期刊
JOURNAL OF PSYCHIATRIC RESEARCH
卷 74, 期 -, 页码 87-93出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.jpsychires.2015.12.021
关键词
Child maltreatment; Sexual abuse; Epidemiology; Posttraumatic stress disorder; Mood/anxiety disorders
类别
资金
- National Health and Medical Research Council (NHMRC), Australia
- National Health & Medical Research Council Career Development Awards (CDA) [APP1012485]
- National Institute on Drug Abuse [R01DA026437]
- Eunice Kennedy Shriver National Institute of Child Health and Human Development [R01HD065819]
- U.S. National Institutes of Health
- Australian National Health and Medical Research Council
Child sexual abuse (CSA) has been associated with many adverse psychiatric outcomes. However, most studies have relied on retrospective self-report of exposure to CSA. We set out to investigate the incidence of CSA in the same birth cohort using both retrospective self-report and prospective government agency notification, and examine the psychological outcomes in young adulthood. The primary outcomes were measures of DSM-IV diagnoses (CIDI-Auto) at age 21. The 21-year retrospective CSA questions were completed by 3739 participants. CSA was self-reported by 19.3% of males and 30.6% of females. After adjustment for potential confounders, both self-reported and agency-notified CSA were associated with increased odds of lifetime major depressive disorder (MDD), anxiety disorders, and posttraumatic stress disorder (PTSD). For the first time in a birth cohort, this study has shown the disparity between the incidence of CSA when measured by self-report and government agency notification. Despite this discrepancy, adverse psychiatric outcomes are seen when CSA is defined using either method. (C) 2015 Elsevier Ltd. All rights reserved.
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