Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys.
Br J Psychiatry
; 197(5): 378-85, 2010 Nov.
Article
em En
| MEDLINE
| ID: mdl-21037215
ABSTRACT
BACKGROUND:
Although significant associations of childhood adversities with adult mental disorders are widely documented, most studies focus on single childhood adversities predicting single disorders.AIMS:
To examine joint associations of 12 childhood adversities with first onset of 20 DSM-IV disorders in World Mental Health (WMH) Surveys in 21 countries.METHOD:
Nationally or regionally representative surveys of 51 945 adults assessed childhood adversities and lifetime DSM-IV disorders with the WHO Composite International Diagnostic Interview (CIDI).RESULTS:
Childhood adversities were highly prevalent and interrelated. Childhood adversities associated with maladaptive family functioning (e.g. parental mental illness, child abuse, neglect) were the strongest predictors of disorders. Co-occurring childhood adversities associated with maladaptive family functioning had significant subadditive predictive associations and little specificity across disorders. Childhood adversities account for 29.8% of all disorders across countries.CONCLUSIONS:
Childhood adversities have strong associations with all classes of disorders at all life-course stages in all groups of WMH countries. Long-term associations imply the existence of as-yet undetermined mediators.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Filho de Pais com Deficiência
/
Sobreviventes Adultos de Maus-Tratos Infantis
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Relações Familiares
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Acontecimentos que Mudam a Vida
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
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Qualitative_research
Limite:
Adolescent
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Adult
/
Child
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Child, preschool
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Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article