Bellis Mark A, Hughes Karen, Ford Kat, Quigg Zara, Butler Nadia, Wilson Charley
Public Health Institute, World Health Organization Collaborating Centre for Violence Prevention, Faculty of Health, Innovation, Technology and Science, Liverpool John Moores University, Liverpool, UK
Policy and International Health, World Health Organization Collaborating Centre on Investment for Health and Well-being, Public Health Wales, Wrexham, UK.
BMJ Open. 2025 Aug 5;15(8):e098412. doi: 10.1136/bmjopen-2024-098412.
To test associations between mental well-being across the life course and exposure to childhood physical and/or verbal abuse.
Secondary analysis of combined data from seven cross-sectional general adult population surveys measuring childhood experience of physical and/or verbal abuse and current mental well-being.
Households across England and Wales.
20 687 residents in England and Wales aged 18 years or over.
Self-reported childhood physical and verbal abuse using questions from an Adverse Childhood Experiences tool. Individual and combined components of adult mental well-being measured using the short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS).
Exposure to either childhood physical abuse or verbal abuse was associated independently with a similar significant increase in likelihood of low adult mental well-being, with exposure to both abuse types compounding increases (adjusted ORs 1.52, 1.64, 2.15 respectively, reference category: neither abuse type). Individual components of mental well-being showed similar associations, with adjusted prevalence of never or rarely having felt close to people in the last 2 weeks rising from 7.7% (neither abuse type) to 9.9% (physical abuse), 13.6% (verbal abuse) and 18.2% (both types of abuse). Within sample trends showed a significant drop in the prevalence of child physical abuse from around 20% in those born from 1950 to 1979 to 10% in those born in 2000 or after. However, verbal abuse rose from 11.9% in those born before 1950 to nearly 20% in those born in 2000 or after.
Exposure to childhood physical or verbal abuse have similar associations with lower mental well-being during adulthood. Interventions to reduce child abuse, including physical chastisement, should consider both physical and verbal abuse and their individual and combined consequences to life course health. The potential role of childhood verbal abuse in escalating levels of poor mental health among younger age groups needs greater consideration.
检验一生中心理幸福感与童年期遭受身体虐待和/或言语虐待之间的关联。
对七项横断面普通成年人群调查的合并数据进行二次分析，这些调查测量了童年期身体和/或言语虐待经历以及当前的心理幸福感。
英格兰和威尔士的家庭。
英格兰和威尔士20687名18岁及以上的居民。
使用不良童年经历工具中的问题进行自我报告的童年期身体和言语虐待情况。使用简短的沃里克 - 爱丁堡心理健康量表（SWEMWBS）测量成年心理幸福感的个体及综合组成部分。
童年期遭受身体虐待或言语虐待均独立地与成年后心理幸福感低的可能性显著增加相关，同时遭受两种虐待类型会使这种增加更为严重（调整后的比值比分别为1.52、1.64、2.15，参考类别：未遭受任何一种虐待类型）。心理幸福感的各个组成部分显示出类似的关联，在过去两周内从未或很少感到与他人亲近的调整患病率从7.7%（未遭受任何一种虐待类型）分别升至9.9%（身体虐待）、13.6%（言语虐待）和18.2%（两种虐待类型）。样本内部趋势显示，童年期身体虐待的患病率从1950年至1979年出生者中的约20%显著下降至2000年及以后出生者中的10%。然而，言语虐待从1950年前出生者中的11.9%升至2000年及以后出生者中的近20%。
童年期遭受身体或言语虐待与成年期较低的心理幸福感有类似关联。减少儿童虐待（包括体罚）的干预措施应同时考虑身体虐待和言语虐待及其对生命历程健康的个体和综合影响。童年期言语虐待在年轻人群体中导致心理健康状况恶化方面的潜在作用需要更多关注。
