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儿童和青少年社区样本中的创伤暴露与心理健康

Trauma exposure and mental health in a community sample of children and youth.

作者信息

Abraham Eleenor H, Antl Sheilah M, McAuley Tara

机构信息

Center for Mental Health Research and Treatment.

出版信息

Psychol Trauma. 2022 May;14(4):624-632. doi: 10.1037/tra0001035. Epub 2021 Mar 18.

DOI:10.1037/tra0001035
PMID:33734769
Abstract

OBJECTIVE

Childhood trauma is common and has implications for mental health. Research conducted retrospectively with clinical samples of adults and prospectively with high-risk samples of children has identified factors that moderate negative mental health sequelae (e.g., age, gender, nature and amount of trauma). Presently, however, there is a paucity of research examining mental health outcomes, and potential moderators of these outcomes, that may be associated with the experience of trauma among children in the general community.

METHOD

To address this knowledge gap, the present study analyzed data from youth aged 8-17 years in the Nathan Kline Institute-Rockland Sample, a publicly available repository of information collected from a nationally representative sample of participants across the life span. We report the frequency and nature of trauma in our sample; bivariate correlations between trauma, demographic variables, and mental health outcomes; and hierarchical regressions in which these outcomes were modeled as a function of multivariate predictors.

RESULTS

Anxiety was elevated in older youth and in females who experienced more cumulative trauma, particularly when trauma was accidental in nature. Conversely, increased depressed mood was associated with more cumulative trauma for females regardless of age and for younger boys-findings that were driven by the experience of interpersonal trauma for both genders.

CONCLUSIONS

Our investigation demonstrates that although the prevalence of trauma is lower among children in the general community, the negative impact of trauma experiences on children's anxiety and mood remains significant. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

儿童期创伤很常见,且会对心理健康产生影响。针对成年临床样本进行的回顾性研究以及针对儿童高危样本进行的前瞻性研究已经确定了一些能够缓和负面心理健康后遗症的因素(例如年龄、性别、创伤的性质和程度)。然而目前,对于普通社区儿童创伤经历可能相关的心理健康结果及其潜在调节因素的研究较少。

方法

为了填补这一知识空白,本研究分析了内森·克莱因研究所-罗克兰样本中8至17岁青少年的数据,该样本库是一个公开的信息库,数据来自于一个具有全国代表性的全生命周期参与者样本。我们报告了样本中创伤的频率和性质;创伤、人口统计学变量与心理健康结果之间的双变量相关性;以及将这些结果作为多变量预测因子函数进行建模的分层回归分析。

结果

在年龄较大的青少年以及经历了更多累积创伤的女性中,焦虑水平升高,尤其是当创伤性质为意外时。相反,无论年龄大小,女性以及年龄较小的男孩情绪低落程度增加都与更多累积创伤有关——这一结果是由两性的人际创伤经历所驱动的。

结论

我们的调查表明,尽管普通社区儿童中创伤的发生率较低,但创伤经历对儿童焦虑和情绪的负面影响仍然很大。(《心理学文摘数据库记录》(c)2022美国心理学会,保留所有权利)

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