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儿童不良经历 (ACE) 与抑郁症之间的关联的变化,根据ACE首次发生时的年龄
Yulan Yu1,2, Rassamee Chotipanvithayakul3, Hujiao Kuang4
1The First Dongguan Affiliated Hospital, Guangdong Medical University, No. 42 Jiaoping Road, Tangxia Town, Dongguan, 523710, China.
童年不良经历 (ACE) 与中国大学生抑郁症有关. 当ACE在幼儿时期 (0-6岁) 开始时,这种联系最强烈.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 童年不良经历 (ACE) 是已知的抑郁症风险因素.
- 对ACE的时间对抑郁风险的影响尚不清楚.
- 了解这些关联对于有针对性的心理健康干预至关重要.
研究的目的:
- 检查中国大学生中ACE和抑郁症之间的关系.
- 调查第一个ACE的年龄如何影响与抑郁症的关联.
主要方法:
- 一项自主管理的调查被用来收集来自中国南部大学生的数据.
- 使用了描述性统计和多变量逻辑回归分析.
主要成果:
- 在ACE和抑郁症患病率之间发现了显著的关联.
- 与没有ACE (36%) 相比,有三个或更多ACE的学生患抑郁症的患病率更高 (62%).
- 这种关联对于早期发病的ACE (0-6岁) 特别强烈,调整后OR为4.05,但对于晚期发病 (13-18岁) 没有显著意义.
结论:
- ACEs与抑郁症的联系的强度取决于第一次接触的年龄.
- 儿童早期的ACE显示与抑郁症有更强烈的关联.
- 局限性包括横截面设计,潜在的信息偏差和有限的概括性.
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