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Citation
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Gao Y, Zhang Y, Chen S, Liu N, Liu T, He Q, Yang H, Zhang Y, Shan L, Tao Y, Zhang H. Inj. Med. 2020; 9(1): 16-21. |
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Abstract
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SafetyLit note (June 2020): This publication uses the ISTIC as its DOI registry. Thus, in some nations, this DOI may not forward to the publisher website for obtaining full text.
Objective To understand the current status of post-traumatic stress disorder (PTSD) of sixth grade students who were abused in childhood, and to further explore the relationship between childhood abuse and PTSD to provide scientific guidance for the development of adolescent mental health.
Methods A random stratified sampling method was used to select 991 sixth-grade students from four schools in a certain district of Harbin to conduct a questionnaire survey on childhood abuse and PTSD.
Results The incidences of abuse, emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect in this survey were 48.05%, 3.80%, 5.53%, 7.48%, 16.27%, and 37.96%, respectively. Except for the dimension of emotional abuse, boys' total scores for abuse and scores in other dimensions are higher than girls' ( P <0.05). The positive detection rate of PTSD was 7.48%. There was no statistical difference between the average PTSD score and the scores of different dimensions in different demographic characteristics (gender, household registration, whether they were only children) ( P >0.05). The average PTSD scores and scores of all dimensions of students who had been abused in childhood were higher than those who had not been abused ( P <0.05). Correlation analysis showed that the average score of PTSD and the scores of all dimensions were positively correlated with the total score of abused and the scores of all dimensions ( P <0.05); Logistic regression analysis showed that emotional abuse and physical neglect are risk factors for PTSD ( OR emotional abuse = 1.303 , P emotional abuse <0.001; OR physical neglect = 1.120, PBody neglect <0.05).
Conclusion The abuse and childhood PTSD of six-year students in Harbin cannot be ignored. Boys score higher in abuse than girls. The PTSD score of the group subjected to abuse was higher than that of the group not subjected to abuse, and the abuse score was positively correlated with PTSD. Emotional abuse and physical neglect were risk factors for PTSD. Prevention of abuse in childhood is essential to improve the physical and mental health of young people.
高蕴仪1，张亚倩2，陈素芬2，刘诺兰1，刘婷1，何琪翘1， 杨晖3，张岩2，单玲玲2，陶雨春2，张慧颖2*
1．哈尔滨医科大学2015级预防医学，哈尔滨 150081
2．哈尔滨医科大学公共卫生学院，哈尔滨 150081
3．哈尔滨市阿城区康慧学校，哈尔滨 150300
摘要:目的 了解童年期遭受虐待的六年级学生创伤后应激障碍（post-traumatic stress disorder，PTSD）的现状，并进一步探讨童年期遭受虐待与PTSD的关系，为青少年心理健康发展提供科学的指导意见。方法 采用随机分层抽样方法，抽取哈尔滨市某个区的四所学校的991名在校六年级学生进行童年期遭受虐待经历与PTSD的问卷调查。结果 本次调查的虐待、情感虐待、躯体虐待、性虐待、情感忽视、躯体忽视的发生率分别为48.05%、3.80%、5.53%、7.48%、16.27%、37.96%。除情感虐待维度外，男生的遭受虐待总分及其他维度的得分均高于女生（P＜0.05）。PTSD阳性检出率为7.48%。PTSD平均得分及各维度得分在不同的人口学特征 （性别、户籍、是否为独生子女） 上的比较无统计学差异 （P＞0.05）。童年期遭受过虐待的学生的PTSD平均得分及各维度得分均高于未遭受过虐待的（P＜0.05）。相关分析显示PTSD平均得分及各维度得分与遭受虐待总分及各维度得分均呈正相关关系（P＜0.05）；Logistic回归分析结果显示情感虐待、躯体忽视是PTSD的危险因素 （OR情感虐待＝1.303，P情感虐待＜0.001；OR躯体忽视＝1.120，P躯体忽视＜0.05）。结论 哈尔滨市在校六年学生的童年期遭受虐待与PTSD状况不容忽视。男生虐待得分高于女生。遭受虐待的群体PTSD得分高于未遭受虐待的群体，同时虐待得分与PTSD呈正相关关系，情感虐待、躯体忽视是PTSD的危险因素。预防童年期遭受虐待对于提高青少年身心健康至关重要。
Language: zh |