Amanuel Alemu Abajobir1, Steve Kisely2,3, Gail Williams4, Lane Strathearn5, Alexandra Clavarino6, Jake Moses Najman7,8. 1. School of Public Health, The University of Queensland, Herston, 887, Public Health Building, Level 1, Brisbane, QLD, 4006, Australia. a.abajobir@uq.edu.au. 2. School of Medicine, The University of Queensland, SOMSouthern-Psychiatry-Princess Alexandra Hospital, Woolloongabba, Brisbane, QLD, 4102, Australia. 3. Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, Canada. 4. School of Public Health, The University of Queensland, Herston, 887, Public Health Building, Level 1, Brisbane, QLD, 4006, Australia. 5. Department of Paediatrics, Developmental and Behavioral Pediatrics, University of Iowa, Iowa City, IA, USA. 6. School of Pharmacy, The University of Queensland, Woolloongabba, Brisbane, QLD, 4006, Australia. 7. School of Social Sciences, The University of Queensland, St Lucia, Brisbane, QLD, 4072, Australia. 8. Queensland Alcohol and Drug Research and Education Centre, The University of Queensland, Herston, Brisbane, QLD, 4006, Australia.
Abstract
PURPOSE: To examine the independent effect of single and multiple forms of substantiated childhood maltreatment (CM) on quality of life (QoL), controlling for selected potential confounders and/or covariates, and concurrent depressive symptoms. METHODS: We used data from a prospective pre-birth cohort of 8556 mothers recruited consecutively during their first antenatal clinic visit at the Mater Hospital from 1981 to 1983 in Brisbane, Australia. The data were linked to substantiated cases of CM reported to the child protection government agency up to the age of 14 years. The sample consisted of 3730 (49.7% female) young adults for whom there were complete data on QoL at the 21-year follow-up. The mean age of participants was 20.6 years. Logistic regression models were used to assess the association between CM and QoL measured at the 21-year follow-up. RESULTS: There were statistically significant associations between exposure to substantiated CM and poorer QoL. This also applied to the subcategories of childhood physical abuse, childhood emotional abuse (CEA), and neglect. These associations were generally stable after adjusting for confounders/covariates and concurrent depressive symptoms, except physical abuse. CEA with or without neglect significantly and particularly predicted worse subsequent QoL. CONCLUSIONS: Exposure to any substantiated maltreatment substantially contributed to worse QoL in young adulthood, with a particular association with CEA and neglect. Prior experiences of CM may have a substantial association with subsequent poorer QoL.
PURPOSE: To examine the independent effect of single and multiple forms of substantiated childhood maltreatment (CM) on quality of life (QoL), controlling for selected potential confounders and/or covariates, and concurrent depressive symptoms. METHODS: We used data from a prospective pre-birth cohort of 8556 mothers recruited consecutively during their first antenatal clinic visit at the Mater Hospital from 1981 to 1983 in Brisbane, Australia. The data were linked to substantiated cases of CM reported to the child protection government agency up to the age of 14 years. The sample consisted of 3730 (49.7% female) young adults for whom there were complete data on QoL at the 21-year follow-up. The mean age of participants was 20.6 years. Logistic regression models were used to assess the association between CM and QoL measured at the 21-year follow-up. RESULTS: There were statistically significant associations between exposure to substantiated CM and poorer QoL. This also applied to the subcategories of childhood physical abuse, childhood emotional abuse (CEA), and neglect. These associations were generally stable after adjusting for confounders/covariates and concurrent depressive symptoms, except physical abuse. CEA with or without neglect significantly and particularly predicted worse subsequent QoL. CONCLUSIONS: Exposure to any substantiated maltreatment substantially contributed to worse QoL in young adulthood, with a particular association with CEA and neglect. Prior experiences of CM may have a substantial association with subsequent poorer QoL.
Entities:
Keywords:
Birth cohort study; Quality of life; Substantiated childhood maltreatment; Young adulthood
Authors: Jake M Najman; Rosemary Aird; William Bor; Michael O'Callaghan; Gail M Williams; Gregory J Shuttlewood Journal: Soc Sci Med Date: 2004-03 Impact factor: 4.634
Authors: Tracie O Afifi; Murray W Enns; Brian J Cox; Ron de Graaf; Margreet ten Have; Jitender Sareen Journal: J Nerv Ment Dis Date: 2007-10 Impact factor: 2.254
Authors: Hanne Klæboe Greger; Arne Kristian Myhre; Stian Lydersen; Thomas Jozefiak Journal: Health Qual Life Outcomes Date: 2016-05-10 Impact factor: 3.186
Authors: Neus Salvat-Pujol; Javier Labad; Mikel Urretavizcaya; Aida De Arriba-Arnau; Cinto Segalàs; Eva Real; Alex Ferrer; José Manuel Crespo; Susana Jiménez-Murcia; Carles Soriano-Mas; José Manuel Menchón; Virginia Soria Journal: Brain Sci Date: 2021-04-13