Previous maltreatment and present mental health in a high-risk adolescent population

Greger, Hanne Klæboe; Myhre, Arne Kristian; Lydersen, Stian; Jozefiak, Thomas

doi:10.1016/j.chiabu.2015.05.003

Cited by 113 publications

(97 citation statements)

References 56 publications

(9 reference statements)

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“…Nevertheless, the main effect of CM on AS determined in this study provides support for the positive association between CM, including stressful life events, and AS in adolescents (McLaughlin & Hatzenbuehler, 2009; Tollenaar, Molendijk, Penninx, Milaneschi, & Antypa, 2017), a well-established cognitive risk factor for the development of anxiety disorders and associated symptoms in youth (Hishinuma et al, 2001; McLaughlin et al, 2007; Muris et al, 2001). Furthermore, our finding adds to the well-established literature demonstrating the adverse acute and long-term effects of CM or trauma on mental health and cognition in youth and adults (De Bellis, Woolley, & Hooper, 2013; Greger, Myhre, Lydersen, & Jozefiak, 2015; Irigaray et al, 2013; Taillieu, Brownridge, Sareen, & Afifi, 2016; Teicher, Ohashi, Lowen, Polcari, & Fitzmaurice, 2015). …”

Section: Discussionsupporting

confidence: 68%

No gene-by-environment interaction of BDNF Val66Met polymorphism and childhood maltreatment on anxiety sensitivity in a mixed race adolescent sample

Martin

Hemmings

Kidd

et al. 2018

European Journal of Psychotraumatology

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Background: Anxiety disorders in youth are attributable to multiple causal mechanisms, comprising biological vulnerabilities, such as genetics and temperament, and unfavourable environmental influences, such as childhood maltreatment (CM).Objective: A gene-environment (G x E) interaction study was conducted to determine the interactive effect of the BDNF Val66Met polymorphism and CM to increase susceptibility to anxiety sensitivity (AS) in a sample of mixed race adolescents.Method: Participants (n = 308, mean age = 15.8 years) who were all secondary school students and who completed measures for AS and CM were genotyped for the BDNF Val66Met polymorphism. Hierarchical multiple regression analysis was conducted to assess G x E influences on AS. Age and gender were included in the models as covariates as age was significantly associated with AS total score (p < .05), and females had significantly higher AS scores than males (p < .05).Results: A main effect of CM on AS was evident (p < .05), however, no main effect of BDNF genotype on AS was observed (p > .05). A non-significant G x E effect on AS was revealed (p < .05).Conclusions: Our results suggest that CM does not have a moderating role in the relationship between the BDNF Val66Met genotype and the increased risk of anxiety-related phenotypes, such as AS. Given the exploratory nature of this study, findings require replication in larger samples and adjustment for population stratification to further explore the role of BDNF Val66Met and CM on AS in mixed race adolescents.

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Section: Discussionsupporting

confidence: 68%

No gene-by-environment interaction of BDNF Val66Met polymorphism and childhood maltreatment on anxiety sensitivity in a mixed race adolescent sample

Martin

Hemmings

Kidd

et al. 2018

European Journal of Psychotraumatology

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“…Even when the same specific self-esteem domain is evaluated as important for QoL in different populations, the reasons for this could be different. A large portion of the adolescents had experienced sexual abuse as we have shown in previous reports on this sample [28,54]. Patients with a history of child sexual abuse and post-traumatic stress disorder report aversive emotional responses, negative cognitions, and dissociative states triggered by viewing their own body in a mirror [55].…”

Section: Physical Appearance and Qolmentioning

confidence: 54%

“…First, all adolescents living in RYC have been removed from their primary caregivers and a considerable portion has also experienced many out-ofhome placements by child welfare services [26]. Having experienced substantial and significant childhood adversities, their relationships to significant others have likely been affected, resulting in increased attachment problems compared to other populations [3,27,28]. Early interpersonal trauma and subsequent removal from home and repeated relocations to new placements are expected to affect the overall level of self-perceptions.…”

Section: Introductionmentioning

confidence: 99%

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

et al. 2017

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Purpose Many adolescents living in residential youth care (RYC) institutions perceive their quality of life (QoL) to be low. Enhancing QoL is thus important, but little is known about the potential contributors to their QoL. Early interpersonal trauma and subsequent removal from home and repeated relocations to new placements are expected to affect mental health and self-esteem. We therefore investigated if domain-specific self-esteem contributed to QoL among adolescents living in RYC institutions over and beyond their levels of psychopathology. Methods All youth in Norwegian RYC institutions between the ages 12-23 years were invited to participate. Of a total of 98 RYC institutions, 86 participated, and 400 of 601 eligible youths were examined. The participants' primary contact completed the Child Behavior Checklist to assess psychopathology. The adolescents completed a revised version of the Self-Perception Profile for Adolescents and the questionnaire for measuring health-related quality of life in children and adolescents (KINDL-R). Results After adjusting for psychopathology, age, and gender, self-esteem domains uniquely explained 42% of the variance in Qol, where social acceptance (b = 0.57) and physical appearance (b = 0.25) domains significantly predicted concurrent QoL. Conclusions The self-esteem domains, social acceptance and physical appearance, add substantially to the explained variance in QoL among adolescents living in RYC institutions, over and beyond the levels of psychopathology. These self-esteem domains may be targets of intervention to improve QoL, in addition to treating their psychopathology.

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“…Usually, foster home placement is the preferred choice when out-of-home care is needed, and RYC will be the last resort (1). Therefore, many of the residents will have experienced disrupted foster home placements, which place them at increased risk of mental health problems (23,24).…”

Section: Organization Of the Child Welfare System In Norwaymentioning

confidence: 99%

“…Estimated prevalence rates of psychiatric diagnoses showed only a small deviance from the observed prevalence rates, which were based on completed psychiatric interviews, thereby confirming the representativeness of the 335 youths who completed the psychiatric interview. For further details, see Greger et al [24] and Jozefiak et al [22].…”

Section: Participants and Recruitmentmentioning

confidence: 99%

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

Greger

Myhre

Klöckner

et al. 2017

Child Abuse & Neglect

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Printed by NTNU Grafisk senter 1 NORSK SAMMENDRAG Ungdom i risiko: Overgrepserfaringer, psykopatologi og livskvalitet blant ungdom i barnevernsinstitusjonerOvergrep og omsorgssvikt i barndommen er assosiert med en rekke fysiske og psykiske helseplager senere i livet. Å kunne identifisere risikoutsatte befolkningsgrupper er svaert verdifullt med tanke på å kunne forebygge helseplager. Barn og unge i fosterhjem og på barnevernsinstitusjoner har opplevd mer overgrep og omsorgssvikt enn barn og unge i normalbefolkningen, og kan derfor vaere i en høy-risikogruppe for helseproblemer.Hovedmålet med denne studien var å studere om overgrepserfaringer var assosiert med psykiske lidelser og redusert livskvalitet også i en høy-risikogruppe av ungdom bosatt i barnevernsinstitusjoner. Et sekundaert mål var å forsøke å identifisere medierende faktorer som kunne øke kunnskapen om disse assosiasjonene ytterligere.Prosjektet er en del av studien «Psykisk helse hos barn og unge i barnevernsinstitusjoner» som ble gjennomført mellom 2010 og 2015. 400 ungdommer mellom 12 og 20 år bosatt i barnevernsinstitusjoner i Norge ble inkludert, og av disse gjennomførte 335 et semi-strukturert diagnostisk intervju som i tillegg til informasjon om psykiske lidelser også ga informasjon om overgrepserfaringer.En stor andel av ungdommene (71 %) oppga å ha overgrepserfaringer (å ha vaert vitne til vold, å ha vaert utsatt for fysiske eller seksuelle overgrep). I denne gruppa var det høyere forekomst av en rekke psykiske sykdommer sammenlignet med de andre ungdommene i barnevernsinstitusjonene. Det var statistisk signifikant forskjell i forekomst av alvorlig depresjon, dystymi, generalisert angstlidelse, alvorlig atferdsforstyrrelse og autismespekterforstyrrelse mellom de to ungdomsgruppene. I tillegg var det signifikant økt forekomst av tidligere selvmordsforsøk blant ungdommene med overgrepserfaringer. Denne gruppen ungdommer hadde også dårligere livskvalitet enn ungdom i normalbefolkningen i forhold til fysisk og emosjonelt velvaere, selvtillit og i forholdet til venner. Økende antall ulike typer overgrepserfaringer inkludert dysfunksjonelle familieforhold, var assosiert med økt odds for flere av de psykiatriske diagnosene, og for dårligere livskvalitet på alle undersøkte livsområder. Tre potensielle medierende faktorer ble undersøkt: globalt selvbilde, tilknytningsproblemer og bruk av tobakk/rusmidler. Av disse ble det funnet at kun globalt selvbilde hadde medierende effekt både på assosiasjonen mellom overgrepserfaringer og psykopatologi, og overgrepserfaringer og livskvalitet.Unge i barnevernsinstitusjoner hadde opplevd en rekke overgrepserfaringer. Resultatene fra denne studien indikerer at overgrepserfaringer spiller en nøkkelrolle i utviklingen av psykiske lidelser og utviklingen av dårlig livskvalitet blant ungdom i barnevernsinstitusjoner. Global selvfølelse ble identifisert som en mediator, og kan derfor vaere et velegnet angrepspunkt for intervensjon innenfor denne ungdomsgruppa. Studien åpner for muligheten av at tiltak som øker selvbild...

show abstract

Previous maltreatment and present mental health in a high-risk adolescent population

Cited by 113 publications

References 56 publications

No gene-by-environment interaction of BDNF Val66Met polymorphism and childhood maltreatment on anxiety sensitivity in a mixed race adolescent sample

No gene-by-environment interaction of BDNF Val66Met polymorphism and childhood maltreatment on anxiety sensitivity in a mixed race adolescent sample

Quality of life among adolescents living in residential youth care: do domain-specific self-esteem and psychopathology contribute?

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

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