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首页> 外文期刊>The British journal of psychiatry : >Childhood maltreatment and DSM-IV adult mental disorders: Comparison of prospective and retrospective findings
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Childhood maltreatment and DSM-IV adult mental disorders: Comparison of prospective and retrospective findings

机译：儿童虐待和DSM-IV成人精神障碍：前瞻性和回顾性研究结果的比较

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Background: Prior research reports stronger associations between childhood maltreatment and adult psychopathology when maltreatment is assessed retrospectively compared with prospectively, casting doubt on the mental health risk conferred by maltreatment and on the validity of retrospective reports. Aims: To investigate associations of psychopathology with prospective v. retrospective maltreatment ascertainment. Method: A nationally representative sample of respondents aged 16-27 years (n = 1413) in New Zealand completed a retrospective assessment of maltreatment and DSM-IV mental disorders. Survey data were linked with a national child protection database to identify respondents with maltreatment records (prospective ascertainment). Results: Childhood maltreatment was associated with elevated odds of mood, anxiety and drug disorders (odds ratios = 2.1-4.1), with no difference in association strength between prospective and retrospective groups. Prospectively ascertained maltreatment predicted unfavourable depression course involving early onset, chronicity and impairment. Conclusions: Prospectively and retrospectively assessed maltreatment elevated the risk of psychopathology to a similar degree. Prospectively ascertained maltreatment predicted a more unfavourable depression course.
机译：背景：先前的研究报道，回顾性评估与前瞻性评估相比，儿童期虐待与成人心理病理之间的关联性更强，这使人们对虐待所带来的心理健康风险以及回顾性报告的有效性产生怀疑。目的：探讨心理病理学与前瞻性诉回顾性虐待确定的关系。方法：在新西兰具有全国代表性的16-27岁（n = 1413）受访者样本中，完成了对虐待和DSM-IV精神障碍的回顾性评估。调查数据与国家儿童保护数据库相关联，以识别具有虐待记录（预期确定）的受访者。结果：儿童期虐待与情绪，焦虑和药物异常几率升高相关（几率= 2.1-4.1），预期组和回顾组之间的关联强度无差异。事先确定的虐待预示着抑郁症的病程不利，包括早期发作，慢性和损伤。结论：前瞻性和回顾性评估的虐待使精神病理学风险增加到相似的程度。事先确定的虐待预示着抑郁症的病程更加不利。

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