Childhood maltreatment and its associations with trauma-related psychopathology: disentangling two classification approaches

被引：0

作者：

Shilat Haim-Nachum ^{[1
]}

Doron Amsalem ^{[2
]}

Amit Lazarov ^{[3
]}

Soraya Seedat ^{[1
]}

Yuval Neria ^{[2
]}

Xi Zhu ^{[4
]}

机构：

[1] Department of Psychiatry, Columbia University Irving Medical Center, New York, NY

[2] New York State Psychiatric Institute, New York, NY

[3] School of Social Work, Tel Aviv University, Tel Aviv

[4] School of Psychological Sciences, Tel Aviv University, Tel Aviv

[5] Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch

[6] South African PTSD Research Programme, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town

[7] South African Medical Research Council / Stellenbosch University Genomics of Brain Disorders Research Unit, Department of Psychiatry, Stellenbosch University, Cape Town

[8] Department of Epidemiology, Columbia University Irving Medical Center, New York, NY

来源：

npj Mental Health Research | / 3卷 / 1期

基金：

美国国家卫生研究院;

关键词：

D O I：

10.1038/s44184-024-00082-x

中图分类号：

学科分类号：

摘要：

Childhood maltreatment (CM) is associated with various mental health disorders, including PTSD, depression, and anxiety. This study explores how specific classifications – dichotomous (abuse versus neglect) and dimensional (physical, emotional, sexual) – relate to distinct psychopathologies. We recruited 642 individuals, screening them for CM history and symptoms. ANOVA, regression, and SEM analyses compared CM approaches and symptom associations. The dichotomous approach showed significant effects of abuse and neglect on all symptoms. In the dimensional approach, sexual and physical CM were primary features for PTSD, while sexual and emotional CM were primary for depression and anxiety. Overall, the dimensional approach outperformed the dichotomous approach in capturing symptoms, suggesting its importance in understanding psychopathologies and guiding therapeutic interventions. Our findings highlight the differential associations of CM experiences with PTSD, depression, and anxiety symptoms. The findings suggest the importance of a dimensional CM approach for understanding psychopathologies and possibly informing targeted therapeutic interventions. © The Author(s) 2024.

引用

共 36 条

[1]

Child Physical Abuse and Neglect, Statpearls [Internet]., (2023)

[2]

Gonzalez D., McCall J.D., Doerr C., Child Abuse and Neglect (Nursing) In: Statpearls, (2023)

[3]

Adverse Childhood Experiences International Questionnaire (ACE-IQ), (2018)

[4]

Haim-Nachum S., Sopp M.R., Bonanno G.A., Levy-Gigi E., The lasting effects of early adversity and updating ability on the tendency to develop PTSD symptoms following exposure to trauma in adulthood, Cogn. Ther. Res, 46, pp. 1101-1112, (2022)

[5]

Li M., D'Arcy C., Meng X., Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: systematic review, meta-analysis, and proportional attributable fractions, Psychol. Med, 46, pp. 717-730, (2016)

[6]

McKay M.T., Et al., Childhood trauma and adult mental disorder: A systematic review and meta‐analysis of longitudinal cohort studies, Acta Psychiatr. Scand, 143, pp. 189-205, (2021)

[7]

Yap M.B.H., Pilkington P.D., Ryan S.M., Jorm A.F., Parental factors associated with depression and anxiety in young people: a systematic review and meta-analysis, J. Affect. Disord, 156, pp. 8-23, (2014)

[8]

Miller A.B., Et al., Dimensions of deprivation and threat, psychopathology, and potential mediators: a multi-year longitudinal analysis, J. Abnorm. Psychol, 127, (2018)

[9]

Russotti J., Et al., Child maltreatment and the development of psychopathology: the role of developmental timing and chronicity, Child Abuse Negl, 120, (2021)

[10]

McLaughlin K.A., Sheridan M.A., Beyond cumulative risk: a dimensional approach to childhood adversity, Curr. Dir. Psychol. Sci, 25, pp. 239-245, (2016)

← 1 2 3 4 →