Childhood Emotional Abuse Research Articles

Association of childhood maltreatment and adverse lifetime experiences with post-injury psychopathology: evidence from the China Severe Trauma Cohort

BackgroundAdverse life experiences have been associated with increased susceptibilities to psychopathology in later life. However, their impact on psychological responses following physical trauma remains largely unexplored.MethodsBased on the China Severe Trauma Cohort, we conducted a cohort study of 2937 patients who were admitted to the Trauma Medical Center of West China Hospital between June 2020 and August 2023. Adverse life experiences, including childhood maltreatment (5 subtypes, measured by Childhood Trauma Questionnaire-Short Form) and adverse lifetime experiences (17 subtypes, by Life Events Checklist) were assessed. Generalized linear mixed models were used to examine the associations of childhood maltreatment and adverse lifetime experiences with symptoms of psychopathology measured at multiple time-points after the index injury (i.e., at recruitment, 1-, 3-, 6-, and 12-month follow-ups), adjusted for important confounders. We further stratified the analyses by level of genetic predisposition to a given psychological symptom quantified by polygenic risk score (PRS) based on publicly available GWAS summary statistics. Mediation analyses were performed to assess the role of adverse lifetime experiences in connecting childhood maltreatment and post-injury psychopathology.ResultsThe mean age of participants was 47.95 years with a predominance of males (61.39%). During the whole follow-up period, the incidence of symptoms of stress-related disorders, anxiety, and depression was 13.86%, 29.89%, and 36.57%, respectively. We observed associations between the cumulative number of those studied adversities and increased risk of post-injury psychopathology, particularly stress-related disorder (odds ratio [OR] = 2.78, 95% confidence interval [CI] 1.87–4.12 for ≥ 2 vs no childhood maltreatment; 2.65 [1.67–4.20] for ≥ 4 vs 0–1 adverse lifetime experiences). By subtype, positive associations were observed for most studied life adversities, with the most pronounced estimates for childhood emotional abuse (ORs = 1.71–2.52) and lifetime life-threatening illness/injury (ORs = 1.87–2.89). We found basically comparable estimates among traumatized individuals with different PRSs for studied psychopathology. Moreover, adverse lifetime experiences may partially (mediation proportion: 22.52–27.48%) explain the associations between various childhood maltreatment and post-injury psychopathology.ConclusionsBoth childhood maltreatment and adverse lifetime experiences were associated with post-injury psychopathology, irrespective of genetic susceptibility. Such findings highlight the importance of close surveillance and timely psychological interventions for injury patients with adverse life experiences.

Exhibitionism - a review of research

Introduction and Objective: Exhibitionism is a paraphilic behavior characterized by a persistent or recurrent tendency to expose one’s genitalia to strangers, typically without the intention of further interaction. The aim of this publication is to discuss various aspects of exhibitionism based on the latest literature. Review Methods: A search was conducted in the PubMed database to identify scientific articles containing the term “exhibitionism” in their title, abstract, or keywords. The search focused on articles published between 2014 and 2024, with an emphasis on studies exploring the etiology, prevalence, and treatment of exhibitionism.Brief Description of the State of Knowledge: While often linked to sexual excitement and followed by masturbation, exibitionism is more commonly observed in men. Research highlights several potential risk factors for exhibitionistic disorder, including childhood sexual or emotional abuse, hypersexuality, and sexual preoccupation. Neurobiological, cognitive, and social mechanisms are believed to underlie the development of these tendencies. Treatment of exhibitionistic disorder primarily involves cognitive behavioral therapy (CBT). Pharmacological approaches are also employed to manage symptoms by modulating serotonergic transmission. Summary: Although relatively uncommon, exhibitionistic disorder has significant implications for individuals and society, underscoring the need for improved awareness, accurate prevalence estimates, and expanded access to effective treatment interventions. Further investigation into the true prevalence of exhibitionistic disorder is warranted, as current estimates may be imprecise.

Relationship between childhood abuse and self-harm among transvestites and transgender women in Rio de Janeiro state 2019-2020.

To analyze the relationship between childhood abuse and self-harm in a group of transvestites and transgender women from the state of Rio de Janeiro. This was a cross-sectional study conducted with 139 participants selected through convenience sampling between 2019 and 2020. A structured questionnaire was used for data collection. The odds ratio (OR) and 95% confidence intervals (95%CI) for suicidal ideation, suicide attempts, and self-harm were calculated using logistic regression. Having experienced emotional abuse in childhood increased the suicide attempt (OR=9.00; 95%CI 1.13;71.34), having experienced psychological violence in childhood increased self-injurious behavior (OR=11.64; 95%CI 2.35;57.5), HIV infection increased suicidal ideation (OR=2.38; 95%CI 1.09;5.21). Childhood abuse, as well as the experience of stigmatizing diseases, increased the risk of self-harm among this population.

The Impact of Childhood Sexual, Physical and Emotional Abuse and Neglect on Suicidal Behavior and Non-Suicidal Self-Injury: A Systematic Review of Meta-analyses

The Impact of Childhood Sexual, Physical and Emotional Abuse and Neglect on Suicidal Behavior and Non-Suicidal Self-Injury: A Systematic Review of Meta-analyses

From Emotional Abuse to a Fear of Intimacy: A Preliminary Study of the Mediating Role of Attachment Styles and Rejection Sensitivity.

Based on the literature indicating that emotional abuse erodes children's secure attachment bonds, this study aimed to examine a mediation model positing that insecure attachment (anxious and/or avoidant styles) would mediate the association between childhood emotional abuse and rejection sensitivity (rejection and acceptance expectancies), which, in turn, will be associated with a fear of intimacy. One hundred and eighty members of the Israeli public aged 21-30 who were in relationships participated in the study. The results showed that avoidant and anxious attachment mediated the relationship between childhood emotional abuse and a fear of intimacy, acceptance expectancy mediated the relationship between avoidant and anxious attachment and a fear of intimacy, anxious attachment mediated the relationship between childhood emotional abuse and both rejection and acceptance expectancies, and avoidant attachment mediated the relationship between childhood emotional abuse and acceptance expectancy. These results indicated the salient role of insecure attachment styles and their associations with rejection sensitivity in forming intimate relationships due to having experienced childhood emotional abuse. Intervention promoting "earned security" was recommended.

Childhood Trauma Across the Schizophrenia Spectrum: A Comparison of Schizotypal Personality Disorder and Schizophrenia.

The etiology of schizophrenia involves both biological and environmental risk factors. Studying childhood trauma in disorders along the schizophrenia spectrum, including schizotypal personality disorder (SPD), can inform early risk and protective factors for psychosis. However, no study has directly compared childhood trauma between SPD and schizophrenia. One hundred twenty-four participants (schizophrenia/schizoaffective disorder [SZ] n = 45, SPD n = 32, and healthy controls [HCs] n = 47) matched on age and gender were assessed for different types of childhood abuse and neglect as well as clinical symptoms. Kruskal-Wallis H-tests examined group differences in childhood trauma severity and logistic regression modeled childhood trauma types that were associated with an SZ vs SPD diagnosis. SZ and SPD had greater severity than HC on total trauma score and all types of childhood trauma assessed (all P-values < .05). SZ and SPD only differed on childhood sexual abuse, which was greater in SZ (P = .039). Childhood sexual abuse (odds ratio [OR] = 1.14, 95% confidence interval [CI] = 1.02-1.27, P = .02) and emotional abuse (OR = 0.82, 95% CI = 0.71-0.95, P = .01) were independent predictors of an SZ vs SPD diagnosis. Sensitivity analysis indicated that a cutoff at mild sexual abuse was significant in predicting SZ vs SPD when compared with none/minimal sexual abuse. In SZ, greater sexual abuse was associated with positive schizotypal traits and in SPD, greater emotional abuse was associated with depressive symptoms. Findings suggest that childhood sexual and emotional abuse may be important factors that influence illness trajectory across the severity of disorders on schizophrenia spectrum. These findings have implications for understanding disease mechanisms and early prevention.

Asian Americans’ childhood emotional abuse, emotional neglect, and opioid use: Distress intolerance as moderator

Asian Americans are highly underrepresented in opioid use research, despite recent studies demonstrating the presence of opioid use behaviors in Asian Americans and distinct negative outcomes of opioid use among Asian Americans in comparison to White adults. Emotional abuse and emotional neglect are important risk factors that may impact opioid use. Thus, the purpose of this study was to investigate (a) the associations between childhood emotional trauma (emotional abuse and emotional neglect) and opioid use, and (b) the role of distress intolerance as a moderator. 279 Asian American participants completed an online remote survey. Our findings revealed that childhood emotional abuse and emotional neglect were both significantly and positively associated with opioid use. We found that distress intolerance moderated the association between childhood emotional abuse and opioid use such that at low levels of emotional abuse, participants who exhibited greater distress intolerance displayed greater opioid use. These findings indicate that emotional abuse and neglect are specific forms of childhood trauma that are significantly associated with opioid use, perhaps as a maladaptive coping mechanism that capitalizes on the analgesic effects of opioids on the psychological pain from childhood emotional trauma. Additionally, marginalized populations that demonstrate distress intolerance may suffer negative health outcomes such as opioid use.

Longitudinal Association Between Childhood Emotional Maltreatment and Gratitude in Chinese Adolescents: The Mediating Role of Parent-Child Attachment.

Childhood emotional maltreatment is a crucial risk factor for gratitude in adolescents. However, previous research has not investigated the effects of two types of emotional maltreatment (i.e., emotional abuse and emotional neglect) on gratitude, and explored the underlying mechanisms. To address existing research gaps, this study investigated how childhood emotional maltreatment affected adolescent gratitude, as well as the potential role of parent-child attachment in the Chinese context. A total of 491 Chinese adolescents from a public high school (Mage = 16.19 years, SD = 0.50; 60.5% female) participated in this 10-month, three-wave longitudinal study. The path analysis revealed that cumulative childhood emotional maltreatment and childhood emotional neglect at T1 predicted lower levels of gratitude at T3, while childhood emotional abuse did not. Additionally, parent-child attachment at T2 mediated the relationship between cumulative childhood emotional maltreatment at T1 and gratitude at T3. These findings underscore the enduring negative impact of childhood emotional maltreatment on adolescent gratitude and highlight the crucial role of parent-child attachment in this relationship.

Asian Americans' childhood emotional abuse, emotional neglect, and hazardous alcohol use: Resilience as moderator.

Asian Americans are highly underrepresented in alcohol use research, despite recent studies demonstrating the presence of hazardous alcohol use behaviors and increasing alcohol use rates among Asian Americans. Emotional abuse and emotional neglect serve as important individual factors that may impact hazardous alcohol use. The purpose of this study was thus to investigate (a) the association between childhood emotional trauma and hazardous alcohol use and (b) the role of resilience as a moderator. Asian American participants (N = 279) completed an online remote survey. Our findings revealed that childhood emotional neglect, but not emotional abuse, was significantly and positively associated with hazardous alcohol use. We found that resilience moderated the association between childhood emotional neglect and hazardous alcohol use so that only participants with average or high resilience experienced a significant association between childhood emotional neglect and hazardous alcohol use. The findings indicate that emotional neglect is a specific form of childhood trauma that is significantly associated with hazardous alcohol use, perhaps as a maladaptive coping mechanism. Additionally, marginalized populations that demonstrate resilience may suffer negative health outcomes such as hazardous alcohol use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Childhood sexual abuse and lifetime depressive symptoms: the importance of type and timing of childhood emotional maltreatment

Abstract Background Childhood sexual abuse (CSA) and emotional maltreatment are salient risk factors for the development of major depressive disorder (MDD) in women. However, the type- and timing-specific effects of emotional maltreatment experienced during adolescence on future depressive symptomatology in women with CSA have not been explored. The goal of this study was to fill this gap. Methods In total, 203 women (ages 20–32) with current depressive symptoms and CSA (MDD/CSA), remitted depressive symptoms and CSA (rMDD/CSA), and current depressive symptoms without CSA (MDD/no CSA) were recruited from the community and completed self-report measures. Depressive symptoms were assessed using the Beck Depression Inventory (BDI-II) and a detailed maltreatment history was collected using the Maltreatment and Abuse Chronology of Exposure (MACE). Differences in maltreatment exposure characteristics, including multiplicity and severity of maltreatment, as well as the chronologies of emotional maltreatment subtypes were compared among groups. A random forest machine-learning algorithm was utilized to assess the impact of exposure to emotional maltreatment subtypes at specific ages on current depressive symptoms. Results MDD/CSA women reported greater prevalence and severity of emotional maltreatment relative to rMDD/CSA and MDD/no CSA women [F(2,196) = 9.33, p &lt; 0.001], specifically from ages 12 to 18. The strongest predictor of current depressive symptoms was parental verbal abuse at age 18 for both MDD/CSA women (variable importance [VI] = 1.08, p = 0.006) and MDD/no CSA women (VI = 0.68, p = 0.004). Conclusions Targeting emotional maltreatment during late adolescence might prove beneficial for future intervention efforts for MDD following CSA.

What aspects of dispositional mindfulness mediate the association between childhood emotional maltreatment and posttraumatic stress disorder?

What aspects of dispositional mindfulness mediate the association between childhood emotional maltreatment and posttraumatic stress disorder?

The effect of childhood emotional abuse and neglect on disturbed dreaming frequency: The important role of rumination and perceived social support.

The effect of childhood emotional abuse and neglect on disturbed dreaming frequency: The important role of rumination and perceived social support.

Childhood emotional maltreatment and emotional intelligence in adolescents: The mediating role of mindfulness

BackgroundChildhood emotional maltreatment is detrimental to adolescents' emotional intelligence. However, most research has concentrated on the overall experience of childhood emotional maltreatment, leaving the outcomes of specific types of emotional maltreatment (i.e., emotional abuse and emotional neglect) and the mechanisms underlying these effects largely unexplored. ObjectiveGuided by the dimensional theory and the family risk factor model, this study used a two-wave longitudinal design to explore the association between two types of childhood emotional maltreatment and emotional intelligence. Furthermore, mindfulness's mediating role was also examined from the perspective of the schema theory. MethodsThis study included 580 Chinese teenagers (237 males; Mage = 15.94), who filled out questionnaires assessing childhood emotional maltreatment, mindfulness, and emotional intelligence. Path analyses and semi-longitudinal mediation analyses were conducted. ResultsAccording to the results of path analyses, only childhood emotional abuse predicted emotional intelligence, while neglect did not. Furthermore, the findings from the semi-longitudinal mediation indicated that mindfulness mediated the relationship between childhood emotional abuse and emotional intelligence. ConclusionsThe current study's findings highlighted the differential predictive effects of two types of childhood emotional maltreatment on emotional intelligence among teenagers, as well as the mediating role of mindfulness in this association. Thus, mindfulness may be a key area for intervention and may help to enhance the emotional intelligence of adolescents who have experienced childhood emotional abuse.

The association between childhood maltreatment and pain sensitivity in a high-risk adolescent population

The risk of developing chronic pain is twice as high among people with a history of childhood maltreatment compared to those without these experiences. It is unclear, however, whether childhood maltreatment might lead to lower or higher perception of pain. In this paper, we investigate the association between childhood maltreatment and pain sensitivity. A sample of 187 Dutch adolescents (ages 16.7 to 20.5) was used from a population-based cohort at high-risk for emotional and behavioral problems screened at age 13. The Childhood Trauma Questionnaire short form (CTQ-SF) was completed to measure emotional, physical, sexual abuse, and emotional and physical neglect. To asses pain sensitivity, a thermal quantitative sensory testing procedure was used which measured pain from hot and cold stimuli. Individuals reporting childhood sexual abuse, emotional abuse or neglect and physical neglect could on average withstand hot and cold pain of 1.03 °C [0.13, 1.84] to 3.20 °C [0.62, 5.97] more across different types of abuse compared to those with no emotional abuse or (physical) neglect history. Physical abuse was not associated with pain sensitivity. The current findings suggest that childhood maltreatment might lead to habituation to painful stimuli as opposed to increased pain sensitivity.

Childhood emotional maltreatment predicts social well-being beyond individual well-being: a daily diary study

ABSTRACT Childhood emotional maltreatment can have a profound impact on well-being. However, past research has largely focused on individual well-being, making it noteworthy to examine whether childhood emotional maltreatment predicts social well-being beyond individual well-being. To fill this gap, the current study employed a daily diary approach to investigate the independent effect of childhood emotional maltreatment on social well-being, and examined gratitude’s mediating role in the relationship. A total of 483 participants (Mage = 19.30, SDage = 2.12) completed daily surveys for 14 consecutive days. The results of the multilevel regression analysis indicated that childhood emotional maltreatment negatively and independently predicted social well-being, even after controlling for individual well- being, other forms of maltreatment (i.e. physical and sexual maltreatment), age and gender. Moreover, multilevel mediation analysis elucidated that gratitude served as a mediating factor in this association. In summary, these findings underscore the adverse effects of emotional maltreatment on social well-being and suggest gratitude as a possible intervention focus.

Differential association between childhood trauma subtypes and neurocognitive performance in adults with major depression

BackgroundNeurocognitive impairment is one of the prominent manifestations of major depressive disorder (MDD). Childhood trauma enhances vulnerability to developing MDD and contributes to neurocognitive dysfunctions. However, the distinct impacts of different types of childhood trauma on neurocognitive processes in MDD remain unclear.MethodsThis study comprised 186 individuals diagnosed with MDD and 268 healthy controls. Childhood trauma was evaluated using the 28-item Childhood Trauma Questionnaire-Short Form. Neurocognitive abilities, encompassing sustained attention, vigilance, visual memory, and executive functioning, were measured by the Cambridge Neuropsychological Testing Automated Battery.ResultsMultivariable linear regressions revealed that childhood trauma and MDD diagnosis were independently associated with neurocognitive impairment. Physical neglect was associated with impaired visual memory and working memory. MDD diagnosis is associated with working memory and planning. Interactive analysis revealed that physical/sexual abuse was associated with a high level of vigilance and that emotional neglect was linked with better performance on cognitive flexibility in MDD patients. Furthermore, childhood emotional abuse, physical abuse, and emotional neglect were revealed to be risk factors for developing early-onset, chronic depressive episodes.ConclusionThus, specific associations between various childhood traumas and cognitive development in depression are complex phenomena that need further study.

The Role of Cognitive and Emotional Factors in the Relationship Between Childhood Trauma and Non-Suicidal Self-Injury Among College Students: A Network Analysis.

Non-suicidal self-injury (NSSI) is a serious mental health problem among adolescents and young adults. Childhood trauma is a distal factor for NSSI and can also lead to cognitive abnormalities and maladaptive emotion regulation during the growth and development of individuals. However, it is unclear how childhood trauma and cognitive-emotional factors interact with NSSI. This study investigated the roles of childhood trauma and cognitive-emotional factors in NSSI among Chinese college students using network analysis. A total of 999 students from a university in central China were included in this study. Network analysis was used to examine the interrelationships between the frequency of NSSI thoughts and behaviors, childhood trauma subtypes (measured using the Childhood Trauma Questionnaire-Short Form), and cognitive-emotional factors such as early maladaptive schemas (EMSs) (measured using the Young Schema Questionnaire-Short Form), core self-evaluation (measured using the Core Self-Evaluations Scale), and emotion regulation (ER) strategies (measured using the Emotion Regulation Questionnaire). Structural equation modeling was used to further explore the role of the nodes most closely related to NSSI in the network analysis. Emotional abuse and disconnection/rejection EMS are found to be directly related to NSSI thoughts (edge weight = 0.16 and 0.08, respectively). Disconnection/rejection EMS partially mediated (28.64%) the relationship between emotional abuse and NSSI thoughts, with a higher level of expression suppression corresponding to a greater positive relationship between emotional abuse and the disconnection/rejection EMS (p < 0.01). Our findings were in line with the cognitive-emotional model of NSSI, highlighting the importance of NSSI prevention in identifying risk groups who experienced emotional abuse in childhood and tended to use expressive suppression as an ER strategy.

Childhood emotional maltreatment affects depression of adolescents with mood disorders: the mediating role of functions of non-suicidal self-injury

BackgroundChildhood emotional maltreatment, non-suicidal self-injury and depression are prevalent among adolescents with mood disorders. While existing model indicated that childhood emotional maltreatment, functions of non-suicidal self-injury and depression are interrelated, not much is understood about the interplay of functions of non-suicidal self-injury in the relationship between childhood emotional maltreatment and depression. Thus, the goal of this research was to ascertain how functions of non-suicidal self-injury relate to childhood emotional maltreatment and depression.MethodsThe participants were adolescents with mood disorders from three hospitals in Sichuan Province, data was collected using self-administered questionnaires, including the Childhood Trauma Questionnaire, Ottawa Self-injury Inventory-Functions, and Childhood Depression Inventory. SPSS26.0 software and PROCESS v3.3 model 4 were used for analysis.ResultsIn all, 235 adolescents (Mage=14.8, SD = 1.62) participated in the research. The functions of non-suicidal self-injury (r = 0.289, P < 0.01) and depression (r = 0.475, P < 0.01) were considerably positively connected with childhood emotional maltreatment, and the functions of non-suicidal self-injury were strongly positively correlated with depression (r = 0.364, P < 0.01). The direct impact of childhood emotional maltreatment on depression in adolescents was found to be significant (95% CI 0.434, 0.828) in the mediated effects model. Additionally, the indirect effect of childhood emotional maltreatment on depression through functions of non-suicidal self-injury was found to be significant (95% CI 0.055, 0.236), with a mediating effect value of 17.58%.ConclusionChildhood emotional maltreatment has a direct impact on depression, but it also has an indirect influence through mediation roles of functions of non-suicidal self-injury. Medical staff should take care of the mental health of adolescents hospitalized for mood disorders so that they can clarify the role of functions of NSSI in lowering depressive symptoms and improving quality of life and create more targeted and effective intervention plans.

Disentangling general and sport-specific risk factors for anxiety and depression in a mixed sample of athletes and non-athletes

The present study was designed to assess whether competitive athletes and non-athletes differ in terms of certain personality traits linked to atypicalities in emotion awareness and regulation, and whether being an athlete accounts for unique variance in symptoms of anxiety and depression when these traits and exposure to childhood emotional abuse are held constant. In order to address these questions, we had 483 undergraduates (Mage = 19.7 years; 75.8% female), including 228 athletes and 255 non-athletes, complete self-report measures of personality (alexithymia, sensory processing sensitivity or SPS, and anxiety sensitivity or AS), exposure to emotional abuse in childhood, pandemic-related stress, anxiety, and depression. Recreational and elite athletes scored lower on SPS and depression than non-athletes, and recreational athletes also scored lower than non-athletes on AS. However, involvement in competitive sport did not predict depression or anxiety when other variables were controlled for. Alexithymia, AS, and childhood emotional abuse predicted depression, and SPS, AS, and childhood emotional abuse predicted anxiety. The same pattern was seen in a subgroup of athletes (n = 91) who had recently been coached, except that in this subgroup exposure to emotionally abusive coaching was found to be an additional risk factor for anxiety. These findings help to disentangle general and sport-specific risk factors for anxiety and depression and may have important implications for preventing and treating these problems in athletes and non-athletes alike.

Childhood Emotional Trauma and Flourishing in Female College Students.

There are few studies that measure the effects of childhood emotional trauma on female college students' positive perceptions and attitudes toward their present lives. Therefore, this study analyzes how female college students' emotional trauma induced by child emotional abuse influences their flourishing as adults. To this end, a descriptive survey via an online platform was conducted from November 26 to December 3, 2022. The participants were 318 female college students aged 18 to 35 in South Korea, who experienced parental emotional abuse when they were younger than 18 years old. The survey was conducted to validate the moderating effects of resilience and cognitive emotion regulation strategies on the relationship between female college students' childhood emotional trauma and flourishing. The data were analyzed using descriptive statistics, t-tests, analysis of variance, Pearson's correlation coefficient, and Hayes' PROCESS macro. Self-blame, other-blame, and positive refocusing factors of the Cognitive Emotion Regulation Questionnaire were found to moderate the relationship between childhood emotional trauma and flourishing. Specifically, the self-blame strategy intensified the negative moderation effect. As flourishing depends on the degree of self-blame, fostering optimism by mitigating self-blame is necessary. The other-blame strategy attenuated the negative impact of childhood emotional trauma on flourishing. Nevertheless, this strategy can weaken emotions if individuals fail to regulate them independently. A positive refocusing strategy also effectively moderated the relationship between childhood emotional trauma and flourishing by alleviating the former's adverse effects. By contrast, resilience lacked a moderation effect. To overcome past emotional adversities and lead a flourishing life, interventions that actively utilize relational resources within the campus and regulate irrational beliefs, such as self-blame and blame toward others are necessary. These findings provide critical foundational data for the development of programs aimed at fostering a forward-thinking cognitive framework, thus enabling them to focus on future plans despite memories of emotional abuse.