scholarly journals The Influence of Childhood Emotional Abuse On Adult Obesity

Author(s):  
Hongwei Zhang ◽  
Ziqi Liu ◽  
Hui Zheng ◽  
Ting Xu ◽  
Lin Liu ◽  
...  

Abstract Background: Early life stress induces long-lasting changes in adulthood, such as psychiatric and metabolism abnormality. The prevalence of childhood emotional abuse in clinical obese subjects remains unclear.Method: A set of questionnaires, including the Childhood Trauma Questionnaire (CTQ), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Eating Disorder Inventory (EDI) was sent out. Clinical data from 37 obese subjects (Age: 29.65±5.35, Body Mass Index (BMI): 37.59±6.34) and 37 healthy subjects with normal body weight (Age: 31.35±10.84, BMI: 22.16±3.69) came into the investigation. Multiple mediation analysis was performed with BMI as the outcome variable, childhood trauma as the predictive variable. Depression, anxiety, and bulimia as the mediating variables.Result: Obese group reported higher childhood emotional abuse (t=2.157, p=0.034), worse mood state (anxiety: t=5.466, p<0.001; depression: t=2.220, p=0.030), and increased bulimia (t=3.400, p=0.001), when compared to healthy group. Childhood emotional abuse was positively associated with BMI (β = 1.312, 95% CI = 0.482−2.141). Anxiety and bulimia showed multiple mediating roles in the relationship of childhood emotional abuse and obesity (indirect effect = 0.739, 95% CI = 0.261−1.608), accounting for 56.33% of the total effect.Conclusion: Childhood emotional abuse may contribute to adulthood obesity, potentially mediated by anxiety and bulimia.

2017 ◽  
Vol 41 (S1) ◽  
pp. S526-S527
Author(s):  
M. Erfanian

A history of childhood maltreatment (CM) is an important determinant for understanding the development of psychiatric and physical disorders. CM is associated with sensitization of central nervous system (CNS) that leads to dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis [1]. Early life stress is a well-known contributor to major depression [2]. The dysregulation of HPA axis and sympathetic nervous system activity also impact skin. Epidermis shows a high vulnerability to such psychological stressors resulting to increase risk for psoriasis [3]. The current study investigates the association between childhood trauma and major depression, childhood trauma and psoriasis, and also severity of major depression in female and male patients with psoriasis. Sixty-four psoriatic patients (female = 34, mean age = 46.87) were evaluated with the Childhood Trauma Questionnaire (CTQ) for the history of CM and with the MINI International Neuropsychiatric Interview for the diagnosis of major depression. CM was associated with major depression, indexed by a higher CTQ in emotional (χ2(3) = 26.002, P < .0005) and physical abuse scores (χ2(3) = 23.764, P < .0005). CM limited to sexual abuse was associated with higher severity of psoriasis (χ2(3) = 9.81, P < .02). There was no indication of a difference between men and women in severity of major depression (U = 444, P = .304). Our findings highlight the importance of recognizing psychiatric comorbidity, in particular major depression, among psoriatic patients. Depressive disorder with the presence of psoriasis may constitute a separate etiology with a greater contribution of early environment.Disclosure of interestThe author has not supplied his/her declaration of competing interest.


2017 ◽  
Vol 41 (S1) ◽  
pp. s852-s853
Author(s):  
G. Teksin Unal ◽  
O. Sahmelikoglu Onur ◽  
C. Karsidag ◽  
M.G. Teksin Bakir

IntroductionSexual dysfunction (SD) is defined as the deterioration of sexual response cycles caused by anatomic, physiologic or psychologic reasons.ObjectivesWe believe that SD is closely related to self-esteem and childhood trauma (CT).AimIn this study, the level of self-esteem and CT in patients diagnosed with SD vs. controls are aimed to be compared. In addition, relationship between complaints of SD self-esteem and CT variable subgroups are planned to be investigated.MethodTwenty-four patients visited Prof. Dr. Mazhar Osman Psychiatric Hospital with matching defined criteria and 24 control counterparts statistically matching were taken sociodemographic data form, Rosenberg Self-esteem Scale (RSS) and Childhood Trauma Questionnaire (CTQ-28) was applied.ResultsCTQ-28 averages and RSS variables which are sensitivity to criticism, depressive mood, psychosomatic symptoms, feeling threatened in interpersonal relationships, degree to participate in discussions, relationship with father were higher in patients with SD (P < 0.05). Considering the relationship between complaints of SD and CTQ-28 subscales, physical abuse, emotional abuse, physical neglect, emotional neglect averages of patients were observed significantly different rooted by genitopelvic pain/penetration disorder and premature ejaculation and in emotional neglect by premature ejaculation and low libido combination (P < 0.05).ConclusionsIn literature, there are many studies that show CT leads to SD and several studies state that self-esteem is affected in patients with SD [1]. CT must be considered and determined in the goal of treatment of SD.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2006 ◽  
Vol 40 (5) ◽  
pp. 478-481 ◽  
Author(s):  
Stuart Watson ◽  
Roy Chilton ◽  
Helen Fairchild ◽  
Peter Whewell

Objective: To examine the relationship between childhood trauma and dissociative experience in adulthood in patients with borderline personality disorder. Method: Dissociative experiences scale scores and subscale scores for the Childhood Trauma Questionnaire were correlated in 139 patients. Patients were dichotomized into high or low dissociators using the Median Dissociative Experiences Scale score as the cut-off. Results: Childhood Trauma Questionnaire Subscale scores for emotional and physical abuse and emotional neglect but not sexual abuse correlated significantly with Dissociative Experiences Scale scores. High dissociators reported significantly greater levels of emotional abuse, physical abuse, emotional neglect and physical neglect but not sexual abuse than low dissociators. Conclusion: Patients with borderline personality disorder therefore demonstrated levels of dissociation that increased with levels of childhood trauma, supporting the hypothesis that traumatic childhood experiences engender dissociative symptoms later in life. Emotional abuse and neglect may be at least as important as physical and sexual abuse in the development of dissociative symptoms.


2019 ◽  
Vol 50 (9) ◽  
pp. 1570-1577 ◽  
Author(s):  
Sumaya Mall ◽  
Jonathan M. Platt ◽  
Henk Temmingh ◽  
Eustasius Musenge ◽  
Megan Campbell ◽  
...  

AbstractBackgroundEvidence from high-income countries suggests that childhood trauma is associated with schizophrenia. Studies of childhood trauma and schizophrenia in low and middle income (LMIC) countries are limited. This study examined the prevalence of childhood traumatic experiences among cases and controls and the relationship between specific and cumulative childhood traumatic experiences and schizophrenia in a sample in South Africa.MethodsData were from the Genomics of Schizophrenia in the South African Xhosa people study. Cases with schizophrenia and matched controls were recruited from provincial hospitals and clinics in the Western and Eastern Cape regions in South Africa. Childhood traumatic experiences were measured using the Childhood Trauma Questionnaire (CTQ). Adjusted logistic regression models estimated associations between individual and cumulative childhood traumatic experiences and schizophrenia.ResultsTraumatic experiences were more prevalent among cases than controls. The odds of schizophrenia were 2.44 times higher among those who experienced any trauma than those who reported no traumatic experiences (95% CI 1.77–3.37). The odds of schizophrenia were elevated among those who experienced physical/emotional abuse (OR 1.59, CI 1.28–1.97), neglect (OR 1.39, CI 1.16–1.68), and sexual abuse (OR 1.22, CI 1.03–1.45) compared to those who did not. Cumulative physical/emotional abuse and neglect experiences increased the odds of schizophrenia as a dose–response relationship.ConclusionChildhood trauma is common in this population. Among many other benefits, interventions to prevent childhood trauma may contribute to a decreasing occurrence of schizophrenia.


2017 ◽  
Vol 41 (S1) ◽  
pp. S109-S109
Author(s):  
S.B. Ölmez ◽  
A. Ataoğlu ◽  
Z. Başar Kocagöz

IntroductionIt is widely known that childhood traumatic life situations are associated with most of the adult life psychiatric disorders such as disassociative disorders, mood disorders, anxiety disorders and so on.Objectives and aimsThe purpose of this study to examine the relationship between childhood traumatic experiences and panic disorder development.MethodsThe sample of this study consists of 59 outpatients who applied to the department of psychiatry in addition to 61 healthy individuals serving as the control group. These 59 individuals, located within the range of 18 to 65 years, were selected from outpatients who had been diagnosed with panic disorder based on DSM-V diagnosis criteria who did not have any other mental disorder. The 61 healthy individuals in the control group were selected from hospital attendants who had not received any psychiatric diagnosis. The participants were administered the childhood trauma questionnaire (CTQ) and a socio-demographic form.ResultsThe participants in the panic disorder group were found to have significantly high scores in comparison to the control group with respect to CTQ subscales (i.e., the emotional neglect and the emotional abuse subscale) and the total CTQ score. Hence, there exists a strong relationship between childhood traumatic experiences and panic disorder development.ConclusionThe results revealed that childhood traumatic experiences play an active role in the development of panic disorder. Moreover, it was found that the type and quality of trauma experienced during the childhood period is one of the predictors for the psychiatric disease that can occur in the future years.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2009 ◽  
Vol 31 (4) ◽  
pp. 314-321 ◽  
Author(s):  
Ana Carolina Gaspar Seganfredo ◽  
Mariana Torres ◽  
Giovanni Abrahão Salum ◽  
Carolina Blaya ◽  
Jandira Acosta ◽  
...  

OBJECTIVE: The aim of this study is to evaluate the association between childhood trauma and the quality of parental bonding in panic disorder compared to non-clinical controls. METHOD: 123 patients and 123 paired controls were evaluated with the Mini International Neuropsychiatric Interview, the Childhood Trauma Questionnaire and the Parental Bonding Instrument. RESULTS: The Parental Bonding Instrument and the Childhood Trauma Questionnaire were highly correlated. Panic disorder patients presented higher rates of emotional abuse (OR = 2.54, p = 0.001), mother overprotection (OR = 1.98, p = 0.024) and father overprotection (OR = 1.84, p = 0.041) as compared to controls. Among men with panic disorder, only mother overprotection remained independently associated with panic disorder (OR = 3.28, p = 0.032). On the other hand, higher father overprotection (OR = 2.2, p = 0.017) and less father warmth (OR = 0.48, p = 0.039) were independently associated with panic disorder among female patients. CONCLUSION: Higher rates of different types of trauma, especially emotional abuse, are described in panic disorder patients as compared to controls. The differences regarding gender and parental bonding could be explained in the light of the psychodynamic theory.


2020 ◽  
Author(s):  
Rie Mizuki ◽  
Takeo Fujiwara

Abstract Background In Japan, the number of child maltreatment reports has surged to almost ten folds during the last decade. Assessment tools which are concise and easy-to-use are called for, in order to facilitate the process of child maltreatment substantiation as well as to advance research on Japanese people. The Childhood Trauma Questionnaire (CTQ-SF) is accepted internationally as an instrument to assess and quantify experiences of childhood maltreatment and its impact. However, the Japanese version of CTQ-SF has not been validated. The present study examined validity of the Japanese version of the CTQ (CTQ-J). Methods The CTQ-J was administered to Japanese adolescents institutionalized due to child maltreatment and other family issues (institutionalized group, n=31) and adolescents who had no experience of institutionalization (community group, n=46) from the greater Tokyo area. Analysis of Variance was conducted to compare CTQ-J scores among the institutionalized group with documented maltreatment, the institutionalized group without documented maltreatment, and the community group, for the total score and five subscale scores. Then the discrimination of scores assessed by the CTQ-J were calculated using receiver operating characteristic (ROC) curve analysis and compared with documented childhood maltreatment experiences from institutionalized adolescents. Results Internal consistency was ‘good’ to ‘acceptable’ for the CTQ-J in the categories of emotional abuse, physical abuse, sexual abuse, and emotional neglect (Cronbach’s alpha > 0.74). In each maltreatment type, the institutionalized group with documented maltreatment experiences showed significantly higher CTQ-J scores than the community group. The area under the curve (AUC) showed higher discrimination for the total score of the CTQ-J (0.95, 95% confidence interval: 0.90-0.99), and each type of child maltreatment (all AUC: 0.98-0.86). Conclusion This study has demonstrated that the CTQ-J may be used as a reliable tool for childhood maltreatment experience assessment among Japanese adolescents. It is suggested that the CTQ-J has validity by predicting child maltreatment experiences documented in the child welfare records.


2018 ◽  
Vol 30 (3) ◽  
pp. 971-980 ◽  
Author(s):  
Michael Deuschle ◽  
Ferdinand Hendlmeier ◽  
Stephanie Witt ◽  
Marcella Rietschel ◽  
Maria Gilles ◽  
...  

AbstractThe prenatal environment shapes the offspring's phenotype; moreover, transgenerational stress and stress during pregnancy may play a role. Brain-derived neurotrophic factor (BDNF) and glucocorticoids influence neurodevelopment during pregnancy, and there is evidence that BDNF in amniotic fluid is mainly of fetal origin, while the source of glucocorticoids is maternal. We tested the hypothesis that maternal early life stress, psychiatric diagnoses, anxiety, perceived stress, and socioeconomic status influence BDNF and glucocorticoid concentrations in amniotic fluid in the second trimester. We studied 79 pregnant women who underwent amniocentesis in the early second trimester and analyzed BDNF, cortisol, and cortisone concentrations in amniotic fluid. The endocrine data were related to maternal early life adversities (Childhood Trauma Questionaire), perceived stress (Perceived Stress Scale), anxiety, socioeconomic status (family income), and the presence of psychiatric diseases. We found BDNF in amniotic fluid to be positively related to maternal early adversity (Childhood Trauma Questionaire). Low family income (socioeconomic status) was related to high amniotic fluid glucocorticoid concentrations. Neither glucocorticoid concentrations nor hydroxy steroid dehydrogenase (HSD2) activity could be related to BDNF concentrations in amniotic fluid. Early maternal adverse events may be reflected in the fetal BDNF regulation, and it should be tested whether this relates to differences in neurodevelopment.


2014 ◽  
Vol 29 (1) ◽  
pp. 52-57 ◽  
Author(s):  
M. Russo ◽  
R. Proujansky ◽  
A. Gilbert ◽  
R.J. Braga ◽  
K.E. Burdick

AbstractPurposeThis study investigates the effect of sex and childhood trauma on affective processing in bipolar disorder (BPD) patients.MethodsIn a sample of fifty-six BPD patients, we administered the Childhood Trauma Questionnaire (CTQ), and the Iowa Gambling Task (IGT) and the Affective Go/No-Go (AGNG) to measure affective processing. Analysis of Variance (ANOVA) was used to evaluate the effect of sex and childhood trauma on IGT; Repeated-Measures ANOVAs to measure accuracy and bias measures across conditions on the AGNG.ResultsIn the context of childhood abuse, females evidenced a more conservative cognitive style than males by selecting fewer cards from the disadvantageous decks [F(1, 49) = 14.218;P< 0.001] and showed an improvement throughout the task, as noted in a normal learning curve [F(1.49) = 4.385;P= 0.041)]. For the AGNG, an interaction specific to the negative valence stimuli on response bias measures was found. Abused females scored higher (mean = 8.38; SD = 6.39) than abused males (mean = 0.69; SD = 1.19) [F(1.46) = 6.348;P= 0.015].ConclusionSeverity of childhood trauma was significantly different between sexes. In the context of a history of emotional abuse, male bipolar patients tended toward a more risk-taking behavior compared to female. Further investigations are needed to elucidate potential pathophysiological mechanisms underlying this interaction.


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