Nucleo de Epidemiologia Psiquiatrica (LIM-23), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil; Departamento de Psiquiatria, Faculdade de Medicina (FMUSP), Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Nucleo de Epidemiologia Psiquiatrica (LIM-23), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Psychiatry Res. 2018 Dec;270:348-356. doi: 10.1016/j.psychres.2018.09.059. Epub 2018 Sep 26.
The objective of present study is to investigate the relationship between different childhood adversities. The potential impact of early adversity on prevention programs is discussed. Data on twelve childhood adversities was collected from a representative sample of 5037 members of the general population living in a large metropolitan area. Data were analyzed through network analysis, to estimate and compare network connectivity and centrality measures by gender. Over half the respondents had been exposed to at least one adversity during their earlier developmental stage. Among adversity-exposed persons, 48.4% presented simultaneous adversities, most of which were related to 'family dysfunction' and 'maltreatment' (mean = 2.9 adversities). Women reported more adversities than men (59.0% vs. 47.6%). Although the 'global' network connectivity across adversities was similar in both genders, 'regional' distinctions in the network structure were found. While 'neglect' and 'parental death' were more important for women than men, 'parental mental disorders' was more important for men. Gender-related childhood adversities were clustered experiences. Adversities related to 'early family dysfunction' and 'maltreatment' were prominent features in the networks of both boys and girls. Differential preventive and intervention programs should take into account gender-related patterns of exposure and reporting patterns of early adversity.
本研究旨在探讨不同童年逆境之间的关系。讨论了早期逆境对预防计划的潜在影响。从生活在一个大都市区的 5037 名普通人群的代表性样本中收集了关于 12 种童年逆境的数据。通过网络分析对数据进行了分析，以估计和比较按性别划分的网络连接和中心度测量值。超过一半的受访者在早期发育阶段至少经历过一种逆境。在经历逆境的人中，有 48.4%的人同时面临多种逆境，其中大多数与“家庭功能障碍”和“虐待”有关（平均值= 2.9 种逆境）。女性报告的逆境比男性多（59.0%比 47.6%）。尽管两性的“整体”逆境网络连接相似，但发现网络结构存在“区域”差异。虽然“忽视”和“父母死亡”对女性比男性更为重要，但“父母精神障碍”对男性更为重要。与性别相关的儿童逆境是集群体验。与“早期家庭功能障碍”和“虐待”有关的逆境是男孩和女孩网络中的突出特征。有必要制定有针对性的预防和干预计划，以考虑到与性别相关的暴露模式和早期逆境的报告模式。
