在儿童中遭受身体攻击后的精神疾病
Étienne Archambault1,2,3, Simone N Vigod1,2,4,5, Hilary K Brown1,4,6,7
1Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
JAMA network open
|August 16, 2023
概括
经历身体攻击的儿童面临两倍于精神疾病诊断的风险. 早期干预至关重要,特别是在袭击后的第一年内,以支持他们的心理健康.
科学领域:
- 童年创伤研究儿童创伤研究
- 心理健康流行病学 心理健康流行病学
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 儿童时期的身体攻击很普遍,并与长期的心理健康问题有关.
- 关于童年性侵幸存者的精神疾病的具体模式的研究有限.
研究的目的:
- 为了研究那些经历过身体攻击的儿童的精神疾病诊断风险,与那些没有经历过身体攻击的儿童相比.
- 分析儿童性侵幸存者的精神疾病的时间,类型和严重程度.
主要方法:
- 一个基于人口的匹配队列研究,利用来自加拿大安大略省的链接卫生行政数据.
- 匹配了5487名暴露于身体攻击的儿童 (0-13岁) 和21948名未暴露的儿童,并跟踪了至少5年.
- 使用考克斯比例危险回归来确定发生精神疾病的调整危险比率 (aHR).
主要成果:
- 遭受攻击的儿童患精神疾病的风险几乎高出2倍 (aHR=1.96).
- 攻击后的第一年 (aHR=3.08) 的风险最高.
- 遭受攻击的儿童在急性护理机构中更有可能获得初始精神疾病诊断.
结论:
- 儿童时期的身体攻击显著增加了后续精神疾病诊断的风险.
- 对于经历过袭击的儿童,特别是在第一年内,急需早期心理健康干预.
- 调查结果强调了在公共卫生战略中解决童年创伤的重要性.
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