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首页> 外文期刊>European psychiatry: the journal of the Association of European Psychiatrists >Childhood physical maltreatment with physical injuries is associated with higher adult psychopathology symptoms
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Childhood physical maltreatment with physical injuries is associated with higher adult psychopathology symptoms

机译：儿童身体患有身体损伤的虐待与更高的成人精神病理学症状有关

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BackgroundPrevious research has neglected the distinction between childhood physical maltreatment (CPM) behaviors and the physical sequelae resulting from CPM. Prior empirical work has combined CPM behaviors (e.g., beat, hit with a belt) and CPM physical sequelae (e.g., bruises, fractures) into a single conceptual category to predict adverse psychological consequences in adults. This is preventing the examination whether specific subgroups of CPM exposure may report a higher risk of psychopathology symptoms in adulthood. The aim of this study was to examine whether distinct experiences of CPM histories (no physical maltreatment, physical maltreatment only, and physical maltreatment with physical sequelae) would be differentially associated with specific psychopathology dimensions in adulthood. symptoms MethodData were drawn from the Portuguese National Representative Study of Psychosocial Context of Child Abuse and Neglect (N?=?941). Participants completed the Childhood History Questionnaire and the Brief Symptom Inventory. ResultsThree groups were created based on participants' experience of CPM assessed by the Childhood History Questionnaire. Participants who reported that suffered physical sequelae of the CPM exhibited significantly higher symptoms in all psychopathology dimensions than participants with no history of CPM and participants that were exposed to physical maltreatment without sequelae. ConclusionsThese findings suggest that clinicians should discriminate CPM behavior from CPM physical sequelae in order to increase effectiveness of mental health treatment with adults with history of CPM. Our findings are discussed in light of the evolutionary-developmental frameworks of adaptative development and cumulative risk hypothesis.
机译：背景技术忽视了儿童身体虐待（CPM）行为与CPM引起的物理后遗症之间的区别。先前的经验工作使CPM行为组合（例如，用皮带击打）和CPM物理后遗症（例如，瘀伤，骨折）进入一个概念类别，以预测成人的不良心理后果。这是防止检查CPM暴露的特定亚组是否可以在成年期间报告较高的心理病理学症状风险。本研究的目的是检查CPM历史的不同经历（没有身体虐待，物理虐待和与身体后遗症的身体虐待）将与成年期的特定精神病理学维度差异。症状方法是从葡萄牙语的虐待和忽视的心理社会背景下的葡萄牙语国家代表性研究中汲取的（n？=？941）。参与者完成了童年历史问卷和简短的症状库存。结果是基于童年历史调查问卷评估的CPM的参与者的经验来创建。据报道，患有CPM的物理后遗症的参与者在所有心理病理学维度上表现出明显更高的症状，而不是在没有遗物的情况下暴露于身体虐待的患者和参与者的参与者。结论STERHESE调查结果表明，临床医生应歧视CPM身体后遗症的CPM行为，以提高与CPM历史的成年人的心理健康治疗的有效性。我们的研究结果是根据适应性发展和累积风险假设的进化发展框架讨论的。

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