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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >The impact of childhood trauma on psychosocial functioning and physical health in a non-clinical community sample of young adults
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The impact of childhood trauma on psychosocial functioning and physical health in a non-clinical community sample of young adults

机译：儿童创伤对年轻成年人非临床社区样本的心理社会功能和身体健康的影响

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Objective: Given the fundamental emotional, social and physical development that occurs during the early years of life, childhood experiences are formative in shaping a person's life trajectory. Childhood trauma is a prevalent, multifaceted issue with well-documented long-term adverse health effects in clinical populations however; the impact of childhood trauma in the community is less clear. To address this, this study investigated how childhood trauma may impact physical and psychological health, sleep quality and autonomic function in a non-clinical community sample of adults. Method: Participants completed questionnaires, an in-laboratory autonomic assessment (including stress reactivity to mental and physical stressors) and overnight autonomic and sleep monitoring. Overall childhood trauma and its subtypes (e.g. physical abuse, emotional neglect) were defined using the Childhood Trauma Questionnaire. Results: We identified 22 childhood trauma cases (total score > 36) and, of the 89 non-childhood trauma cases, some individuals also experienced significant levels of trauma in one or more of the childhood trauma subtypes. Childhood trauma and some trauma subtypes were significantly correlated with a myriad of negative physiological and physical health outcomes including elevated psychological distress, increased sleep disturbances, reduced emotional wellbeing and lower perceived social support. Autonomic dysregulation was found in those with high levels of childhood trauma, which was reflected in an increased stress response to laboratory tasks. Notably, the experience of physical abuse in childhood was significantly associated with alterations in nocturnal heart rate and heart rate variability. Conclusion: Together, these results highlight that childhood trauma can have lasting detrimental consequences on an individual's emotional and physical health, sleep quality and stress reactivity.
机译：目的：鉴于生命早期发生的基本情感，社会和体育，童年经历是塑造一个人的生命轨迹的形成性。儿童创伤是一种普遍的多方面的问题，临床群体中的长期不良健康效应良好;然而;儿童创伤在社区中的影响不太清楚。为了解决这一问题，本研究调查了儿童创伤在非临床社区成人样本中可能会影响身体和心理健康，睡眠质量和自主神经功能。方法：参与者完成了调查问卷，实验室自主评估（包括对心理和物理压力源的压力反应）和过夜自主和睡眠监测。使用儿童创伤问卷定义了整体儿童创伤及其亚型（例如，身体虐待，情感忽视）。结果：我们鉴定了22例儿童创伤病例（总分> 36），其中一些非儿童创伤病例，一些人在一个或多个儿童创伤亚型中也经历了显着的创伤。儿童创伤和一些创伤亚型与无数的阴性生理和身体健康成果显着相关，包括升高的心理困扰，增加睡眠障碍，减少情绪健康和降低的社会支持。在具有高水平儿童创伤的人中发现自主神经组重构，其反映在对实验室任务的压力响应增加。值得注意的是，儿童身份虐待的经验与夜间心率和心率变异性的改变显着相关。结论：在一起，这些结果强调，儿童创伤可能对个人情绪和身体健康，睡眠质量和压力反应性具有持久的不利影响。

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