Associations of childhood trauma with long-term diseases and alcohol and nicotine use disorders in Czech and Slovak representative samples

Abstract

Objective The abuse and neglect of a child is a major public health problem with serious psychosocial, health and economic consequences. The aim of this study was to assess the relationship between various types of childhood trauma, selected long-term diseases and alcohol and nicotine use disorder in Czech and Slovak representative samples. Methods Data on retrospective reporting about selected long-term diseases, alcohol and nicotine use disorder (CAGE Questionnaire) and childhood maltreatment (Childhood Trauma Questionnaire; CTQ) in two representative samples (Czech sample: n = 1800, 48.7% men, mean age 46.61 ± 17.4; Slovak sample: n = 1018, 48.7% men, mean age: 46.2 ± 16.6) was collected. Multinomial logistic regression models were used to assess the relationships between childhood maltreatment and long-term diseases. Results There is a higher occurrence of some long-term diseases (such as diabetes, obesity, allergy, asthma) and alcohol and nicotine use disorder in the Czech sample; however, in the Slovak sample the associations between child maltreatment and long-term diseases are stronger overall. Emotional abuse predicts the occurrence of all the studied long-term diseases, and the concurrent occurrence of emotional abuse and neglect significantly predicts the reporting of most diseases. All types of childhood trauma were strong predictors of reporting the occurrence of three or more long-term diseases. Conclusion The extent of reporting childhood trauma and associations with long-term diseases in the Czech and Slovak population is a challenge for the strengthening of preventive and therapeutic programmes in psychosocial and psychiatric care for children and adolescents to prevent later negative consequences on health.

Health effects associated with exposure to intimate partner violence against women and childhood sexual abuse: a Burden of Proof study

“…While we identified only four studies 115 – 118 reporting on the association with asthma, the studies reporting on this outcome consistently demonstrated a harmful effect and our model results found weak evidence of an association (0.04 ROS). Our conservative interpretation of the evidence suggests at least 9% increase in asthma risk given exposure to childhood sexual abuse, with a BPRF of 1.09.…”

“…We found weak evidence of association (one-star rating) for eight additional health outcomes: type 2 diabetes mellitus (number of accepted studies ( n ) = 7 (refs. 118 – 124 ); −0.01 ROS), HIV/AIDS ( n = 7 (refs. 44 , 47 , 90 , 125 – 128 ); −0.04 ROS), sexually transmitted infections, excluding HIV ( n = 4 (refs.…”

“…Among the estimated one-star risk–outcome pairs, four health outcomes (type 2 diabetes mellitus 118 – 124 , HIV/AIDS 44 , 47 , 90 , 125 – 128 and maternal abortion and miscarriage 37 , 131 – 135 , and drug use disorders 69 , 72 , 73 , 75 , 77 , 95 , 110 , 136 – 144 ) had greater than five input studies identified (Table 2 ). Detailed analysis approaches and results for the additional outcomes for which the association with childhood sexual abuse received a one-star ranking are reported in Table 2 and Supplementary Information 1.6 .…”

“…Last, for two additional health outcomes, ischemic heart disease and anorexia nervosa, the available evidence (ischemic heart disease, n = 3 (refs. 118 , 123 , 152 ); anorexia nervosa, n = 4 (refs. 145 – 147 , 153 )) does not support a significant association with childhood sexual abuse exposure.…”

Adverse Childhood Experiences, Coping and Resilience in Persons with Alcohol Use Disorder and Their Non-drinking Siblings in High-density Families: A Case-control Study

“…Higher childhood trauma was associated with more severity of mental disorders. [47][48][49] Emotional and physical neglect was related to depression, anxiety, and stress. 50 1.…”