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首页> 外文期刊>The British journal of psychiatry : >Family-related adverse childhood experiences as risk factors for psychiatric disorders in Nigeria
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Family-related adverse childhood experiences as risk factors for psychiatric disorders in Nigeria

机译：与家庭有关的不利童年经历成为尼日利亚精神疾病的危险因素

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Background Adverse childhood experiences have been associated with a variety of mental health problems in adult life. Aims To examine whether this reported link between childhood experiences and mental health disorders in adult life applies in a Sub-Saharan African setting where cultural and family attributes may be different. Method A multistage random sampling was used in the Nigerian Survey of Mental Health and Well-Being (NSMHW) to select respondents for face-to-face interviews. Assessments of family-related adverse childhood experiences and lifetime mental health disorders were conducted with the Composite International Diagnostic Interview (CIDI 3.0). Results Almost half of the respondents had experienced an adverse childhood experience within the context of the family before they were 16 years of age. Associations between adverse childhood experiences and adult mental health disorders were few and were attenuated when clustering of adverse childhood experience and disorder comorbidities were accounted for. There was an elevated likelihood of adult substance use disorders among individuals who had experienced family violence and neglect or abuse. Parental psychopathology was associated with a significantly increased risk for developing mood disorders. Conclusions Adverse childhood experiences reflecting violence in the family, parental criminality and parental mental illness and substance misuse were more likely to have significant mental health consequences in adulthood.
机译：背景不良的童年经历与成人生活中的各种心理健康问题有关。目的为了检验在成人生活中童年经历与心理健康障碍之间的这种联系是否适用于撒哈拉以南非洲地区，那里的文化和家庭属性可能有所不同。方法在尼日利亚心理健康和幸福调查（NSMHW）中使用了多阶段随机抽样，以选择受访者进行面对面的访谈。通过综合国际诊断访谈（CIDI 3.0）对与家庭有关的不良儿童经历和终生精神健康障碍进行了评估。结果几乎一半的受访者在16岁之前就在家庭环境中经历了不利的童年经历。儿童不良经历与成人心理健康障碍之间的关联很少，当考虑到儿童不良经历与疾病合并症的聚集时，这种联系会减弱。在经历过家庭暴力，忽视或虐待的个人中，成人滥用毒品的可能性更高。父母的心理病理学与患情绪障碍的风险显着增加有关。结论儿童期不良经历反映了家庭暴力，父母犯罪和父母精神疾病以及滥用药物的可能性，在成年后更可能对精神健康产生重大影响。

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