Childhood maltreatment and violence: Mediation through psychiatric morbidity

González, Rafael A.; Kallis, Constantinos; Ullrich, Simone; Barnicot, Kirsten; Keers, Robert; Coid, Jeremy W.

doi:10.1016/j.chiabu.2016.01.002

Cited by 31 publications

(27 citation statements)

References 83 publications

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“…For example, men endorsing the paranoid ideation trait were almost four times as likely to be violent towards intimate partners in our study, lending support to this typology. This is also consistent with recent findings indicating that the pathway from early abuse to IPV is mediated by personality disorder amongst young men [ 45 ]. However, an alternative explanation is that this personality trait overlaps with the suspiciousness criterion of other cluster B personality disorders.…”

Section: Discussionsupporting

confidence: 93%

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment

et al. 2016

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BackgroundBorderline personality disorder (BPD) is characterised by difficulties with impulse control and affective dysregulation. It is unclear whether BPD contributes to the perpetration of violence or whether this is explained by comorbidity. We explored independent associations between categorical and dimensional representations of BPD and violence in the general population, and differential associations from individual BPD criteria.MethodsWe used a representative combined sample of 14,753 men and women from two British national surveys of adults (≥16 years). BPD was assessed using the Structured Clinical Interview II- Questionnaire. We measured self-reported violent behaviour in the past 5 years, including severity, victims and locations of incidents. Associations for binary, dimensional and trait-level exposures were performed using weighted logistic regression, adjusted for demography and comorbid psychopathology.ResultsCategorical diagnosis of BPD was associated only with intimate partner violence (IPV). Associations with serious violence leading to injuries and repetitive violence were better explained by comorbid substance misuse, anxiety and antisocial personality disorder (ASPD). However, anger and impulsivity BPD items were independently associated with most violent outcomes including severity, repetition and injury; suicidal behaviours and affective instability were not associated with violence. Both trait-level and severity-dimensional analyses showed that BPD symptoms might impact males and females differently in terms of violence.ConclusionsFor individuals diagnosed BPD, violence is better explained by comorbidity. However, BPD individual traits show different pathways to violence at the population level. Gender differences in BPD traits and their severity indicate distinct, underlying mechanisms towards violence. BPD and traits should be evaluated in perpetrators of IPV.

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Section: Discussionsupporting

confidence: 93%

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment

et al. 2016

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“…This has important implications for primary prevention efforts, and highlights the need for effective programs and policies to reduce its occurrence. In this context, prevention strategies should prioritize and focus on early-childhood exposure to violence in the family environment 56. Intervening at an early stage with proper parenting programs may reduce a child’s risk of developing long-term health and psychological problems and reduce the public health burden of CM by preventing future health problems and revictimization in adulthood, along with its negative consequences, such as alcohol and drug dependence 34…”

Section: Discussionmentioning

confidence: 99%

Early childhood maltreatment experience and later sexual behavior in Brazilian adults undergoing treatment for substance dependence

Diehl

Clemente

Pillon

et al. 2019

Braz. J. Psychiatry

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Objective:To investigate the prevalence of early childhood maltreatment and associations with later sexual behavior among adult substance users.Methods:A cross-sectional study enrolled 134 substance dependents who sought outpatient care in São Paulo, Brazil. Childhood trauma prevalence was assessed using the Childhood Trauma Questionnaire (CTQ). The Sexual Addiction Screening Test (SAST), drug of choice (DOC), and sexual behavior were also investigated.Results:The sample was composed predominantly of single adult males (76.1%), with alcohol as the DOC (73.9%). Experiences of emotional neglect (88.1%), emotional abuse (80.6%), physical neglect (78.4%), physical abuse (64.2%), and sexual abuse (31.3%) were prevalent. Women were more likely to have been sexually abused (OR 2.9, 95%CI 1.15-7.61) and physically abused (OR 3.7, 95%CI 1.31-10.6) in childhood. Those who were sexually abused in adulthood were more likely to have suffered physical abuse in childhood (OR 6.9, 95%CI 1.45-11.8). The odds of having been sexually abused in childhood were higher among subjects who reported to have exchanged sexual favors for drugs (OR 5.7, 95%CI 1.35-9.64) and to have been sexually abused in adulthood (OR 6.1, 95%CI 5.2-12.36).Conclusion:Physical and sexual abuse in childhood are highly prevalent in substance-dependent adults, and are associated with sexual revictimization and high-risk sexual behavior in adulthood.

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“…The lack of difference in exposure to physical abuse is surprising since previous studies have reported a specific association between being exposed to physical abuse and later violent offending or risk in both psychosis patients (14,24) and non-psychotic persons (21)(22)(23). However, a large-scale study comprising almost 3,000 males showed that experiencing childhood physical abuse was specifically associated with later intimate partner violence, whereas neglect was significantly associated with violence toward strangers, both mediated by anti-social personality disorder but not psychosis (44). In the same study, psychosis (together with anti-social personality disorder) mediated later violence risk associated with having witnessed domestic violence in childhood (44).…”

Section: Specific Childhood Trauma Subdomain Exposurementioning

confidence: 94%

“…However, a large-scale study comprising almost 3,000 males showed that experiencing childhood physical abuse was specifically associated with later intimate partner violence, whereas neglect was significantly associated with violence toward strangers, both mediated by anti-social personality disorder but not psychosis (44). In the same study, psychosis (together with anti-social personality disorder) mediated later violence risk associated with having witnessed domestic violence in childhood (44). A large epidemiological study comprising almost 30,000 respondents identified a relationship between experiencing harsh physical punishment in childhood with increased odds for exposure to childhood emotional, sexual abuse, and physical abuse, as well as physical and emotional neglect, after controlling for confounding sociodemographic factors (45).…”

Section: Specific Childhood Trauma Subdomain Exposurementioning

confidence: 99%

Childhood Trauma in Persons With Schizophrenia and a History of Interpersonal Violence

et al. 2020

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Background: Childhood trauma is a risk factor for psychosis as well for violent behavior and offending later in life. Childhood trauma comprises subdomains of abuse and neglect that may be differently related to later violence among patients with schizophrenia. The aim of this study was to map the subdomains of childhood trauma associated with violent offending in schizophrenia. Methods: Information on childhood trauma from predominantly male patients with a DSM-IV diagnosis of schizophrenia and a history of violent offending (interpersonal violence) (SCZ-V, n = 19), schizophrenia patients without a history of violence (SCZ-NV, n = 34), and healthy controls (HC, n = 66) was obtained with the Childhood Trauma Questionnaire (CTQ). Differences between groups in total maltreatment scores and the five subdomains including physical, emotional, and sexual abuse, as well as physical and emotional neglect were analyzed. Results: SCZ-V had the highest median CTQ scores for all sub-domains. SCZ-V reported significantly higher total CTQ scores than SCZ-NV and HC. SCZ-V had significantly higher scores than HC on all subdomains, and significantly higher than SCZ-NV on physical and emotional neglect. SCZ-NV had higher scores on all domains except sexual abuse compared to HC. Conclusion: SCZ-V patients had higher exposure to childhood trauma than SCZ-NV, and both schizophrenia groups had higher exposure than HC. The results suggest that childhood physical and emotional neglect may be of specific importance to later violence in schizophrenia.

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Childhood maltreatment and violence: Mediation through psychiatric morbidity

Cited by 31 publications

References 83 publications

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment

Early childhood maltreatment experience and later sexual behavior in Brazilian adults undergoing treatment for substance dependence

Childhood Trauma in Persons With Schizophrenia and a History of Interpersonal Violence

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