不良的童年经历和自杀的风险和物质相关的死亡率通过中年成年期
Theemeshni Govender1, Pablo Vidal-Ribas2, Jing Yu3
1Social and Behavioral Sciences Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, United States; Department of Psychology, University of Illinois Urbana-Champaign, Champaign, IL 61820, United States.
Journal of affective disorders
|November 3, 2024
概括
儿童时期的逆境,如家庭不稳定和父母分居后的贫困,增加了自杀和与物质有关的死亡风险. 识别特定的逆境集群对于理解这些长期健康结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于童年逆境和自杀/药物死亡率的前性研究有限.
- 儿童经常面临多种逆境,需要对有害集群进行研究.
- 这项研究调查了与特定逆境集群相关的自杀和与物质有关的死亡风险.
研究的目的:
- 检查童年逆境的数量和集群与自杀风险和与物质有关的死亡率之间的关联.
- 确定儿童逆境的特定模式,这些逆境结果的风险最高.
主要方法:
- 利用了49853名子女的合作周产期项目 (出生于1959-1966) 的数据.
- 将识别信息链接到国家死亡指数,以确定至2016年至今的生命状态.
- 分析了五个逆境集群与自杀/与物质有关的死亡率之间的关联.
主要成果:
- 家庭不稳定性显著增加了自杀风险 (HR=1.92) 和物质使用死亡率 (HR=1.50).
- 贫困和父母分居增加了使用物质死亡率的风险 (HR=1.85).
- 这些特定的逆境集群显示出对死亡率结果的显著影响.
结论:
- 童年逆境与各种自我伤害死亡率类型有关,这表明有共同的潜在病因.
- 建议针对儿童脆弱性和死亡原因之间的共同途径进行干预.
- 进一步的研究应该探索干预措施,以减轻童年逆境的长期影响.
相关概念视频
Stress and Mental Health
77
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
77
Erikson's Theory on Socioemotional Development during Adulthood
59
Erik Erikson's theory of psychosocial development outlines a series of stages through which individuals progress across the lifespan. Each stage involves a psychosocial conflict that significantly influences personal growth and well-being. Three key stages — intimacy versus isolation, generativity versus stagnation, and integrity versus despair — highlight the developmental challenges faced in adulthood.
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
Intimacy Versus Isolation in Early Adulthood
Individuals in early...
59
Psychological and Sociocultural Causes of Schizophrenia
80
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
80
Attention-Deficit/Hyperactivity Disorder
45
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
45
Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26
Adler's Individual Psychology
523
Alfred Adler, a prominent figure in psychology, founded the school of individual psychology. In contrast to Freud's emphasis on sexual or aggressive motives, Adler suggested that individuals are primarily motivated by their purposes and goals. He believed that people strive for perfection rather than pleasure. Adler argued that individuals could creatively act upon their genetic inheritance and environmental experiences to shape their own lives, emphasizing conscious motivation over...
523


