Childhood Sexual Abuse and Psychiatric Disorders in Middle-Aged and Older Adults

Chou, Kee Lee

doi:10.4088/jcp.12m07946

Cited by 69 publications

(50 citation statements)

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“…In a study of older adults, Beautrais (2002) found that those with serious suicidal behavior (death by suicide or medically serious attempts) were more likely than comparison subjects to have been exposed to childhood sexual abuse. In another study of older adults (Chou, 2012) sexual abuse was associated with past-year suicidal ideation (sexually abused OR D 6.2 versus non-abused OR D 2.4, CI D 1.5 to 4.95) but not past-year suicide attempts. In a large study of older adults, Draper et al (2008) found physical and sexual abuse to be associated with lifetime suicide attempts.…”

Section: Ace and Suicidementioning

confidence: 92%

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

Sachs‐Ericsson

Rushing

Stanley

et al. 2015

Aging & Mental Health

117

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Section: Ace and Suicidementioning

confidence: 92%

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

Sachs‐Ericsson

Rushing

Stanley

et al. 2015

Aging & Mental Health

117

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“…Early life trauma, including sexual and physical abuse, has also been identified as a risk factor for the development of obesity (Boynton-Jarrett et al, 2012, D'Argenio et al, 2009, Gunstad et al, 2006 and psychiatric disorders (Breslau, 2002, Chou, 2012.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Obesity and psychiatric disorders: Commonalities in dysregulated biological pathways and their implications for treatment

Lopresti

Drummond

2013

Progress in Neuro-Psychopharmacology and Biological Psychiatry

193

128

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Rates of obesity are higher than normal across a range of psychiatric disorders, including major depressive disorder, bipolar disorder, schizophrenia and anxiety disorders. While the problem of obesity is generally acknowledged in mental health research and treatment, an understanding of their bi-directional relationship is still developing. In this review the association between obesity and psychiatric disorders is summarised, with a specific emphasis on similarities in their disturbed biological pathways; namely neurotransmitter imbalances, hypothalamus-pituitary-adrenal axis disturbances, dysregulated inflammatory pathways, increased oxidative and nitrosative stress, mitochondrial disturbances, and neuroprogression. The applicability and effectiveness of weight-loss interventions in psychiatric populations is reviewed along with their potential efficacy in ameliorating disturbed biological pathways, particularly those mediating inflammation and oxidative stress. It is proposed that weight loss may not only be an effective intervention to enhance physical health but may also improve mental health outcomes and slow the rate of neuroprogressive disturbances in psychiatric disorders. Areas of future research to help expand our understanding of the relationship between obesity and psychiatric disorders are also outlined.

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“…The psychiatric disorders of the subjects who responded to this survey are those usually reported by the victims of sexual violence but their prevalence is a little higher than that of published epidemiological studies [1,2,4].…”

Section: Discussionmentioning

confidence: 57%

“…Several studies have focused on the long term effects of sexual violence that may occur at a distance from the initial trauma throughout the life of the victim. It is well established that child sexual abuse, like other forms of mistreatment, is associated with psychiatric and behavioral disorders such as depression, personality disorders, eating disorders, substance abuse [1][2][3][4]. The prevalence of chronic pain is also increased among victims, whether it is musculoskeletal or pelvic pain and headache [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The Impact of a History of Sexual Abuse on Health: Data from a Self-Reported Questionnaire from a Sample of French Victims

Thomas¹,

Guérin²,

Lévy³

et al. 2017

J Gen Pract

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Objective: This study aimed to assess the connection between sexual abuse and self-reported lifetime physical and psychiatric disorders. Subjects and Method:Samples of 178 French subjects (170 women and 18 men) who have been sexually abused have agreed to answer a computerized questionnaire and give the characteristics of their aggression and the physical and psychiatric pathologies they suffered afterwards. They also reported symptoms of anxiety and depression using the 14-item Hospital Anxiety and Depression (HAD) scale. Reported disorders were grouped by system organ class. χ 2 test or exact test of Fisher was used to test association of main characteristics of sexual abuse (type and duration of abuse, multiple/single assault and perpetrator) with each item of medical history.Results: 83% of respondents had experienced several sexual assaults, with a first assault occurring mainly during childhood and adolescence. The average length of the sexual abuse period was 2.4 times longer in women, compared to men (9.2 vs. 3.8 years). Most frequently alleged types of abuse were touching (85.5%) and rape (76.6%). The mean age of disclosure of sexual violence was approximately 21 years and the average time between the first abuse and disclosure about 12 years. The most frequent reported physical disorders were chronic pain, allergic, dermatological and gynaecological disorders, and surprisingly ENT disorders. There was in the sample a high prevalence of depression, sleep disorders and suicide attempts. At the time of the investigation the mean HAD scores were 7.0+4.7 and 11.7+4.6 for depression and anxiety respectively. Most reported disorders were significantly correlated with the severity of the sexual abuse (rape, duration, number of assaults and/or perpetrators). It was also shown that the delay of disclosure was significantly longer for victims whose first attack occurred when they were younger. Conclusion:A history of sexual abuse is associated with a high prevalence of multiple physical and psychiatric disorders at rates comparable to those found in previously published studies.

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Childhood Sexual Abuse and Psychiatric Disorders in Middle-Aged and Older Adults

Cited by 69 publications

References 0 publications

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

Obesity and psychiatric disorders: Commonalities in dysregulated biological pathways and their implications for treatment

The Impact of a History of Sexual Abuse on Health: Data from a Self-Reported Questionnaire from a Sample of French Victims

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