Association of child maltreatment subtypes and long-term physical health in a German representative sample.

Abstract:

:Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health. Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes. Methods: In a cross-sectional observational approach, a representative sample of the German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood. Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health. Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences. :Antecedentes: El maltrato infantil es un problema público mayor, asociado a enormes consecuencias a nivel individual y socioeconómico. Los estudios muestran un impacto claro del maltrato infantil sobre la salud física a largo plazo. Sin embargo, existe una carencia de análisis que comprendan una amplia variedad de subtipos de maltrato y aborden los efectos acumulativos de diferentes subtipos de maltrato experimentados durante la infancia sobre la salud física. Objetivos: El objetivo de este análisis fue evaluar la asociación de diferentes subtipos y la intensidad del maltrato infantil con consecuencias en la salud física a largo plazo. Métodos: En un enfoque observacional transversal, se evaluó una muestra representativa de la población germana (N=2510) en cuanto a información socioeconómica, su estado de salud actual, y sus experiencias de maltrato infantil usando el Cuestionario de Trauma Infantil (CTQ por sus siglas en Inglés). Se realizaron tests de Chi2 para comparar diferencias de condiciones de salud física en la adultez en asociación con maltrato infantil y análisis de regresión binaria para evaluar la relación entre salud física y número de diferentes subtipos de maltrato experimentado durante la infancia. Resultados: Las probabilidades (expresadas en O.R.) aumentaron significativamente para obesidad (1.18), diabetes (1.26), cáncer (1.28), hipertensión arterial (1.16), enfermedad pulmonar obstructiva crónica (1.51), historia de infarto al miocardio (1.29) y apoplejía (1.31) con número mayor de subtipos de maltrato infantil experimentados. La intensidad creciente de cada subtipo de maltrato se asoció con tasas mayores de todas las condiciones de salud física evaluadas, lo que puede apuntar a una dependencia de dosis de la relación entre maltrato y salud física a largo plazo. Conclusiones: El maltrato infantil se asocia con aumento de probabilidades para las causas principales de morbilidad y mortalidad en Alemania. Intervenciones que abarquen estrategias preventivas secundarias y primarias son críticas para impactar este problema de salud publica mayor y sus consecuencias devastadoras. :背景:儿童虐待是一个重大公共问题,给个人和社会经济带来严重后果。研究表明童年虐待对长期身体健康有明显影响。然而,还缺乏相关研究对多种虐待亚型进行分析,并关注儿童期所经历的不同虐待亚型对身体健康的累积效应。 目标:该分析的目的是评估童年虐待的不同亚型及其强度与长期身体健康状况的关联性。 方法:在横断观察研究中,搜集了一个德国人口的代表性样本(N = 2510)的社会经济信息,目前的健康状况,并使用儿童创伤问卷(CTQ)评估其童年虐待的经历。使用卡方检验比较不同成年期身体健康状况与儿童虐待的关系的差异;使用二元回归分析考察身体健康与儿童期不同虐待亚型数量之间的关系。 结果:肥胖(1.18),糖尿病(1.26),癌症(1.28),高血压(1.16),慢性阻塞性肺病(1.51),心肌梗死病史(1.29)和中风(1.31)的概率随着童年所经历虐待亚型数量的增加而显著增加。不论哪种虐待亚型,其强度增加与所有被评估的身体健康问题的比率升高相关,这可能说明虐待与长期身体健康之间关系具有‘程度相关性’(dose dependency)。 结论:儿童期虐待与德国几大首要致病和致死疾病的发生率增加有关。制定干预措施,设计次要和主要预防方案,对解决这一重大公共卫生问题和减轻其严重后果至关重要。.

journal_name

Eur J Psychotraumatol

authors

Clemens V,Huber-Lang M,Plener PL,Brähler E,Brown RC,Fegert JM

doi

10.1080/20008198.2018.1510278

subject

Has Abstract

pub_date

2018-09-07 00:00:00

pages

1510278

issue

1

issn

2000-8066

pii

1510278

journal_volume

9

pub_type

杂志文章
  • The relation between adverse childhood experiences and moral injury in the Canadian Armed Forces.

    abstract::Background: There is increasing evidence that moral injuries (MIs) may affect the mental health of Canadian Armed Forces (CAF) members and veterans. Despite knowledge suggesting that MIs are related to multiple negative mental health outcomes, including the onset of post-traumatic stress disorder (PTSD), it is unknown...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2018.1546084

    authors: Battaglia AM,Protopopescu A,Boyd JE,Lloyd C,Jetly R,O'Connor C,Hood HK,Nazarov A,Rhind SG,Lanius RA,McKinnon MC

    更新日期:2019-01-17 00:00:00

  • Sleep disturbances and nightmares in victims of sexual abuse with post-traumatic stress disorder: an analysis of abuse-related characteristics.

    abstract::Background: Sexual abuse victims often experience symptoms of post-traumatic stress disorder (PTSD), including sleep disturbances. Objective: To investigate whether or not characteristics of sexual abuse are associated with sleep disturbance, and to explore whether correlates of sleep disturbance are distinguishable f...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2019.1581019

    authors: Belleville G,Dubé-Frenette M,Rousseau A

    更新日期:2019-03-21 00:00:00

  • The validation of the Polish version of the Posttraumatic Diagnostic Scale and its factor structure.

    abstract:BACKGROUND:Posttraumatic Diagnostic Scale (PDS) is a self-descriptive measure developed to provide information regarding posttraumatic stress disorder (PTSD) diagnosis and symptom severity. OBJECTIVES:THE AIM OF THIS ARTICLE IS TO REPORT ON THE VALIDATION OF THE POLISH VERSION OF PDS AND TO TEST ITS FACTOR STRUCTURE W...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v3i0.18479

    authors: Dragan M,Lis-Turlejska M,Popiel A,Szumiał S,Dragan WŁ

    更新日期:2012-01-01 00:00:00

  • The psychological reactions after witnessing a killing in public in a Danish high school.

    abstract:BACKGROUND:School killings attract immense media and public attention but psychological studies surrounding these events are rare. OBJECTIVE:To examine the prevalence of posttraumatic stress disorder (PTSD) and possible risk factors of PTSD in 320 Danish high school students (mean age 18 years) 7 months after witnessi...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v4i0.19826

    authors: Elklit A,Kurdahl S

    更新日期:2013-01-01 00:00:00

  • PTSD and Complex PTSD: ICD-11 updates on concept and measurement in the UK, USA, Germany and Lithuania.

    abstract::The 11th revision to the World Health Organization's International Classification of Diseases (ICD-11) proposes two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). In this paper, we aim to provide an update on the latest research regarding the conceptual structure and measur...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2017.1418103

    authors: Karatzias T,Cloitre M,Maercker A,Kazlauskas E,Shevlin M,Hyland P,Bisson JI,Roberts NP,Brewin CR

    更新日期:2018-01-15 00:00:00

  • Complex posttraumatic stress disorder (CPTSD) following captivity: a 24-year longitudinal study.

    abstract::Background: The World Health Organization(WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a new trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD), separate and distinct from posttraumatic stress disorder (PTSD). However, to date, no study has examined CPTSD ov...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2019.1616488

    authors: Zerach G,Shevlin M,Cloitre M,Solomon Z

    更新日期:2019-05-28 00:00:00

  • PTSD in the military: special considerations for understanding prevalence, pathophysiology and treatment following deployment.

    abstract::Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in t...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v5.25322

    authors: Yehuda R,Vermetten E,McFarlane AC,Lehrner A

    更新日期:2014-08-14 00:00:00

  • Non-pharmacological and non-psychological approaches to the treatment of PTSD: results of a systematic review and meta-analyses.

    abstract:Background:Non-pharmacological and non-psychological approaches to the treatment of post-traumatic stress disorder (PTSD) have often been excluded from systematic reviews and meta-analyses. Consequently, we know little regarding their efficacy. Objective:To determine the effect sizes of non-pharmacological and non-psy...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2020.1795361

    authors: Bisson JI,van Gelderen M,Roberts NP,Lewis C

    更新日期:2020-08-24 00:00:00

  • The Parent Trauma Response Questionnaire (PTRQ): development and preliminary validation.

    abstract::Background: Following a child's experience of trauma, parental response is thought to play an important role in either facilitating or hindering their psychological adjustment. However, the ability to investigate the role of parenting responses in the post-trauma period has been hampered by a lack of valid and reliabl...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2018.1478583

    authors: Williamson V,Hiller RM,Meiser-Stedman R,Creswell C,Dalgleish T,Fearon P,Goodall B,McKinnon A,Smith P,Wright I,Halligan SL

    更新日期:2018-06-20 00:00:00

  • The neural correlates of childhood maltreatment and the ability to understand mental states of others.

    abstract::Background: Emotional abuse and emotional neglect are related to impaired interpersonal functioning. One underlying mechanism could be a developmental delay in mentalizing, the ability to understand other people's thoughts and emotions. Objective: This study investigates the neural correlates of mentalizing and the sp...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2016.1272788

    authors: van Schie CC,van Harmelen AL,Hauber K,Boon A,Crone EA,Elzinga BM

    更新日期:2017-02-09 00:00:00

  • The influence of depression-PTSD comorbidity on health-related quality of life in treatment-seeking veterans.

    abstract:Objective:Posttraumatic stress disorder (PTSD) and depression substantially impair health-related quality of life (HRQOL) for many Canadian Armed Forces (CAF) veterans. Although PTSD and depression are highly comorbid, little is known about whether the disorders may interact in their association with HRQOL. We sought t...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2020.1748460

    authors: Forchuk C,Nazarov A,Hunt R,Davis B,St Cyr K,Richardson JD

    更新日期:2020-06-04 00:00:00

  • A randomized controlled trial of brief Somatic Experiencing for chronic low back pain and comorbid post-traumatic stress disorder symptoms.

    abstract::Background: It is well documented that comorbid post-traumatic stress disorder (PTSD) in chronic pain is associated with a more severe symptom profile with respect to pain, disability and psychological distress. However, very few intervention studies exist targeting both PTSD and pain. The current study is the first r...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2017.1331108

    authors: Andersen TE,Lahav Y,Ellegaard H,Manniche C

    更新日期:2017-05-30 00:00:00

  • Trauma, mental health, and intergenerational associations in Kosovar Families 11 years after the war.

    abstract:BACKGROUND:While there is a considerable amount of literature addressing consequences of trauma in veterans and holocaust survivors, war and postwar civilian populations, particularly children, are still understudied. Evidence regarding intergenerational effects of trauma in families is inconsistent. OBJECTIVE:To shed...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v4i0.21060

    authors: Schick M,Morina N,Klaghofer R,Schnyder U,Müller J

    更新日期:2013-08-13 00:00:00

  • Compassion satisfaction, burnout, and secondary traumatic stress in UK therapists who work with adult trauma clients.

    abstract:BACKGROUND:Therapists who work with trauma clients are impacted both positively and negatively. However, most studies have tended to focus on the negative impact of the work, the quantitative evidence has been inconsistent, and the research has primarily been conducted outside the United Kingdom. OBJECTIVES:This study...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v4i0.21869

    authors: Sodeke-Gregson EA,Holttum S,Billings J

    更新日期:2013-12-30 00:00:00

  • Making science work in mental health care.

    abstract::There is increasing attention for embedding research in mental healthcare. This involves a linkage between scientific research and routine practice, where research is fed by questions from practice and scientific insights are implemented better and faster in clinical practice. This paper illustrates bridging the gap, ...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v3i0.18740

    authors: Engelhard IM

    更新日期:2012-01-01 00:00:00

  • Psychometric properties of the Questionnaire for Secondary Traumatization.

    abstract:BACKGROUND:During the past several years, there has been a growing interest in the negative effects that providing therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. To develop a simple screening tool for secondary...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v5.21875

    authors: Weitkamp K,Daniels JK,Klasen F

    更新日期:2014-01-09 00:00:00

  • Characteristics and efficacy of early psychological interventions in children and adolescents after single trauma: a meta-analysis.

    abstract:BACKGROUND:Single traumatising events are associated with an elevated rate of psychological disorders in children and adolescents. To date, it remains unclear whether early psychological interventions can reduce longer term psychological maladjustment. OBJECTIVE:To systematically review the literature to determine the...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v2i0.7858

    authors: Kramer DN,Landolt MA

    更新日期:2011-01-01 00:00:00

  • Design, delivery, and evaluation of early interventions for children exposed to acute trauma.

    abstract:BACKGROUND:Exposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise b...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v5.22757

    authors: Kassam-Adams N

    更新日期:2014-07-02 00:00:00

  • Post-migration factors and mental health outcomes in asylum-seeking and refugee populations: a systematic review.

    abstract::The present systematic review examined post-migration variables impacting upon mental health outcomes among asylum-seeking and refugee populations in Europe. It focuses on the effects of post-settlement stressors (including length of asylum process and duration of stay, residency status and social integration) and the...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章,评审

    doi:10.1080/20008198.2020.1793567

    authors: Gleeson C,Frost R,Sherwood L,Shevlin M,Hyland P,Halpin R,Murphy J,Silove D

    更新日期:2020-12-01 00:00:00

  • Night-time rumination in PTSD: development and validation of a brief measure.

    abstract::Background: Pre-sleep cognitive activity and arousal have long been implicated in the maintenance of insomnia. However, despite high comorbidity between insomnia and posttraumatic stress disorder (PTSD), pre-sleep thoughts in PTSD and their associations with disturbed sleep, have not yet been investigated. Objective: ...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2019.1651476

    authors: Woodward E,Sachschal J,Beierl ET,Ehlers A

    更新日期:2019-08-27 00:00:00

  • The OptiMUM-study: EMDR therapy in pregnant women with posttraumatic stress disorder after previous childbirth and pregnant women with fear of childbirth: design of a multicentre randomized controlled trial.

    abstract::Background: Approximately 3% of women develop posttraumatic stress disorder (PTSD) after giving birth, and 7.5% of pregnant women show a pathological fear of childbirth (FoC). FoC or childbirth-related PTSD during (a subsequent) pregnancy can lead to a request for an elective caesarean section as well as adverse obste...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2017.1293315

    authors: Baas MA,Stramrood CA,Dijksman LM,de Jongh A,van Pampus MG

    更新日期:2017-02-24 00:00:00

  • EMDR for children with medically related subthreshold PTSD: short-term effects on PTSD, blood-injection-injury phobia, depression and sleep.

    abstract::Background: Paediatric illness, injury and medical procedures are potentially traumatic experiences with a range of possible negative psychosocial consequences. To prevent psychosocial impairment and improve medical adherence, evidence-based psychotherapy should be offered if indicated. Eye movement desensitization an...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2019.1705598

    authors: Meentken MG,van der Mheen M,van Beynum IM,Aendekerk EWC,Legerstee JS,van der Ende J,Del Canho R,Lindauer RJL,Hillegers MHJ,Moll HA,Helbing WA,Utens EMWJ

    更新日期:2020-01-10 00:00:00

  • Prolonged grief: setting the research agenda.

    abstract:BACKGROUND:Prolonged grief disorder is proposed for the International Classification of Diseases (ICD-11), though it was rejected as a diagnosis for DSM-5. OBJECTIVE:This review outlines findings and defines important areas for future research viewed from a lifespan perspective. RESULTS:The development and psychometr...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v6.27303

    authors: Rosner R

    更新日期:2015-05-19 00:00:00

  • Is traumatic stress research global? A bibliometric analysis.

    abstract:BACKGROUND:The representation of low- and middle-income countries (LMIC) in traumatic stress research is important to establish a global evidence base, build research capacity, and reduce the burden of unmet mental health needs around the world. Reviews of the traumatic stress literature up to 2002 showed trends toward...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v5.23269

    authors: Fodor KE,Unterhitzenberger J,Chou CY,Kartal D,Leistner S,Milosavljevic M,Nocon A,Soler L,White J,Yoo S,Alisic E

    更新日期:2014-02-20 00:00:00

  • Defining the index trauma in post-traumatic stress disorder patients with multiple trauma exposure: impact on severity scores and treatment effects of using worst single incident versus multiple traumatic events.

    abstract::Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact defin...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2018.1486124

    authors: Priebe K,Kleindienst N,Schropp A,Dyer A,Krüger-Gottschalk A,Schmahl C,Steil R,Bohus M

    更新日期:2018-07-09 00:00:00

  • A profile analysis of post-traumatic stress disorder and depressive symptoms among Chinese Shidu parents.

    abstract:Background:Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depres...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.1080/20008198.2020.1766770

    authors: Eli B,Zhou Y,Liang Y,Fu L,Zheng H,Liu Z

    更新日期:2020-07-07 00:00:00

  • Less is more? Assessing the validity of the ICD-11 model of PTSD across multiple trauma samples.

    abstract:BACKGROUND:In the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the symptom profile of posttraumatic stress disorder (PTSD) was expanded to include 20 symptoms. An alternative model of PTSD is outlined in the proposed 11th edition of the International Classification of Diseases (ICD-...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v6.28766

    authors: Hansen M,Hyland P,Armour C,Shevlin M,Elklit A

    更新日期:2015-10-07 00:00:00

  • Mental health professionals' attitudes toward patients with PTSD and depression.

    abstract:BACKGROUND:To date, mental health professionals' attitudes toward posttraumatic stress disorder (PTSD), compared to other psychiatric disorders such as schizophrenia or depression, have rarely been studied. OBJECTIVE:We assessed mental health professionals' attitudes toward patients with PTSD compared to patients suff...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v6.28693

    authors: Maier T,Moergeli H,Kohler M,Carraro GE,Schnyder U

    更新日期:2015-10-26 00:00:00

  • Transgenerational aspects of former Swiss child laborers: do second generations suffer from their parents' adverse early-life experiences?

    abstract:BACKGROUND:Recent research suggests that childhood adversity exerts a lasting impact not only on the affected individuals but also on their offspring. Little is known about the role of parental rearing behavior in the transgenerational conveyance of parental childhood adversity and filial psychological health. OBJECTI...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v7.30804

    authors: Küffer AL,Thoma MV,Maercker A

    更新日期:2016-10-25 00:00:00

  • Childhood maltreatment in adult offspring of Portuguese war veterans with and without PTSD.

    abstract:BACKGROUND:The colonial war that Portugal was involved in between 1961 and 1974 had a significant impact on veterans and their families. However, it is unclear what the consequences of this war are, in particular with regard to levels of childhood maltreatment (CM) in offspring. OBJECTIVE:Our study aims to analyze the...

    journal_title:European journal of psychotraumatology

    pub_type: 杂志文章

    doi:10.3402/ejpt.v5.20198

    authors: Dias A,Sales L,Cardoso RM,Kleber R

    更新日期:2014-02-04 00:00:00