[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany].

IF 1.1 4区 医学 Q4 PSYCHIATRY Psychiatrische Praxis Pub Date : 2024-11-06 DOI:10.1055/a-2416-0998
Claudia Helmert, Thomas McLaren, Toni Fleischer, Christine Ulke, Laura Altweck, Stefanie Hahm, Holger Muehlan, Lisa Kriechel, Manfred E Beutel, Silke Schmidt, Georg Schomerus, Elmar Brähler, Sven Speerforck
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Abstract

Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983). In multi-group path analyses (stratified men/women), we analysed the influence of pre-school care as a predictor and experienced child abuse (CTS) as a mediator variable for anxiety (GAD-7) and depression (PHQ-9) in adulthood. There are no direct effects of pre-school care on anxiety and depression. Childhood trauma significantly affected current mental health (women β=0.253-0.610; men β=0.092-0.439). Analyses suggest no link between early institutional care and childhood abuse. Considering other contextual factors in childcare is crucial for establishing population-wide prevention strategies for child safety.

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[机构化学前儿童保育与虐待报告:东德调查]。
虐待儿童会增加成年后出现心理健康问题的风险。关于东德早期机构儿童保育与童年受虐经历之间的联系以及对成年后焦虑和抑郁的中介作用的研究十分有限。样本包括 1743 名出生于民主德国(1949-1983 年)的人。在多组路径分析(分层男性/女性)中,我们分析了学前保育作为预测变量和儿童虐待经历(CTS)作为中介变量对成年后焦虑(GAD-7)和抑郁(PHQ-9)的影响。学前教育对焦虑和抑郁没有直接影响。童年创伤对目前的心理健康有明显影响(女性 β=0.253-0.610;男性 β=0.092-0.439)。分析表明,早期机构照料与童年虐待之间没有联系。考虑到儿童保育的其他背景因素对于制定儿童安全的全民预防战略至关重要。
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来源期刊
Psychiatrische Praxis
Psychiatrische Praxis PSYCHIATRY-
CiteScore
3.90
自引率
9.10%
发文量
103
期刊介绍: Sozialpsychiatrisch orientiert Aktuelle Originalarbeiten und fundierte Übersichten Pro-Kontra-Debatten zu Brennpunktthemen Informative Fallbeispiele Vorstellung internationaler Studien
期刊最新文献
[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany]. [What does an Ideal Day Centre Look Like? The User Perspective on Day-Structuring Programmes for People with Mental Illness]. [Compensation for National Socialist Persecution as a Catalyst for a Paradigm Shift - A Contribution to the History of Psychiatry in the Early Federal Republic of Germany]. [IEHT vs. Regular Treatment - Are there Differences between the Two forms of Treatment in the Retrospective Course with regard to Individual Objective and Subjective Outcome Variables?] [Occupational Stressors and Resources of Peer Workers in Social Psychiatry].
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