Addiction psychiatry fellow at Yale University School of Medicine in New Haven, Connecticut and a research fellow at the Cleveland Clinic in Cleveland, Ohio.
Clinical psychologist at the Cleveland Clinic in Cleveland, Ohio.
AMA J Ethics. 2023 Feb 1;25(2):E116-122. doi: 10.1001/amajethics.2023.116.
While adverse childhood experiences and trauma, including childhood abuse and neglect, have often been viewed from the lens of psychiatry, their influence on physical health, health behaviors, and factors that moderate health now garner more attention. This article reviews recent literature that has changed clinical and social viewpoints on child abuse and neglect and can be used as a primer to better understand (1) influences of child abuse and neglect on physical illness; (2) critical diagnostic advances relevant to persons who have experienced child abuse and neglect; and (3) ethical, research, and practical questions generated by these new understandings.
虽然不良的童年经历和创伤，包括儿童期虐待和忽视，通常从精神病学的角度来看待，但它们对身体健康、健康行为和调节健康的因素的影响现在引起了更多的关注。本文回顾了最近改变了人们对儿童虐待和忽视的临床和社会观点的文献，并可作为一个入门读物，以更好地理解：（1）儿童虐待和忽视对身体疾病的影响；（2）与经历过儿童虐待和忽视的人相关的关键诊断进展；以及（3）这些新认识引发的伦理、研究和实际问题。
