scholarly journals Association of childhood maltreatment with internalising and externalising disorders in trauma-exposed adolescents

2018 ◽  
Vol 24 ◽  
Author(s):  
Leigh L. Van den Heuvel ◽  
Milo Koning ◽  
Jani Nöthling ◽  
Soraya Seedat
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Mediating Effect ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Childhood Trauma Questionnaire ◽  
Externalising Disorders ◽  
Internalising Disorders ◽  
Ptsd Severity

Introduction: South African adolescents experience high levels of trauma, including various types of childhood maltreatment. Different types of maltreatment often co-occur. Previous research suggests that childhood maltreatment provokes a latent liability to internalising and externalising dimensions of psychopathology. Our objective was to examine the effects of childhood maltreatment on internalising and externalising disorders in trauma-exposed adolescents and to assess the mediating effect of post-traumatic stress disorder (PTSD) on these associations.Methods: A cross-sectional study was conducted with 262 trauma exposed adolescents (aged 12–18 years) in South Africa. Childhood maltreatment and PTSD severity were assessed using the Childhood Trauma Questionnaire and the Child PTSD Checklist, respectively. Psychiatric disorders were diagnosed utilising the Kiddie Schedule for Affective Disorders and Schizophrenia – Present and Lifetime version – and were grouped into internalising and externalising disorders. Hierarchal logistic regression was used to assess the association between childhood maltreatment types and internalising and externalising disorders, controlling for statistically significant socio-demographic characteristics, with PTSD severity added to the final model as a potential mediator.Results: Sexual abuse was significantly associated with internalising disorders (B = 0.07, p = 0.011), although this effect was mediated by PTSD severity (B = 0.05, p = 0.001; not included as an internalising disorder). In contrast, physical abuse (B = 0.09, p = 0.004) and gender (B = 0.70, p = 0.035) were associated with externalising disorders, but the addition of PTSD severity did not significantly alter these associations.Conclusion: The association between sexual abuse and internalising disorders was fully mediated by PTSD symptom severity. Gender and physical abuse severity, but not PTSD severity, was associated with the presence of externalising disorders. Adolescents displaying internalising or externalising psychopathology need to be assessed for exposure to childhood physical and sexual abuse and PTSD comorbidity.

Lifetime history of sexual and physical abuse among competitive athletics (track and field) athletes: cross sectional study of associations with sports and non-sports injury

2018 ◽  
Vol 53 (22) ◽  
pp. 1412-1417 ◽  
Author(s):  
Toomas Timpka ◽  
Staffan Janson ◽  
Jenny Jacobsson ◽  
Örjan Dahlström ◽  
Armin Spreco ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Formal Education ◽  
Female Athletes ◽  
Sports Injury ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lower Likelihood

ObjectiveTo examine associations between lifetime sexual and physical abuse, and the likelihood of injury within and outside sport in athletes involved in competitive athletics.MethodsA cross sectional study was performed among the top 10 Swedish athletics athletes using 1 year prevalence of sports and non-sports injuries as the primary outcome measure. Associations with sociodemographic characteristics, lifetime abuse history and training load were investigated. Data were analysed using simple and multiple logistic regression models.Results11% of 197 participating athletes reported lifetime sexual abuse; there was a higher proportion of women (16.2%) than men (4.3%) (P=0.005). 18% reported lifetime physical abuse; there was a higher proportion of men (22.8%) than women (14.3%) (P=0.050). For women, lifetime sexual abuse was associated with an increased likelihood of a non-sports injury (OR 8.78, CI 2.76 to 27.93; P<0.001). Among men, increased likelihood of a non-sports injury was associated with more frequent use of alcoholic beverages (OR 6.47, CI 1.49 to 28.07; P=0.013), while commencing athletics training at >13 years of age was associated with a lower likelihood of non-sports injury (OR 0.09, CI 0.01 to 0.81; P=0.032). Lifetime physical abuse was associated with a higher likelihood of sports injury in women (OR 12.37, CI 1.52 to 100.37; P=0.019). Among men, athletes with each parents with ≤12 years formal education had a lower likelihood of sustaining an injury during their sports practice (OR 0.37, CI 0.14 to 0.96; P=0.040).ConclusionsLifetime sexual and physical abuse were associated with an increased likelihood of injury among female athletes. Emotional factors should be included in the comprehension of injuries sustained by athletes.

scholarly journals From Childhood Maltreatment To Depression Behind Bars : Testing A Theoretical Model Of Adolescent Depression Among Juvenile Offenders

2021 ◽  
Author(s):  
Sonya G. Wanklyn
Keyword(s):  
Sexual Abuse ◽  
Substance Use ◽  
Theoretical Model ◽  
Juvenile Offenders ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Incarcerated Youth ◽  
Emotional Neglect ◽  
Depression Severity

Despite research consistently demonstrating a link between childhood maltreatment and depression, our understanding of the potential mediators of this relationship remains limited. Based on the existing literature and corresponding theories, a theoretical model was constructed to assess the effects of childhood maltreatment, impulsivity, hopelessness, and substance use on adolescent offenders' depression severity. This model was tested for sexual abuse, physical abuse, emotional abuse, and emotional neglect using a series of path analyses. Impulsivity and hopelessness partially mediated the effects of childhood sexual abuse and emotional abuse on depression severity, and fully mediated the effects of childhood physical abuse and emotional neglect. Contrary to expectation, substance use did not mediate the relationship between childhood maltreatment and depression severity. These results suggest that childhood maltreatment, impulsivity, and hopelessness may be important variables to include in clinical research related to depression in incarcerated youth.

scholarly journals Oxytocin Receptor Gene, Childhood Maltreatment and Borderline Personality Disorder among Male Inmates in China

2019 ◽  
Author(s):  
Min Zhang ◽  
Na Liu ◽  
Haocheng Chen ◽  
Ning Zhang
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
High Risk ◽  
Personality Disorder ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Oxytocin Receptor ◽  
Borderline Personality ◽  
Genotype Frequency ◽  
Male Inmates

Abstract Background: Borderline personality disorder (BPD) is caused by a variety of biological and environmental factors. Accumulating evidence suggests that childhood maltreatment is a risk environmental factor in the development of BPD, but research on the genetic pathology of BPD is still in its early stages, and very little is known about the oxytocin receptor (OXTR) gene. The purpose of this study is to further explore the interactive effects between OXTR gene polymorphisms and childhood maltreatment on BPD risk. Methods: Among the 1804 male inmates, 765 inmates with high risk were included in this study. Childhood maltreatment, BPD, antisocial personality disorder (ASPD) and impulsivity were measured by self-reported questionnaires. Peripheral venous blood was collected for the genotype test. Results: Analyses revealed that the BP group had higher rs53576 AA genotype frequency and rs237987 AA genotype frequency than the non-BP group. Total childhood maltreatment score, emotional abuse and neglect could positively predict BPD risk. Among the high-risk samples, rs53576 GG genotype carriers had higher BPD scores at higher levels of physical abuse and sexual abuse and had lower BPD scores at lower levels of physical abuse and sexual abuse. Conclusions: The findings suggest that the interaction between OXTR gene variations and childhood maltreatment is an important mechanism for the development of BPD. The moderating role of the OXTR gene provides evidence for gene plasticity.

Abuse During Childhood and Burnout

2017 ◽  
Vol 41 (S1) ◽  
pp. S152-S152
Author(s):  
E. Di Giacomo ◽  
F. Pescatore ◽  
F. Colmegna ◽  
F. Di Carlo ◽  
M. Clerici
Keyword(s):  
Sexual Abuse ◽  
Pilot Study ◽  
Emotional Exhaustion ◽  
Childhood Maltreatment ◽  
Statistical Significance ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Emotional Neglect ◽  
Childhood Trauma Questionnaire ◽  
Psychiatric Department

BackgroundChildhood maltreatment is the most important risk factor for the onset of psychiatric disorders. Revictimization is really frequent as well as substance or alcohol abuse, often linked to self-treatment. Accordingly, our pilot study aims to analyze possible implication of childhood maltreatment on resilience and burnout.MethodsPatients admitted to outpatients psychiatric department in a six month period (1st January 2015–30th June 2015) complaining low to moderate anxiety or depression have been administered childhood trauma questionnaire (CTQ) and Maslach burnout inventory.ResultsCTQ results in 71 (87%) Emotional Neglect (EN), 2 (2.4%) Sexual Abuse (SA) and 2 (2.4%) Physical Abuse (PA). Twenty-one showed high emotional exhaustion, 21 high depersonalization, 9 moderate personal accomplishment while 1 showed low personal accomplishment. None of the patients who suffered child sexual abuse shows depersonalization or personal accomplishment difficulties linked to burnout. Patients negative to CTQ show respectively moderate emotional exhaustion (M = 20 ± 20.15), moderate depersonalization (11 ± 9.42) and high personal accomplishment (17 ± 12.38). Patients who suffered emotional neglect show the poorest profile at Maslach, particularly regarding emotional exhaustion. ANOVA reaches statistical significance among the 3 groups of detected abuse (EN, SA, PA) in personal accomplishment (P = 0.013) confirmed at POST HOC between EN and SA (P = 0.0004).ConclusionThe results obtained in this pilot study highlight two important considerations. First, it seems urgent to stress the huge prevalence of emotional neglect among those referred to psychiatric outpatient department due to moderate anxiety or depression complain. Moreover, emotional neglect appears to be the most compromised factor of burnout, especially if compared to sexual abuse.

Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes

2005 ◽  
Vol 35 (3) ◽  
pp. 329-340 ◽  
Author(s):  
ANNE M. LIBBY ◽  
HEATHER D. ORTON ◽  
DOUGLAS K. NOVINS ◽  
JANETTE BEALS ◽  
SPERO M. MANSON
Keyword(s):  
Sexual Abuse ◽  
Anxiety Disorders ◽  
Physical Abuse ◽  
American Indians ◽  
Large Scale ◽  
Later Life ◽  
Childhood Physical Abuse ◽  
Post Traumatic Stress ◽  
Northern Plains ◽  
Multivariate Models

Background. This study examined the relationship of childhood abuse, both physical and sexual, with subsequent lifetime depressive and anxiety disorders – depression or dysthymia, post-traumatic stress disorder (PTSD), and panic or generalized anxiety disorder (GAD) – among American Indians (AIs).Method. Three thousand and eighty-four AIs from two tribes – Southwest and Northern Plains – participated in a large-scale, community-based study. Participants were asked about traumatic events and family history, and were administered standard diagnostic measures of depressive/anxiety disorders.Results. Prevalence of childhood physical abuse was approximately 7% for both tribes. The Southwest tribe had higher prevalence of depressive and anxiety disorders, with rates of PTSD being the highest. Childhood physical abuse was significant in bivariate models of depressive/anxiety disorders, and remained so in the multivariate models.Conclusions. Childhood physical abuse was a significant predictor of all disorder groups for males in both tribes except for panic/GAD for the Northern Plains tribe in multivariate models; females showed a more varied pattern. Childhood sexual abuse did not significantly differ for males and females, and was an independent predictor of PTSD for both tribes, controlling for childhood physical abuse and other factors, and was significant for the other disorder groups only in the Southwest. Additional covariates that increased the odds of depressive/anxiety disorders were adult physical or sexual victimization, chronic illness, lifetime alcohol or drug disorder, and parental problems with depression, alcohol, or violence. Results provided empirical evidence of childhood and later life risk factors and expanded the population at risk to include males.

The relationship of childhood maltreatment to deviant behaviours among young Iraqi adults: A cross sectional study

2021 ◽  
pp. 002076402110230
Author(s):  
Ameel F. Al Shawi ◽  
Yassen T. Sarhan
Keyword(s):  
Young Adults ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Cross Sectional Study ◽  
Stressful Events ◽  
Sectional Study ◽  
Deviant Behaviour ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
The Relationship

Background: The exposure to stressful events during childhood may have prolonged effects and is associated with a higher risk of psychopathology during adulthood. Objective: To assess the relationship between exposure to childhood maltreatment and the occurrence of deviant behaviours among Iraqi young adults. Methods: A cross-sectional study was done from October 2018 to April 2019. A non -random convenient sample that consisted of young adults of age between 18 and 20 years. The childhood maltreatment was measured by Adverse Childhood Experiences Questionnaire, while the deviant behaviours were assessed by Deviant Behaviour Variety Scale. Results: The participants were 401. There was a positive correlation between ACE score and deviant behaviours score. The male subjects had higher mean of deviant behaviour variety score compare to that of the female subjects. The linear regression model showed that exposure to physical abuse (β = 0.180, p < 0.001), sexual abuse (β = 0.138, p = 0.003) during the first 18 years of age significantly predicts the variety of deviant behaviours. Conclusion: Childhood maltreatment was associated with high risk for deviant behaviours among young Iraqi adults. The physical abuse was the main predictor for deviant behaviours in adulthood.

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.

Suicide Risk and Personality Traits in Physically and/or Sexually Abused Acute Psychiatric Inpatients: A Preliminary Study

2009 ◽  
Vol 105 (2) ◽  
pp. 554-568 ◽  
Author(s):  
Maurizio Pompili ◽  
Paolo Iliceto ◽  
Marco Innamorati ◽  
Zoltán Rihmer ◽  
David Lester ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Personality Traits ◽  
Physical Abuse ◽  
Suicide Risk ◽  
Minnesota Multiphasic Personality Inventory ◽  
Suicide Attempts ◽  
Family Members ◽  
Psychiatric Inpatients ◽  
Psychiatric Ward ◽  
Childhood Trauma Questionnaire

The aim of the present study was to analyze hopelessness and the affective temperament profile and MMPI characteristics among suicidal and nonsuicidal psychiatric inpatients with or without childhood physical and sexual abuse. The participants were 62 acute psychiatric inpatients (14 men, 48 women) admitted to the Sant'Andrea Hospital's psychiatric ward in Rome. Participants were administered the Italian versions of the Childhood Trauma Questionnaire, the Mini-International Neuropsychiatric Interview (MINI), the Italian Temperament Evaluation of Memphis, Pisa, Paris, and San Diego–Autoquestionnaire version (TEMPS-A–Rome), the Minnesota Multiphasic Personality Inventory–2 (MMPI–2), and the Beck Hopelessness Scale. The suicide risk was evaluated by 6 items of the MMPI–2 assessing suicidal intent. Patients with physical/sexual abuse reported high Hopelessness and differed from nonabused patients on several temperamental and personality traits. Patients who reported bruises or marks caused by physical abuse by family members were 9 times more likely to be at higher risk for suicide; those who reported having been punished with a belt or other hard objects were 20 times more likely to be at higher risk for suicide, and those who reported having been insulted by family members were 6 times more likely to be at higher risk for suicide than patients who denied such abuse experiences. Results suggest that clinicians who identify suicide attempts and suicidal tendencies among patients should routinely be assessed for sexual or physical abuse.

scholarly journals Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique

2018 ◽  
Author(s):  
Eusébio Chaquisse ◽  
Sílvia Fraga ◽  
Paula Meireles ◽  
Glória Macassa ◽  
Joaquim Soares ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Physical Abuse ◽  
Alcohol Drinking ◽  
Partner Violence ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Cross Sectional ◽  
Physical Intimate Partner Violence

The aim was to estimate the prevalence of sexual and physical intimate partner violence (IPV) and its associated factors, in a sample of pregnant women using antenatal care (ANC) in Nampula province - Mozambique. This cross-sectional study was carried out in six health units in Nampula, from February 2013 to January 2014. Overall, 869 participants answered the Conflict Tactics Scale 2. The lifetime and past year prevalence of sexual abuse was 49% and 46%, and of physical abuse was 46% and 44%, respectively. Lifetime and past year sexual abuse was significantly associated with living as a couple, alcohol drinking and having a past diagnosis of gonorrhea. Lifetime and past year physical abuse increased significantly with age and was associated with living as a couple, alcohol drinking and history with syphilis. The prevalence of lifetime and previous year violence among women using ANC was high and similar showing that most women were constantly exposed to IPV. ANC provides a window of opportunity for identifying and acting on violence against women.

Sign in / Sign up

Export Citation Format

Share Document