Patterns of Childhood Abuse and Neglect in a Representative German Population Sample.

PLoS One 2016 21;11(7):e0159510. Epub 2016 Jul 21.

Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Background: Different types of childhood maltreatment, like emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse are interrelated because of their co-occurrence. Different patterns of childhood abuse and neglect are associated with the degree of severity of mental disorders in adulthood. The purpose of this study was (a) to identify different patterns of childhood maltreatment in a representative German community sample, (b) to replicate the patterns of childhood neglect and abuse recently found in a clinical German sample, (c) to examine whether participants reporting exposure to specific patterns of child maltreatment would report different levels of psychological distress, and (d) to compare the results of the typological approach and the results of a cumulative risk model based on our data set.

Methods: In a cross-sectional survey conducted in 2010, a representative random sample of 2504 German participants aged between 14 and 92 years completed the Childhood Trauma Questionnaire (CTQ). General anxiety and depression were assessed by standardized questionnaires (GAD-2, PHQ-2). Cluster analysis was conducted with the CTQ-subscales to identify different patterns of childhood maltreatment.

Results: Three different patterns of childhood abuse and neglect could be identified by cluster analysis. Cluster one showed low values on all CTQ-scales. Cluster two showed high values in emotional and physical neglect. Only cluster three showed high values in physical and sexual abuse. The three patterns of childhood maltreatment showed different degrees of depression (PHQ-2) and anxiety (GAD-2). Cluster one showed lowest levels of psychological distress, cluster three showed highest levels of mental distress.

Conclusion: The results show that different types of childhood maltreatment are interrelated and can be grouped into specific patterns of childhood abuse and neglect, which are associated with differing severity of psychological distress in adulthood. The results correspond to those recently found in a German clinical sample and support a typological approach in the research of maltreatment. While cumulative risk models focus on the number of maltreatment types, the typological approach takes the number as well as the severity of the maltreatment types into account. Thus, specific patterns of maltreatment can be examined with regard to specific long-term psychological consequences.

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0159510PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956042PMC
July 2017
40 Reads

Publication Analysis

Top Keywords

patterns childhood
32
childhood maltreatment
16
abuse neglect
16
childhood abuse
16
specific patterns
12
psychological distress
12
typological approach
12
childhood
10
patterns
10
abuse
9
maltreatment
9
sexual abuse
8
neglect
8
identify patterns
8
maltreatment types
8
cumulative risk
8
physical neglect
8
cluster analysis
8
representative german
8
levels psychological
8

References

(Supplied by CrossRef)
Childhood maltreatment, the corticotropin-releasing hormone receptor gene and adult depression in the general population
HJ Grabe et al.
American journal of medical genetics Part B, Neuropsychiatric genetics: the official publication of the International Society of Psychiatric Genetics 2010
Impact of childhood abuse on the clinical course of bipolar disorder
JL Garno et al.
The British journal of psychiatry: the journal of mental science 2005
Cumulative childhood stress and autoimmune diseases in adults
SR Dube et al.
Psychosomatic medicine 2009

Similar Publications