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 Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
Clemens V,Huber-Lang M,Plener PL,Brähler E,Brown RC,Fegert JMdoi
10.1080/20008198.2018.1510278subject
Has Abstractpub_date
2018-09-07 00:00:00pages
1510278issue
1issn
2000-8066pii
1510278journal_volume
9pub_type
杂志文章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
更新日期:2019-01-17 00:00:00
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
更新日期:2019-03-21 00:00:00
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
更新日期:2012-01-01 00:00:00
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
更新日期:2013-01-01 00:00:00
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
更新日期:2018-01-15 00:00:00
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
更新日期:2019-05-28 00:00:00
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
更新日期:2014-08-14 00:00:00
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
更新日期:2020-08-24 00:00:00
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
更新日期:2018-06-20 00:00:00
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
更新日期:2017-02-09 00:00:00
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
更新日期:2020-06-04 00:00:00
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
更新日期:2017-05-30 00:00:00
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
更新日期:2013-08-13 00:00:00
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
更新日期:2013-12-30 00:00:00
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
更新日期:2012-01-01 00:00:00
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
更新日期:2014-01-09 00:00:00
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
更新日期:2011-01-01 00:00:00
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
更新日期:2014-07-02 00:00:00
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
更新日期:2020-12-01 00:00:00
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
更新日期:2019-08-27 00:00:00
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
更新日期:2017-02-24 00:00:00
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
更新日期:2020-01-10 00:00:00
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
更新日期:2015-05-19 00:00:00
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
更新日期:2014-02-20 00:00:00
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
更新日期:2018-07-09 00:00:00
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
更新日期:2020-07-07 00:00:00
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
更新日期:2015-10-07 00:00:00
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
更新日期:2015-10-26 00:00:00
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
更新日期:2016-10-25 00:00:00
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
更新日期:2014-02-04 00:00:00