childhood maltreatment

童年虐待
  • 文章类型: Journal Article
    现有的研究表明,在一个人的一生中,特别是童年的创伤和虐待,是成年后虐待和再次受害的危险因素,尽管纵向证据很少。使用一项为期30年的关于儿童虐待的长期后果的纵向研究的数据,本文描述了童年虐待在成年后两个时间点预测随后的受害和伴侣暴力受害的程度。数据是从一项前瞻性队列设计研究中获得的,在该研究中,有法庭证实的虐待病例(0-11岁)和人口统计学上匹配的对照的儿童被追踪到成年期,并进行了几波采访。儿童虐待是通过1967年至1971年在美国中西部县地区的青少年和成人法庭记录进行评估的。对2000年至2002年(Mage=39.5岁)和2009年至2010年(Mage=47.5)的受害经历进行了评估,其中包括基于终生创伤和受害历史工具的信息以及有关过去一年伴侣暴力受害的问题的两种类型。与39.5岁的对照组相比,有童年虐待史的人更有可能报告身体和性侵犯,绑架和跟踪受害。相比之下,两组在47.5岁时的后期评估中没有差异,但虐待者报告的性侵犯/性虐待风险高于对照组.对于39.5岁的亲密伴侣暴力受害,虐待组和对照组仅在涉及伤害的受害方面有所不同。成年后,与对照组相比,更多有儿童虐待史的个体报告伴侣身体暴力受害.尽管这些纵向研究结果表明,在两个时间点,受害经历普遍下降,这些结果表明,儿童虐待会增加成年中期随后再次受害的风险,特别适用于性侵犯/虐待和亲密伴侣身体暴力受害。这些发现对针对虐待儿童的预防和干预工作具有重要意义。
    Existing research suggests that prior victimizations during a person\'s lifetime, particularly childhood traumas and maltreatment, are risk factors for abuse and revictimization in adulthood, although longitudinal evidence is sparse. Using data from a 30-year ongoing longitudinal study of the long-term consequences of childhood maltreatment, this paper describes the extent to which childhood maltreatment predicts subsequent victimization and partner violence victimization at two time points in adulthood. Data were obtained from a prospective cohort design study in which children with court-substantiated cases of maltreatment (ages 0-11 years) and demographically matched controls were followed into adulthood and interviewed over several waves. Childhood maltreatment was assessed through juvenile and adult court records from 1967 to 1971 in a midwestern county area in the United States. Victimization experiences were assessed from 2000 to 2002 (Mage = 39.5 years) and 2009 to 2010 (Mage = 47.5) and included two types based on information from the lifetime trauma and victimization history instrument and questions about past year partner violence victimization. Individuals with histories of childhood maltreatment were more likely to report physical and sexual assaults and kidnapping and stalking victimization than controls through age 39.5. In contrast, the two groups did not differ at the later assessment at age 47.5, except maltreated individuals reported greater risk for sexual assault/abuse than controls. For intimate partner violence victimization at age 39.5, maltreated and control groups differed only in terms of victimization involving injury. Later in adulthood, more individuals with histories of childhood maltreatment reported partner physical violence victimization compared to controls. Although these longitudinal findings showed a general decline in victimization experiences over the two time points, these results demonstrate that childhood maltreatment increases risk for subsequent revictimization in middle adulthood, specifically for sexual assault/abuse and intimate partner physical violence victimization. These findings have implications for prevention and intervention efforts targeting maltreated children.
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  • 文章类型: Journal Article
    这项系统评价和荟萃分析旨在全面描述经历各种儿童虐待类型是否可以预测青少年中的各种物质使用/滥用类型,超出了以前关于类似主题的系统综述所涵盖的狭窄范围。六月进行了一次文献检索,2022使用PubMed,PsycInfo,和Embase。包括58项研究(总参与者n=170,749)。这些研究主要是根据物质类型的结果组织的,包括酒精(n=43),大麻(n=25),未指定物质(n=25),和其他特定物质(n=10)。结果按虐待类型进一步分层。对于特定的虐待和物质类型组合,大多数研究表明,儿童虐待是青少年药物使用/滥用的重要预测因素。在我们进行的10项荟萃分析中,发现大多数(9/10)的虐待和物质类型组合存在显著关联。例如,未指明的儿童虐待使青少年饮酒的可能性增加了约四倍,这是发现的最高相对风险。总之,这项研究表明,儿童虐待是青少年药物使用/滥用的预测因素。
    This systematic review and meta-analysis aimed to comprehensively describe whether experiencing a variety of childhood maltreatment types predicts a variety of substance use/misuse types among youth, beyond the narrow scope covered in previous systematic reviews on similar topics. A literature search was conducted in June, 2022 using PubMed, PsycInfo, and Embase. 58 studies (total participant n=170,749) were included. These studies were primarily organized by substance type outcomes including alcohol (n=43), cannabis (n=25), unspecified substances (n=25), and other specific substances (n=10). Results were further stratified by maltreatment type. For specific maltreatment and substance type combinations, the majority of studies indicated that childhood maltreatment was a significant predictor of substance use/misuse in youth. Of the 10 meta-analyses we conducted, significant associations were found for the majority (9/10) of maltreatment and substance type combinations. For instance, unspecified childhood maltreatment increased the probability of youth alcohol use by about four times, which was the highest relative risk found. In conclusion, this study shows that childhood maltreatment is a predictor of youth substance use/misuse.
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  • 文章类型: Journal Article
    背景:儿童虐待(CM)与不良结局有关,包括边缘性人格障碍(BPD)和增加的冒犯行为倾向。然而,考虑到澳大利亚CM的高患病率,关于BPD在两者之间发挥的特定作用的研究是有限且高度相关的。
    目的:本研究旨在调查(1)CM与随后的犯罪行为之间的关系,(2)BPD是否调解了CM和犯罪行为之间的关系,和(3)哪种类型的CM(物理,性,情感虐待,疏忽,遭受家庭暴力,多类型的虐待)预测BPD。
    方法:样本包括106名自我鉴定的澳大利亚女性幸存者,他们患有人际暴力犯罪。
    方法:参与者完成了一项由儿童不良事件问卷组成的在线调查,BPD的McLean筛查仪,和一个自我创建的问卷来衡量冒犯行为。回归,调解分析,并进行逻辑回归。
    结果:CM显著预测了冒犯行为(路径c,B=1.39,p<。001),其中BPD部分中介关系(路径c\',B=1.04,95%CI[0.31,1.77],p=.006;路径a,B=0.47,95%CI[0.12,0.83],p=.009,路径b,B=0.34,95%CI[0.07,0.61],p=.014)。情绪虐待和多类型暴露被确定为BPD症状发展的预测因子(OR=9.42,95%CIOR[2.58,34.40];OR=3.81,95%CIOR[1.41;10.28],分别)。
    结论:这些发现表明早期干预措施的必要性,特别关注情感虐待和暴露于一种以上的虐待,以降低发展为BPD症状的风险并减轻未来的犯罪行为。
    BACKGROUND: Childhood Maltreatment (CM) is linked to adverse outcomes, including Borderline Personality Disorder (BPD) and increased propensity for offending behaviors. However, research on the specific role that BPD plays between the two is limited and highly relevant given the high prevalence of CM in Australia.
    OBJECTIVE: The present study aimed to investigate (1) the relationship between CM and subsequent offending behaviors, (2) whether BPD mediates the relation between CM and offending behaviors, and (3) which type of CM (physical, sexual, emotional abuse, neglect, exposure to domestic violence, multitype maltreatment) predicts BPD.
    METHODS: The sample comprised 106 self-identified Australian female survivors of interpersonal violent crimes.
    METHODS: Participants completed an online survey consisting of the Adverse Childhood Events Questionnaire, the McLean Screening Instrument for BPD, and a self-created questionnaire to measure offending behaviors. Regression, mediation analysis, and logistic regression were conducted.
    RESULTS: CM significantly predicted offending behaviors (path c, B = 1.39, p <. 001) with BPD partially mediating the relationship (path c\', B = 1.04, 95 % CI [0.31, 1.77], p = .006; path a, B = 0.47, 95 % CI [0.12, 0.83], p = .009, path b, B = 0.34, 95 % CI [0.07, 0.61], p = .014). Emotional abuse and multitype exposure were identified as predictors of BPD symptom development (OR = 9.42, 95 % CI OR [2.58, 34.40]; OR = 3.81, 95 % CI OR [1.41; 10.28], respectively).
    CONCLUSIONS: These findings indicate the necessity of early interventions addressing CM, with a particular focus on emotional abuse and exposure to more than one type of maltreatment, to reduce the risk of developing BPD symptomatology and mitigate future offending behaviors.
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  • 文章类型: Journal Article
    目的:儿童虐待与抑郁症的药物治疗和心理治疗效果较差相关。目前尚不清楚这种在虐待个体中增加的治疗抵抗风险是否延伸到电惊厥治疗(ECT)。
    方法:这项回顾性队列研究包括2016年至2024年间在爱尔兰的一个学术住院中心进行的501次连续成人转诊,接受每周两次ECT治疗单相或双相抑郁的急性疗程。入院时评估了回顾性报道的儿童身体和性虐待。反应定义为1或2分,缓解定义为最终ECT疗程后1-3天临床总体印象-改善量表评分为1分。Logistic回归分析用于检查儿童虐待与ECT无反应和无缓解之间的关联,调整协变量。进行了中介分析,以探讨精神病合并症的作用,持续抑郁症状持续2年或更长时间在当前发作,和基线抑郁严重程度。
    结果:与没有儿童虐待的组相比,儿童虐待组发生ECT无反应的几率相似(调整后比值比=1.47,95%CI=0.85~2.53),但发生ECT无缓解的几率显著升高(调整后比值比=3.75,95%CI=1.80~7.81).在调解分析中,持续性抑郁症状的存在占儿童期虐待对ECT未缓解的总效应的7.4%.
    结论:暴露于儿童虐待的个体在经过一个疗程的ECT后可能不太可能达到完全缓解。
    OBJECTIVE: Childhood maltreatment is associated with less favourable treatment outcomes with pharmacotherapy and psychotherapy for depression. It is unknown whether this increased risk of treatment resistance in maltreated individuals extends to electroconvulsive therapy (ECT).
    METHODS: This retrospective cohort study included 501 consecutive adult referrals for an acute course of twice-weekly ECT for unipolar or bipolar depression at an academic inpatient centre in Ireland between 2016 and 2024. Retrospectively reported physical and sexual childhood maltreatment were assessed on hospital admission. Response was defined as a score of 1 or 2 and remission was defined as a score of 1 on the Clinical Global Impression - Improvement scale 1-3 days after final ECT session. Logistic regression analyses were used to examine the associations between childhood maltreatment and ECT nonresponse and nonremission, adjusting for covariates. Mediation analyses were conducted to explore the role of psychiatric comorbidities, persistent depressive symptoms lasting 2 years or more in the current episode, and baseline depression severity.
    RESULTS: Compared to the group with no childhood maltreatment, the childhood maltreatment group had similar odds of ECT nonresponse (adjusted odds ratio = 1.47, 95% CI = 0.85-2.53) but significantly elevated odds of ECT nonremission (adjusted odds ratio = 3.75, 95% CI = 1.80-7.81). In a mediation analysis, presence of persistent depressive symptoms mediated 7.4% of the total effect of childhood maltreatment on ECT nonremission.
    CONCLUSIONS: Individuals with exposure to childhood maltreatment may be less likely to achieve full remission following a course of ECT.
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  • 文章类型: Journal Article
    背景:儿童虐待(CM)是发展和维持抑郁症的危险因素。尚不清楚CM是否会影响抑郁症的治疗效果。这项研究检查了行为激活(BA)和元认知治疗(MCT)中CM的预测因子和调节作用。
    方法:在一项试验中,对122名患有重度抑郁症(MDD)的门诊患者进行了为期6个月的BA或MCT治疗方案的比较,对CM进行了分析。抑郁症通过汉密尔顿抑郁量表(HRSD-24)进行评估。使用儿童创伤问卷(CTQ)评估CM。
    结果:线性混合模型显示CTQ总分没有预测或调节效应(所有p>.58),但显示了“性虐待”对减少抑郁症状的调节作用(β=10.98,SE=4.48,p=.015),表明有儿童期性虐待经历的患者从BA中受益更多。“身体忽视”也有预测效果(β=-3.35,SE=1.70,p=0.049):没有身体忽视经历的患者无论病情如何,都能从治疗中受益更多。探索性分析表明,抑郁症的发作或持续没有预测或调节作用,共病焦虑症或Cluster-CPD(所有p>.28)。
    结论:限制包括一些子样本的样本量小。
    结论:在接受MCT或BA治疗的重度MDD门诊患者样本中,儿童性虐待似乎可以减轻治疗效果。如果在进一步的试验中得到证实,性虐待史可能指导MCT和BA之间的选择.
    背景:德国临床试验注册DRKS-ID:DRKS00011536(回顾性注册于2017年2月13日,未更改研究方案)。
    BACKGROUND: Childhood maltreatment (CM) is a risk factor for developing and maintaining depression. It is unclear whether CM influences the effect of treatments for depression. This study examined CM\'s predictor and moderator effect in Behavioral Activation (BA) and Metacognitive Therapy (MCT).
    METHODS: CM was analyzed in a trial comparing a six months treatment program of either BA or MCT for 122 outpatients with major depressive disorder (MDD). Depression was assessed by the Hamilton Rating Scale for Depression (HRSD-24). CM was assessed using the Childhood Trauma Questionnaire (CTQ).
    RESULTS: Linear mixed models showed no predictor or moderator effects for the CTQ total score (all p > .58) but revealed a moderator effect for \'sexual abuse\' on the reduction of depressive symptoms (β = 10.98, SE = 4.48, p = .015) indicating that patients with experiences of childhood sexual abuse benefited more from BA. There also was a predictor effect for \'physical neglect\' (β = -3.35, SE = 1.70, p = .049): patients without the experience of physical neglect benefited more from treatment regardless of condition. Exploratory analyses indicated no predictor or moderator effects for the onset or persistence of depression, comorbid anxiety disorders or Cluster-C PDs (all p > .28).
    CONCLUSIONS: Limitations include small sample sizes for some of the subsamples.
    CONCLUSIONS: Childhood sexual abuse seems to moderate treatment effectiveness in a sample of severely affected outpatients with MDD treated with MCT or BA. If confirmed in further trials, a history of sexual abuse might guide the choice between MCT and BA.
    BACKGROUND: German Clinical Trials Register DRKS-ID: DRKS00011536 (retrospectively registered on February 13, 2017, without changes to the study protocol).
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  • 文章类型: Journal Article
    儿童时期的虐待对幸存者有不利影响。在儿童中,虐待可以预测认知缺陷以及学业和情绪功能受损。尽管在儿童中进行了广泛的研究,成年后认知缺陷的明显程度已在较小程度上进行了研究。执行功能(EF)是一组认知过程,有助于将行为引导到目标,其特征是长期的成熟时间过程。因此,它特别容易受到早期压力的影响,这给精神病理学带来了风险。因此,评估儿童创伤对成人EF的潜在影响至关重要.本研究试图使用自我报告和基于任务的EF过程度量来评估成年期儿童虐待史对EF的影响。较高的累积儿童虐待水平预示着较差的EF。此外,赤字不是由抑郁和焦虑的当前症状造成的,表明儿童期虐待对成年期认知功能的影响不是当前内化精神病理学的结果。
    Maltreatment during childhood has detrimental consequences for survivors. Among children, maltreatment predicts deficits in cognition and impairment in academic and emotional functioning. Although studied extensively in children, the extent to which cognitive deficits are evident in adulthood has been examined to a lesser extent. Executive functioning (EF) is a set of cognitive processes that help to guide behavior toward goals and is characterized by a prolonged maturational time course. As such, it is particularly vulnerable to the effects of early stress, which confers risk for psychopathology. Thus, it is critical to assess the potential impact of childhood trauma on adult EF. The present study sought to assess the impact of a history of childhood maltreatment on EF during adulthood using both self-reported and task-based measures of EF processes. Higher levels of cumulative childhood maltreatment predicted poorer EF. Furthermore, deficits were not accounted for by current symptoms of depression and anxiety, indicating that the impact of childhood maltreatment on cognitive functioning in adulthood is not the result of current internalizing psychopathology.
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  • 文章类型: Journal Article
    背景:尽管母亲童年虐待与后代外化症状有关,对打破母亲童年虐待的代际效应的潜在机制知之甚少。
    目的:当前的研究旨在(a)调查中国家庭中母亲儿童期虐待与后代外化症状之间的代际效应;(b)研究母亲的支持和苛刻的养育作为这种代际效应的潜在中介者;(c)探索父亲支持养育的调节作用,以及父亲严厉的养育方式,在母亲支持和严厉育儿的调解过程中。
    方法:样本由来自北京的1111名母婴三合会组成,当孩子们一岁和三岁时被招募。
    方法:母亲完成了童年创伤问卷,父母双方都完成了幼儿社会和情感评估以及综合幼儿育儿量表。
    结果:我们的结果表明,在T2时,母亲的童年虐待是后代外化症状的危险因素(β=0.24,t=6.51,p<.001),这种效应是由T1时的母体支持(间接效应=0.03,95CI=[0.02,0.05])和严厉的育儿(间接效应=0.03,95CI=[0.02,0.07])介导的。此外,父亲严厉的父母教养通过母亲支持性父母教养减轻了母亲童年虐待对儿童外化症状的间接影响。
    结论:这些发现有助于我们的理解,并为破坏母亲儿童期虐待的代际效应提供了有价值的信息。
    BACKGROUND: Although maternal childhood maltreatment has been associated with offspring externalizing symptoms, little is known about the potential mechanisms that contribute to breaking the intergenerational effect of maternal childhood maltreatment.
    OBJECTIVE: The current study aimed to (a) investigate the intergenerational effect between maternal childhood maltreatment and offspring externalizing symptoms in the Chinese family; (b) examine maternal supportive and harsh parenting as potential mediators of this intergenerational effect; and (c) explore the moderating roles of paternal support parenting, as well as paternal harsh parenting, in this mediation process of maternal supportive and harsh parenting.
    METHODS: The sample consisted of 1111 mother-father-child triads from Beijing, recruited when the children were one and three years old.
    METHODS: Mothers completed the Childhood Trauma Questionnaire, and both parents completed the Infant-Toddler Social and Emotional Assessment and Comprehensive Early Childhood Parenting Scale.
    RESULTS: Our results showed that maternal childhood maltreatment was a risk factor for offspring externalizing symptoms at T2 (β = 0.24, t = 6.51, p < .001), and this effect was mediated by maternal supportive (indirect effect = 0.03, 95%CI = [0.02, 0.05]) and harsh parenting (indirect effect = 0.03, 95%CI = [0.02, 0.07]) at T1. Furthermore, paternal harsh parenting moderated the indirect effect of maternal childhood maltreatment on child externalizing symptoms through maternal supportive parenting.
    CONCLUSIONS: These findings contribute to our understanding and provide valuable information for disrupting the intergenerational effect of maternal childhood maltreatment.
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  • 文章类型: Journal Article
    目的:炎症性肠病(IBD)伴随的症状会极大地影响患者的身体表现。这项研究的目的是调查IBD中身体评估和身体所有权的变化及其与互感敏感性的联系。胃肠道特异性焦虑,和童年虐待史。
    方法:使用地形学自我报告方法对41例临床缓解的IBD患者和44例健康对照(HC)进行身体评估和所有权评估。交互感受,通过自我报告问卷评估胃肠道特异性焦虑和儿童虐待史.
    结果:报告交互感觉较高的患者以更积极的方式感知自己的身体。较高的胃肠道特异性焦虑与IBD患者尤其是腹部的负面身体评估有关。仅在那些报告较高创伤负荷的患者中,儿童期虐待的严重程度才增强了互感敏感性与身体所有权之间的正相关。
    结论:在IBD中,与腹痛相关区域的身体表征改变与更高的症状特异性焦虑和更低水平的交互感觉敏感性有关。特别是在有儿童虐待史的患者中,更高水平的交互感受感可能对患者的身体主人翁感产生有益的影响。
    OBJECTIVE: Inflammatory bowel diseases (IBD) are accompanied by symptoms that can vastly affect patients\' representations of their bodies. The aim of this study was to investigate alterations in body evaluation and body ownership in IBD and their link to interoceptive sensibility, gastrointestinal-specific anxiety, and history of childhood maltreatment.
    METHODS: Body evaluation and ownership was assessed in 41 clinically remitted patients with IBD and 44 healthy controls (HC) using a topographical self-report method. Interoceptive sensibility, gastrointestinal-specific anxiety and a history of childhood maltreatment were assessed via self-report questionnaires.
    RESULTS: Patients reporting higher interoceptive sensibility perceived their bodies in a more positive manner. Higher gastrointestinal-specific anxiety was linked to a more negative body evaluation particularly of the abdomen in patients with IBD. Childhood maltreatment severity strengthened the positive association between interoceptive sensibility and body ownership only in those patients reporting higher trauma load.
    CONCLUSIONS: Altered body representations of areas associated with abdominal pain are linked to higher symptom-specific anxiety and lower levels of interoceptive sensibility in IBD. Particularly in patients with a history of childhood maltreatment, higher levels of interoceptive sensibility might have a beneficial effect on the patients\' sense of body ownership.
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  • 文章类型: Journal Article
    背景:儿童虐待在全球范围内造成了巨大的心理健康负担。不同的儿童虐待措施是不等同的,可能会捕捉到有意义的差异。特别是,虐待的前瞻性和回顾性措施可识别不同的个体群体,并与精神病理学差异相关。然而,这些差异背后的原因尚未全面绘制。
    方法:在这篇综述中,我们借鉴了多学科研究,并提出了一个综合框架来解释虐待测量分歧。
    结果:我们确定了三个相互关联的域。首先,与测量和数据收集方法相关的方法论问题。第二,记忆在影响虐待回顾性报道中的作用。最后,个人可能不得不披露的动机,扣留,或者捏造关于虐待的信息。
    结论:对虐待测量分歧的更多理解可能指向概念化和评估虐待的新方法。此外,它可能有助于揭示虐待相关精神病理学的潜在机制和新干预措施的目标。
    BACKGROUND: Childhood maltreatment contributes to a large mental health burden worldwide. Different measures of childhood maltreatment are not equivalent and may capture meaningful differences. In particular, prospective and retrospective measures of maltreatment identify different groups of individuals and are differentially associated with psychopathology. However, the reasons behind these discrepancies have not yet been comprehensively mapped.
    METHODS: In this review, we draw on multi-disciplinary research and present an integrated framework to explain maltreatment measurement disagreement.
    RESULTS: We identified three interrelated domains. First, methodological issues related to measurement and data collection methods. Second, the role of memory in influencing retrospective reports of maltreatment. Finally, the motivations individuals may have to disclose, withhold, or fabricate information about maltreatment.
    CONCLUSIONS: A greater understanding of maltreatment measurement disagreement may point to new ways to conceptualise and assess maltreatment. Furthermore, it may help uncover mechanisms underlying maltreatment-related psychopathology and targets for novel interventions.
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  • 文章类型: Journal Article
    本研究调查了中国医学生自杀意念(SI)的患病率及其相关危险因素。
    河北省某医学院招收医学生6643人(男2383人/女4260人),中国。人口统计数据是通过自我管理的问卷收集的。儿童创伤问卷简表(CTQ-SF)用于评估儿童虐待(CM),青少年生活事件自我评估清单(ASLEC)用于评估压力性生活事件。使用Beck自杀意念量表(BSSI)评估自杀意念。采用单因素和多因素logistic回归模型分析影响SI的因素。
    医学生中SI的患病率为11.5%(763/6643)。多因素logistic回归分析显示SI与年龄显著相关,一个女性,失恋,内向,在童年时期经历CM,在过去的12个月里经历过紧张的生活事件。在CM的五种亚型中,情绪虐待对SI的影响最大(OR=2.76,95%CI:1.72-4.42)。CM和应激性生活事件的联合作用与SI风险增加显著相关(OR=5.39,95%CI:4.15-6.98)。
    医学生中SI的患病率很高,经历过CM和紧张生活事件的医学生对SI的倾向更高。筛查CM和压力性生活事件可能是识别SI高风险个体的有效方法。
    UNASSIGNED: This study investigated the prevalence of suicidal ideation (SI) among Chinese medical students and its associated risk factors.
    UNASSIGNED: A total of 6643 medical students (2383 males/4260 females) were recruited from a medical college in Hebei Province, China. Demographic data were collected via a self-administered questionnaire. The Childhood Trauma Questionnaire Short Form (CTQ-SF) was used to evaluate childhood maltreatment (CM), and the Adolescent Self-Rating Life Events Checklist (ASLEC) was used to evaluate the stressful life events. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation (BSSI). Univariate and multivariate logistic regression models were used to analyze the factors affecting SI.
    UNASSIGNED: The prevalence of SI in medical students was 11.5% (763/6643). Multivariate logistic regression analysis revealed that SI was significantly associated with younger age, a female sex, being lovelorn, being introverted, experiencing CM during childhood, and experiencing stressful life events within the past 12 months. Of the five subtypes of CM, emotional abuse may have the strongest effect on SI (OR=2.76, 95% CI: 1.72-4.42). The joint effects of CM and stressful life events were significantly associated with an increased risk of SI (OR=5.39, 95% CI: 4.15-6.98).
    UNASSIGNED: The prevalence of SI among medical students is high, and medical students who have experienced CM and stressful life events have a higher tendency towards SI. Screening for both CM and stressful life events may be an effective way of identifying individuals at high risk of SI.
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