Prevalence and risk of psychiatric disorders in young people: prospective cohort study exploring the role of childhood trauma (the HUNT study).

Autor:	Stangeland H; Section for Trauma, Disasters and Forced Migration - Children and Youth, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway; and Institute of Clinical Medicine, University of Oslo, Norway., Aakvaag HF; Section for Violence and Trauma, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway., Baumann-Larsen M; Institute of Clinical Medicine, University of Oslo, Norway; and Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Norway., Wentzel-Larsen T; Section for Violence and Trauma, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway; and Section for Violence and Trauma, Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway., Ottesen A; Section for Violence and Trauma, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway; NORMENT, Centre of Excellence, Division of Mental Health and Addiction, Oslo University Hospital, Norway; and Institute of Clinical Medicine, University of Oslo, Norway., Zwart JA; Institute of Clinical Medicine, University of Oslo, Norway; and Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Norway., Storheim K; Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Norway; and Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Norway., Dyb G; Section for Trauma, Disasters and Forced Migration - Children and Youth, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway; and Institute of Clinical Medicine, University of Oslo, Norway., Stensland SØ; Section for Trauma, Disasters and Forced Migration - Children and Youth, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway; and Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Norway.
Jazyk:	angličtina
Zdroj:	The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 2024 Nov; Vol. 225 (5), pp. 476-483.
DOI:	10.1192/bjp.2024.98
Abstrakt:	Background: Better knowledge about childhood trauma as a risk factor for psychiatric disorders in young people could help strengthen the timeliness and effectiveness of prevention and treatment efforts. Aims: To estimate the prevalence and risk of psychiatric disorders in young people following exposure to childhood trauma, including interpersonal violence. Method: This prospective cohort study followed 8199 adolescents (age range 12-20 years) over 13-15 years, into young adulthood (age range 25-35 years). Data about childhood trauma exposure from adolescents participating in the Trøndelag Health Study (HUNT, 2006-2008) were linked to data about subsequent development of psychiatric disorders from the Norwegian Patient Registry (2008-2021). Results: One in four (24.3%) adolescents were diagnosed with a psychiatric disorder by young adulthood. Regression analyses showed consistent and significant relationships between childhood exposure to both interpersonal violence and other potentially traumatic events, and subsequent psychiatric disorders and psychiatric comorbidity. The highest estimates were observed for childhood exposure to two or more types of interpersonal violence (polyvictimisation), and development of psychotic disorders (odds ratio 3.41, 95% CI 1.93-5.72), stress and adjustment disorders (odds ratio 4.20, 95% CI 3.05-5.71), personality disorders (odds ratio 3.98, 95% CI 2.70-5.76), alcohol-related disorders (odds ratio 3.28, 95% CI 2.06-5.04) and drug-related disorders (odds ratio 4.67, 95% CI 2.87-7.33). Conclusions: These findings emphasise the importance of integrating knowledge about childhood trauma as a potent risk factor for psychopathology into the planning and implementation of services for children, adolescents and young adults.
Databáze:	MEDLINE
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