Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny park, London, SE5 8AF, UK.
Department of Child and Adolescent Psychiatry, Erasmus Medical Centre, Rotterdam, Netherlands.
Child Psychiatry Hum Dev. 2019 Jun;50(3):425-438. doi: 10.1007/s10578-018-0850-4.
Recent approaches have begun to identify common variance across co-occurring childhood adversities (CAs) and their associations with symptoms of psychopathology. However, few studies have investigated these questions in high-risk samples, and in different cultural contexts. This study examined common variance amongst 18 types of CAs and associated symptomatology in 457 children and adolescents living in 24 residential homes in Japan. Principal component analysis identified four significant components that explained 35.1% of the variance: parental abuse, parental psychosocial risks, parental absence, and parental neglect. Path analysis revealed general as well as differential associations with negative outcomes: parental abuse, parental neglect, and parental psychosocial risks significantly associated with conduct problems, whereas parental abuse uniquely associated with peer problems, and parental neglect with hyperactivity/inattention. As well as confirming prior knowledge, these findings also extended understanding of these associations to a new cultural context. Future studies should take into account the multidimensional nature when assessing CAs.
最近的研究方法开始识别同时发生的儿童逆境(CA)的共同方差及其与精神病理学症状的关联。然而,很少有研究在高风险样本和不同的文化背景下探讨这些问题。本研究在日本 24 个收容所的 457 名儿童和青少年中,调查了 18 种 CA 类型及其相关症状的共同方差。主成分分析确定了四个显著的成分,解释了 35.1%的方差:父母虐待、父母心理社会风险、父母缺失和父母忽视。路径分析显示了与负面结果的一般和差异关联:父母虐待、父母忽视和父母心理社会风险与行为问题显著相关,而父母虐待与同伴问题独特相关,父母忽视与多动/注意力不集中相关。这些发现除了证实了先前的知识外,还将对这些关联的理解扩展到了一个新的文化背景。未来的研究在评估 CA 时应考虑到多维性质。