The impact of childhood trauma on psychosocial functioning and physical health in a non-clinical community sample of young adults.

Autor:	Beilharz JE; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia., Paterson M; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia., Fatt S; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia., Wilson C; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia., Burton A; Neuroscience Research Australia, Sydney, NSW, Australia., Cvejic E; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia., Lloyd A; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.; Viral Immunology Systems Program, The Kirby Institute, University of New South Wales, Sydney, NSW, Australia., Vollmer-Conna U; Department of Human Behaviour, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Jazyk:	angličtina
Zdroj:	The Australian and New Zealand journal of psychiatry [Aust N Z J Psychiatry] 2020 Feb; Vol. 54 (2), pp. 185-194. Date of Electronic Publication: 2019 Oct 21.
DOI:	10.1177/0004867419881206
Abstrakt:	Objective: Given the fundamental emotional, social and physical development that occurs during the early years of life, childhood experiences are formative in shaping a person's life trajectory. Childhood trauma is a prevalent, multifaceted issue with well-documented long-term adverse health effects in clinical populations however; the impact of childhood trauma in the community is less clear. To address this, this study investigated how childhood trauma may impact physical and psychological health, sleep quality and autonomic function in a non-clinical community sample of adults. Method: Participants completed questionnaires, an in-laboratory autonomic assessment (including stress reactivity to mental and physical stressors) and overnight autonomic and sleep monitoring. Overall childhood trauma and its subtypes (e.g. physical abuse, emotional neglect) were defined using the Childhood Trauma Questionnaire. Results: We identified 22 childhood trauma cases (total score > 36) and, of the 89 non-childhood trauma cases, some individuals also experienced significant levels of trauma in one or more of the childhood trauma subtypes. Childhood trauma and some trauma subtypes were significantly correlated with a myriad of negative physiological and physical health outcomes including elevated psychological distress, increased sleep disturbances, reduced emotional wellbeing and lower perceived social support. Autonomic dysregulation was found in those with high levels of childhood trauma, which was reflected in an increased stress response to laboratory tasks. Notably, the experience of physical abuse in childhood was significantly associated with alterations in nocturnal heart rate and heart rate variability. Conclusion: Together, these results highlight that childhood trauma can have lasting detrimental consequences on an individual's emotional and physical health, sleep quality and stress reactivity.
Databáze:	MEDLINE
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