Lancet psychiat:儿童遭受虐待(包括情绪忽视)会增加其自残行为。

2017-11-30 MedSci MedSci原创

越来越多的人认为非自杀式自残是公共健康的重大问题。早期识别以及可变的危险因素是提高筛查和干预效果的必要条件,特别是早期对高风险个体的早期检测。

越来越多的人认为非自杀式自残是公共健康的重大问题。早期识别以及可变的危险因素是提高筛查和干预效果的必要条件,特别是早期对高风险个体的早期检测。

Richard T Liu等人针对儿童虐待(性虐待、身体虐待和忽视、情感虐待和忽视)进行一综合的Meta分析,评估儿童虐待与非自杀式自残是否存在关联。

从Embase、MEDLINE和PsycINFO上检索2017年9月25日前发表的相关文献,提取连续和分类数据,利用十个研究特征评估潜在版主,最终生成随机效应模型,用以分析和评估发表偏倚。

筛查到71篇符合标准的文献,所有儿童虐待均与非自杀式自残(优势比3.42,95% CI2.74-4.26)相关,各虐待亚型的影响度从儿童情绪忽视的1.84(1.45-2.34)到儿童情绪虐待的3.03(2.56-3.54)。除却儿童情绪忽视,发表偏倚不明显。研究人员发现在多种虐待亚型中,在非临床样本的非自杀式自虐中关联性更强。

除却儿童情绪忽视,儿童虐待及其亚型均与非自杀式自残相关。在非自杀式自残风险评估中,追溯其儿童虐待史,可能在社区环境中具有特殊价值,或可提高对儿童情绪虐待的关注。

原始出处:

Richard T Liu,et al.Childhood maltreatment and non-suicidal self-injury: a systematic review and meta-analysis.The Lancet Psychiatry. November 28,2017.http://dx.doi.org/10.1016/S2215-0366(17)30469-8

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    2018-03-15 howi
  2. [GetPortalCommentsPageByObjectIdResponse(id=1829347, encodeId=0210182934e50, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Thu Mar 15 09:20:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265944, encodeId=a9052659440d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Fri Dec 01 11:22:25 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265940, encodeId=82f02659402d, content=虐待自残儿童, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Fri Dec 01 11:20:12 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265766, encodeId=fac5265e66b8, content=无语.各种歧视虐待儿童事件频发, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Thu Nov 30 21:23:27 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2017-12-01 神功盖世

    学习

    0

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    2017-12-01 sunfeifeiyang

    虐待自残儿童

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1829347, encodeId=0210182934e50, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Thu Mar 15 09:20:00 CST 2018, time=2018-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265944, encodeId=a9052659440d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Fri Dec 01 11:22:25 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265940, encodeId=82f02659402d, content=虐待自残儿童, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Fri Dec 01 11:20:12 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265766, encodeId=fac5265e66b8, content=无语.各种歧视虐待儿童事件频发, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Thu Nov 30 21:23:27 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2017-11-30 swfzhanggui

    无语.各种歧视虐待儿童事件频发

    0