Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood

Boudewyn, Arne C.; Liem, Joan H.

doi:10.1007/bf02102969

Cited by 101 publications

(47 citation statements)

References 27 publications

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“…Young adulthood (20)(21)(22)(23)(24)(25)(26)(27)(28)(29) None of the childhood adversities were significantly associated with lifetime suicide attempts during young adulthood in the sample overall. An explanation could be that suicide attempts spike earlier and later in life among South Africans, contributing to the lack of significance.…”

Section: Childhood Years (4-12)mentioning

confidence: 92%

“…20 Numerous studies have examined the link between childhood sexual abuse and suicidality. [29][30][31][32][33][34][35][36][37][38][39][40][41] All of these authors have found that exposure to childhood sexual abuse increases the risk for mental disorders, including suicidality. Furthermore, the majority of studies that have focused on the link between childhood physical abuse and suicidality have found that exposure to childhood physical abuse increases the risk for suicidality.…”

Section: Introductionmentioning

confidence: 99%

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Association between childhood adversities and long-term suicidality among South Africans from the results of the South African Stress and Health study: a cross-sectional study

et al. 2014

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ObjectiveSuicide and suicidal behaviours are significant public health problems and a leading cause of death worldwide and in South Africa. We examined the association between childhood adversities and suicidal behaviour over the life course.MethodsA national probability sample of 4351 South African adult participants (aged 18 years and older) in the South African Stress and Health (SASH) study was interviewed as part of the World Mental Health Surveys initiative. Respondents provided sociodemographic and diagnostic information, as well as an account of suicide-related thoughts and behaviours. Suicidality or suicidal behaviour were defined as were defined as suicide attempts and suicidal ideation in the total sample, and suicide plans and attempts among ideators. Childhood adversities included physical abuse, sexual abuse, parental death, parental divorce, other parental loss, family violence, physical illness and financial adversity. The association between suicidality and childhood adversities was examined using discrete-time survival models.ResultsMore than a third of the respondents with suicidal behaviour experienced at least one childhood adversity, with physical abuse, parental death and parental divorce being the most prevalent adversities. Physical abuse, sexual abuse and parental divorce were identified as significant risk markers for lifetime suicide attempts, while physical abuse and parental divorce were significantly correlated with suicidal ideation. Two or more childhood adversities were associated with a twofold higher risk of lifetime suicide attempts. Sexual abuse (OR 9.3), parental divorce (OR 3.1) and childhood physical abuse (OR 2.2) had the strongest associations with lifetime suicide attempts. The effect of childhood adversities on suicidal tendencies varied over the life course. For example, sexual abuse was significantly associated with suicide attempts during childhood and teen years, but not during young and later adulthood.ConclusionsChildhood adversities, especially sexual abuse, physical abuse and parental divorce, are important risk factors for the onset and persistence of suicidal behaviour, with this risk being greatest in childhood and adolescence.

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Section: Childhood Years (4-12)mentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Association between childhood adversities and long-term suicidality among South Africans from the results of the South African Stress and Health study: a cross-sectional study

et al. 2014

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“…Childhood maltreatment and abuse are risk factors for the onset of depression in the adulthood, according to a large number of retrospective and prospective studies (Bifulco et al, 1994; Boudewyn & Liem, 1995; Bifulco et al, 1998; Gibb et al, 2001; Hankin, 2005; McNally et al, 2006). Childhood maltreatment may be related to the subsequent occurrence of depressive symptoms through multiple mechanisms, including actual physical changes (e.g., impaired brain development, poor physical health), psychological sequelae (e.g., low self-esteem, sense of powerlessness, social isolation), or behavioral consequences (e.g., delinquency, teen pregnancy, low academic achievement) (Chalk et al, 2002; Colman & Widom, 2004; Nemeroff, 2004).…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and treatment outcome of depression in patients with and without a history of emotional and physical abuse

Miniati

Rucci

Benvenuti

et al. 2010

Journal of Psychiatric Research

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Clinical features and treatment outcome were compared in depressed outpatients with and without a history of emotional and physical abuse (EPA), including childhood maltreatment. Patients were initially randomized to IPT or SSRI and then augmented with the second treatment if they did not remit with monotherapy. Assessments included the SCID-I, the SCID-II for DSM-IV diagnoses, the HRSD, the QIDS and the Mood Spectrum Self-Report (MOODS-SR). Seventy-eight (25%) patients reported a history of EPA; 60 (76.9%) were women. Patients with a history of EPA did not differ from those without on HRSD scores at baseline, but showed an earlier age at onset of depression and a longer duration of illness. The two groups differed on several mood spectrum factors, namely: 'depressive mood' (15.6±4.9 vs. 13.5±5.4; p<0.004), 'psychomotor retardation' (11.7±4.5 vs. 9.6 ±4.7; p<0.001), 'drug and illness-related depression' (1.3±1.3 vs. 0.6±1.0; p<0.0001), and 'neurovegetative symptoms' (8.3±2.6 vs. 6.9±2.9; p<0.0001). Patients with EPA had also a significantly longer time to remission (89 vs. 67 days, log-rank test, p=0.035). The need for augmentation treatment was significantly more frequent among patients with EPA than in those without. The present study suggests that patients with a history of EPA show a subtype of depression characterized by poor treatment response and more severe neurovegetative and psychomotor symptoms.

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“…There are nevertheless some studies that have suggested a link between childhood emotional maltreatment and depression [e.g., Boudewyn & Liem, 1995; Kent & Waller, 1998; Kim & Cicchetti, 2006; Rich et al, 1997]. Moreover, several researchers have theorized that, in comparison to other types of maltreatment, childhood emotional maltreatment may be more strongly related to the development of depression.…”

Section: Introductionmentioning

confidence: 99%

Emotional maltreatment and depression: prospective prediction of depressive episodes

et al. 2009

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Background-Most research to date on the role of maltreatment experiences in depression has focused on physical and sexual maltreatment. However, several researchers have theorized that emotional maltreatment may be more strongly linked to depression. Furthermore, prospective studies in this area are lacking. The present study addressed these issues by examining whether experiences of current emotional maltreatment predicted the development of new prospective episodes of major (MD) or minor depression (MiD), and the subtype of hopelessness depression (HD) in young adults. It also assessed whether current emotional maltreatment from peers and from authority figures separately predicted the occurrence of depressive episodes.

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Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood

Cited by 101 publications

References 27 publications

Association between childhood adversities and long-term suicidality among South Africans from the results of the South African Stress and Health study: a cross-sectional study

Association between childhood adversities and long-term suicidality among South Africans from the results of the South African Stress and Health study: a cross-sectional study

Clinical characteristics and treatment outcome of depression in patients with and without a history of emotional and physical abuse

Emotional maltreatment and depression: prospective prediction of depressive episodes

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