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童年期的体罚/虐待与青年期的适应

Physical punishment/maltreatment during childhood and adjustment in young adulthood.

作者信息

Fergusson D M, Lynskey M T

机构信息

Department of Psychological Medicine, Christchurch School of Medicine, New Zealand.

出版信息

Child Abuse Negl. 1997 Jul;21(7):617-30. doi: 10.1016/s0145-2134(97)00021-5.

Abstract

OBJECTIVE

To study the relationships between retrospective reports of physical punishment/maltreatment and rates of adjustment difficulties at age 18 in a birth cohort of New Zealand subjects.

METHOD

Data were gathered over the course of an 18 year longitudinal study of a birth cohort of 1,265 New Zealand born children. At age 18 retrospective reports of exposure to physical punishment/maltreatment were obtained. At this time the cohort was also assessed on measures of psychosocial adjustment juvenile offending, substance abuse behaviors, and psychiatric disorder.

RESULTS

Young people reporting exposure to harsh or abusive treatment during childhood had elevated rates of juvenile offending, substance abuse, and mental health problems. However, subsequent analysis using logistic regression methods showed that much of the elevated risk shown by this group was explained by social and contextual factors that were associated with patterns of childhood punishment/maltreatment. Nonetheless, even after control for confounding factors those reporting harsh or abusive childhood experiences were at increased risks of violent offending, suicide attempts, being a victim of violence, and alcohol abuse.

CONCLUSION

This study leads to three major conclusions: (1) Those exposed to harsh or abusive treatment during childhood are an at-risk population for juvenile offending, substance abuse, and mental health problems; (2) Much of this elevated risk arises from the social context within which harsh or abusive treatment occurs; (3) Nonetheless, exposure to abuse appears to increase risks of involvement in violent behavior and alcohol abuse.

摘要

目的

研究新西兰出生队列中18岁时体罚/虐待的回顾性报告与适应困难发生率之间的关系。

方法

在一项对1265名新西兰出生儿童的出生队列进行的18年纵向研究过程中收集数据。在18岁时获得了体罚/虐待暴露情况的回顾性报告。此时,还对该队列进行了心理社会适应、青少年犯罪、药物滥用行为和精神障碍方面的评估。

结果

报告童年时期遭受严厉或虐待性对待的年轻人,青少年犯罪、药物滥用和心理健康问题的发生率较高。然而,随后使用逻辑回归方法进行的分析表明,该组显示出的大部分风险升高可由与童年惩罚/虐待模式相关的社会和背景因素来解释。尽管如此,即使在控制了混杂因素之后,那些报告有严厉或虐待性童年经历的人,暴力犯罪、自杀未遂、成为暴力受害者和酒精滥用的风险仍会增加。

结论

本研究得出三个主要结论:(1)童年时期遭受严厉或虐待性对待的人是青少年犯罪、药物滥用和心理健康问题的高危人群;(2)这种风险升高很大程度上源于发生严厉或虐待性对待的社会背景;(3)尽管如此,遭受虐待似乎会增加参与暴力行为和酒精滥用的风险。

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