Randy A Sansone1, Justin S Leung, Michael W Wiederman. 1. Departments of Psychiatry and Internal Medicine, Wright State University School of Medicine, Dayton, and Department of Psychiatry Education, Kettering Medical Center, Kettering, Ohio, USA.
Abstract
OBJECTIVE: To examine relationships between 5 types of childhood trauma (witnessing violence, physical neglect, emotional abuse, physical abuse, and sexual abuse) and an aggression score based on 21 self-reported aggressive behaviors in adulthood. METHOD: Using a cross-sectional design and a self-report survey methodology, we examined relationships between 5 types of childhood trauma and the number of aggressive behaviors engaged in during adulthood in a consecutive sample of 342 internal medicine outpatients at Sycamore Primary Care Center, Kettering, Ohio, during October 2011. The primary outcome measure was the score on the Aggressive Behavior Questionnaire. RESULTS: In univariate analyses, each childhood trauma variable demonstrated a statistically significant relationship with the number of aggressive behaviors endorsed (P < .001). In addition, there was a linear relationship between the number of different forms of childhood trauma and the number of aggressive behaviors endorsed. In multivariate analyses, only 2 childhood trauma variables remained independently predictive: witnessing violence (P < .001) and emotional abuse (P < .05). CONCLUSIONS: There appear to be indistinct relationships between trauma in childhood and aggression/violence in adulthood. In this sample of primary care patients, witnessing violence and experiencing emotional abuse were particularly relevant variables associated with the number of aggressive behaviors in adulthood.
OBJECTIVE: To examine relationships between 5 types of childhood trauma (witnessing violence, physical neglect, emotional abuse, physical abuse, and sexual abuse) and an aggression score based on 21 self-reported aggressive behaviors in adulthood. METHOD: Using a cross-sectional design and a self-report survey methodology, we examined relationships between 5 types of childhood trauma and the number of aggressive behaviors engaged in during adulthood in a consecutive sample of 342 internal medicine outpatients at Sycamore Primary Care Center, Kettering, Ohio, during October 2011. The primary outcome measure was the score on the Aggressive Behavior Questionnaire. RESULTS: In univariate analyses, each childhood trauma variable demonstrated a statistically significant relationship with the number of aggressive behaviors endorsed (P < .001). In addition, there was a linear relationship between the number of different forms of childhood trauma and the number of aggressive behaviors endorsed. In multivariate analyses, only 2 childhood trauma variables remained independently predictive: witnessing violence (P < .001) and emotional abuse (P < .05). CONCLUSIONS: There appear to be indistinct relationships between trauma in childhood and aggression/violence in adulthood. In this sample of primary care patients, witnessing violence and experiencing emotional abuse were particularly relevant variables associated with the number of aggressive behaviors in adulthood.
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