Implications of Childhood Trauma for Depressed Women: An Analysis of Pathways From Childhood Sexual Abuse to Deliberate Self-Harm and Revictimization

2004 ◽  
Vol 161 (8) ◽  
pp. 1417-1425 ◽  
Author(s):  
Gemma L. Gladstone ◽  
Gordon B. Parker ◽  
Philip B. Mitchell ◽  
Gin S. Malhi ◽  
Kay Wilhelm ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Childhood Trauma ◽  
Deliberate Self Harm ◽  
Self Harm

Effects of Childhood Sexual Abuse in Adult Female Psychiatric Patients

1997 ◽  
Vol 31 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Jill Pettigrew ◽  
Joyce Burcham
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Adult Female ◽  
Psychiatric Patients ◽  
Supportive Psychotherapy ◽  
Deliberate Self Harm ◽  
History Of Childhood ◽  
History Of ◽  
Similar Range ◽  
Self Harm

Objective: The present case-control study investigated the relationship between a history of childhood sexual abuse and subsequent psychopathology. Methods: Referrals to a female psychiatrist in private practice in an urban working class area provided 73 adult female study subjects who reported having been sexually abused in childhood, and 73 randomly selected controls. Results: Subjects had earlier onset of psychiatric disorders and higher incidence of deliberate self-harm, rape in adulthood, and psychiatric hospitalisation. History of childhood sexual abuse had an effect independent of family psychiatric disorder. Although subjects and controls had a similar range of diagnoses, subjects were more likely to suffer anxiety disorders and controls more likely to suffer mood disorders. Controls were more likely to be prescribed antidepressants and subjects were more likely to receive supportive psychotherapy. Despite significantly lower initial Global Assessment of Functioning scores, subjects at completion of treatment had improved to the same scores as controls. Conclusion: The long-term effect of childhood sexual abuse is increased incidence of deliberate self-harm and is unrelated to any specific diagnosis. Despite more severe initial impairment, psychotherapy was effective for patients with a history of childhood sexual abuse.

Characteristics of Childhood Sexual Abuse and Adult Psychopathology in Female Psychiatric Patients

1997 ◽  
Vol 31 (2) ◽  
pp. 200-207 ◽  
Author(s):  
Jill Pettigrew ◽  
Joyce Burcham
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Age Of Onset ◽  
Psychiatric Patients ◽  
Age At Onset ◽  
Self Mutilation ◽  
Self Harm ◽  
Independent Association ◽  
Severe Psychopathology ◽  
Relationship Of

Objective: The present study investigated the relationship of characteristics of childhood sexual abuse and subsequent psychopathology. Method: Referrals to a female psychiatrist in private practice in an urban working class area provided 73 adult female subjects who reported having been sexually abused in childhood. Data were collected on age at onset, duration, physical invasiveness of the abuse, violence, and the number and relationship of abusers. Results: Having had multiple abusers in childhood was significantly (p < 0.01) associated with every outcome measure of severe psychopathology: an initial Global Assessment Functioning score of 50 or below; both single and repeated incidents of deliberate self-harm; overdose; self-mutilation; and psychiatric hospital admission. Conclusions: Notably, having had multiple abusers was the only characteristic showing a reliable independent association with any of these measures. Subjects who had had multiple abusers were significantly more likely to have an earlier age of onset and longer duration of abuse, and to have experienced violent abuse.

Cannabis use and psychosis: re-visiting the role of childhood trauma

2011 ◽  
Vol 41 (11) ◽  
pp. 2339-2348 ◽  
Author(s):  
J. E. Houston ◽  
J. Murphy ◽  
M. Shevlin ◽  
G. Adamson
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Childhood Trauma ◽  
Sexual Experience ◽  
Psychiatric Morbidity ◽  
Cannabis Use ◽  
Traumatic Experiences ◽  
Independent Effect ◽  
Bivariate Model ◽  
Cannabis Consumption

BackgroundCannabis consumption continues to be identified as a causal agent in the onset and development of psychosis. However, recent findings have shown that the effect of cannabis on psychosis may be moderated by childhood traumatic experiences.MethodUsing hierarchical multivariate logistic analyses the current study examined both the independent effect of cannabis consumption on psychosis diagnosis and the combined effect of cannabis consumption and childhood sexual abuse on psychosis diagnosis using data from the Adult Psychiatric Morbidity Survey 2007 (n=7403).ResultsFindings suggested that cannabis consumption was predictive of psychosis diagnosis in a bivariate model; however, when estimated within a multivariate model that included childhood sexual abuse, the effect of cannabis use was attenuated and was not statistically significant. The multivariate analysis revealed that those who had experienced non-consensual sex in childhood were over six times [odds ratio (OR) 6.10] more likely to have had a diagnosis of psychosis compared with those who had not experienced this trauma. There was also a significant interaction. Individuals with a history of non-consensual sexual experience and cannabis consumption were over seven times more likely (OR 7.84) to have been diagnosed with psychosis compared with those without these experiences; however, this finding must be interpreted with caution as it emerged within an overall analytical step which was non-significant.ConclusionsFuture studies examining the effect of cannabis consumption on psychosis should adjust analyses for childhood trauma. Childhood trauma may advance existing gene–environment conceptualisations of the cannabis–psychosis link.

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