巴西儿童创伤和青少年精神疾病之间的关联:一个纵向的,基于人口的出生队列研究
Megan Bailey1, Graeme Fairchild1, Gemma Hammerton2
1Department of Psychology, University of Bath, Bath, UK.
The Lancet. Global health
|January 31, 2025
概括
童年创伤显著增加了巴西青少年患精神疾病的风险. 创伤暴露占这些疾病的30%以上,突出显示了低收入和中等收入国家需要干预策略的需要.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 全球心理健康全球心理健康
- 流行病学 流行病学
背景情况:
- 童年创伤对心理健康的影响在低收入和中等收入国家 (LMICs) 尚未得到充分研究.
- 低低收入国家人口面临的高负担的创伤暴露.
- 这项研究调查了巴西青少年的创伤精神健康联系.
研究的目的:
- 为了检查累积创伤负荷和青少年精神疾病之间的关联.
- 评估横截面和纵向关系.
- 计算青少年精神疾病创伤的受众归因分数 (PAF).
主要方法:
- 利用巴西2004年佩洛塔斯出生队列,评估15岁和18岁的精神病诊断.
- 使用护理人员和自我报告来测量终身累积创伤暴露.
- 使用后勤回归,调整混因子,分析关联并计算PAF.
主要成果:
- 81.2%的青少年在18岁时经历过创伤.
- 增加的累积创伤与18岁时更高的焦虑,情绪,注意力过度活动和行为对立障碍的几率有关.
- 创伤暴露在18岁时占精神疾病的30.6%.
结论:
- 较高的创伤暴露与巴西青少年精神障碍风险增加有关.
- 迫切需要制定战略,以减少创伤暴露和减轻其对LMICs的心理健康后果.
- 识别有风险的个体和实施干预措施对于青少年心理健康至关重要.
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