Gong C, Fang J, Shan J, Duan X N, Hu J J, Chen H R, Zhang J J, Wan Y H, Sun Y
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.
Bengbu Gaoxin Experimental School, Bengbu 233000, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Sep 10;39(9):1184-1187. doi: 10.3760/cma.j.issn.0254-6450.2018.09.008.
To evaluate the prospective association between childhood abuse experiences and depressive symptoms in adolescence. Students in grade 3 and 4 from three primary schools were selected, with informed consent, through convenience cluster sampling in Bengbu, Anhui province in May 2013. The students' body height, weight were assessed. Childhood abuse experiences including emotional, physical or sexual abuses, as well as depressive symptoms were reported by children themselves. Data on parental educational background and household economic status were collected through parent questionnaire. A follow up was conducted 4 years later after baseline survey. Depressive symptoms were evaluated by using Children's Depression Inventory at baseline survey, and by using Mood and Feeling Questionnaire at follow-up. Logistic regression model was used to analyze the relationship between childhood abuse experiences and depressive symptoms in adolescence. A total of 1 172 students were included in baseline survey, and a follow-up was conducted for 87.1 of them (=1 021). Among 1 126 students with complete information on childhood abuse experiences at baseline survey, the reported rates of physical, emotional and sexual abuses were 12.8 (144/1 126), 11.1 (125/1 126) and 10.9 (123/1 126), respectively. The prevalence of depressive symptoms at baseline survey and follow-up was 7.0 (82/1 172) and 12.3 (126/1 021), respectively. After adjusted for baseline depressive symptoms, age at follow-up, sex, the only-child in family, household economic status, divorce of parents and BMI, childhood emotional and physical abuse experiences were significant risk factors for depressive symptoms in mid-adolescence, with the s were 1.86 (95: 1.03-3.36, =0.039) and 2.37 (95: 1.39-4.03, =0.001), respectively. Childhood physical and emotional abuse might increase the risk of depressive symptoms in adolescence.
评估童年期虐待经历与青少年抑郁症状之间的前瞻性关联。2013年5月，通过便利整群抽样，在安徽省蚌埠市选取了三所小学三、四年级的学生，并获得了他们的知情同意。对学生的身高、体重进行了评估。童年期虐待经历包括情感虐待、身体虐待或性虐待，由儿童自己报告，抑郁症状也由儿童自己报告。通过家长问卷收集了父母教育背景和家庭经济状况的数据。在基线调查4年后进行了随访。在基线调查时使用儿童抑郁量表评估抑郁症状，在随访时使用情绪与感受问卷评估抑郁症状。采用逻辑回归模型分析童年期虐待经历与青少年抑郁症状之间的关系。共有1172名学生纳入基线调查，其中87.1%（=1021名）进行了随访。在基线调查时有童年期虐待经历完整信息的1126名学生中，身体虐待、情感虐待和性虐待的报告率分别为12.8%（144/1126）、11.1%（125/1126）和10.9%（123/1126）。基线调查和随访时抑郁症状的患病率分别为7.0%（82/1172）和12.3%（126/1021）。在调整了基线抑郁症状、随访时年龄、性别、独生子女、家庭经济状况、父母离异和体重指数后，童年期情感和身体虐待经历是青少年中期抑郁症状的显著危险因素，比值比分别为1.86（95%置信区间：1.03 - 3.36，P = 0.039）和2.37（95%置信区间：1.39 - 4.03，P = 0.001）。童年期身体和情感虐待可能会增加青少年抑郁症状的风险。
