Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
School of Nursing, Xinxiang Medical University, Xinxiang, Henan, China.
J Affect Disord. 2021 Feb 15;281:271-278. doi: 10.1016/j.jad.2020.12.019. Epub 2020 Dec 9.
Neglect and physical abuse may be typical risk factors for aggressive behavior in adolescents. However, findings on their specific effects and sex differences are still unclear. This study aimed to examine the specific effects of neglect and physical abuse on adolescent aggressive behaviors and to further explore the potential sex-specific effect.
A multicenter school-based survey was conducted in rural China. A total of 15,957 students aged 11-20 years completed self-report questionnaires to record aggressive behaviors, neglect and physical abuse, and other related information. Participants were grouped into those who experienced none, one of, or both neglect and physical abuse for statistical analyses.
Of the participants, 37.0% experienced both neglect and physical abuse, 30.0% experienced neglect only, and 9.8% experienced physical abuse only. Higher risk for physical aggression (OR=1.24, 95% CI=1.06-1.45), and lower risk for verbal aggression (OR=0.83, 95% CI=0.72-0.94) and hostility (OR=0.81, 95% CI=0.69-0.94) were found in the physical abuse only group as compared to the neglect only group. No sex difference was found between neglect or physical abuse and general aggressive behaviors (P>0.05), except that females were more likely to exert physical aggression than males when exposed to neglect and physical abuse (P<0.05).
Cross-sectional design, retrospective self-report data, and not including other maltreatment subtypes.
Neglect and physical abuse may each have distinct sensitivity for different subtypes of aggression. Targeted treatment for diverse aggressive symptoms is suggested, and strategies to prevent both neglect and physical abuse across gender would yield comprehensive benefits.
忽视和身体虐待可能是青少年攻击行为的典型危险因素。然而，关于它们的具体影响和性别差异的研究结果仍不清楚。本研究旨在探讨忽视和身体虐待对青少年攻击行为的具体影响，并进一步探讨潜在的性别特异性效应。
本研究采用多中心的学校基础调查在中国农村进行。共有 15957 名年龄在 11-20 岁的学生完成了自我报告问卷，以记录攻击行为、忽视和身体虐待以及其他相关信息。参与者被分为经历过忽视和身体虐待、仅经历过忽视或仅经历过身体虐待的三组进行统计分析。
在参与者中，37.0%经历了忽视和身体虐待，30.0%仅经历了忽视，9.8%仅经历了身体虐待。与仅经历忽视的组相比，仅经历身体虐待的组发生身体攻击的风险更高（OR=1.24，95%CI=1.06-1.45），发生言语攻击（OR=0.83，95%CI=0.72-0.94）和敌意（OR=0.81，95%CI=0.69-0.94）的风险较低。在忽视或身体虐待与一般攻击行为之间，未发现性别差异（P>0.05），但与仅经历忽视的组相比，暴露于忽视和身体虐待的女性更有可能实施身体攻击（P<0.05）。
横断面设计、回顾性自我报告数据、不包括其他虐待亚型。
忽视和身体虐待可能对不同类型的攻击行为有不同的敏感性。建议针对不同的攻击症状进行有针对性的治疗，并针对两性预防忽视和身体虐待的策略将产生全面的益处。
