کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5045985 1475898 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Childhood trauma and lifetime syncope burden among older adults
ترجمه فارسی عنوان
آسیب های دوران کودکی و سن انقباض طول عمر در بین افراد مسن
کلمات کلیدی
ریسک طول عمر، سینوکوک (خستگی)، سنکوپ، همراهی روانپزشکی، روانشناسی و رفتار،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی


- We investigate potential pathways from childhood trauma to recurrent syncope.
- Childhood trauma is independently associated with frequent syncope in youth.
- Syncope in youth is on the pathway between childhood trauma and later life syncope.
- Childhood trauma may contribute to a lifelong vasovagal tendency.

ObjectiveVasovagal syncope is governed by the autonomic nervous system and often precipitated by highly salient emotional situations. We hypothesized that a lifetime tendency towards vasovagal syncope may be precipitated by exposure to childhood trauma.MethodsWe examined data from the first wave of The Irish Longitudinal Study on Ageing (TILDA) of adults aged 50 + (n = 6497) who were asked to report lifetime syncope frequency and any history of childhood sexual or physical abuse. Mediation analysis was used to assess the relative importance of pathways via which childhood trauma could plausibly increase risk of later life recurrent syncope including via depression, mid-life cardiovascular disease and frequent syncope in youth.Results18.2% reported a lifetime syncopal event: 4.0% frequent syncope in youth and 1.5% recurrent syncope in the last year. 10.9% reported childhood sexual or physical abuse, rising to 14.2% among those reporting any lifetime syncopal event, 21.0% with frequent syncope in youth and 20.2% with recurrent syncope in later life. In fully adjusted logistic regression models the report of childhood sexual or physical abuse was independently associated with frequent syncope in youth (OR 1.85 (CI 95% 1.27-2.71); p = 0.001; OR 2.14 (1.48-3.10); p < 0.001 respectively). A history of frequent syncope in youth and depression partially mediated the relationship between childhood sexual and physical abuse and recurrent syncope in later life, while mid-life cardiovascular disease was less important.ConclusionChildhood trauma may contribute to a lifelong vasovagal tendency. Early attention should be given to the potential precipitating and perpetuating psychosocial factors affecting recurrent syncope.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 97, June 2017, Pages 63-69
نویسندگان
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