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Child maltreatment and mental health problems in adulthood: birth cohort study

  • Steve Kisely (a1), Amanuel Alemu Abajobir (a2), Ryan Mills (a3), Lane Strathearn (a4), Alexandra Clavarino (a5) and Jake Moses Najman (a6)...
Abstract
Background

Retrospective studies have shown a high association between child abuse and subsequent psychiatric morbidity. Prospective studies are rarer.

Aims

To examine, using a prospective record-linkage analysis, whether substantiated child maltreatment is associated with adverse psychological outcomes in early adulthood.

Method

The participants were 3778 mother and child pairs enrolled in a population-based birth cohort study in Brisbane, Australia. Exposure to suspected child maltreatment was measured by linkage with state child protection agency data. The primary outcomes were the internalising and externalising scales of the Youth Self-Report and the Centre for Epidemiological Studies-Depression scales (CES-D) at approximately 21 years of age. A subset completed the Composite International Diagnostic Interview-Auto version (CIDI-Auto).

Results

In total, 171 (4.5%) participants had a history of substantiated child maltreatment, most commonly emotional abuse (n = 91), followed by physical abuse (n = 78), neglect (n = 73) and sexual abuse (n = 54). After adjustment for potential confounders, depressive symptoms on the CES-D, as well as internalising and externalising behaviours were strongly associated with substantiated abuse in all forms, except sexual abuse. The results for the subset of the sample who completed the CIDI-Auto were less clear. Anxiety, especially post-traumatic stress disorder, showed the strongest association whereas the findings for depressive disorder were equivocal. However, across all diagnostic categories, emotional abuse and neglect, as well as multiple forms of abuse, showed a consistent association.

Conclusions

Child maltreatment, particularly neglect and emotional abuse, has serious adverse effects on early adult mental health. These two warrant the attention given to other forms of child maltreatment. Children experiencing more than one type of maltreatment are at particular risk.

Declaration of interest

None.

Copyright
Corresponding author
Correspondence: Steve Kisely, School of Medicine l, The University of Queensland, Level 4, Building 1, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, QLD 4102, Australia. Email: s.kisely@uq.edu.au
References
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1Fry, D, McCoy, A, Swales, D. The consequences of maltreatment on children's lives: a systematic review of data from the East Asia and Pacific Region. Trauma Violence Abuse 2012; 13: 209–33.
2Wekerle, C, Wolfe, DA, Hawkins, D, Pittman, A-L, Glickman, A, Lovald, BE. Childhood maltreatment, posttraumatic stress symptomatology, and adolescent dating violence: considering the value of adolescent perceptions of abuse and a trauma mediational model. Dev Psychopathol 2001; 13: 847–71.
3Chapman, DP, Whitfield, CL, Felitti, VJ, Dube, SR, Edwards, VJ, Anda, RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord 2004; 82: 217–25.
4.Widom, CS, Raphael, KG, DuMont, KA. The case for prospective longitudinal studies in child maltreatment research: commentary on Dube, Williamson, Thompson, Felitti, and Anda (2004). Child Abuse Negl 2004; 28: 715–22.
5Fergusson, DM, Horwood, LJ, Woodward, LJ. The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychol Med 2000; 30: 529–44.
6Arata, CM, Langhinrichsen-Rohling, J, Bowers, D, O'Brien, N. Differential correlates of multi-type maltreatment among urban youth. Child Abuse Negl 2007; 31: 393415.
7Thornberry, TP, Matsuda, M, Greenman, SJ, Augustyn, MB, Henry, KL, Smith, CA, et al. Adolescent risk factors for child maltreatment. Child Abuse Negl 2014; 38: 706–22.
8Soares, AL, Howe, LD, Matijasevich, A, Wehrmeister, FC, Menezes, AM, Goncalves, H. Adverse childhood experiences: prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl 2016; 51: 2130.
9Dekel, S, Bonanno, GA. Changes in trauma memory and patterns of posttraumatic stress. Psychol Trauma 2013; 5: 26.
10Trickett, PK, Noll, JG, Putnam, FW. The impact of sexual abuse on female development: lessons from a multigenerational, longitudinal research study. Dev Psychopathol 2011; 23: 453–76.
11Gilbert, R, Widom, CS, Browne, K, Fergusson, D, Webb, E, Janson, S. Burden and consequences of child maltreatment in high-income countries. Lancet 2009; 373: 6881.
12Spataro, J, Mullen, PE, Burgess, PM, Wells, DL, Moss, SA. Impact of child sexual abuse on mental health: prospective study in males and females. Br J Psychiatry 2018; 184: 416–21.
13Baiden, P, Stewart, SL, Dunnen, W. Childhood abuse and cannabis use among adolescents with mental health needs in Ontario, Canada. J Subst Use 2014; 19: 1824.
14Aas, M, Etain, B, Bellivier, F, Henry, C, Lagerberg, T, Ringen, A, et al. Additive effects of childhood abuse and cannabis abuse on clinical expressions of bipolar disorders. Psychol Med 2014; 44: 1653–62.
15Norman, RE, Byambaa, M, De, R, Butchart, A, Scott, J, Vos, T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med 2012; 9: e1001349.
16Doidge, JC, Higgins, DJ, Delfabbro, P, Segal, L. Risk factors for child maltreatment in an Australian population-based birth cohort. Child Abuse Negl 2017; 64: 4760.
17Springer, KW, Sheridan, J, Kuo, D, Carnes, M. Long-term physical and mental health consequences of childhood physical abuse: results from a large population-based sample of men and women. Child Abuse Negl 2007; 31: 517–30.
18Breslau, N, Koenen, KC, Luo, Z, Agnew-Blais, J, Swanson, S, Houts, RM, et al. Childhood maltreatment, juvenile disorders and adult post-traumatic stress disorder: a prospective investigation. Psychol Med 2014; 44: 1937–45.
19Sidebotham, P, Heron, J, Team, AS. Child maltreatment in the ‘children of the nineties’: a cohort study of risk factors. Child Abuse Negl 2006; 30: 497522.
20Scott, KM, Smith, DR, Ellis, PM. Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults. Arch Gen Psychiatry 2010; 67: 712–9.
21Mills, R, Scott, J, Alati, R, O'Callaghan, M, Najman, JM, Strathearn, L. Child maltreatment and adolescent mental health problems in a large birth cohort. Child Abuse Negl 2013; 37: 292302.
22Najman, JM, Bor, W, O'Callaghan, M, Williams, GM, Aird, R, Shuttlewood, G. Cohort profile: the Mater-University of Queensland Study of Pregnancy (MUSP). Int J Epidemiol 2005; 34: 992–7.
23Lau, AS, Leeb, RT, English, D, Graham, JC, Briggs, EC, Brody, KE, et al. What's in a name? A comparison of methods for classifying predominant type of maltreatment. Child Abuse Negl 2005; 29: 533–51.
24Nicholls, SG, Quach, P, von Elm, E, Guttmann, A, Moher, D, Petersen, I, et al. The reporting of studies conducted using observational routinely-collected health data (RECORD) statement: methods for arriving at consensus and developing reporting guidelines. PLoS One 2015; 10: e0125620.
25Strathearn, L, Mamun, AA, Najman, JM, O'Callaghan, MJ. Does breastfeeding protect against substantiated child abuse and neglect? A 15-year cohort study. Pediatrics 2009; 123: 483–93.
26Lewinsohn, PM, Seeley, JR, Roberts, RE, Allen, NB. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging 1997; 12: 277.
27Achenbach, TM. Manual for the Youth Self-Report and 1991 Profile. Department of Psychiatry, University of Vermont Burlington, 1991.
28American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder (4th edn) (DSM-IV). APA, 1994.
29Peters, L, Clark, D, Carroll, F. Are computerized interviews equivalent to human interviewers? CIDI-Auto versus CIDI in anxiety and depressive disorders. Psychol Med 1998; 28: 893901.
30Abajobir, AA, Kisely, S, Scott, JG, Williams, G, Clavarino, A, Strathearn, L, et al. Childhood maltreatment and young adulthood hallucinations, delusional experiences, and psychosis: a longitudinal study. Schizophr Bull 2017; 43: 1045–55.
31Goodman, JS, Blum, TC. Assessing the non-random sampling effects of subject attrition in longitudinal research. J Manag 1996; 22: 627–52.
32Mills, R, Kisely, S, Alati, R, Strathearn, L, Najman, J. Self-reported and agency-notified child sexual abuse in a population-based birth cohort. J Psychiatr Res 2016; 74: 8793.
33Dube, SR, Anda, RF, Whitfield, CL, Brown, DW, Felitti, VJ, Dong, M, et al. Long-term consequences of childhood sexual abuse by gender of victim. Am J Prev Med 2005; 28: 430–8.
34Lansford, J, Dodge, K, Pettit, G, Bates, J, Crozier, J, Kaplow, J. Long-term effects of early child physical maltreatment on psychological, behavioral, and academic problems in adolescence: a 12-year prospective study. Arch Pediatr Adolesc Med 2002; 156: 824–30.
35Strathearn, L. Maternal neglect: oxytocin, dopamine and the neurobiology of attachment. J Neuroendocrinol 2011; 23: 1054–65.
36Nelson, J, Klumparendt, A, Doebler, P, Ehring, T. Childhood maltreatment and characteristics of adult depression: meta-analysis. Br J Psychiatry 2017; 210: 96104.
37Martin, EK, Silverstone, PH. How much child sexual abuse is ‘below the surface,’ and can we help adults identify it early? Front Psychiatry 2013; 4: 58.
38Polonko, KA. Exploring assumptions about child neglect in relation to the broader field of child maltreatment. J Health Hum Serv Adm 2006; 29: 260–84.
39Hahm, HC, Lee, Y, Ozonoff, A, Van Wert, MJ. The impact of multiple types of child maltreatment on subsequent risk behaviors among women during the transition from adolescence to young adulthood. J Youth Adolesc 2010; 39: 528–40.
40Hetzel, MD, McCanne, TR. The roles of peritraumatic dissociation, child physical abuse, and child sexual abuse in the development of posttraumatic stress disorder and adult victimization. Child Abuse Negl 2005; 29: 915–30.
41Wolke, D, Waylen, A, Samara, M, Steer, C, Goodman, R, Ford, T, et al. Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders. Br J Psychiatry 2009; 195: 249–56.
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Child maltreatment and mental health problems in adulthood: birth cohort study

  • Steve Kisely (a1), Amanuel Alemu Abajobir (a2), Ryan Mills (a3), Lane Strathearn (a4), Alexandra Clavarino (a5) and Jake Moses Najman (a6)...
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