Steve Kisely1, Amanuel Alemu Abajobir2, Ryan Mills3, Lane Strathearn4, Alexandra Clavarino5, Jake Moses Najman6. 1. Professor,School of Medicine,University of Queensland, Princess Alexandra Hospital,AustraliaandDepartments of Psychiatry, Community Health and Epidemiology,Dalhousie University,Canada. 2. Researcher,School of Public Health,The University of Queensland,Australia. 3. Senior Lecturer,School of Medicine,University of Queensland, Princess Alexandra Hospital,Australia. 4. Professor,Department of Paediatrics, Developmental and Behavioural Paediatrics,University of Iowa,USA. 5. Associate Professor,The School of Pharmacy, Pharmacy Australia Centre of Excellence, The University of Queensland,Australia. 6. Professor,School of Medicine, Princess Alexandra Hospital, School of Social Sciences, The University of Queensland and Queensland Alcohol and Drug Research and Education Centre, The University of Queensland,Australia.
Abstract
BACKGROUND: Retrospective studies have shown a high association between child abuse and subsequent psychiatric morbidity. Prospective studies are rarer.AimsTo examine, using a prospective record-linkage analysis, whether substantiated child maltreatment is associated with adverse psychological outcomes in early adulthood. METHOD: The participants were 3778 mother and child pairs enrolled in a population-based birth cohort study in Brisbane, Australia. Exposure to suspected child maltreatment was measured by linkage with state child protection agency data. The primary outcomes were the internalising and externalising scales of the Youth Self-Report and the Centre for Epidemiological Studies-Depression scales (CES-D) at approximately 21 years of age. A subset completed the Composite International Diagnostic Interview-Auto version (CIDI-Auto). RESULTS: In total, 171 (4.5%) participants had a history of substantiated child maltreatment, most commonly emotional abuse (n = 91), followed by physical abuse (n = 78), neglect (n = 73) and sexual abuse (n = 54). After adjustment for potential confounders, depressive symptoms on the CES-D, as well as internalising and externalising behaviours were strongly associated with substantiated abuse in all forms, except sexual abuse. The results for the subset of the sample who completed the CIDI-Auto were less clear. Anxiety, especially post-traumatic stress disorder, showed the strongest association whereas the findings for depressive disorder were equivocal. However, across all diagnostic categories, emotional abuse and neglect, as well as multiple forms of abuse, showed a consistent association. CONCLUSIONS: Child maltreatment, particularly neglect and emotional abuse, has serious adverse effects on early adult mental health. These two warrant the attention given to other forms of child maltreatment. Children experiencing more than one type of maltreatment are at particular risk.Declaration of interestNone.
BACKGROUND: Retrospective studies have shown a high association between child abuse and subsequent psychiatric morbidity. Prospective studies are rarer.AimsTo examine, using a prospective record-linkage analysis, whether substantiated child maltreatment is associated with adverse psychological outcomes in early adulthood. METHOD: The participants were 3778 mother and child pairs enrolled in a population-based birth cohort study in Brisbane, Australia. Exposure to suspected child maltreatment was measured by linkage with state child protection agency data. The primary outcomes were the internalising and externalising scales of the Youth Self-Report and the Centre for Epidemiological Studies-Depression scales (CES-D) at approximately 21 years of age. A subset completed the Composite International Diagnostic Interview-Auto version (CIDI-Auto). RESULTS: In total, 171 (4.5%) participants had a history of substantiated child maltreatment, most commonly emotional abuse (n = 91), followed by physical abuse (n = 78), neglect (n = 73) and sexual abuse (n = 54). After adjustment for potential confounders, depressive symptoms on the CES-D, as well as internalising and externalising behaviours were strongly associated with substantiated abuse in all forms, except sexual abuse. The results for the subset of the sample who completed the CIDI-Auto were less clear. Anxiety, especially post-traumatic stress disorder, showed the strongest association whereas the findings for depressive disorder were equivocal. However, across all diagnostic categories, emotional abuse and neglect, as well as multiple forms of abuse, showed a consistent association. CONCLUSIONS:Child maltreatment, particularly neglect and emotional abuse, has serious adverse effects on early adult mental health. These two warrant the attention given to other forms of child maltreatment. Children experiencing more than one type of maltreatment are at particular risk.Declaration of interestNone.
Authors: Lynnette A Averill; Chadi G Abdallah; Lisa R Fenton; Madonna K Fasula; Lihong Jiang; Douglas L Rothman; Graeme F Mason; Gerard Sanacora Journal: Eur Neuropsychopharmacol Date: 2020-05-15 Impact factor: 4.600
Authors: Natalia Kascakova; Jana Furstova; Jozef Hasto; Andrea Madarasova Geckova; Peter Tavel Journal: Int J Environ Res Public Health Date: 2020-01-08 Impact factor: 3.390
Authors: Janet Yuen-Ha Wong; Abraham Ka-Chung Wai; Man Ping Wang; Jung Jae Lee; Matthew Li; Jojo Yan-Yan Kwok; Carlos King-Ho Wong; Anna Wai-Man Choi Journal: Int J Environ Res Public Health Date: 2021-02-05 Impact factor: 3.390