School of Public Health and Management, Chongqing Medical University, Chongqing, China.
Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Public Health. 2023 Jun 2;11:1179384. doi: 10.3389/fpubh.2023.1179384. eCollection 2023.
To study the association between the total/different types of childhood abuse and adult depressive symptoms in people with cardiovascular disease (CVD).
The subjects were people with CVD who continuously participated in the China Health and Retirement Longitudinal Study (CHARLS) life history survey and the 2018 wave of the CHARLS national baseline Survey. Multi-level logistic regression models were used to analyze the relationship between emotional neglect, physical neglect, physical abuse and adult depressive symptoms.
A total of 4,823 respondents were included in this study. The incidence of childhood abuse (existed emotional neglect, physical neglect or physical abuse) was 43.58% among people over 45 years old with CVD, which was higher than that of the general population (36.62%, < 0.05). Adjusted model showed that overall childhood abuse was associated with adult depressive symptoms (OR = 1.230, 95%CI:1.094-1.383). Among different types of childhood abuse, only physical abuse was associated with depressive symptoms in adulthood (OR = 1.345, 95%CI:1.184-1.528).
Compared with that of the general population, the incidence of childhood abuse in CVD population is higher. Physical abuse in childhood increased the risk of depressive symptoms in adulthood. It suggested that the occurrence of depressive symptoms was the result of related factors in the whole life course. In order to prevent the depressive symptoms, childhood abuse also needs to be considered. It is very important to identify and prevent the continuation of childhood abuse in time.
研究心血管疾病（CVD）患者中童年期总虐待和不同类型虐待与成年期抑郁症状之间的关系。
本研究对象为连续参加中国健康与养老追踪调查（CHARLS）生命史调查和 2018 年 CHARLS 全国基线调查的 CVD 患者。采用多水平逻辑回归模型分析情感忽视、身体忽视、身体虐待与成年期抑郁症状之间的关系。
本研究共纳入 4823 名受访者。45 岁以上 CVD 患者的童年期虐待（存在情感忽视、身体忽视或身体虐待）发生率为 43.58%，高于一般人群（36.62%，<0.05）。调整模型显示，总体童年虐待与成年期抑郁症状有关（OR=1.230，95%CI：1.094-1.383）。在不同类型的童年虐待中，只有身体虐待与成年期抑郁症状有关（OR=1.345，95%CI：1.184-1.528）。
与一般人群相比，CVD 人群的童年期虐待发生率更高。童年期身体虐待增加了成年期抑郁症状的风险。这表明抑郁症状的发生是整个生命历程中相关因素的结果。为了预防抑郁症状，也需要考虑童年虐待。及时识别和预防童年虐待的持续发生非常重要。
