The impact of childhood sexual abuse and adverse childhood experiences on adult health related quality of life

Downing, Nancy R.; Akinlotan, Marvellous A.; Thornhill, Carly W.

doi:10.1016/j.chiabu.2021.105181

Cited by 30 publications

(19 citation statements)

References 52 publications

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“…Psychological maltreatment, a broader term encompasses both abuse and neglect and has been shown to be associated with an equal and even greater number of behavioral problems and disorders [ 50 ]. Studies have consistently demonstrated a clear relationship between most kinds of childhood trauma [ 16 , 18 , 51 ], ranging from physical abuse, physical neglect, emotional neglect, emotional abuse, and sexual abuse [ 2 , 16 ]. Neglect of any kind is as harmful as physical and sexual abuse though has received less attention [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Childhood maltreatment has been defined "as any act or series of acts of commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child" [1]. This has been studied extensively in the last few decades [2,3]. Studies have revealed that childhood maltreatment is not an uncommon occurrence with most children exposed to at least one form of maltreatment [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Association of childhood trauma, and resilience, with quality of life in patients seeking treatment at a psychiatry outpatient: A cross-sectional study from Nepal

Dhungana

Koirala²,

Ojha³

et al. 2022

PLoS ONE

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Quality of life is defined by the World Health Organization as "Individuals’ perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns". It is a comprehensive measure of health outcome after trauma. Childhood maltreatment is a determinant of poor mental health and quality of life. Resilience, however, is supposed to be protective. Our aim is to examine childhood trauma and resilience in patients visiting psychiatry outpatient and investigate their relations with quality of life. A descriptive cross-sectional study was conducted with a hundred patients with trauma and visiting psychiatry outpatient. Standardized tools were applied to explore childhood trauma, resilience, quality of life and clinical diagnoses and trauma categorization. Sociodemographic and relevant clinical information were obtained with a structured proforma. Bivariate followed by multivariate logistic regressions were conducted to explore the relation between childhood trauma, resilience, and quality of life. Poor quality of life was reported in almost one third of the patients. Upper socioeconomic status, emotional neglect during childhood, current depression and low resilience were the determinants of poor quality of life in bivariate analysis. Final models revealed that emotional neglect during childhood and low resilience had independent associations with poor quality of life. Efforts should be made to minimize childhood maltreatment in general; and explore strategies to build resilience suited to the cultural context to improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association of childhood trauma, and resilience, with quality of life in patients seeking treatment at a psychiatry outpatient: A cross-sectional study from Nepal

Dhungana

Koirala²,

Ojha³

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Recent studies have highlighted the negative relationship between ACEs and health-related quality of life (HRQOL), which is a multidimensional concept that includes physical, mental, emotional, and social functioning and the perceived quality of life of an individual [ 22 , 23 ]. According to the CDC Healthy Days measures, the HRQOL is also “defined as perceived physical and mental health over time” [ 24 ] (p. 1).…”

Section: Introductionmentioning

confidence: 99%

Moderating Effects of Physical Activity on the Relationship between Adverse Childhood Experiences and Health-Related Quality of Life

Moon

Han

2022

IJERPH

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The effects of adverse childhood experiences (ACEs) on health-related quality of life (HRQOL) and their associations with physical activities (PA) are well-documented. However, the specific effects of different types of ACEs (e.g., child abuse and household dysfunction) on HRQOL and the role of PA are inconclusive. The purpose of this study is to find the buffering role of PA as a moderator that may reduce the negative impact of ACEs in general and the specific effects of different types of ACEs on HRQOL, perceived physical health, and mental health over time. The 2019 Behavioral Risk Fact Surveillance System (BRFSS), a state-based surveillance system supported by the CDC in the U.S., was used for this study. A total of 127,370 respondents from 17 states were selected for this study. First, descriptive statistics were generated and correlation analyses were conducted to find the association among variables and examine the possible predictors of HRQOL. Moderation models were then tested using Structural Equation Modeling (SEM). HRQOL in adults is negatively associated with ACEs, but is positively associated with PA. We found buffering effects of physical activity in the following relationships: (1) child abuse and HRQOL, (2) child abuse and perceived physical health, (3) ACEs and perceived mental health, (4) child abuse and perceived mental health, and (5) household dysfunction and perceived mental health. Our findings suggest that improvement of PA level is a significant predictor of improved HRQOL of adults with ACEs.

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“…Child sexual abuse (CSA) is defined as sexual activity perpetrated on a child which can include, but is not limited to, sexual touching, oral and/or genital penetration using a penis, fingers, or foreign objects, and/or non-contact sexual abuse such as exhibition of one's genitals [1] achieved through manipulation, force, or abuse of power [e.g., 2,3]. There are a range of consequences associated with having experienced CSA, including a heightened risk for developing psychiatric disorders [4][5][6][7], suicidal ideation and self-harm [4,5,[8][9][10][11], sexual dysfunction [1,12,13], lower life satisfaction [5,14,15], and substance abuse [4,5,[16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Positive mental health in Canadian adults who have experienced childhood sexual abuse: exploring the role of social support

2022

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Purpose: Childhood sexual abuse (CSA) is predictive of poorer mental health, greater psychiatric disorder risk, and lower positive mental health (PMH) during adulthood, outcomes potentially moderated by social support. The current study aimed to explore whether Canadian adults who have experienced CSA differ from those who have not in terms of PMH and social support. Within the CSA sample, it was further investigated whether gender differences exist with respect to PMH and social support, and if particular social support subscales predict PMH. Method: Using data from the 2012 Canadian Community Health Survey – Mental Health (CCHS-MH), 1,328 adults between 20 and 64 years reporting CSA were profiled and compared in terms of sociodemographic and socioeconomic factors, using an age, sex, and frequency matched sample of non-CSA adults. Social Provisions Scale (SPS), and the Mental Health Continuum – Short Form (MHC-SF) means were subsequently compared between the CSA and non-CSA samples, and Hierarchical regressions were conducted for CSA males and females separately to examine whether SPS subscales predicted PMH after controlling for age and income. Results: Canadian adults reporting CSA had significantly lower PMH and social support (overall and for particular subscales). For adult CSA females, guidance, social integration, and reassurance of worth predicted higher PMH, while attachment and reassurance of worth predicted higher PMH scores for CSA males. Conclusion: Adults who have experienced CSA are at risk for lower PMH and social support. Gender differences are also evident in social support subtypes that predict PMH which have important clinical implications.

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The impact of childhood sexual abuse and adverse childhood experiences on adult health related quality of life

Cited by 30 publications

References 52 publications

Association of childhood trauma, and resilience, with quality of life in patients seeking treatment at a psychiatry outpatient: A cross-sectional study from Nepal

Association of childhood trauma, and resilience, with quality of life in patients seeking treatment at a psychiatry outpatient: A cross-sectional study from Nepal

Moderating Effects of Physical Activity on the Relationship between Adverse Childhood Experiences and Health-Related Quality of Life

Positive mental health in Canadian adults who have experienced childhood sexual abuse: exploring the role of social support

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