multiple ACEs are strongly associated with suicide attempts and treatment seeking in adulthood. Future studies should focus on the role of CSA in suicidality, as well as familial, community, and cultural protective factors.

摘要

在一组城市原住民(n = 83)和非原住民(n = 89)女性样本中,对童年不良经历(ACEs)与成人心理健康进行了探究。童年期性虐待(CSA)与不良家庭环境、少女怀孕、终生自杀未遂及寻求治疗相关。有童年期性虐待经历的原住民女性目睹家庭成员遭受更高程度的身体/性虐待。当前心理困扰的严重程度与童年期忽视史相关。结果表明,童年期性虐待很少单独发生,多种童年不良经历与成年期自杀未遂及寻求治疗密切相关。未来研究应聚焦于童年期性虐待在自杀倾向中的作用,以及家庭、社区和文化方面的保护因素。

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