Jin Yu, Xu Shicun, Shao Zhixian, Luo Xianyu, Wilson Amanda, Li Jiaqi, Wang Yuanyuan
Department of Statistics, Faculty of Arts and Sciences, Beijing Normal University, Beijing, China.
Northeast Asian Research Center, Jilin University, Changchun, China.
Glob Ment Health (Camb). 2024 Oct 24;11:e98. doi: 10.1017/gmh.2024.100. eCollection 2024.
Childhood trauma (CT) increases rates of psychiatric disorders and symptoms, however, the lasting effect of CT into adulthood has little exploration using large-scale samples.
This study estimated the prevalence of CT in a large sample of Chinese young adults, examining the risk factors of current psychological symptoms among those with CT experiences.
117,769 college students were divided into CT and non-CT groups. The propensity score matching method balanced the confounding sociodemographic factors between the two groups, compared to 16 self-reported psychiatric disorders (e.g., depression, anxiety, eating disorder, obsessive-compulsive disorder, autism, social anxiety disorder, post-traumatic stress disorder), and seven current psychiatric symptoms. Hierarchical regression employed the significant risk factors of the seven current psychiatric symptoms.
The prevalence of CT among young adults was 28.76% (95% CI: 28.47-29.04%). Youths with CT experiences reported higher psychiatric disorder rates and current symptom scores (P < 0.001). Sociodemographic factors (females, family disharmony, low socioeconomic status, poor relationship with parents, lower father's education level) and lifestyle factors (smoking status, alcohol consumption, lack of exercise) were significantly associated with current psychiatric symptoms.
Public health departments and colleges should develop strategies to promote mental health among those who have experienced CT.
童年创伤（CT）会增加精神疾病和症状的发生率，然而，利用大规模样本对童年创伤持续至成年期的影响进行的探索较少。
本研究估计了一大群中国年轻成年人中童年创伤的患病率，调查了有童年创伤经历者当前心理症状的风险因素。
117769名大学生被分为童年创伤组和非童年创伤组。倾向得分匹配法平衡了两组之间混杂的社会人口学因素，比较了16种自我报告的精神疾病（如抑郁症、焦虑症、饮食失调、强迫症、自闭症、社交焦虑症、创伤后应激障碍）以及7种当前的精神症状。分层回归采用了7种当前精神症状的显著风险因素。
年轻成年人中童年创伤的患病率为28.76%（95%可信区间：28.47 - 29.04%）。有童年创伤经历的年轻人报告的精神疾病发生率和当前症状得分更高（P < 0.001）。社会人口学因素（女性、家庭不和谐、社会经济地位低、与父母关系差、父亲教育水平较低）和生活方式因素（吸烟状况、饮酒、缺乏锻炼）与当前精神症状显著相关。
公共卫生部门和高校应制定策略，促进有童年创伤经历者的心理健康。
