Objective: The association between childhood maltreatment (CM) and clinically diagnosed depressive disorders (DD) in children and adolescents remains inconclusive, in large part due to a lack of high-quality epidemiological evidence. This study aimed to investigate the association between CM and DD in a large sample of Chinese children and adolescents.Methods: The study subjects were chosen from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), and a population-based and individually-matched case-control study design was adopted.Results: CM was in general associated with an odds ratio (OR) of 5.38 (95% CI: 3.33, 8.71) for DD in children and adolescents, and a prominent dose-response association was detected. For the five specific types of CM, emotional abuse was independently related to the highest odds of DD (OR=3.90, 95% CI: 2.75, 5.54), followed by physical neglect (OR=2.04, 95% CI: 1.45, 2.87) and physical abuse (OR=1.51, 95% CI: 1.06, 2.13), while insignificant associations were found between DDs and sexual abuse and emotional neglect. Subsequently per-formed stratified analyses identified noticeable effect modification by important demographic factors.Conclusion: CM was significantly associated with increased risk of DD in Chinese children and adolescents. The major findings of the current study suggest that victims of CM, especially those who had been emotionally abused, were susceptible to early-onset DD. Targeted interventions should be considered.
基金:
National Natural Science Foundation of China [82060601]; Top Young Talents of Yunnan Ten Thousand Talents Plan [YNWR-QNBJ-2018-286]; Applied foundation of Kunming Medical University; Yunnan Provincial Department of Science [202101AY070001-051]; NHC Key Laboratory of Drug Addiction Medicine [2020DAMARA-006]; Innovative Research Team of Yunnan Province [202005AE160002]
第一作者机构:[1]Kunming Med Univ, Sch Publ Hlth, Div Epidemiol & Hlth Stat, Kunming, Yunnan, Peoples R China
通讯作者:
通讯机构:[2]Kunming Med Univ, Affiliated Hosp 1, Psychiat Dept, Kunming, Yunnan, Peoples R China[3]Kunming Med Univ, Affiliated Hosp 1, Mental Hlth Inst Yunnan, Kunming, Yunnan, Peoples R China[4]Yunnan Clin Res Ctr Mental Hlth, Kunming, Yunnan, Peoples R China[5]295 Xichang Rd, Kunming, Yunnan, Peoples R China[*1]295 Xichang Road, Kunming, Yunnan, China
推荐引用方式(GB/T 7714):
Xiao Yuanyuan,Ran Hailiang,Fang Die,et al.Childhood maltreatment and depressive disorders in Chinese children and adolescents: A population-based case-control study[J].ASIAN JOURNAL OF PSYCHIATRY.2022,78:doi:10.1016/j.ajp.2022.103312.
APA:
Xiao, Yuanyuan,Ran, Hailiang,Fang, Die,Che, Yusan,Peng, Junwei...&Lu, Jin.(2022).Childhood maltreatment and depressive disorders in Chinese children and adolescents: A population-based case-control study.ASIAN JOURNAL OF PSYCHIATRY,78,
MLA:
Xiao, Yuanyuan,et al."Childhood maltreatment and depressive disorders in Chinese children and adolescents: A population-based case-control study".ASIAN JOURNAL OF PSYCHIATRY 78.(2022)