Department of Health Services and Population Research, Section of Women's Mental Health, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom.
South London and Maudsley NHS Foundation Trust, Maudsley Hospital, London, United Kingdom.
Eur Psychiatry. 2020 May 20;63(1):e51. doi: 10.1192/j.eurpsy.2020.50.
Symptoms of mental disorder, particularly schizophrenia, predispose to victimization. Much less is known about the relationship between depressive symptoms and later victimization in the general population, the influence of these symptoms on types of subsequent victimization, or the role of symptom severity. We investigated this in nationally representative data from the United Kingdom.
Data were from the Adult Psychiatric Morbidity Survey 2007. Multivariable logistic regressions estimated association between (a) prior depressive symptoms, (b) prior depressive symptoms with suicide attempt, and types of more recent victimization. Gender-specific associations were estimated using multiplicative interactions.
Prior depressive symptoms were associated with greater odds of any recent intimate partner violence (IPV), emotional IPV, sexual victimization, workplace victimization, any victimization, and cumulative victimization (adjusted odds ratio [aOR] for increasing types of recent victimization: 1.47, 95% confidence interval [CI]: 1.14, 1.89). Prior depressive symptoms with suicide attempt were associated with any recent IPV, emotional IPV, any victimization, and cumulative victimization (aOR for increasing types of recent victimization: 2.33, 95% CI: 1.22, 4.44). Self reported recalled data on previous depressive symptoms may have limited accuracy. Small numbers of outcomes for some comparisons results in imprecision of these estimates.
Aside from severe mental illness such as schizophrenia, previous depressive symptoms in the general population are associated with greater subsequent victimization. Men and women with prior depressive symptoms may be vulnerable to a range of types of victimization, and may benefit from interventions to reduce this vulnerability.
精神障碍症状，尤其是精神分裂症，会使人更容易成为受害者。而对于一般人群中抑郁症状与随后的受害之间的关系、这些症状对随后发生的各种类型受害的影响，以及症状严重程度的作用，我们知之甚少。我们在来自英国的全国代表性数据中对此进行了调查。
数据来自 2007 年成人精神病学发病率调查。多变量逻辑回归估计了（a）先前的抑郁症状、（b）有自杀企图的先前抑郁症状与近期更多受害类型之间的关联。使用乘法交互作用估计了性别特异性关联。
先前的抑郁症状与近期任何亲密伴侣暴力（IPV）、情感 IPV、性受害、工作场所受害、任何受害和累积受害的可能性更大相关（近期受害类型增加的调整后优势比[aOR]：1.47，95%置信区间[CI]：1.14，1.89）。有自杀企图的先前抑郁症状与近期任何 IPV、情感 IPV、任何受害和累积受害相关（近期受害类型增加的调整后优势比[aOR]：2.33，95% CI：1.22，4.44）。先前抑郁症状的自我报告回忆数据可能准确性有限。某些比较的结果中，由于结局数量较少，导致这些估计值不够精确。
除了严重的精神疾病，如精神分裂症，一般人群中先前的抑郁症状与随后的受害可能性增加有关。有先前抑郁症状的男性和女性可能容易受到各种类型的受害，并且可能受益于降低这种脆弱性的干预措施。
