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青少年的多重受害与心理病理症状:检验积极童年经历的潜在缓冲效应

Poly-victimization and psychopathological symptoms in adolescence: Examining the potential buffering effect of positive childhood experiences.

机构信息

Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China.

Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81th Meishan Road, Hefei 230032, Anhui, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, Anhui, China.

出版信息

J Affect Disord. 2021 Mar 1;282:1308-1314. doi: 10.1016/j.jad.2021.01.011. Epub 2021 Jan 19.

Abstract

BACKGROUND

Childhood maltreatment are well-established risk factors for adolescent psychopathology. Positive childhood experiences (PCEs) known protective factors. However, few studies have simultaneously investigated childhood maltreatment and PCEs in the context of longitudinal study. The aim of this paper was to assess the buffering effect of PCEs in adolescence in the association between chronic childhood maltreatment and psychological symptoms in adolescence.

METHODS

Data were from an ongoing longitudinal study with 2288 children aged 8.15 y at baseline who were recruited from 3 large elementary schools in China. Participants were followed up for four waves across 6 years. The associations between re-victimization and poly-victimization with adolescent psychopathological symptoms across different PCEs contexts were explored.

RESULTS

Poly-victimization was highly predictive of depressive symptoms, oppositional defiant disorder and conduct disorder. PCEs may mitigate the negative effect of chronic childhood maltreatment on adolescent psychopathology in a dose-response manner. For adolescents with 4-5 PCEs, psychopathological symptoms score decreased significantly and showed similar level with those low/no-victimization comparison peers. While experiencing multiple PCEs does decrease the risk of psychopathological symptoms, certain PCEs, such as parental warmth and peer support, appear to entailed protective effect on all the three psychopathological symptoms.

LIMITATIONS

It is not clear whether the patterns of effects would vary across developmental periods.

CONCLUSIONS

A focus of interventions should be not only on ameliorating childhood maltreatment, but also on expanding the availability of social support related PCEs, which may help inform suitable strategies for providing intervention and support to best help reduce the psychopathology burden for children.

摘要

背景

儿童期虐待是青少年精神病理学的既定风险因素。积极的童年经历(PCE)是已知的保护因素。然而,很少有研究同时在纵向研究中调查儿童期虐待和 PCE。本文旨在评估青春期 PCE 在慢性儿童虐待与青春期心理症状之间的关联中的缓冲作用。

方法

数据来自一项正在进行的纵向研究,共有 2288 名 8.15 岁的儿童作为基线参与者,他们来自中国 3 所大型小学。参与者在 6 年内进行了 4 次随访。研究探讨了重新受害与多受害与不同 PCE 背景下青少年心理病理症状之间的关系。

结果

多受害高度预测抑郁症状、对立违抗性障碍和品行障碍。PCE 可能以剂量反应的方式减轻慢性儿童虐待对青少年精神病理学的负面影响。对于经历过 4-5 次 PCE 的青少年,心理病理症状评分显著下降,与低/无受害比较同龄人相似。虽然经历多次 PCE 确实会降低心理病理症状的风险,但某些 PCE,如父母的温暖和同伴的支持,似乎对所有三种心理病理症状都有保护作用。

局限性

目前尚不清楚这些影响模式是否会因发育时期而异。

结论

干预的重点不仅应放在改善儿童虐待问题上,还应放在扩大与社会支持相关的 PCE 的可获得性上,这可能有助于制定合适的策略,为儿童提供干预和支持,以最大程度地减轻心理病理学负担。

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