Abstract:
OBJECTIVE:Rheumatoid arthritis (RA) has been associated with a variety of emotional stressors, but findings remain inconclusive if RA is related to childhood trauma, which is known to have long-lasting negative consequences for physical health decades into adulthood. We investigated the association between childhood trauma and RA by comparing histories of child abuse and neglect between RA patients and adults from the general population in a cross-sectional case-control study. METHODS:331 patients with definite RA and 662 gender- and age-matched adults from the general population were administered the self-report Childhood Trauma Questionnaire (CTQ) for the assessment of emotional, physical and sexual abuse as well as emotional and physical neglect. RESULTS:Adjusting for gender and current depression, RA patients scored significantly higher in all CTQ subscales apart from sexual abuse and physical neglect than the controls. Adjusted odds ratios for these types of childhood trauma were higher in the RA group than in controls ranging from 2.0 for emotional neglect (95% confidence interval [CI]: 1.4-3.0) to 2.6 for emotional abuse (95% CI: 1.4-4.7). Gender-specific analyses revealed basically the same pattern for women, but not for men. CONCLUSION:Our findings suggest an association between childhood trauma and development of RA, particularly in women. This relationship may be mediated by dysregulations of neuro-endocrine-immune networks, but larger prospective studies are needed to clarify the association between early life stress and the risk for RA in genetically susceptible individuals.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Spitzer C,Wegert S,Wollenhaupt J,Wingenfeld K,Barnow S,Grabe HJdoi
10.1016/j.jpsychores.2012.10.007subject
Has Abstractpub_date
2013-04-01 00:00:00pages
296-300issue
4eissn
0022-3999issn
1879-1360pii
S0022-3999(12)00284-Xjournal_volume
74pub_type
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,评审
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更新日期:2009-12-01 00:00:00
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journal_title:Journal of psychosomatic research
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更新日期:2003-03-01 00:00:00
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更新日期:1986-01-01 00:00:00
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2011-06-01 00:00:00
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journal_title:Journal of psychosomatic research
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pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-08-01 00:00:00
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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