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儿童和青少年受虐待的心理病理学后果:GxE 文献的系统综述。

Psychopathological consequences of maltreatment among children and adolescents: A systematic review of the GxE literature.

机构信息

Faculty of Psychology, Vita-Salute San Raffaele University, Milan, Italy.

Faculty of Psychology, Sigmund Freud University, Milan, Italy.

出版信息

Res Dev Disabil. 2018 Nov;82:53-66. doi: 10.1016/j.ridd.2018.06.005. Epub 2018 Jun 20.

Abstract

BACKGROUND

In the last years, several studies focused on the role of Gene-Environment interactions (GxE) in influencing psychopathological outcomes among maltreated children and adolescents. These studies analysed the effect of different genetic variations.

AIMS

The aim of the present review is to provide an overview of studies investigating GxE effects among maltreated children and adolescents.

METHODS AND PROCEDURES

A systematic literature review was performed by using the following keywords: "Child maltreatment" and "GxE", "Child maltreatment" and "Psychopathology", "Gene-Environment interaction", "Gene-environment correlation", "GxE and psychopathology", "Childhood trauma" and "Psychiatric symptoms", "Early adverse life events", "Early life stress", "Antisocial behaviour", "Depression", "Internalizing symptoms", through the following electronic databases: PubMed, Scopus and PsycINFO, from 2006 to 2017, finding a total of 31 papers.

OUTCOMES AND RESULTS

The present review confirm that maltreatment produces worse psychopathological outcomes (antisocial behaviour, depression, and other psychiatric traits) in subjects with a specific genetic vulnerability.

CONCLUSIONS AND IMPLICATIONS

Comprehending the pathways from child maltreatment to psychopathology in their full complexity will be essential to build efficacious preventive and therapeutic protocols.

摘要

背景

在过去的几年中,有几项研究集中在基因-环境相互作用(GxE)对受虐待儿童和青少年的心理病理结果的影响。这些研究分析了不同遗传变异的影响。

目的

本综述的目的是提供一个对受虐待儿童和青少年中 GxE 效应进行研究的概述。

方法和程序

通过使用以下关键词进行了系统的文献综述:“儿童虐待”和“GxE”、“儿童虐待”和“精神病理学”、“基因-环境相互作用”、“基因-环境相关”、“GxE 和精神病理学”、“童年创伤”和“精神症状”、“早期不利生活事件”、“早期生活压力”、“反社会行为”、“抑郁”、“内化症状”,通过以下电子数据库:PubMed、Scopus 和 PsycINFO,从 2006 年到 2017 年,共找到 31 篇论文。

结果和结论

本综述证实,在具有特定遗传易感性的受试者中,虐待会导致更严重的心理病理结果(反社会行为、抑郁和其他精神特征)。

结论和意义

理解从儿童虐待到精神病理学的完整复杂性的途径,对于制定有效的预防和治疗方案至关重要。

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