Childhood abuse in adult women with unipolar depression seeking treatment at a tertiary care centre in India, compared to healthy women

2016 ◽  
Vol 33 (S1) ◽  
pp. S408-S409
Author(s):  
G. Devasthali ◽  
K. Jangam ◽  
T. Ka ◽  
A. Raj ◽  
M. Kesavan

IntroductionChildhood abuse has been reported as a precursor and maintaining factors for adult psychiatric disorders. Childhood physical abuse, neglect and sexual abuse have been independently reported in women with depression. There is a serious dearth of literature on the incidence of childhood abuse among women with depression from India.Objectives & aimsWe investigated and compared the incidence of childhood abuse (overall) – physical, emotional and sexual (individual components)- among women seeking treatment for unipolar depression (UD) compared to healthy women (HW).MethodsWe compared the data of women diagnosed with UD (n = 134) from a larger pool of women seeking treatment for psychiatric disorders from our hospital (n = 609) with HW (n = 100) for the purpose of this study. The participants were screened using the MINI International Neuropsychiatric Interview (MINI) and for childhood abuse using the ISPCAN Child Abuse Screening Tool - Retrospective (ICAST)-R. The incidence of childhood abuse between the two groups was compared using the Chi-squared test.ResultsThe UD women have significantly more childhood emotional abuse than HW (69.5% vs 30.5%; χ2 = 4.819, P < 0.05). There was no statistically significant difference between the two groups on overall abuse, physical or sexual abuse (all P > 0.16).ConclusionsConsistent with world literature, significantly more childhood emotional abuse was seen among Indian women with UD compared to HW. It is likely that that repeated emotional abuse in childhood leads to negative attributions among children, later getting generalised to life events resulting in depression in adulthood.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2016 ◽  
Vol 22 ◽  
pp. 138-139 ◽  
Author(s):  
Kavita Jangam ◽  
Gayatri Devasthali ◽  
K.A. Tansa ◽  
Aravind Raj ◽  
Kesavan Muralidharan

2008 ◽  
Vol 103 (2) ◽  
pp. 459-466 ◽  
Author(s):  
Cathy L. Pederson ◽  
Daniel R. Vanhorn ◽  
Josephine F. Wilson ◽  
Lisa M. Martorano ◽  
Jana M. Venema ◽  
...  

A sample of 811 women ages 18 to 59 ( M = 26.0, SD=6.5) responded to an advertisement by telephone. Inquiries were made about childhood abuse status and adult use of alcohol, nicotine, and prescription and illicit drugs. Significant associations were noted for reported sexual, physical, and emotional childhood abuse with use of nicotine, marijuana, and antidepressants in adulthood. Reported childhood physical and emotional abuses were also significantly associated with use of cocaine and anxiolytics, and sexual abuse with antipsychotic use in adulthood. Only childhood emotional abuse was associated with the use of sleeping pills. Number of types of abuse was significantly related with use of nicotine, marijuana, cocaine, antidepressants, antipsychotics, and anxiolytics. Alcohol use was not related to any type of abuse. The long-term effects of childhood emotional abuse may be just as severe as physical or sexual abuse.


2015 ◽  
Vol 50 ◽  
pp. 67-75 ◽  
Author(s):  
Kavita Jangam ◽  
Kesavan Muralidharan ◽  
K.A. Tansa ◽  
E. Aravind Raj ◽  
Paramita Bhowmick

Author(s):  
S. Turner ◽  
C. Harvey ◽  
L. Hayes ◽  
D. Castle ◽  
C. Galletly ◽  
...  

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.


2020 ◽  
pp. 1-11
Author(s):  
Marie-Louise Kullberg ◽  
Charlotte van Schie ◽  
Eleonore van Sprang ◽  
Dominique Maciejewski ◽  
Catharina A. Hartman ◽  
...  

Abstract Background Childhood abuse and neglect often occurs within families and can have a large influence on mental well-being across the lifespan. However, the sibling concordance of emotional abuse and neglect (i.e. together referred to as emotional maltreatment; EM), physical abuse (PA) and sexual abuse (SA) and the long-term impact on the context of siblings' maltreatment experiences are unclear. To examine the influence of EM, PA and SA on adult depressive symptoms within the family framework we differentiate between (a) the family-wide (mean level of all siblings) effects and (b) the individual deviation from the mean family level of maltreatment. Methods The sample (N = 636) consists of 256 families, including at least one lifetime depressed or anxious individual and their siblings. Multilevel modeling was used to examine the family-wide and relative individual effects of childhood maltreatment (CM). Results (a) Siblings showed most similarity in their reports of EM followed by PA. SA was mostly reported by one person within a family. In line with these observations, the mean family levels of EM and PA, but not SA, were associated with more depressive symptoms. In addition, (b) depression levels were more elevated in individuals reporting more EM than the family mean. Conclusions Particularly in the case of more visible forms of CM, siblings' experiences of EM and PA are associated with the elevated levels of adult depressive symptoms. Findings implicate that in addition to individual maltreatment experiences, the context of siblings' experiences is another crucial risk factor for an individuals' adult depressive symptomatology.


1993 ◽  
Vol 21 (3) ◽  
pp. 228-237 ◽  
Author(s):  
Donna Kane ◽  
Sharon E. Cheston ◽  
Joanne Greer

While the sexual abuse of children and its possible sequelae are major societal issues, there has been a scarcity of data in the literature concerning the relationship between religion and incest. This exploratory study researched an aspect of that relationship: whether adult women survivors of childhood incest, perpetrated by a father-figure, have a more negative view of God, compared to adult women who were not sexually molested. The methodology used was a survey of incest survivors and matched comparison subjects. The results indicated that there was a significant difference between how the women survivors of father-figure incest and the non-abused women in the comparison group viewed God.


2017 ◽  
Vol 41 (S1) ◽  
pp. S341-S341
Author(s):  
A. Tortelli ◽  
F. Perquier ◽  
V. Le Masson ◽  
D. Sauze ◽  
N. Skurnik ◽  
...  

IntroductionHomeless people are more likely to have higher prevalence of psychotic disorders than general population. However, we know less about the prevalence of psychotic symptoms in this group.ObjectivesTo estimate the lifetime and current prevalence of psychotic symptoms and their correlates among homeless people living in the Paris metropolitan area.MethodsWe analysed data from 839 homeless randomly selected for the “Samenta” survey that studied mental health and addiction problems in this population. The mini-international neuropsychiatric interview was used to assess psychotic symptoms. Separate multivariate logistic regression analyses were conducted to estimate the associations of sociodemographic characteristics (age, gender, education level and migrant status), early life experiences (sexual abuse, physical and psychological violence, substance use) and psychiatric disorders.ResultsThe lifetime prevalence of psychotic symptoms was 35.4% (95% CI = 28.1–43.5) and the prevalence of current symptoms was 14,0% (95% CI = 9,8–19,6) with no significant difference between migrant and native groups, after exclusion of subjects with a diagnosis of psychotic disorder (n = 145). In multi-adjusted models, childhood sexual abuse was associated with an increased risk of lifetime or current psychotic symptoms (OR > 4, P < 0.05). Early life psychological violence was strongly associated with the risk of lifetime psychotic symptoms in natives (OR = 6.33; 95% CI = 2.10–19.0), whereas alcohol misuse in adolescence was related to lifetime or current psychotic symptoms in migrants (OR = 3.34; 95% CI = 1.20–9.37).ConclusionHomeless people are at higher risk of psychotic symptoms compared to the general population in France. Our findings are consistent with the hypothesis that childhood abuse is an important risk factor of the psychosis continuum.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1994 ◽  
Vol 165 (5) ◽  
pp. 675-679 ◽  
Author(s):  
Robert L. Palmer ◽  
David Bramble ◽  
Michael Metcalfe ◽  
Rhoda Oppenheimer ◽  
Jennifer Smith

BackgroundSexual abuse of male children is now believed to be common, and there may be links to adult psychiatric disorders.MethodRecollections of sexual experiences with adults in childhood were studied systematically in 115 men attending general practice surgeries and 100 male psychiatric patients.ResultsThe latter reported more frequent and more serious events before the age of 13 than the general practice attenders. No significant difference was detected for events between the ages of 13 and 15.ConclusionsChildhood sexual abuse before the age of 13 may be associated with later psychiatric disorders, although the nature of the association remains uncertain.


2018 ◽  
Author(s):  
Anna Hudson ◽  
Charlotte Van Hamme ◽  
Lien Maeyens ◽  
Marcel Brass ◽  
Sven Mueller

Experience of interpersonal trauma and violence alters self-other distinction (also known as theory of mind, or ToM), yet little is known about their neural correlates. This fMRI study assessed temporoparietal junction (TPJ) activation, an area strongly implicated in interpersonal processing, during spontaneous mentalizing in 35 adult women with histories of childhood physical, sexual, and/or emotional abuse (childhood abuse; CA) and 31 women without such experiences (unaffected comparisons, UC). Participants watched movies during which an agent formed true or false beliefs about the location of a ball, while participants always knew the true location of the ball. As hypothesized, right TPJ activation was greater for UC compared to CA for false versus true belief conditions. However, posttraumatic stress symptomatology (PTSS) appeared to play a role in driving the neural effect. In addition, CA showed increased functional connectivity relative to UC between the rTPJ and dorsomedial prefrontal cortex. Finally, the agent's false belief about the presence of the ball speeded participants' response (ToM indx), but without group differences. These findings highlight that experiencing early interpersonal trauma can alter brain areas involved in the neural processing of ToM and perspective-taking during adulthood.


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