Childhood Maltreatment Experiences Research Articles

The Guru of Abuse: Analysing Cultural Distortions in Anuradha Roy s Sleeping on Jupiter

This research paper delves into the intricate relationship between culture as a tool of oppression and liberation, focusing on the experiences of child abuse within the context of Anuradha Roy’s Sleeping on Jupiter (2015). The study investigates how the abuse perpetuated against the orphaned girls reflects distortions of cultural norms and traditions, thereby revealing the potential for culture to be used as an instrument of oppression. The central figure in this narrative, Guruji, manipulates religious notions of the guru-disciple relationship, exploiting his claimed status as the girls’ new “God” to mask his exploitation. Through a comprehensive analysis of the novel, this study reveals the dichotomous role of religious and cultural elements. The paper argues that while religion can be harnessed for both oppression and liberation, its enduring symbols and narratives form the foundation for survivors to reclaim their agency and cultural heritage. On one hand, the guru’s invocations of worship and devotion underscore the manipulation of cultural symbols to enable abuse and control. On the other hand, the paper explores how the orphaned girls find solace by reengaging with Hindu mythological narrative traditions through storytelling. The study demonstrates that the tales from the Ramayana provide solace from the guru’s falsehoods. Ultimately, the paper contributes to a deeper understanding of the intricate interaction between cultural forces, gender dynamics, and the potential for empowerment within the framework of religious traditions, as depicted in the novel.

Pathways Linking Parental Care and Control to Loneliness in Breast Cancer Patients with A History of Childhood Maltreatment: Exploring the Mediating Roles of Ambivalence Over Emotional Expression and Self-Discrepancy.

Childhood maltreatment is a risk factor for loneliness and is linked to breast cancer. Parental bonding experienced during one's childhood also plays a significant role in increasing or decreasing the risk of loneliness later in life. Previous research has highlighted the significance of ambivalence over emotional expression (AEE) and self-discrepancy in the psychological adaptation of breast cancer patients, particularly concerning the impact of parental care and control experienced by patients in their relationship with their parents during childhood. Nevertheless, previous studies have not examined the mediating effects of AEE and self-discrepancy on parental care and control, as well as loneliness, in breast cancer patients. This study aimed to investigate whether AEE and self-discrepancy mediate the association of childhood parental care and control with loneliness in breast cancer patients with a history of childhood maltreatment. One hundred and thirty-three breast cancer patients who were receiving chemotherapy within the first 3 months post-diagnosis were recruited from one private and three public hospitals in Tabriz, Iran, to complete questionnaires. Parental bonding, loneliness, AEE, and self-discrepancy were assessed using the Parental Bonding Instrument (PBI), University of California Los Angeles (UCLA) Loneliness Scale, Ambivalence over the Expression of Emotion Questionnaire (AEQ), and Self-Discrepancies Scale (S-DS). Mediation models were tested using structural equation modeling. Effects of parental care (β = -.17, p < .05) and control (β = .21, p < .001) on loneliness were significant. Furthermore, both AEE (β = .19, p < .05) and self-discrepancy (β = .23, p < .01) significantly predicted loneliness. The pathway between parental care and AEE was significant (β = -.21, p < .001), as was the direct effect of parental control on self-discrepancy (β = .19, p < .05). Bootstrapping results showed that AEE significantly mediated the relationship between parental care and loneliness (95% confidence interval [CI] [-0.09, -0.01]). In addition, there was a significant indirect effect from parental control to loneliness via self-discrepancy (95% CI [0.11, 0.01]). These findings suggest that AEE and self-discrepancy could potentially be utilized in preventing or addressing loneliness in breast cancer patients who have a history of childhood maltreatment. Future research could, for example, assess whether integrating psychosocial interventions focusing on these variables as part of medical care can improve the mental health status of this subgroup of breast cancer patients who have experienced childhood maltreatment.

Relational dynamics associated with adolescent and young adult (13 to 23 years of age) partner violence: The role of inter-parental violence and child abuse.

The study aimed to examine the effect of witnessing inter-parental violence and experiencing childhood abuse on victimization of intimate partner violence (IPV) after marriage among adolescent and young girls. Data were drawn from the second wave of the Understanding the lives of adolescents and young adults (UDAYA) survey (2018-2019). The sample size was 5480 married adolescent and young girls aged 13-23 years. The outcome variable of the study was the victimization of IPV. Descriptive statistics, bivariate analysis and structural equation modelling (SEM) were performed. A total of 39% of married adolescent and young girls experienced physical violence, followed by sexual violence (35%) and emotional violence (28%) by their partner. Around 30% of respondents witnessed inter-parental violence, and 32% of the participants were beaten by their parents during childhood. Participants who had witnessed inter-parental violence were significantly correlated with experiencing childhood abuse, and this association was positively correlated with exposure to IPV in adolescence and young adulthood. Further, the parameter estimates of the indicators of IPV were highest for emotional violence (1.10) followed by physical violence (1.00) and sexual violence (0.62). Witnessing inter-parental violence significantly increases parents' physical violence to adolescents and young adult girls (β = 0.49, P<0.001, CI: 0.47-0.51). No tie between witnessing inter-parental violence and childhood abuse mediates their effect on later victimization of IPV. The findings indicate that witnessing inter-parental violence is a strong risk factor for IPV victimization among adolescent and young adult girls. Our findings advocate prerequisite collaborative effort with multiple service providers for greater empowerment at national, state, community, and family levels to achieve SDG goals pertaining to eliminating violence against women.

Social competence of single‐parent children with child abuse in China: Mediation model of resilience

AbstractChildren from single‐parent families typically face severe developmental risks, especially those with prior experience in child abuse. This study aimed to investigate the child abuse experience and social competence of children from single‐parent families and discuss the possible mediation effect of resilience in Mainland China. This study analysed 431 single‐parent children samples collected in China (50% females, Mage = 13.10). Group comparison analyses were conducted to illustrate group differences in social competence between single‐parent children with and without child abuse experience. In addition, path analyses were conducted to examine the mediation effect of resilience between child abuse and social competence. This study findings indicated that single‐parent children with physical and emotional abuse experience did not perform significantly worse in social competence, but those with emotional neglect were found to do worse. Resilience fully mediated the effect of physical abuse and partially mediated the effect of emotional neglect on single‐parent children's social competence, while it did not mediate the impact of emotional abuse. This study contributes to understanding the mechanisms between child abuse, social competence and resilience of children from single‐parent families in Mainland China. The findings have implications for social services for single‐parent children who are abused.

Clinical characteristics of psychotic disorders in patients with childhood trauma.

Childhood trauma is an important predictor of psychotic disorders, with special emphasis on physical and sexual abuse. It influences the clinical picture and course of psychotic disorders. This study was conducted in the Department of Psychiatry of the University Clinical Hospital Mostar. The sample consisted of 135 participants, aged 18 to 65 years. The screening instrument to examine cognitive status was the short version of MMSE-2. Patients' background information was collected using a sociodemographic questionnaire constructed for this study. To determine childhood trauma, the Child Abuse Experience Inventory was used to examine physical, sexual, and emotional abuse, neglect and domestic violence. The positive and negative syndrome scale scale was used to evaluate the clinical profile of psychoticism, the SSI questionnaire was used to evaluate the severity of suicidality, and the functionality of the participants was evaluated using the WHODAS 2.0. Results indicate that a significant number of participants with psychotic disorders experienced childhood trauma, an important determinant of their illness. Participants who had witnessed abuse had more severe clinical presentations (earlier onset and longer duration of illness) and more pronounced psychotic symptomatology and a lower degree of functionality. Decreased functionality is associated with witnessing abuse and physical abuse. During the civil war, a significant percentage of the participants were in childhood and adolescent development (26.7%) and exposed to frequent emotional abuse and domestic violence. As 1 traumatic event in childhood makes a person more susceptible to more traumatic experiences during life. Childhood trauma is a serious and pervasive problem that has a significant impact on the development, course, and severity of the clinical presentation of psychotic disorders. Accordingly, it is necessary to provide continuous education to mental health workers, primarily psychiatrists, regarding childhood trauma so that treatment may be approached more systematically and a plan of therapeutic interventions may be more adequately designed, which would necessarily include psychosocial support in addition to pharmacotherapy.

DID CHILDHOOD ABUSE PREDICT CARE EXPECTATION FOR FORMAL CARE: THE ROLES OF FAMILY FUNCTIONING AND CARE PREPARATION

Abstract Objectives: The influence of childhood abuse could be lasting and extensive. This study aims to examine the associations between childhood abusive experiences (i.e., physical abuse, emotional abuse, and bully victimization) and ageing adults’ care expectation for formal care in later life, as well as the potential mechanism of the associations. Methods: This study used data from the Panel Study of Ageing and Society (PAAS) in Hong Kong, with 5,007 participants aged 50 and over included in the study. Path analyses were performed to examine the direct effects of abusive experiences in childhood on future care expectation and formal care, and the indirect effects through serial mediators of family functioning and care preparation. Results: Ageing adults experiencing more childhood abuse were less likely to report care expectations in the future ( = -0.051, p &amp;lt; 0.01), and the direct effects ( = -0.042, p &amp;lt; 0.05) and indirect effects ( = -0.009, p &amp;lt; 0.05) from the serial mediation were significant. Among those people who reported clear care expectations, they were more likely to choose formal care if they had more abusive experiences in childhood (= 0.049, p &amp;lt; 0.05), from which the association was largely explained by decreased family functioning and more care preparation ( = 0.042, p &amp;lt; 0.001). Discussion: This study is the first to connect childhood abuse and late-life care expectation. From a life course perspective, it encourages more considerations regarding care preparation and formal care among people with a history of childhood abuse.

The Role of Environmental Sensitivity in the Relationship Between Childhood Maltreatment and Self-Conscious Emotions of Shame and Guilt: A Brief Report.

The association between childhood maltreatment and self-conscious emotions has been proven by the literature, but with limited attention to the specific moderating mechanisms involved. Highly sensitive individuals show emotional reactivity, ease of overstimulation, which make them more influenced by childhood maltreatment experiences. The study aims to test whether environmental sensitivity moderated the link between childhood maltreatment and self-conscious emotions of shame and guilt. The sample included 128 children referred for Oppositional Defiant Disorder (M age = 9.05; SD = 1.34). Results showed a significant interaction between maltreatment and environmental sensitivity on guilt and shame (B = 1.81, SE = .84, p < .05; B = 1.69, SE = .83, p < .05): highly sensitive children presented higher levels of shame and guilt following experiences of maltreatment as compared to low sensitive children. These findings may contribute to the literature on the role of environmental sensitivity as an individual trait moderating the effect of a contextual experience.

LONGITUDINAL STUDY OF ADULT SIBLING RELATIONSHIP AND PSYCHOLOGICAL WELL-BEING: THE ROLE OF CHILDHOOD MALTREATMENT

Abstract Objectives For many older adults, siblings serve as a source of companionship and support. This study examined a) the longitudinal association between sibling relationship quality and psychological well-being among older adults and b) whether the association would differ by childhood maltreatment. Methods We used three-wave data from the Wisconsin Longitudinal Study. Latent growth curve modeling was conducted to examine the associations between perceived sibling closeness and the psychological well-being of 4,736 older adults. Results Our findings showed that the trajectory of perceived sibling closeness differed between older adults who experienced childhood maltreatment and those who did not. Perceived sibling closeness was lower at baseline for those who experienced maltreatment and did not change over time, whereas perceived sibling closeness increased over time for those who did not experience maltreatment. Further, older adults who reported greater sibling closeness over time showed less of a decline in psychological well-being. The longitudinal associations between perceived sibling closeness and psychological well-being did not differ between the maltreated and non-maltreated groups. Discussion Childhood maltreatment was found to have long-term negative effects on the emotional quality of sibling relationships in late adulthood. More research is needed to explore potential mechanisms that explain these lifelong associations.

Childcare Disruptions and Parental Stress During the COVID-19 Pandemic.

Families in the United States experienced tremendous disruptions during the COVID-19 pandemic. This study evaluated the relationship of parental stress during the pandemic with interruptions in availability of services (childcare, after-school activities, and medical appointments) for children. We analyzed data from 2 waves of the Measuring the Impact of Violence Against Children and Women During a Pandemic survey 1 to develop a multivariable logistic regression model of the association between caregivers' stress and pandemic-related disruptions in children's lives. Caregivers' past experiences of childhood abuse, recommended stress-relieving activities, and responses to the statement "helping my child(ren) with their education, including remote schoolwork, has been very stressful and/or has resulted in increased tension at home" were included as covariates. Demographic and socioeconomic variables were examined as potential confounders. In total, 3479 (73.3%) of 4659 respondents reported feeling stressed since the start of the pandemic. For every one-item increase in the number of COVID disruptions in children's lives, the odds of feeling stressed increased by 20% (OR 1.20: p value < 0.0001, 95% confidence interval [CI], 1.14-1.27). Compared with men, women had 60% higher odds of feeling stressed (odds ratio [OR] 1.60: p value < 0.0001, 95% CI, 1.32-1.93). The covariates listed earlier were all statistically significant. Pandemic-related disruptions in children's lives were significantly associated with caregiver stress. Women were more likely to feel stressed than men. Sex, education, marital status, and family income were also associated with parental stress. These results suggest that childcare continuity and parental support should be part of disaster planning.

Adverse childhood experiences and depressive symptoms among lesbian and bisexual women in China

BackgroundDespite the relationship between Adverse childhood experiences (ACEs) and depressive symptoms, which has been well researched in general populations, little is known about homosexual and bisexual populations, especially lesbian and bisexual women in China. This study aims to investigate the prevalence of ACEs and depressive symptoms and to analyze the relationship between them among lesbian and bisexual women in China.MethodsThe eligible participants were aged 16 years or older who report their sexual orientation as homosexual or bisexual. The data was collected through anonymous questionnaires with the help of Lespark in Beijing from July 18 to December 29, 2018, and all participants had informed consent to this study. Univariate analysis and multiple linear regression analyses were performed to explore the relationship between ACEs and depressive symptoms among lesbian and bisexual women. All statistical analyses were conducted by the software of SPSS 22.0.ResultsAmong 301 lesbian and bisexual women, 81.4% were lesbian, 18.4% were bisexual women, and the majority were 21–30 years. As for ACEs, 51.5% reported at least one ACE, in which emotional neglect (22.6%) and emotional abuse (22.3%) were common ACEs. As for depressive symptoms of lesbian and bisexual women, the detection rate was 56.1%. The multiple linear regression analyses showed that abuse (β = 2.95, 95%CI:1.07–4.83) and neglect (β = 3.21, 95%CI:1.09–5.31) were positively associated with depressive symptoms and lesbian and bisexual women with three (β = 4.11, 95%CI: 0.99–7.22) or more (β = 6.02, 95%CI: 3.23–8.78) ACEs suffered from more depressive symptoms than others.ConclusionAdverse childhood experiences (ACEs) and depressive symptoms were at high prevalence among lesbian and bisexual women in China. ACEs were associated with depressive symptoms, especially childhood abuse and neglect experiences that have a significant effect on lesbian and bisexual women mental health.

ICD-11 complex posttraumatic stress disorder and subclasses of borderline personality disorder in a South Korean adult population with childhood abuse experiences: a latent class analysis

BackgroundComplex posttraumatic stress disorder (CPTSD) and borderline personality disorder (BPD), which are distinctive diagnoses, share the common risk factor of childhood abuse experiences. However, additional evidence is needed to determine which factors contribute to the manifestation of different symptoms.MethodParticipants were 499 South Korean early and midlife adults with primarily college level education who reported experiences of childhood abuse. They were enrolled from an online panel using a stratified sampling considering gender, age, and residence information. A latent class analysis (LCA) was conducted to identify the patterns of CPTSD and BPD symptoms. We adopted a three-step LCA to compare types of childhood abuse, invalidating environments, attachment styles, and pathological personality traits among different classes.ResultsThe LCA revealed four classes. Class 1 showed the highest scores in all symptoms and risk factors. Class 2 was distinguished from Class 3 by the externalizing versus internalizing associated pathological personality traits. Class 3 experienced high emotional neglect in addition to other types of abuse and it also showed an additional avoidant attachment style. Class 4 showed low symptomatology.ConclusionClass 1 was named as a CPTSD and BPD “comorbid” class, Class 2 as an “externalizing BPD” class, Class 3 as an “avoidant BPD” class, and Class 4 as a “low symptom” class. Childhood abuse may heighten the risk for high comorbidity of CPTSD and BPD as well as externalizing-internalizing subgroups of BPD. Beyond the identification of CPTSD and BPD, assessing attachment styles and pathological personality traits based on dimensional approaches would benefit the tailoring of effective treatment.

Exploring Elements Linked to School Bullying in China: A Comprehensive Review

This review seeks to provide a comprehensive analysis of factors associated with school bullying on an individual level and societal level in China. Several important trends in the field have been identified. These include the findings that experiences of childhood maltreatment, mental health, gender, and school types are positively associated with school bullying. On the contrary, strong teacher-student bonds, a communal atmosphere within the school, and high academic achievement serve as safeguards against school bullying. Despite the substantial body of research, research on the nationwide occurrence of school bullying, particularly in less developed regions of China, is still insufficient. Additionally, a notable constraint in existing studies is their reliance on cross-sectional data, which hinders the establishment of causal relationships. These discoveries carry significant implications for forthcoming investigations into school bullying within China and for the development of effective school-based interventions.

It’s More Than a Matter of Trust: What Parents and Young Children Need to Know to Prevent Intrafamilial Child Sexual Abuse

ABSTRACT Programs aimed at preventing child sexual abuse typically focus on skilling up young children and, to a lesser extent, parents by imparting a range of protective messages. Many sexual abuse prevention programs include a focus on identifying or vetting “safe” or “trustworthy” people. The authors qualitatively analyzed the content of narratives from individuals with childhood experience of intrafamilial sexual abuse, an under-represented voice in the development of child sexual abuse prevention programs. The analysis of impediments to protection indicated that, within the family context, reductionistic judgments of familiar individuals’ perceived safety or trustworthiness impaired child safety. In addition to adults and children being unable to recognize sexually abusive behavior and warning signs, child-victim survivor narratives highlighted the barriers for prevention in family environments characterized by maltreatment, a lack of child rights or that were unsupported by external authorities. Implications for the content of messages young children and their parents need to prevent child sexual victimization in the context of everyday family life are discussed.

Lifetime Experience of Childhood Abuse and Neglect Among High School Students at Debre Tabor Town, South Gondar Zone, Northwest Ethiopia: An Institution-Based Cross-Sectional Study.

Childhood abuse and neglect is defined as any intentional harm or mistreatment of a child that results in actual or potential harm to the child's health, survival and development. It has been linked to an increased risk of a wide range of serious short- and long-term medical and mental health problems. Although it is a complex societal issue, it receives limited research attention in the area. To assess lifetime prevalence of childhood abuse and neglect among high school students in Debre Tabor town, south Gondar Zone, Northwest Ethiopia, 2022. A cross-sectional study design was used to assess 423 high school students, chosen through a systematic sampling technique. Data were collected using a pre-tested, structured and self-administered international child abuse screening tool, child version (ICAST-C). The effect of independent variables on the outcome variable was explored using logistic regression analyses. The level of significances were determined using an odds ratio with a 95% confidence interval. Of the 423 study participants, 84.4% had lifetime experience of childhood abuse and neglect. Being female (AOR=4.5, 95% CI: 2.38, 8.60), parental marital status (AOR=5.4, 95% CI: 1.07, 27.3), illiteracy of father (AOR=1.65, 95% CI: 4.5, 6.03), birth order (AOR=4.5, 95% CI: 1.57, 13.0), open family discussion of sexual matters (AOR=0.37, 95% CI:1.74, 7.86), and watching pornography (AOR=0.08, 95% CI: 0.02, 0.40) were significantly associated with lifetime experience of childhood abuse and neglect. Lifetime experience of childhood abuse and neglect was high as compared with previous studies. Being female, parental marital status, illiterate fathers, watching pornography, and open family discussion of sexual matters were predictors of childhood abuse and neglect. Dealing with this issue should be considered an integral component of high school students' care, including parental education and respite care.

Çocukluk Çağı Travmaları ile Romantik İlişkide İstismara Maruziyet Arasındaki İlişkide Borderline Kişilik Özellikleri ve Ayrılık Anksiyetesinin Aracı Rolü

The study aims to examine the mediating role of borderline personality pattern and separation anxiety in adults in the relationship between childhood traumas and exposure to abuse in romantic relationships, to emphasize some factors that may cause violence in relationships, and to support initiatives to prevent exposure to partner violence. For the research, 400 participants aged 18-55 residing in Istanbul were determined by a simple random sampling method. After that, a Socio-demographic Information Form, Childhood Traumas Questionnaire (CTQ-33), Romantic Relationship Assessment Inventory (RRAI), Borderline Personality Questionnaire (BPQ), and Adult Separation Anxiety Questionnaire (ASAQ) were given to them. The data obtained from the study were evaluated with the SPSS-25 statistical analysis program. Relationships between scales were evaluated with Pearson Correlation analysis, and mediating roles were evaluated with PROCESS 3.5 Macro. All analyses were based on a 95% confidence interval. When the research findings were examined, A positive correlation was found between the Childhood Traumas Questionnaire and all its subscales, the Borderline Personality Questionnaire and all its subscales, and the Adult Separation Anxiety Questionnaire and the Romantic Relationship Assessment Scale. Research results show that childhood traumas predict exposure to abuse in romantic relationships and that borderline personality traits and adult separation anxiety play a partial mediating role in this relationship. It has also been determined that adult separation anxiety predicts borderline personality traits. As a result of the study, it is shown that in the case of abuse and neglect experiences in childhood, whether individuals are exposed to abuse in romantic relationships or not is related to borderline personality traits and low tolerance for separation. Study results reveal that separation anxiety significantly predicts borderline personality traits (34%), indicating that separation anxiety can be targeted as a key point in the repetitive abuse pattern. Another result of the study is that the increase in separation anxiety in borderline personality traits is associated with low economic levels. The current result reveals the importance of economic independence in exploitation patterns.

Applying the Social-Ecological Framework to Link the Drivers of Intimate Partner Violence Among Women in the Caribbean and Their Risk for HIV Infection.

For countries with a high prevalence of HIV such as in the Caribbean, intimate partner violence (IPV) may increase the chances for acquiring HIV infection.Using secondary data, we compared findings from studiesconducted in five Caribbean countries measuring the prevalence of gender-basedviolence among women in Grenada, Jamaica, Guyana, Suriname, and Trinidad and Tobago. The Social-Ecological Framework was usedto categorize women's dualrisk for intimate partner violence and HIV. We found thatyounger age, lower education, childhood experiences of abuse, income dependency, controlling behaviors of partners, non-disclosure of violence, and early sexual experiences were associated with intimate partner violence. Thesefactors also predisposewomenin the Caribbean to HIV infection. The Social-Ecological Framework is applicable to understanding the drivers of intimate partner violence and HIV infectionat multiple levelsand for the design and promotion of combined prevention interventions.Our study also demonstrated the applicability of the Social-Ecological Framework as an analytical and predictive model underscoring the need for increased coordination across multiple actors tostrengthen advocacy, given the pervasiveness of harmful social norms and gender inequalities whichundermine IPV and HIV control efforts.

Association between longitudinal patterns of child maltreatment experiences and adolescent substance use

BackgroundAlthough there is a well-established link between child maltreatment and adolescent substance use, it remains unclear if and how longitudinal patterns of maltreatment experiences are associated with substance use in adolescence. ObjectiveThe purpose of the study was to examine how distinct patterns of longitudinal maltreatment experiences are associated with adolescent substance use. Participants and settingThe participants were 899 adolescents from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). MethodsWe conducted repeated measures latent class analysis (RMLCA) to identify patterns of physical abuse, sexual abuse, and neglect from birth to age 17 and their relations to tobacco, alcohol, and marijuana use at age 18. ResultsRMLCA identified three physical abuse classes (Stable low physical abuse; School age peak physical abuse; Physical abuse primarily in infancy/toddlerhood), two sexual abuse classes (Stable no/low sexual abuse; School age peak sexual abuse), and three neglect classes (High neglect in childhood; Neglect primarily in infancy/toddlerhood; Neglect primarily at school age). Adolescents in the school age peak physical abuse class showed greater alcohol, cigarette, and marijuana use, compared to other physical abuse classes. Similarly, adolescents in the school age peak sexual abuse class showed greater substance use than those in the stable no/low sexual abuse class. Lastly, adolescents in the neglect primarily in infancy/toddlerhood class showed significantly less substance use than those in the other two neglect classes. ConclusionsFindings highlight the importance of early intervention and ongoing maltreatment prevention.

Does biological age mediate the relationship between childhood adversity and depression? Insights from the Detroit Neighborhood Health Study

The link between childhood adversity and adulthood depression is well-established; however, the underlying mechanisms are still being explored. Recent research suggests biological age may mediate the relationship between childhood adversity and depression in later life. This study examines if biological age mediates the relationship between childhood adversity and depression symptoms using an expanded set of biological age measures in an urban population-based cohort. Data from waves 1–3 of the Detroit Neighborhood Health Study (DNHS) were used in this analysis. Questions about abuse during childhood were coded to form a childhood adversity score similar to the Adverse Childhood Experience measure. Multiple dimensions of biological age, defined as latent variables, were considered, including systemic biological age (GrimAge, PhenoAge), epigenetic age (Horvath, SkinBlood), and immune age (cytomegalovirus, herpes simplex virus type 1, C-reactive protein, interleukin-6). Depression symptoms, modeled as a latent variable, were captured through the Patient Health Questionnaire-9 (PHQ-9). Models were adjusted for age, gender, race, parent education, and past depressive symptoms. Total and direct effects of childhood adversity on depression symptoms and indirect effects mediated by biological age were estimated. For total and direct effects, we observed a dose-dependent relationship between cumulative childhood adversity and depression symptoms, with emotional abuse being particularly influential. However, contrary to prior studies, in this sample, we found few direct effects of childhood adversity on biological age or biological age on depression symptoms and no evidence of mediation through the measures of biological age considered in this study. Further research is needed to understand how childhood maltreatment experiences are embodied to influence health and wellness.

Child maltreatment associates with violent victimization in young adulthood: a Brazilian birth cohort study

BackgroundMaltreatment in childhood may leave people vulnerable to further experiences of violence and more severe effects of stress later in life. Longitudinal studies of risk for violent victimisation after maltreatment are lacking in low- and middle-income countries. The objective of this study was to quantify the risk for violent victimization in the family and community in young adulthood following experiences of childhood maltreatment (experiences of physical, emotional and sexual abuse and neglect) up to age 15 years in an urban Brazilian population.Methods3246 participants in a prospective, population-based birth cohort study in Pelotas, Rio Grande do Sul, Brazil, were assessed at birth, 15 and 22 years. Sociodemographic factors were reported by mothers at birth and adolescents at age 15 years. Maltreatment and violent victimisation were self-reported in confidential questionnaires at 15 and 22, respectively. Multinomial logistic regression analyses estimated the association between having experienced any maltreatment and later experiences of family and community violence in young adulthood (no adult violence, violence only in the family context, only in the community, or both violence in the family and community), adjusting for sociodemographic factors.Results39% of females and 27% of males reported any maltreatment up to age 15 years. At 22 years, rates of past year violence in the family or community were 17.6% for females and 20.2% for males. Maltreatment was strongly associated with community violence (Females: OR = 2.96, CI = 1.83–4.80; Males: OR = 2.01, 95%CI = 1.01-4.00) and its co-occurrence with family violence (Females: OR = 2.33, 95%CI = 1.34–4.04; Males: OR = 3.20, 95%CI = 1.82–5.65) in young adulthood, after adjustment for background sociodemographic factors.ConclusionChildhood maltreatment is an important risk factor for later violent victimisation in both the family and community context. The effects of repeated trauma through the life-course needs research and clinical attention.

Can psychopathy be prevented? Clinical, neuroimaging, and genetic data: an exploratory study

ABSTRACT The aim of the study was to explore the relationship among brain functional activations elicited by an emotional paradigm, clinical scores (PTSD, anxiety, and depression), psychopathic traits, and genetic characteristics (5-HTTLPR) in a group of severely maltreated children compared to a healthy control group before and after the implementation of a Trauma Focused-Cognitive Behavioral Therapy. The final sample consisted of an experimental group of 14 maltreated children (mean age = 8.77 years old, S.D. = 1.83) recruited from a non-governmental shelter in Mexico City for children who had experienced child abuse and a control group of 10 children from the general population (mean age = 9.57 years old, S.D. = 1.91). Both groups were matched according to age and gender and were assessed before and after the implementation of the aforementioned therapy by means of clinical scales and an emotional paradigm that elicited brain activations which were recorded through functional magnetic resonance imaging. Genotyping of the 5-HTTLPR polymorphism was made at first assessment. A region of interest analysis showed amygdala hyperactivation during exposure to fear and anger stimuli in the maltreated children before treatment. Following therapy, a decrease in brain activity as well as a decrease in clinical symptoms were also observed. 5-HTTLPR polymorphism did not show any effect on the severity of clinical symptoms in maltreated children. Trauma-Focused Behavioral Therapy may help reorganize the brain’s processing of emotional stimuli. These observations reveal the importance of an early intervention when the mechanisms of neuroplasticity may be still recruited.