| Budget Amount *help |
¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2006: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2005: ¥1,500,000 (Direct Cost: ¥1,500,000)
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| Research Abstract |
A retrospective cohort study of 1592 Japanese and 980 Korean university students (average age was 20 years old) who completed a survey about intra- and extra-familial adverse childhood experiences (ACEs) and the incidence of psychosomatic disorders, abnormal behavior, and school adaptation. Intra-familial ACEs included domestic violence, physical violence, emotional abuse, illness in household, parental divorce, no parental affection, and dysfunctional family. Extra-familial ACEs included physical violence or negative recognition by teachers, being bullied in elementary or junior high school, or sexual violence.
Results :
a) The prevalence of each disorders in past history were psychosomatic diseases (14.8%), allergy diseases (38.3%), sleep disorders (6.5%), and depressive tendency (9.0%).
b) The prevalence of abnormal behaviors were self mutilation (7.5%), suicide attempt (10.0%), domestic violence (5.5%), and abnormal eating behavior (5.3%).
c) The rate of school mal-adaptation were elementary school (6.7%), Junior high school (9.5%), and high school (9.7%).
d) Among the 7 intra-familial ACEs, emotional violence and no parental affection increased the risk of depressive tendency, self-mutilation, chronic fatigue, and school mal-adaptation.
e) Among the 5 extra-familial ACEs, negative recognition by teachers was the highest risk factor in depressive tendency and chronic fatigue. Sexual violence increased the risk of self-mutilation, and being bullied in school increased the risk of school mal-adaptation.
The results of this study demonstrated that both intra-and extra-familial ACEs increased the risk of psychosomatic disorders, abnormal behaviors, and school adaptation during childhood and adolescence. Therefore, sufficient evaluation and consideration of intra- and extra-familial ACEs are required for prevention of these problems in adolescence.
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