Prospective association between childhood abuse experiences and depressive symptoms in adolescence.
10.3760/cma.j.issn.0254-6450.2018.09.008
- Author:
C GONG
1
;
J FANG
1
;
J SHAN
2
;
X N DUAN
1
;
J J HU
1
;
H R CHEN
3
;
J J ZHANG
4
;
Y H WAN
1
;
Y SUN
1
Author Information
1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.
2. Bengbu Gaoxin Experimental School, Bengbu 233000, China.
3. Chinese Journal of School Health, Bengbu 233000, China.
4. The First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, China.
- Publication Type:Journal Article
- Keywords:
Adolescence;
Childhood abuse;
Depressive symptom
- MeSH:
Adolescent;
Child;
Child Abuse/statistics & numerical data*;
China/epidemiology*;
Depression/epidemiology*;
Female;
Humans;
Male;
Prospective Studies;
Students/statistics & numerical data*;
Surveys and Questionnaires
- From:Chinese Journal of Epidemiology
2018;39(9):1184-1187
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the prospective association between childhood abuse experiences and depressive symptoms in adolescence. Methods: Students in grade 3 and 4 from three primary schools were selected, with informed consent, through convenience cluster sampling in Bengbu, Anhui province in May 2013. The students' body height, weight were assessed. Childhood abuse experiences including emotional, physical or sexual abuses, as well as depressive symptoms were reported by children themselves. Data on parental educational background and household economic status were collected through parent questionnaire. A follow up was conducted 4 years later after baseline survey. Depressive symptoms were evaluated by using Children's Depression Inventory at baseline survey, and by using Mood and Feeling Questionnaire at follow-up. Logistic regression model was used to analyze the relationship between childhood abuse experiences and depressive symptoms in adolescence. Results: A total of 1 172 students were included in baseline survey, and a follow-up was conducted for 87.1% of them (n=1 021). Among 1 126 students with complete information on childhood abuse experiences at baseline survey, the reported rates of physical, emotional and sexual abuses were 12.8% (144/1 126), 11.1% (125/1 126) and 10.9% (123/1 126), respectively. The prevalence of depressive symptoms at baseline survey and follow-up was 7.0% (82/1 172) and 12.3% (126/1 021), respectively. After adjusted for baseline depressive symptoms, age at follow-up, sex, the only-child in family, household economic status, divorce of parents and BMI, childhood emotional and physical abuse experiences were significant risk factors for depressive symptoms in mid-adolescence, with the ORs were 1.86 (95%CI: 1.03-3.36, P=0.039) and 2.37 (95%CI: 1.39-4.03, P=0.001), respectively. Conclusion: Childhood physical and emotional abuse might increase the risk of depressive symptoms in adolescence.
