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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Cumulative childhood maltreatment and its dose-response relation with adult symptomatology: Findings in a sample of adult survivors of sexual abuse
Child Abuse and Neglect, Volume 65, Year 2017
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Description
In the present study, we examined the role of cumulative childhood maltreatment experiences for several health related outcomes in adulthood, including symptoms of psychological distress as well as perceived social support and hardiness. The sample comprised adult survivors of sexual abuse (N = 278, 95.3% women, mean age at first abusive incident = 6.4 years). One-way ANOVAs revealed a statistically significant dose-response relation between cumulative childhood maltreatment scores and self-reported symptoms of posttraumatic stress (PTSS), anxiety, depression, eating disorders, dissociation, insomnia, nightmare related distress, physical pain, emotional pain, relational problems, self-harm behaviors as well as on a measure of symptom complexity. Cumulative childhood maltreatment was also associated with lower levels of work functioning. An inverse dose-response relation was found for perceived social support and hardiness. Using a Bonferroni corrected alpha level, cumulative childhood maltreatment remained significantly associated with all outcome measures with the exception of eating disorder symptoms after controlling for abuse-related independent variables in hierarchical regression analyses. Results add to previous literature by showing that dose-response relation between cumulative childhood adversities and adult symptom outcomes could also be identified in a sample characterized by high exposure to adversities, and lends support to the notion put forth by previous authors that cumulative childhood adversities seem to be related to the severity of adult health outcomes in a rule-governed way. © 2017 Elsevier Ltd
Authors & Co-Authors
Krystal, John Harrison
United States, New Haven
Yale School of Medicine
Bjorvatn, Björn
Norway, Bergen
Universitetet I Bergen
Norway, Bergen
Haukeland Universitetssjukehus
Gronli, Janne
Norway, Bergen
Universitetet I Bergen
United States, Spokane
Washington State University Spokane
Nordhus, Inger Hilde K.
United States, Berkeley
University of California, Berkeley
Norway, Oslo
Universitetet I Oslo
Pallesen, Ståle
Norway, Bergen
Haukeland Universitetssjukehus
Norway, Bergen
Universitetet I Bergen
Statistics
Citations: 87
Authors: 5
Affiliations: 6
Identifiers
Doi:
10.1016/j.chiabu.2017.01.008
ISSN:
01452134
Research Areas
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Violence And Injury
Participants Gender
Female