Josiah A Sweeting1, Dana Rose Garfin2, E Alison Holman2, Roxane Cohen Silver3. 1. Department of Psychological Science, University of California, Irvine, CA, USA. 2. Sue & Bill Gross School of Nursing, University of California, Irvine, CA, USA. 3. Department of Psychological Science, University of California, Irvine, CA, USA; Department of Medicine, University of California, Irvine, CA, USA; Program in Public Health, University of California, Irvine, CA, USA. Electronic address: rsilver@uci.edu.
Abstract
BACKGROUND: Negative childhood experiences are associated with poor health and psychosocial outcomes throughout one's lifespan. OBJECTIVE: We examined associations between childhood bullying and maltreatment and several adulthood outcomes: psychological distress, functional impairment, generalized fear, and physician-diagnosed mental and physical health ailments. The potential mediating role of recent negative life events was also explored. PARTICIPANTS AND SETTING: Data were collected through web-based surveys of a U.S. representative national sample of adults. METHODS: At Wave 1 (N = 3,598), participants reported exposure to negative childhood experiences; at Wave 2 (N = 3,497), physician-diagnosed mental and physical health ailments were provided; at Wave 3 (N = 2,906), participants reported exposure to recent negative life events and psychosocial outcomes. RESULTS: Of the sample, 26.29% (weighted n = 946) reported childhood bullying, 15.02% (weighted n = 540) reported physical abuse, 15.56% (weighted n = 560) reported witnessing parental violence, 11.42% (weighted n = 411) reported sexual abuse, and 8.64% (weighted n = 311) reported parental neglect. Respondents who reported bullying, physical abuse, or sexual abuse during childhood reported greater distress, functional impairment, and fear of the future in adulthood, as mediated through recent negative life events, compared to those who did not (ßs: 0.04-.06). Those reporting bullying, neglect, physical abuse, or sexual abuse in childhood reported more mental health ailments in adulthood (IRRs: 1.44-1.66) compared to those who did not. Those reporting bullying or sexual abuse in childhood reported more physical health ailments (IRRs: 1.25-1.39). CONCLUSIONS: Specific negative childhood experiences have unique links with poor outcomes in adulthood. Recent negative life events partially mediate these associations.
BACKGROUND: Negative childhood experiences are associated with poor health and psychosocial outcomes throughout one's lifespan. OBJECTIVE: We examined associations between childhood bullying and maltreatment and several adulthood outcomes: psychological distress, functional impairment, generalized fear, and physician-diagnosed mental and physical health ailments. The potential mediating role of recent negative life events was also explored. PARTICIPANTS AND SETTING: Data were collected through web-based surveys of a U.S. representative national sample of adults. METHODS: At Wave 1 (N = 3,598), participants reported exposure to negative childhood experiences; at Wave 2 (N = 3,497), physician-diagnosed mental and physical health ailments were provided; at Wave 3 (N = 2,906), participants reported exposure to recent negative life events and psychosocial outcomes. RESULTS: Of the sample, 26.29% (weighted n = 946) reported childhood bullying, 15.02% (weighted n = 540) reported physical abuse, 15.56% (weighted n = 560) reported witnessing parental violence, 11.42% (weighted n = 411) reported sexual abuse, and 8.64% (weighted n = 311) reported parental neglect. Respondents who reported bullying, physical abuse, or sexual abuse during childhood reported greater distress, functional impairment, and fear of the future in adulthood, as mediated through recent negative life events, compared to those who did not (ßs: 0.04-.06). Those reporting bullying, neglect, physical abuse, or sexual abuse in childhood reported more mental health ailments in adulthood (IRRs: 1.44-1.66) compared to those who did not. Those reporting bullying or sexual abuse in childhood reported more physical health ailments (IRRs: 1.25-1.39). CONCLUSIONS: Specific negative childhood experiences have unique links with poor outcomes in adulthood. Recent negative life events partially mediate these associations.