Abstract：
The long-term mental and physical health consequences of childhood maltreatment have been well documented. Less known are the longer-term consequences of childhood maltreatment, specifically the extent to which childhood maltreatment predicts adult life success.
To prospectively assess the extent to which childhood experiences of physical, sexual, emotional abuse and childhood neglect predict life success at 30 years of age.
Data are from the Mater-University of Queensland Study of Pregnancy (MUSP), a pre-birth cohort study which follows children from conception to 30 years of age.
Details of childhood maltreatment are from two sources; child safety agency notifications (and substantiations) linked to the survey data with self-reports of childhood experiences of maltreatment obtained at the 30-year follow-up using the Child Trauma Questionnaire (CTQ). Life success is a 9-item composite measure (alpha = 0.76) obtained at the 30-year follow-up. We use logistic regression models (with control for covariates) to examine the association between overall as well as specific forms of childhood maltreatment on adult life success. We further test these models using different cut-offs and propensity analyses to adjust for loss to follow-up.
Childhood maltreatment whether measured by agency report or self-report predicts overall low life success; agency substantiation OR = 1.88(1.14,3.08) & self-report OR = 2.60 (2.10,3.25). Self-report physical abuse, OR = 2.37(1.72,3.28); sexual abuse, OR = 2.85(2.05,3.96); emotional abuse, OR = 2.53(1.85,3.45) and neglect, OR = 2.36(1.83,3.03) all predict higher levels of low life success.
Our findings suggest that the long-term consequences of childhood maltreatment extend to a wide range of day-to-day circumstances and extend into mid- to later life.
To prospectively assess the extent to which childhood experiences of physical, sexual, emotional abuse and childhood neglect predict life success at 30 years of age.
Data are from the Mater-University of Queensland Study of Pregnancy (MUSP), a pre-birth cohort study which follows children from conception to 30 years of age.
Details of childhood maltreatment are from two sources; child safety agency notifications (and substantiations) linked to the survey data with self-reports of childhood experiences of maltreatment obtained at the 30-year follow-up using the Child Trauma Questionnaire (CTQ). Life success is a 9-item composite measure (alpha = 0.76) obtained at the 30-year follow-up. We use logistic regression models (with control for covariates) to examine the association between overall as well as specific forms of childhood maltreatment on adult life success. We further test these models using different cut-offs and propensity analyses to adjust for loss to follow-up.
Childhood maltreatment whether measured by agency report or self-report predicts overall low life success; agency substantiation OR = 1.88(1.14,3.08) & self-report OR = 2.60 (2.10,3.25). Self-report physical abuse, OR = 2.37(1.72,3.28); sexual abuse, OR = 2.85(2.05,3.96); emotional abuse, OR = 2.53(1.85,3.45) and neglect, OR = 2.36(1.83,3.03) all predict higher levels of low life success.
Our findings suggest that the long-term consequences of childhood maltreatment extend to a wide range of day-to-day circumstances and extend into mid- to later life.
摘要：
儿童虐待的长期精神和身体健康后果已得到充分记录。鲜为人知的是儿童虐待的长期后果，特别是儿童虐待在多大程度上预测成人生活的成功。
前瞻性评估儿童身体体验的程度，性,情感虐待和童年忽视预测30岁时的生活成功。
数据来自昆士兰大学妊娠研究（MUSP），一项从受孕到30岁的出生前队列研究。
儿童虐待的详细信息来自两个来源；儿童安全机构通知（和证据）与调查数据相关，并使用儿童创伤问卷（CTQ）在30年的随访中获得了儿童虐待经历的自我报告。生命成功是在30年的随访中获得的9项综合度量（α=0.76）。我们使用逻辑回归模型（控制协变量）来检查总体以及特定形式的儿童虐待与成人生活成功之间的关联。我们使用不同的截止值和倾向分析进一步测试这些模型，以调整后续损失。
无论是通过机构报告还是自我报告衡量，儿童虐待都可以预测整体生活成功率较低；机构证实OR=1.88（1.14,3.08）和自我报告OR=2.60（2.10,3.25）。自我报告身体虐待，OR=2.37(1.72,3.28)；性虐待，OR=2.85(2.05,3.96)；情感虐待，OR=2.53(1.85,3.45)和忽视，OR=2.36(1.83,3.03)均预测较高水平的低生活成功率。
我们的研究结果表明，儿童虐待的长期后果延伸到广泛的日常情况，并延伸到中后期生活。
前瞻性评估儿童身体体验的程度，性,情感虐待和童年忽视预测30岁时的生活成功。
数据来自昆士兰大学妊娠研究（MUSP），一项从受孕到30岁的出生前队列研究。
儿童虐待的详细信息来自两个来源；儿童安全机构通知（和证据）与调查数据相关，并使用儿童创伤问卷（CTQ）在30年的随访中获得了儿童虐待经历的自我报告。生命成功是在30年的随访中获得的9项综合度量（α=0.76）。我们使用逻辑回归模型（控制协变量）来检查总体以及特定形式的儿童虐待与成人生活成功之间的关联。我们使用不同的截止值和倾向分析进一步测试这些模型，以调整后续损失。
无论是通过机构报告还是自我报告衡量，儿童虐待都可以预测整体生活成功率较低；机构证实OR=1.88（1.14,3.08）和自我报告OR=2.60（2.10,3.25）。自我报告身体虐待，OR=2.37(1.72,3.28)；性虐待，OR=2.85(2.05,3.96)；情感虐待，OR=2.53(1.85,3.45)和忽视，OR=2.36(1.83,3.03)均预测较高水平的低生活成功率。
我们的研究结果表明，儿童虐待的长期后果延伸到广泛的日常情况，并延伸到中后期生活。
