Childhood abuse v. neglect and risk for major psychiatric disorders.
Autor: | Alkema, Anne, Marchi, Mattia, van der Zaag, Jeroen A. J., van der Sluis, Daniëlle, Warrier, Varun, Alizadeh, Behrooz Z., van Amelsvoort, Therese, Cahn, Wiepke, de Haan, Lieuwe, Schirmbeck, Frederike, Simons, Claudia J. P., van Os, Jim, Veling, Wim, Ophoff, Roel A., Kahn, René S., Hovens, Jacqueline G. F. M., Riese, Harriëtte, Scheepers, Floortje, Penninx, Brenda W. J. H., Cecil, Charlotte |
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Předmět: |
SUICIDE risk factors
MENTAL illness risk factors SCHIZOPHRENIA risk factors MENTAL depression risk factors RISK assessment BIPOLAR disorder RESEARCH funding CHILD abuse MENTAL illness DESCRIPTIVE statistics AGITATION (Psychology) ODDS ratio HALLUCINATIONS ATTRIBUTION (Social psychology) CONFIDENCE intervals REGRESSION analysis SLEEP disorders DISEASE risk factors |
Zdroj: | Psychological Medicine; Jun2024, Vol. 54 Issue 8, p1598-1609, 12p |
Abstrakt: | Background: Childhood maltreatment (CM) is a strong risk factor for psychiatric disorders but serves in its current definitions as an umbrella for various fundamentally different childhood experiences. As first step toward a more refined analysis of the impact of CM, our objective is to revisit the relation of abuse and neglect, major subtypes of CM, with symptoms across disorders. Methods: Three longitudinal studies of major depressive disorder (MDD, N = 1240), bipolar disorder (BD, N = 1339), and schizophrenia (SCZ, N = 577), each including controls (N = 881), were analyzed. Multivariate regression models were used to examine the relation between exposure to abuse, neglect, or their combination to the odds for MDD, BD, SCZ, and symptoms across disorders. Bidirectional Mendelian randomization (MR) was used to probe causality, using genetic instruments of abuse and neglect derived from UK Biobank data (N = 143 473). Results: Abuse was the stronger risk factor for SCZ (OR 3.51, 95% CI 2.17–5.67) and neglect for BD (OR 2.69, 95% CI 2.09–3.46). Combined CM was related to increased risk exceeding additive effects of abuse and neglect for MDD (RERI = 1.4) and BD (RERI = 1.1). Across disorders, abuse was associated with hallucinations (OR 2.16, 95% CI 1.55–3.01) and suicide attempts (OR 2.16, 95% CI 1.55–3.01) whereas neglect was associated with agitation (OR 1.24, 95% CI 1.02–1.51) and reduced need for sleep (OR 1.64, 95% CI 1.08–2.48). MR analyses were consistent with a bidirectional causal effect of abuse with SCZ (IVW |
Databáze: | Complementary Index |
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