Lee Jeewon, Kim Shin-Gyeom, Youn HyunChul, Lee Soyoung Irene
Department of Psychiatry, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Republic of Korea.
Psychiatry Investig. 2021 Nov;18(11):1117-1124. doi: 10.30773/pi.2021.0211. Epub 2021 Nov 5.
Young adults putting off marriage and having less children have become recent trends in many modern societies. Yet less is known about the psychological factors underlying the drastically low marriage and fertility rates. We hypothesized that childhood maltreatment experience may have a negative association with one's marriage and childbearing intention.
A total of 1,004 college students (mean age of 20.8±2.3 years, 56.1% female) completed self-questionnaires including sociodemographic information, marriage and childbearing intention, Patient Health Questionnaire 9 (PHQ-9), and Childhood Trauma Questionnaire (CTQ). Multivariable logistic regression analyses were conducted to evaluate the effect of childhood trauma on marriage and childbearing intentions after controlling for sociodemographic variables and depression.
29.7% had no intention to get married and 40.4% had no intention to have children in the future. The prevalence of physical, sexual, and emotional abuse was 33.1%, 18.5%, and 22.3%, respectively. Multivariable logistic regression analyses revealed that female (p<0.001), poor health status (p=0.001), and childhood emotional abuse (p=0.01) were independent predictors of no desire to get married. Female (p<0.001), poor health status (p<0.001), and childhood emotional abuse (p=0.038) were also predictors of no desire to have children.
Childhood emotional abuse may be the most damaging form among other types of childhood maltreatment because it can occur more pervasively and persist for a longer period, causing extensive damage to a child's emotional, social and cognitive development. Raising awareness regarding the life-long consequences of childhood emotional abuse and the need to prevent and detect childhood emotional abuse should be emphasized.
在许多现代社会中,年轻人推迟结婚和少育已成为近期趋势。然而,对于极低的结婚率和生育率背后的心理因素,人们了解较少。我们假设童年期虐待经历可能与一个人的婚姻和生育意愿呈负相关。
共有1004名大学生(平均年龄20.8±2.3岁,56.1%为女性)完成了自我调查问卷,包括社会人口学信息、婚姻和生育意愿、患者健康问卷9项(PHQ - 9)以及童年创伤问卷(CTQ)。在控制社会人口学变量和抑郁因素后,进行多变量逻辑回归分析,以评估童年创伤对婚姻和生育意愿的影响。
29.7%的人无意结婚,40.4%的人未来无意生育。身体虐待、性虐待和情感虐待的发生率分别为33.1%、18.5%和22.3%。多变量逻辑回归分析显示,女性(p<0.001)、健康状况差(p = 0.001)和童年情感虐待(p = 0.01)是无意结婚的独立预测因素。女性(p<0.001)、健康状况差(p<0.001)和童年情感虐待(p = 0.038)也是无意生育的预测因素。
童年情感虐待可能是童年期其他类型虐待中最具破坏性的形式,因为它可能更普遍地发生且持续时间更长,会对儿童的情感、社会和认知发展造成广泛损害。应强调提高对童年情感虐待终身后果的认识以及预防和发现童年情感虐待的必要性。