“…Even though some studies focused on the impact of specific maltreatment subtypes, such as sexual (Maniglio, 2009) or physical abuse (Afifi et al, 2013; Springer, Sheridan, Kuo, & Carnes, 2007) on physical health outcomes, since different methods were used, these results are hardly comparable. Two recent publications from a Canadian survey assessed the impact of physical abuse, sexual abuse and exposure to intimate partner violence during childhood on later development of diabetes and chronic obstructive pulmonary disease (COPD).…”
Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health.
Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes.
Methods: In a cross-sectional observational approach, a representative sample of the
German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood.
Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health.
Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences.
“…Even though some studies focused on the impact of specific maltreatment subtypes, such as sexual (Maniglio, 2009) or physical abuse (Afifi et al, 2013; Springer, Sheridan, Kuo, & Carnes, 2007) on physical health outcomes, since different methods were used, these results are hardly comparable. Two recent publications from a Canadian survey assessed the impact of physical abuse, sexual abuse and exposure to intimate partner violence during childhood on later development of diabetes and chronic obstructive pulmonary disease (COPD).…”
Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health.
Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes.
Methods: In a cross-sectional observational approach, a representative sample of the
German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood.
Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health.
Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences.
“…Victims often develop posttraumatic stress disorder (PTSD) and pervasive problems or mental disorders associated with difficulties in emotion regulation, such as borderline personality disorder (BPD) (Maniglio, 2009). Figure 1.Patient flow chart.
…”
Background: Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD), which is tailored to treat adults with PTSD and co-occurring emotion regulation difficulties, has already demonstrated its efficacy, acceptance and safety in an inpatient treatment setting. It combines elements of DBT with trauma-focused cognitive behavioural interventions.
Objective: To investigate the feasibility, acceptance and safety of DBT-PTSD in an outpatient treatment setting by therapists who were novice to the treatment, we treated 21 female patients suffering from PTSD following childhood sexual abuse (CSA) plus difficulties in emotion regulation in an uncontrolled clinical trial.
Method: The Clinician Administered PTSD Symptom Scale (CAPS), the Davidson Trauma Scale (DTS), the Borderline Section of the International Personality Disorder Examination (IPDE) and the Borderline Symptom List (BSL-23) were used as primary outcomes. For secondary outcomes, depression and dissociation were assessed. Assessments were administered at pretreatment, post-treatment and six-week follow-up.
Results: Improvement was significant for PTSD as well as for borderline personality symptomatology, with large pretreatment to follow-up effect sizes for completers based on the CAPS (Cohens d = 1.30), DTS (d = 1.50), IPDE (d = 1.60) and BSL-23 (d = 1.20).
Conclusion: The outcome suggests that outpatient DBT-PTSD can safely be used to reduce PTSD symptoms and comorbid psychopathology in adults who have experienced CSA.
“…Les résultats de recensions et méta-analyses ont en effet démontré que l'agression sexuelle durant l'enfance constitue un facteur de risque non spécifique pour un ensemble de problèmes de santé mentale (Hillberg, Hamilton-Giachritsis et Dixon, 2011 ;Kendall-Tackett, Williams et Finkelhor, 1993 ;MacMillan, 2010 ;Maniglio, 2009 ;Tyler, 2002) et de troubles psychiatriques divers (Fergusson, Boden et Horwood, 2008 ;Fergusson, Horwood et Lynskey, 1996), qui peuvent varier selon l'âge des participants (Tyler, 2002). En effet, aucun symptôme ou trouble unique ne caractérise une majorité des jeunes agressés sexuellement (Kendall-Tackett et al, 1993).…”
Section: Santé Mentale Chez Les Jeunes Agressés Sexuellementunclassified
CriminologieSanté mentale et physique des filles et des garçons agressés sexuellement : Une étude de cas contrôle apparié avec un suivi de cohortes sur 10 ans1
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
