童年遭受虐待与老年人抑郁症状轨迹的关系:中国的一项纵向研究。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-03-04 DOI:10.1080/13607863.2024.2323955
Weiwei Wang, Ling Xu, Huiping Zhang
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引用次数: 0

摘要

目标:童年虐待会对心理健康产生长期影响。现有证据表明,抑郁症状的轨迹因人而异;然而,人们对童年虐待如何影响这些轨迹模式知之甚少。因此,本研究调查了童年虐待对中国老年人八年抑郁轨迹的影响:方法:利用中国健康与退休纵向研究(China Health and Retirement Longitudinal Study)的五波纵向数据。采用生长混合模型(Growth Mixture Modelling)来识别抑郁症状的不同轨迹,并采用多项式逻辑回归(multinomial logistic regression)来探讨这些轨迹与童年虐待之间的关联:结果:发现了四种抑郁症状轨迹:"无症状 "类(61.83%)、"症状加重 "类(14.49%)、"症状减轻 "类(16.44%)和 "慢性症状 "类(7.24%)。与 "无症状 "类别相比,经历过童年身体虐待的老年人更有可能属于 "慢性症状 "类别,而情感忽视与三种问题轨迹并无显著关联:本研究提供了实证证据,证明童年遭受身体虐待会增加日后出现慢性抑郁症状的可能性。要降低这种风险,关键是要制定包含创伤知情护理原则的综合治疗计划,采用专门针对虐待的长期影响的循证疗法,并优先考虑对老年人的心理健康进行定期筛查和评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Childhood maltreatment and association with trajectories of depressive symptoms among older adults: a longitudinal study in China.

Objectives: Childhood maltreatment has long-lasting effects on mental health. Existing evidence suggests that trajectories of depressive symptoms vary among individuals; however, little is known about how childhood maltreatment shapes these trajectory patterns. Therefore, this study investigated the impacts of childhood maltreatment on eight-year depressive trajectories among Chinese older adults.

Method: Five waves of longitudinal data from the China Health and Retirement Longitudinal Study were utilized. Growth Mixture Modelling was performed to identify distinct trajectories of depressive symptoms, and multinomial logistic regression was conducted to explore the associations between these trajectories and childhood maltreatment.

Results: Four trajectories of depressive symptoms were identified: the 'no symptoms' class (61.83%), the 'increasing symptoms' class (14.49%), the 'decreasing symptoms' class (16.44%), and the 'chronic symptoms' class (7.24%). Older adults who experienced childhood physical abuse were more likely to be in the 'chronic symptoms' class than in the 'no symptoms' class, whereas emotional neglect did not show a significant association with three problematic trajectories.

Conclusion: This study provides empirical evidence that childhood physical abuse increases the likelihood of developing chronic depressive symptoms in later life. To mitigate this risk, it is crucial to institute comprehensive treatment plans that incorporate trauma-informed care principles, employ evidence-based therapies specifically designed to address the long-term effects of abuse, and prioritize regular screening and assessment of mental health among older adults.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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