Dias Aida, Sales Luísa, Mooren Trudy, Mota-Cardoso Rui, Kleber Rolf
Utrecht University, The Netherlands.
Universidade de Coimbra, Portugal.
Int J Clin Health Psychol. 2017 May-Aug;17(2):97-106. doi: 10.1016/j.ijchp.2017.03.003. Epub 2017 May 2.
: Childhood maltreatment (CM) has been associated with revictimization and post-traumatic stress disorder (PTSD). However, this relation is hardly examined in South European countries, and in community samples. We tested these associations in a convenience sample of 1,200 Portuguese adults in the community. : Data were collected using self-report questionnaires, the Post Traumatic Diagnostic Scale (PDS) and the Childhood Trauma Questionnaire-Short Form (CTQ-SF). Odds ratios, logistic and hierarchical regression were used to analyze the data. : Exposure to CM increased more than twofold the risk of being revictimized and threefold a PTSD diagnosis. Highly prevalent traumatic events such as accidents were associated with CM. More than 30% of adults with PTSD were exposed to emotional abuse. After adjusting for demographics, emotional abuse remained a significant predictor for revictimization and PTSD, having the largest effect on the prediction of PTSD severity ( = .24). : Findings underline the injurious potential of emotional abuse during childhood in adults in the community. More knowledge is needed about the mechanisms linking CM with further traumatic exposure and PTSD across the lifespan to better inform preventive and therapeutic actions.
童年期受虐(CM)与再次受害及创伤后应激障碍(PTSD)有关。然而,在南欧国家以及社区样本中,这种关系几乎未被研究过。我们在社区中一个由1200名葡萄牙成年人组成的便利样本中测试了这些关联。
数据通过自我报告问卷、创伤后诊断量表(PDS)和儿童期创伤问卷简表(CTQ - SF)收集。使用比值比、逻辑回归和分层回归分析数据。
暴露于童年期受虐会使再次受害的风险增加两倍多,使PTSD诊断风险增加三倍。诸如事故等高度常见的创伤事件与童年期受虐有关。超过30%的PTSD成年患者曾遭受情感虐待。在对人口统计学因素进行调整后,情感虐待仍然是再次受害和PTSD的显著预测因素,对PTSD严重程度的预测影响最大(β = 0.24)。
研究结果强调了童年期情感虐待对社区中成年人的潜在伤害。需要更多关于童年期受虐与一生中进一步创伤暴露及PTSD之间联系机制的知识,以便更好地为预防和治疗行动提供信息。