Childhood adversity in association with personality disorder dimensions: New findings in an old debate

2013 ◽  
Vol 28 (8) ◽  
pp. 476-482 ◽  
Author(s):  
M.P. Hengartner ◽  
V. Ajdacic-Gross ◽  
S. Rodgers ◽  
M. Müller ◽  
W. Rössler
Keyword(s):  
Sexual Abuse ◽  
Emotional Abuse ◽  
Childhood Adversity ◽  
Personality Pathology ◽  
Effect Sizes ◽  
Obsessive Compulsive ◽  
School Problems ◽  
New Findings ◽  
Physical Neglect ◽  
Dsm Iv

AbstractBackgroundVarious studies have reported a positive relationship between child maltreatment and personality disorders (PDs). However, few studies included all DSM-IV PDs and even fewer adjusted for other forms of childhood adversity, e.g. bullying or family problems.MethodWe analyzed questionnaires completed by 512 participants of the ZInEP epidemiology survey, a comprehensive psychiatric survey of the general population in Zurich, Switzerland. Associations between childhood adversity and PDs were analyzed bivariately via simple regression analyses and multivariately via multiple path analysis.ResultsThe bivariate analyses revealed that all PD dimensions were significantly related to various forms of family and school problems as well as child abuse. In contrast, according to the multivariate analysis only school problems and emotional abuse were associated with various PDs. Poverty was uniquely associated with schizotypal PD, conflicts with parents with obsessive-compulsive PD, physical abuse with antisocial PD, and physical neglect with narcissistic PD. Sexual abuse was statistically significantly associated with schizotypal and borderline PD, but corresponding effect sizes were small.ConclusionChildhood adversity has a serious impact on PDs. Bullying and violence in schools and emotional abuse appear to be more salient markers of general personality pathology than other forms of childhood adversity. Associations with sexual abuse were negligible when adjusted for other forms of adversity.

scholarly journals Does childhood trauma predict schizotypal traits? A path modelling approach in a cohort of help-seeking subjects

2022 ◽  
Author(s):  
Julian Max Bernhard Dizinger ◽  
Carolin Martha Doll ◽  
Marlene Rosen ◽  
Michael Gruen ◽  
Lukas Daum ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Emotional Abuse ◽  
Childhood Adversity ◽  
Path Model ◽  
University Hospital ◽  
Emotional Neglect ◽  
Social Anhedonia ◽  
Magical Ideation ◽  
Physical Neglect ◽  
Distress Scale

AbstractSchizotypy constitutes a susceptibility to beneficial and deleterious schizotypal traits, ranging from coping mechanisms to schizotypal personality disorder on a psychosis continuum. Growing evidence indicates a relationship between childhood adversity and trauma and schizotypy. However, the exact influence of childhood adversity and trauma on schizotypy and its relation to sex is not sufficiently understood. Therefore, we investigated sex-adjusted connections between childhood adversity and trauma subdomains (emotional/physical/sexual abuse, emotional/physical neglect) and positive (magical ideation, perceptual aberration) as well as negative schizotypy (physical/social anhedonia). In total, 240 outpatients of the Early Detection and Intervention Centre of the University Hospital Cologne were assessed with the Trauma and Distress Scale for childhood adversity and trauma and the Wisconsin Schizotypy Scales for schizotypy. Path analyses were performed to investigate sex-adjusted correlations. The well-fitting path model of the total sample linked emotional abuse to magical ideation (p = 0.03; SE = 0.20) and emotional neglect to social anhedonia (p = 0.01; SE = 0.26). In females, physical abuse predicted magical ideation (p = 0.01; SE = 0.33), while emotional neglect forecasted physical anhedonia (p = 0.03; SE = 0.34) and social anhedonia (p = 0.03; SE = 0.32). In males, sexual abuse predicted perceptive aberration (p = 0.04; SE = 0.19) and emotional abuse forecasted magical ideation (p = 0.03; SE = 0.27). Overall, the significance of sex-specific interrelations between trauma and schizotypy were highlighted. Magical ideation and perceptive aberration occurred prominently in the absence of negative and disorganized schizotypy, thus positive schizotypy could be discussed as a beneficial expression of coping with emotional, physical and sexual abuse. Furthermore, emotional neglect should be addressed particularly to prevent deleterious negative schizotypy in females.Trial registration number (20-1243), date of registration (May 19th 2020), retrospectively registered.

scholarly journals Association between schizoid tendencies and aggressive behaviors: mediating and moderating influences in childhood trauma and life events among Chinese adolescents

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Tingyu Yang ◽  
Yuqiong He ◽  
Shuxian Wu ◽  
Xilong Cui ◽  
Xuerong Luo ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Life Events ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Child Behavior Checklist ◽  
Short Form ◽  
Chinese Adolescents ◽  
Emotional Neglect ◽  
Aggressive Behaviors ◽  
Physical Neglect

Abstract Background This study investigated an association between schizoid tendencies and aggressive behaviors in Chinese adolescents, and explored the underlying mechanism. Methods The data of 3094 adolescents aged 12 to 16 years were collected from an epidemiological survey in China. All the subjects or their parents completed the Achenbach’s Child Behavior Checklist, the Childhood Trauma Questionnaire-Short Form, and the Adolescent Self-rating Life Event Checklist (ASLEC). Results Relative to the non-schizoid group, adolescents with schizoid tendencies (male or female) showed significantly higher scores for aggressive behaviors, emotional abuse, and ASLEC. Regarding females only, those with schizoid tendencies had significantly higher (lower) scores for physical abuse and emotional neglect (physical neglect). The aggressive behaviors score was predicted by scores for schizoid tendencies (βmale = 0.620, βfemale = 0.638, both P < 0.001) and ASLEC (βmale = 0.125, βfemale = 0.061, both P < 0.01), and by childhood trauma score (males: emotional neglect [β = 0.045, P = 0.021]; females: emotional abuse and sexual abuse [β = 0.118 and − 0.062, both P < 0.01]). The ASLEC and childhood trauma scores mediated the association between scores for schizoid tendencies and aggressive behaviors, specifically, emotional neglect (emotional abuse and sexual abuse) in males (females). In females, the interaction between scores for childhood trauma and ASLEC affected the aggressive behaviors score (P = 0.023). Conclusions Schizoid tendencies are associated with aggressive behaviors among Chinese adolescents. Recent life events and childhood trauma mediated an association between schizoid tendencies and aggressive behaviors. The interaction between childhood trauma and recent life events affected aggressive behaviors in females. Aggressive behaviors in adolescents may be ameliorated by reducing childhood trauma and life events.

scholarly journals Childhood adversity and clinical and psychosocial outcomes in psychosis

2019 ◽  
Vol 29 ◽  
Author(s):  
S. Turner ◽  
C. Harvey ◽  
L. Hayes ◽  
D. Castle ◽  
C. Galletly ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Adverse Event ◽  
Adverse Events ◽  
Childhood Abuse ◽  
Mental Health Professionals ◽  
Emotional Abuse ◽  
Childhood Adversity ◽  
Psychosocial Outcomes ◽  
Psychosocial Stressor ◽  
Illness Onset

Abstract Aims Associations between childhood abuse and various psychotic illnesses in adulthood are commonly reported. We aim to examine associations between several reported childhood adverse events (sexual abuse, physical abuse, emotional abuse, neglect and interpersonal loss) among adults with diagnosed psychotic disorders and clinical and psychosocial outcomes. Methods Within a large epidemiological study, the 2010 Australian National Survey of Psychosis (Survey of High Impact Psychosis, SHIP), we used logistic regression to model childhood adverse events (any and specific types) on 18 clinical and psychosocial outcomes. Results Eighty percent of SHIP participants (1466/1825) reported experiencing adverse events in childhood (sexual abuse, other types of abuse and interpersonal loss). Participants reporting any form of childhood adversity had higher odds for 12/18 outcomes we examined. Significant associations were observed with all psychosocial outcomes (social dysfunction, victimisation, offending and homelessness within the previous 12 months, and definite psychosocial stressor within 12 months of illness onset), with the strongest association for homelessness (odds ratio (OR) = 2.82). Common across all adverse event types was an association with lifetime depression, anxiety and a definite psychosocial stressor within 12 months of illness onset. When adverse event types were non-hierarchically coded, sexual abuse was associated with 11/18 outcomes, other types of abuse 13/18 and, interpersonal loss occurring in the absence of other forms of abuse was associated with fewer of the clinical and psychosocial outcomes, 4/18. When adverse events types were coded hierarchically (to isolate the effect of interpersonal loss in the absence of abuse), interpersonal loss was associated with lower odds of self-reproach (OR = 0.70), negative syndrome (OR = 0.75) and victimisation (OR = 0.82). Conclusions Adverse childhood experiences among people with psychosis are common, as are subsequent psychosocial stressors. Mental health professionals should routinely enquire about all types of adversities in this group and provide effective service responses. Childhood abuse, including sexual abuse, may contribute to subsequent adversity, poor psychosocial functioning and complex needs among people with psychosis. Longitudinal research to better understand these relationships is needed, as are studies which evaluate the effectiveness of preventative interventions in high-risk groups.

Childhood Maltreatment History as a Risk Factor for Sexual Harassment Among U.S. Army Soldiers

1998 ◽  
Vol 13 (3) ◽  
pp. 269-286 ◽  
Author(s):  
Leora N. Rosen ◽  
Lee Martin
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Sexual Harassment ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Well Being ◽  
The United States ◽  
Sexual Experiences ◽  
Unwanted Sexual Experiences ◽  
Physical Neglect

Four different types of childhood maltreatment were examined as predictors of unwanted sexual experiences and acknowledged sexual harassment among male and female active duty soldiers in the United States Army. Predictor variables included childhood sexual abuse, physical-emotional abuse, physical neglect, and emotional neglect. Three types of unwanted sexual experiences in the workplace were examined as outcome variables: gender harassment, unwanted sexual attention, and coercion. Both sexual and physical-emotional abuse during childhood were found to be predictors of unwanted sexual experiences and of acknowledged sexual harassment in the workplace. Among female soldiers, the most severe type of unwanted experience—coercion—was predicted only by childhood physical-emotional abuse. Among male soldiers childhood sexual abuse was the strongest predictor of coercion. A greater variety of types of childhood maltreatment predicted sexual harassment outcomes for male soldiers. Childhood maltreatment and adult sexual harassment were predictors of psychological well-being for soldiers of both genders.

The Relationship between Childhood Trauma and Medically Self-Sabotaging Behaviors among Psychiatric Inpatients

2008 ◽  
Vol 38 (4) ◽  
pp. 469-479 ◽  
Author(s):  
Randy A. Sansone ◽  
Michael W. Wiederman ◽  
Jamie S. McLean
Keyword(s):  
Sexual Abuse ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Psychiatric Inpatients ◽  
Cross Sectional ◽  
Significant Relationships ◽  
High Prevalence ◽  
Physical Neglect ◽  
Unique Predictor ◽  
The Relationship

Objective: This study was designed to explore the relationship between five forms of childhood trauma and medically self-sabotaging behaviors (i.e., the intentional induction, exaggeration, and/or exacerbation of medical symptoms). Method: Using a cross-sectional sample of convenience, 120 psychiatric inpatients were surveyed about childhood sexual, physical, and emotional abuses, the witnessing of violence, and physical neglect, as well as 19 medically self-sabotaging behaviors (i.e., intentional behaviors that represent attempts to sabotage medical care). Results: As expected, in this sample there were high prevalence rates of trauma (62.5% emotional abuse, 58.3% witnessing of violence, 46.7% physical abuse, 37.5% sexual abuse, 28.3% physical neglect). Simple correlations demonstrated statistically significant relationships between sexual abuse and physical neglect and medically self-sabotaging behaviors. Using multiple regression analysis, only physical neglect remained a unique predictor of medically self-sabotaging behaviors. Conclusions: These findings indicate that among psychiatric inpatients there appears to be a relationship between physical neglect in childhood and the generation of medically self-sabotaging behaviors in adulthood. Perhaps physical neglect in childhood contributes to the generation of somatic behaviors in adulthood for the purpose of eliciting caring responses from others.

scholarly journals Mental Health Pathways Linking Childhood Maltreatment to Interpersonal Revictimization During Adolescence for Girls in the Child Welfare System

2015 ◽  
Vol 33 (7) ◽  
pp. 1169-1191 ◽  
Author(s):  
Wendy Auslander ◽  
Sarah Myers Tlapek ◽  
Jennifer Threlfall ◽  
Tonya Edmond ◽  
Jerry Dunn
Keyword(s):  
Sexual Abuse ◽  
Child Welfare ◽  
Posttraumatic Stress ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Child Welfare System ◽  
Welfare System ◽  
Mediation Analyses ◽  
Abuse And Neglect ◽  
Physical Neglect

This study compares the association of histories of childhood emotional, physical, and sexual abuse, and physical neglect with revictimization among adolescent girls, and investigates the role of posttraumatic stress and symptoms of depression as mediators. Participants were 234 girls aged 12 to 19 years, who have been involved with the child welfare system in a Midwestern urban area. Data were collected from baseline surveys of a trauma-focused group program to which the participants were referred. The majority of participants were youths of color (75%) who were primarily African American (70%), and the remaining participants were White, non-Hispanic (25%). Data were collected through surveys that assessed histories of child abuse and neglect, symptoms of posttraumatic stress and depression, and experiences of physical, verbal, and relational revictimization in the last 3 months. All types of abuse and neglect were significantly associated with higher frequencies of revictimization and higher levels of posttraumatic stress and depressive symptoms. Parallel mediation analyses demonstrated that both posttraumatic stress and depression fully mediated the relationships between emotional abuse and revictimization, and sexual abuse and revictimization. Physical abuse was fully mediated by posttraumatic stress, but not by depression. Results also indicated that neither posttraumatic stress nor depression were mediators for the relationship between neglect and revictimization. There were similar pathways to revictimization in adolescents from emotional and sexual abuse through posttraumatic stress and depression. Evidence is mounting for the deleterious effects of emotional abuse. There is evidence that treatment of both posttraumatic stress and depression in emotionally and sexually abused adolescents involved in child welfare is warranted to prevent future revictimization.

The association between childhood trauma and facial emotion recognition in patients with stable schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. S372-S372 ◽  
Author(s):  
J. Mrizak ◽  
A. Arous ◽  
R. Trabelsi ◽  
A. Aissa ◽  
H. Ben Ammar ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Emotion Recognition ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Significant Feature ◽  
Childhood Trauma Questionnaire ◽  
Physical Neglect ◽  
Competing Interest

IntroductionThe impairment of facial emotion recognition (FER) among patients with schizophrenia (SCZ) is a significant feature of the illness. Childhood trauma (CT) is reported with a high prevalence in SCZ and is considered one of its risk factors.ObjectivesTo investigate the relationship between FER and CT in SCZ.MethodsFifty-eight outpatients with stable SCZ completed the Childhood Trauma Questionnaire retrospectively assessing five types of childhood trauma (emotional, physical and sexual abuse, and emotional and physical neglect). They also completed a newly developed and validated FER task constructed from photographs of the face of a famous Tunisian actress and evaluating the ability to correctly identify Ekman's six basic facial emotions (happiness, sadness, anger, disgust, fear and surprise).ResultsPatients with higher scores of CT performed significantly worse in FER task. Our results suggest that the presence of sexual abuse is specifically correlated to a poor identification of anger (P = 0.02) and disgust (P = 0.03) while the presence of emotional abuse and physical neglect are correlated to a poor identification of happiness and sadness.ConclusionsCT may represent one of the causes of the FER deficits in schizophrenia. Further studies are necessary to confirm the link between specific kinds of childhood trauma and deficits in the recognition of discrete emotions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Physical, Psychological and Sexual Abuse of the Minor in the Families from the Northwestern Region of Romania- Social and Medical Forensics

2021 ◽  
Author(s):  
Camelia Liana BUHAȘ ◽  
Claudia JUDEA-PUSTA ◽  
Bogdan Adrian BUHAȘ ◽  
Simona BUNGAU ◽  
Adrian Sorin JUDEA ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Physical Abuse ◽  
Rural Areas ◽  
Emotional Abuse ◽  
Urban Areas ◽  
Forensic Analysis ◽  
Sociological Study ◽  
The Family ◽  
Physical Neglect

Background: In Romania, the abuse within the family of the minor child is a widespread phenomenon, its extent is insufficiently known because of ignorance/not reporting all the existing cases. Methods: The participants of the research are represented by two independent groups from the NW Romania 2007-2011, one for sociological study (1544 parents and 1283 children) and another for forensic statistical study (2761 cases of abused children). The sociological study was carried out by analyzing questionnaires applied in schools located in Bihor County, both to children and parents. The statistical analysis was carried out by studying the cases of the physically, sexually, and psychologically abused minors, recorded at Bihor County Forensic Service. Results: Physical neglect and physical abuse are the most common forms of child abuse. The forensic analysis highlight that most of the victims are male from urban areas. Physical abuse is more common in the 16-18 age group, psychological abuse in children aged between 6-10 yr, and sexual abuse in children under the age of 14 years. Girls were subject to sexual abuse, neglect, and emotional abuse, more frequently in rural areas; boys were most often victims of exploitation, physical, and emotional abuse in both urban and rural areas. Conclusion: The results of the study led to the formulation of general guidelines on this phenomenon and highlight the need for proposals to improve the current situation of child abuse within the family.

scholarly journals Childhood Maltreatment in Individuals With Schizophrenia Spectrum Disorders: The Impact of Cut-Off Scores on Prevalence Rates

2021 ◽  
Vol 12 ◽  
Author(s):  
Angelina Weitkämper ◽  
Michael Kellner ◽  
Jona Ruben Iffland ◽  
Martin Driessen ◽  
Hanna Kley ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Common Phenomenon ◽  
Prevalence Rates ◽  
Emotional Neglect ◽  
Schizophrenia Spectrum ◽  
Physical Neglect ◽  
The Impact

Childhood maltreatment is a common phenomenon in various psychiatric disorders. Accordingly, patients with disorders from the schizophrenia spectrum (SSD) appear to have high prevalence rates of childhood maltreatment. However, the interpretation and comparability of prevalence rates is impeded by methodological weaknesses and differences such as measures and thresholds used in previous studies. Therefore, we aimed to provide and compare systematically captured data on prevalence rates of all common types of childhood maltreatment in patients with SSD using a standardized and well-established questionnaire and the most frequently used thresholds. The sample consisted of 48 patients with a primary diagnosis of SSD. 58.3–77.1% of the sample experienced at least one type of childhood maltreatment. Prevalence rates for physical abuse, physical neglect, and emotional abuse were dependent on the thresholds used, while equal rates were found for emotional neglect and sexual abuse. Physical neglect (46–67%), and emotional abuse (44–48%) were most commonly reported, followed by emotional neglect (38%), physical abuse (25–38%), and sexual abuse (25%). Additionally, high levels of peer victimization were reported by SSD patients. It appears that childhood maltreatment is a common phenomenon in SSD, even though methodological details, especially cut-off scores, have a substantial impact on the prevalence rates that are determined. Therefore, the methodology of studies should be closely examined when drawing conclusions from presented prevalence rates.

scholarly journals Child abuse in panic disorder

2008 ◽  
Vol 61 (3-4) ◽  
pp. 169-172 ◽  
Author(s):  
Dimitar Bonevski ◽  
Antoni Novotni
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Panic Disorder ◽  
Childhood Abuse ◽  
Clinical Manifestation ◽  
Emotional Abuse ◽  
Control Group ◽  
Emotional Neglect ◽  
Abuse And Neglect ◽  
Physical Neglect

Introduction Numerous authors associate child abuse with serious long-term consequences to the general and psychological well-being in particular. Clinical research to date reveals strong correlation between childhood abuse and neglect and anxiety disorders, especially panic disorder. Material and Methods This study was conducted in order to assess the level of emotional, physical and sexual childhood abuse as well as the physical and emotional childhood neglect in 40 adult patients suffering from panic disorder, diagnosed in accordance with the 10th International Classification of Disorders diagnostic criteria, compared with the control group of 40 healthy test subjects without a history of psychiatric disorders, using the Childhood Trauma Questionnaire. The severity of the clinical manifestation in patients with panic disorder was assessed using the Panic Disorder Severity Scale. Results and Discussion There were no significant differences between the groups as to the level of sexual abuse and physical neglect, whereas in the group of patients with panic disorder, the level of physical and emotional abuse was significantly higher, with emphasis on emotional neglect. With regards to the correlation between the severity of the clinical manifestation in patients with panic disorder and the severity of suffered abuse and neglect in childhood age, significant correlation was found in the physical and emotional abuse as well as emotional neglect. There was no significant correlation in the aspect of the physical neglect and sexual abuse. Conclusion Our research underlines the importance of childhood physical abuse, and especially emotional abuse and emotional neglect in the occurrence of panic disorder later in life.

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