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中国农村到城市移民儿童的童年创伤和精神病理学模式。

Patterns of childhood trauma and psychopathology among Chinese rural-to-urban migrant children.

机构信息

CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing 100101, China; Department of Psychology, University of Chinese Academy of Sciences, 19A Yuquan Road, Shijingshan District, Beijing 100049, China.

Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA.

出版信息

Child Abuse Negl. 2020 Oct;108:104691. doi: 10.1016/j.chiabu.2020.104691. Epub 2020 Aug 24.

Abstract

BACKGROUND

Exposure to childhood trauma can cause psychopathology and negative psychosocial outcomes across the lifespan. Rural-to-urban migrant children are commonly exposed to traumatic experiences (TEs). However, no study has comprehensively examined patterns of childhood trauma in Chinese culture. The current study aimed to examine patterns of childhood trauma exposure among Chinese rural-to-urban migrant children.

METHODS

A large-scale (N = 15,890) cross-sectional survey of rural-to-urban migrant workers' children in grades 4 to 9 was conducted in Beijing. Childhood TEs, including accidents and injuries, interpersonal violence, and vicarious trauma, as well as demographics and internalizing and externalizing behaviors, were measured.

RESULTS

Four patterns of childhood trauma were found: low trauma exposure (60.4%), vicarious trauma exposure (23.9%), domestic violence exposure (10.5%), and multiple trauma exposure (5.3%). Age, gender, parents' marital status, father's education level, family support and peer support differentiated the four TE patterns. Both internalizing and externalizing behaviors were more severe in patterns with more types of TEs.

CONCLUSIONS

Our findings provide a better understanding of childhood trauma in Chinese culture and the relationship between TEs and mental health. Clinicians and policy makers should tailor prevention and treatment programs according to different patterns of victimization.

摘要

背景

儿童期创伤暴露可导致终生出现精神病理学和负面心理社会后果。农村到城市的流动儿童通常会经历创伤性经历 (TEs)。然而,尚无研究全面检查中国文化中儿童创伤暴露的模式。本研究旨在检查中国农村到城市流动儿童的童年创伤暴露模式。

方法

对北京 4 至 9 年级的农村到城市流动工人的子女进行了大规模(N=15890)横断面调查。测量了童年 TEs,包括事故和伤害、人际暴力和替代性创伤,以及人口统计学特征以及内化和外化行为。

结果

发现了四种童年创伤模式:低创伤暴露(60.4%)、替代性创伤暴露(23.9%)、家庭暴力暴露(10.5%)和多种创伤暴露(5.3%)。年龄、性别、父母婚姻状况、父亲教育水平、家庭支持和同伴支持区分了这四种 TE 模式。具有更多类型 TEs 的模式中,内化和外化行为更为严重。

结论

我们的研究结果提供了对中国文化中的儿童创伤以及 TEs 与心理健康之间关系的更好理解。临床医生和政策制定者应根据不同的受害模式定制预防和治疗计划。

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