Centre for Traumatic Stress Studies (CTSS), Level 1, Helen Mayo North, 30 Frome Road, University of Adelaide, Adelaide, SA 5000, Australia; Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom; Child and Adolescent Psychiatric Unit, Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Centre for Traumatic Stress Studies (CTSS), Level 1, Helen Mayo North, 30 Frome Road, University of Adelaide, Adelaide, SA 5000, Australia.
Psychiatry Res. 2019 Oct;280:112482. doi: 10.1016/j.psychres.2019.112482. Epub 2019 Jul 18.
Childhood factors are pivotal to understanding mental health over the lifespan. However, there is a dearth of research exploring childhood trauma and childhood disorder simultaneously in determining adult mental disorder. We aimed to analyze childhood trauma and childhood disorder in determining past-year disorder in military and civilian employed men aged 18-60 years. Data derived from the 2010 Australian Defence Force (ADF) Mental Health Prevalence and Wellbeing Study, and the 2007 Australian Bureau of Statistics National Survey of Mental Health and Wellbeing were analysed using logistic regression and Generalised Structural Equation Modelling (GSEM). All major findings were consistent across both populations. The association between childhood disorder and past-year disorder remained after controlling for demographics, childhood and adult trauma (and service factors in the ADF). Childhood non-interpersonal trauma was not associated with past-year disorder in either population. The pathway between childhood trauma and past-year disorder was fully mediated by the spectrum of common childhood disorders, but not by childhood anxiety, depression or alcohol use disorders alone. Identification, intervention and prevention of childhood disorders is imperative. Investment in interventions targeting the influence of childhood traumatic events on the whole spectrum of childhood disorder, not only PTSD or anxiety, is a priority.
儿童时期的因素对于理解人的一生的心理健康至关重要。然而，在确定成年人精神障碍时，同时探索儿童期创伤和儿童期障碍的研究却很少。我们旨在分析儿童时期的创伤和障碍，以确定 18-60 岁现役和文职男性在过去一年中的障碍。数据来自于 2010 年澳大利亚国防军心理健康流行和幸福感研究以及 2007 年澳大利亚统计局全国心理健康和幸福感调查，使用逻辑回归和广义结构方程模型（GSEM）进行分析。所有主要发现都在两个群体中一致。在控制人口统计学、儿童期和成年期创伤（以及澳大利亚国防军的服务因素）后，儿童期障碍与过去一年的障碍之间仍然存在关联。在两个群体中，儿童期非人际创伤与过去一年的障碍均无关联。儿童期创伤与过去一年障碍之间的途径完全被常见儿童期障碍的范围所介导，但不是由儿童期焦虑、抑郁或酒精使用障碍单独介导。识别、干预和预防儿童期障碍至关重要。投资于针对儿童期创伤事件对整个儿童期障碍范围的影响的干预措施，而不仅仅是 PTSD 或焦虑，是当务之急。
