与焦虑、抑郁和复杂创伤后应激障碍症状相关的童年虐待。

IF 0.5 4区 医学 Q4 PHARMACOLOGY & PHARMACY Psychiatry and Clinical Psychopharmacology Pub Date : 2024-09-01 DOI:10.5152/pcp.2024.24842
Yan Wen Zeng, Shih-Han Chiu, Chin-Bin Yeh
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引用次数: 0

摘要

背景:童年虐待对身心健康有很大影响。本研究旨在调查成人的童年虐待经历、社会支持、焦虑和抑郁以及创伤应激症状之间的关系:方法:共招募了 113 名年龄在 20-35 岁之间的受试者。他们填写了自我报告问卷,包括童年创伤问卷简表(CTQ-SF)、贝克焦虑量表(BAI)、贝克抑郁量表(BDI-II)、国际创伤问卷(ITQ)、DSM-5创伤后应激障碍核对表中文版(PCL-5)以及创伤后应激障碍多维量表、和感知社会支持多维量表(MSPSS),以测量童年虐待、焦虑和抑郁、创伤后应激/复合创伤后应激症状(PTSD/CPTSD)和社会支持的症状严重程度。对虐待组和非虐待组的症状严重程度进行了比较。对虐待经历、精神影响严重程度和社会支持的作用之间的关系进行了回归分析和中介分析:结果:74.3%的参与者在孩童时期曾遭受过虐待。经历过虐待的人比没有经历过虐待的人有更严重的创伤后应激障碍/慢性创伤后应激障碍症状。家庭支持(而非朋友支持)对虐待与创伤后应激障碍/慢性创伤后应激障碍症状严重程度之间的关系起到了中介作用:结论:童年虐待与青少年焦虑、抑郁和 CPTSD 症状严重程度有关。今后有必要开展前瞻性研究,探讨家庭支持在预防虐待后遗症方面的作用。
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Childhood Maltreatment Associated with Anxiety and Depression and Complex PTSD Symptoms.

Background: Childhood maltreatment has great impact on physical and mental health. This study was designed to investigate the relationship between childhood maltreatment experience, social support, Anxiety and Depression, and traumatic stress symptoms in adults.

Methods: There were 113 subjects aged 20-35 recruited. They filled out self-reported questionnaires, including the Childhood Trauma Questionnaire Short Form (CTQ-SF), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI-II), International Trauma Questionnaire (ITQ), Chinese version of the PTSD Checklist for DSM-5 (PCL-5), and Multidimensional Scale of Perceived Social Support (MSPSS), to measure symptom severity regarding childhood maltreatment, Anxiety and Depression, post-traumatic stress/complex post-traumatic stress symptoms (PTSD/CPTSD), and social support. The symptom severity was compared between maltreatment and non-maltreatment groups. Regression and mediator analyzes were done to investigate the relationship between maltreatment experience, mental impact severity, and the role of social support.

Results: There were 74.3% of participants who had been maltreated as children. Those who experienced maltreatment had more PTSD/CPTSD symptom severity than those who did not. Family support, but not friend support, mediated the relationship between maltreatment and PTSD/CPTSD symptom severity.

Conclusion: Childhood maltreatment was associated with Anxiety and Depression and CPTSD symptom severity in young adults. Future prospective studies are warranted to investigate the role of family support in preventing consequences after maltreatment.

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来源期刊
Psychiatry and Clinical Psychopharmacology
Psychiatry and Clinical Psychopharmacology Medicine-Psychiatry and Mental Health
CiteScore
1.00
自引率
14.30%
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期刊介绍: Psychiatry and Clinical Psychopharmacology aims to reach a national and international audience and will accept submissions from authors worldwide. It gives high priority to original studies of interest to clinicians and scientists in applied and basic neurosciences and related disciplines. Psychiatry and Clinical Psychopharmacology publishes high quality research targeted to specialists, residents and scientists in psychiatry, psychology, neurology, pharmacology, molecular biology, genetics, physiology, neurochemistry, and related sciences.
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