Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences.

OBJECTIVES: We sought to determine the fractions of psychiatric disorders and suicide ideation and attempts in a general population sample attributable to childhood physical abuse, sexual abuse, and witnessing domestic violence. METHODS: Data were obtained from the US National Comorbidity Survey Rep...

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Publicado en:American Journal of Public Health Vol. 98; no. 5; pp. 946 - 953
Autores principales: Afifi TO, Enns MW, Cox BJ, Asmundson GJ, Stein MB, Sareen J
Formato: research Journal Article
Publicado: American Public Health Association May2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2008
      vid: 98
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      pub: American Public Health Association
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        10.2105/AJPH.2007.120253
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        atl: Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences.
      aug:
        au:
          Afifi TO
          Enns MW
          Cox BJ
          Asmundson GJ
          Stein MB
          Sareen J
        affil: Department of Community Health Sciences at the University of Manitoba, PZ-430771 Bannatyne Ave, Winnipeg, Manitoba, Canada R3E 3N4. toafifi@exchange.hsc.mb.ca
      sug:
        subj:
          Child Abuse Survivors Psychosocial Factors
          Mental Disorders Etiology
          Suicide, Attempted
          Adult
          Child
          Comorbidity
          Female
          Male
          Mental Disorders Classification
          Prevalence
          Surveys
          United States
          Human
          Adult: 19-44 years
          Child: 6-12 years
          Female
          Male
      ab: OBJECTIVES: We sought to determine the fractions of psychiatric disorders and suicide ideation and attempts in a general population sample attributable to childhood physical abuse, sexual abuse, and witnessing domestic violence. METHODS: Data were obtained from the US National Comorbidity Survey Replication. Population attributable fractions were calculated to determine the proportion of psychiatric disorders and suicide ideation and attempts attributable to adverse childhood experiences. The analysis was stratified by gender. RESULTS: The estimated attributable fractions for psychiatric disorders attributable to having experienced any adverse childhood event ranged from 22% to 32% among women and 20% to 24% among men. Having experienced any adverse event accounted for a substantial proportion of suicide ideation and attempts among women (16% and 50%, respectively) and men (21% and 33%, respectively). Substantial proportions of poor mental health outcomes were also attributable to increasing number of adverse events. CONCLUSIONS: The estimated proportions of poor mental health outcomes attributed to childhood adversity were medium to large for men and women. Prevention efforts that reduce exposure to adverse childhood events could substantially reduce the prevalence of psychopathology and suicidal behavior in the general population.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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