Childhood abuse and psychotic experiences in adulthood: findings from a 35-year longitudinal study
| Autor: | Joseph M. Boden, Caroline Bell, James A. Foulds, Roger T. Mulder, L. John Horwood |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Longitudinal study medicine.medical_specialty Adolescent Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Covariate Epidemiology medicine Humans Longitudinal Studies 030212 general & internal medicine business.industry Adult Survivors of Child Abuse Confounding Mental health 030227 psychiatry Psychiatry and Mental health Physical abuse Psychotic Disorders Sexual abuse Cohort Female business Stress Psychological Clinical psychology |
| Zdroj: | The British Journal of Psychiatry. 214:153-158 |
| ISSN: | 1472-1465 0007-1250 |
| Popis: | BackgroundThe extent to which exposure to childhood sexual and physical abuse increases the risk of psychotic experiences in adulthood is currently unclear.AimsTo examine the relationship between childhood sexual and physical abuse and psychotic experiences in adulthood taking into account potential confounding and time-dynamic covariate factors.MethodData were from a cohort of 1265 participants studied from birth to 35 years. At ages 18 and 21, cohort members were questioned about childhood sexual and physical abuse. At ages 30 and 35, they were questioned about psychotic experiences (symptoms of abnormal thought and perception). Generalised estimating equation models investigated covariation of the association between abuse exposure and psychotic experiences including potential confounding factors in childhood (socioeconomic disadvantage, adverse family functioning) and time-dynamic covariate factors (mental health, substance use and life stress).ResultsData were available for 962 participants; 6.3% had been exposed to severe sexual abuse and 6.4% to severe physical abuse in childhood. After adjustment for confounding and time-dynamic covariate factors, those exposed to severe sexual abuse had rates of abnormal thought and abnormal perception symptoms that were 2.25 and 4.08 times higher, respectively than the ‘no exposure’ group. There were no significant associations between exposure to severe physical abuse and psychotic experiences.ConclusionsFindings indicate that exposure to severe childhood sexual (but not physical) abuse is independently associated with an increased risk of psychotic experiences in adulthood (particularly symptoms of abnormal perception) and this association could not be fully accounted for by confounding or time-dynamic covariate factors.Declaration of interestNone. |
| Databáze: | OpenAIRE |
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