自我报告和机构报告的儿童虐待与以后生活中的精神疾病之间的联系：来自CALM研究的结果

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-03-30 DOI:10.1016/j.chiabu.2025.107433

M. Trott , C. Bull , J.M. Najman , S. Kisely

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引用次数: 0

摘要

儿童虐待（CM），包括身体、情感、性虐待和忽视，一直与各种精神疾病有关。然而，直接比较自我报告和机构报告的CM的研究是有限的，特别是在官方心理健康服务的使用中。目的本研究比较自我报告与机构报告的CM患者入院与社区精神卫生服务使用之间的关系。参与者和设置机构报告的0至15岁的CM通过行政记录链接与澳大利亚出生队列联系起来，并在30年随访中收集自我报告的CM。结果共纳入样本2392人。自我报告的CM与任何类型的精神疾病（ORadj = 2.84, 95%CI 1.95-4.13）、精神障碍（ORadj = 3.26, 95%CI 1.79-5.95）、常见精神障碍（ORadj = 3.38, 95%CI 2.13-5.36）以及增加的社区精神卫生服务使用（ORadj = 3.66, 95%CI 2.43-5.52）的入院率显著相关。机构报告的CM仅与任何类型精神疾病的入院有关（ORadj = 2.36, 95%CI 1.32-4.21），并与社区精神卫生服务使用增加有关（ORadj = 2.91, 95%CI 1.62-5.25）。结论与机构报告的CM相比，自我报告的CM在所有形式的精神疾病服务使用中表现出更高的效应量和更高的确定性，突出了在未来的研究中需要同时考虑这两种因素。

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Associations between self-reported and agency-reported child maltreatment and mental illness in later life: Results from the CALM study

Background

Child maltreatment (CM), including physical, emotional, and sexual abuse, and neglect, has been consistently linked to various mental illnesses. Research directly comparing self-reported versus agency-reported CM, however, is limited, especially with official mental health services use.

Objectives

This study compared associations between hospital admissions and community mental health service use for mental illness in self-reported versus agency-reported CM.

Participants and setting

Agency-reported CM from 0 to 15 years was linked to an Australian birth cohort via administrative record linkage, and self-reported CM was collected at 30-year follow-up.

Results

The sample included 2392 individuals. Self-reported CM was significantly associated with admissions for any type of mental illness (OR_adj = 2.84, 95%CI 1.95–4.13), psychotic disorders (OR_adj = 3.26, 95%CI 1.79–5.95), and common mental disorders (OR_adj = 3.38, 95%CI 2.13–5.36), as well as increased community mental health service use (OR_adj = 3.66, 95%CI 2.43–5.52). Agency-reported CM was only associated with admissions for any type of mental illness (OR_adj = 2.36, 95%CI 1.32–4.21), and increased community mental health service use (OR_adj = 2.91, 95%CI 1.62–5.25).

Conclusion

Self-reported CM showed higher effect sizes with higher degrees of certainty with all forms of mental illness service use compared to agency-reported CM, highlighting the need to consider both in future research.

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.