Cerezo M Ángeles, Pérez-García Elena
Universitat de València (Spain).
Span J Psychol. 2019 May 2;22:E20. doi: 10.1017/sjp.2019.24.
Victimization experienced in childhood has been linked with health-risk behaviors (HRBs) in adulthood. The purpose of this cross-sectional survey was to provide data regarding the HRBs using the ISPCAN Child Abuse Screening Tool Retrospective version (ICAST-R), Spanish version. This aimed to broaden existing knowledge by assessing both being victimized by adults and by peers in a Spanish general population of 348, aged 18-35. Age and timing of the reported victimization were also considered. Victimization: physical, psychological, sexual abuse by adults and/or peers showed a prevalence of 44.54%. Of these, 41.29% reported abuse by both. Children victimized by adults, regardless of type, were significantly associated to be psychologically abused by their peers (p < .001). Moreover, psychological maltreatment by adults was significantly associated with two peer victimizations: Physical and psychological (p < .001 in both). Regarding HRBs, peer victimized groups showed significantly higher levels of severity than non-victimized, with a higher proportion reporting attempted suicide (p < .05) and psychological or psychiatric treatment (p < .05). Participants victimized only by adults reported higher number of HRBs (p < .01), their victimization was associated to more severe abuse of drugs/alcohol (p ≤ .05), and suicide attempts (p < .05). Those victimized by adults and peers received treatment in higher proportion than non-victims (p < .001). Participants reporting victimization since before 5 years to age of 17, compared with non-victimized, showed more substance abuse (p < .05), attempted suicide (p < .01) and receipt of treatment (p < .05). These findings highlight the relevance of ICAST-R in studying HRBs.
童年时期遭受的伤害与成年后的健康风险行为（HRB）有关。这项横断面调查的目的是使用国际预防虐待儿童协会儿童虐待筛查工具回顾版（ICAST-R）西班牙语版本，提供有关健康风险行为的数据。其目的是通过评估西班牙348名年龄在18至35岁的普通人群中成年人和同龄人造成的伤害，来拓宽现有知识。还考虑了报告的伤害的年龄和时间。伤害情况：成年人和/或同龄人实施的身体、心理、性虐待的发生率为44.54%。其中，41.29%的人报告遭受了两者的虐待。无论类型如何，遭受成年人伤害的儿童与遭受同龄人心理虐待显著相关（p <.001）。此外，成年人的心理虐待与两种同龄人伤害显著相关：身体和心理伤害（两者p <.001）。关于健康风险行为，遭受同龄人伤害的群体的严重程度显著高于未受伤害的群体，报告有自杀未遂（p <.05）和接受心理或精神治疗（p <.05）的比例更高。仅遭受成年人伤害的参与者报告的健康风险行为数量更多（p <.01），他们遭受的伤害与更严重的药物/酒精滥用（p≤.05）和自杀未遂（p <.05）有关。遭受成年人和同龄人伤害的人接受治疗的比例高于未受伤害者（p <.001）。报告自5岁前至17岁期间遭受伤害的参与者与未受伤害者相比，有更多的药物滥用（p <.05）、自杀未遂（p <.01）和接受治疗（p <.05）。这些发现凸显了ICAST-R在研究健康风险行为方面的相关性。
