These authors contributed equally to this research.
Shenzhen Kangning Hospital, Shenzhen, China.
J Interpers Violence. 2022 Oct;37(19-20):NP17960-NP17978. doi: 10.1177/08862605211039244. Epub 2021 Sep 3.
Childhood trauma (CT) can lead to long-term psychiatric disturbances. The current study investigated the prevalence of CT and its associated risk factors among Chinese adolescents with psychiatric disorders. Adolescents were recruited from a large study on mental health in the Hunan province of China in 2014. The study had a two-phase cross-sectional design. Patients with mental disorders (n = 907) and healthy subjects (n = 2,240) completed the Childhood Trauma Questionnaire-Short Form. Of all types of CT, emotional neglect (EN; 48.44%-68.82%) and physical neglect (PN; 60.0%-72.1%) were most common among adolescents. The experience of emotional abuse (EA), physical abuse (PA), sexual abuse (SA), EN, and multiple types of trauma (≥3) was higher among adolescents with psychiatric disorders than the healthy comparison group. Moreover, the results of logistic regression analysis showed that living in semi-urban areas and villages, having a sibling, and having bad-to-average academic performance were risk factors for CT among adolescents with psychiatric disorders ( < .05). In additional, the results of logistic regression analysis revealed that being a left-behind child and bad academic performance were risk factors for experiencing multiple types (≥3) of CT ( < .05), while being female and having siblings were found to be protective factors against (≥3) CT ( < .05). In summary, the prevalence rate of CT (especially multiple types of trauma) is high among adolescents with psychiatric disorders. These results indicate the importance of reducing CT to limit the likelihood of psychiatric disorders, especially among adolescents.
童年创伤（CT）可导致长期精神障碍。本研究调查了中国有精神障碍的青少年 CT 的发生率及其相关危险因素。2014 年，研究人员在中国湖南省的一项大型心理健康研究中招募了青少年。该研究采用两阶段横断面设计。有精神障碍的患者（n=907）和健康对照者（n=2240）完成了童年创伤问卷-短式。在所有类型的 CT 中，情感忽视（EN；48.44%-68.82%）和躯体忽视（PN；60.0%-72.1%）在青少年中最常见。经历情感虐待（EA）、躯体虐待（PA）、性虐待（SA）、EN 和多种创伤（≥3）的患者在有精神障碍的青少年中比健康对照组更为常见。此外，逻辑回归分析的结果表明，居住在半城市和农村地区、有兄弟姐妹和学业成绩差/中等是有精神障碍的青少年 CT 的危险因素（ <.05）。另外，逻辑回归分析的结果表明，留守儿童和学业成绩差是经历多种 CT（≥3）的危险因素（ <.05），而女性和有兄弟姐妹则是预防多种 CT（≥3）的保护因素（ <.05）。总之，有精神障碍的青少年 CT（尤其是多种类型的创伤）的发生率较高。这些结果表明，减少 CT 以限制精神障碍的可能性很重要，尤其是在青少年中。
