Wei Qiaoyue, Pan Yuli, Zhang Shengjie, Yin Wenwen, Lin Qinghong, Pan Shuibo, Dai Chenyangzi, Zhou Linhua, Wu Junduan
Department of Psychology, School of Public Health, Guangxi Medical University, Nanning, China.
Department of Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning, China.
Front Psychiatry. 2022 Aug 22;13:974674. doi: 10.3389/fpsyt.2022.974674. eCollection 2022.
Adolescents who have experienced childhood trauma are more likely to have insomnia and psychotic-like experiences (PLEs) than adolescents from other ethnic groups. However, little is known about the youth of ethnic minorities. This study aimed to investigate the epidemiology of childhood trauma and its relationship with insomnia and PLEs in Chinese Zhuang adolescents, focusing on the role of a specific type of trauma and accumulation.
A questionnaire of Childhood Trauma Questionnaire-Short Form (CTQ-SF), Athens Insomnia Scale (AIS), and Chinese Version Community assessment psychic experiences-8 (CCAPE- 8) were all completed by 1,493 Chinese Zhuang adolescents. Chi-square and multivariate logistic regression analyses examined the association between childhood trauma and insomnia/PLEs.
The incidences of emotional abuse (EA), physical abuse (PA), sexual abuse (SA), emotional neglect (EN), and physical neglect (PN) occurred at rates of 5.63, 5.02, 6.56, 23.98, and 33.15%, respectively. EA, SA, EN, and PN were all positively related to insomnia (OR: 1.314-7.720, all < 0.05). EA and SA were positively associated with PLEs (OR: 2.131-3.202, all < 0.001). Adolescents who had experienced three or more types of traumas were more likely to have insomnia (OR = 6.961, < 0.001) and PLEs (OR = 3.558, < 0.001).
The most common type of childhood trauma is PN. Childhood trauma has the primary effect on insomnia/PLE. A significant dose-response relationship was found between Childhood trauma and insomnia/ PLEs. This association varied depending on the type and accumulation of exposure.
经历过童年创伤的青少年比其他族裔的青少年更易出现失眠和类精神病体验（PLEs）。然而，对于少数民族青年的情况却知之甚少。本研究旨在调查中国壮族青少年童年创伤的流行病学及其与失眠和PLEs的关系，重点关注特定类型创伤及其累积的作用。
1493名中国壮族青少年完成了儿童创伤问卷简表（CTQ-SF）、雅典失眠量表（AIS）和中文版社区精神体验评估量表-8（CCAPE-8）。采用卡方检验和多因素逻辑回归分析来检验童年创伤与失眠/PLEs之间的关联。
情感虐待（EA）、身体虐待（PA）、性虐待（SA）、情感忽视（EN）和身体忽视（PN）的发生率分别为5.63%、5.02%、6.56%、23.98%和33.15%。EA、SA、EN和PN均与失眠呈正相关（OR：1.314 - 7.720，均P < 0.05）。EA和SA与PLEs呈正相关（OR：2.131 - 3.202，均P < 0.001）。经历过三种或更多类型创伤的青少年更易出现失眠（OR = 6.961，P < 0.001）和PLEs（OR = 3.558，P < 0.001）。
童年创伤最常见的类型是PN。童年创伤对失眠/PLEs有主要影响。在童年创伤与失眠/PLEs之间发现了显著的剂量反应关系。这种关联因暴露类型和累积情况而异。
