Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

Childhood maltreatment has been linked to adult depressive disorders. However, few studies have examined mechanisms through which childhood maltreatment may contribute to adult depression. Thus, we examined the role of one potential mechanism of this relationship, maladaptive cognitions, in a recently traumatized sample. Participants were adult women who had been recently raped (n = 133) or physically assaulted (n = 73). We examined whether maladaptive self-and other-cognitions mediated relationships between childhood sexual, physical, and emotional abuse and current depression. Relationships between childhood sexual abuse and both current depression symptoms and diagnosis were mediated by maladaptive cognitions about self. Relationships between both childhood sexual abuse and childhood physical abuse and adult depressive symptoms were mediated by maladaptive cognitions about others.     

Childhood maltreatment and maltreatment‐specific inferences: A test of Rose and Abramson's (1992) extension of the hopelessness theory

In extending the etiological chain of the hopelessness theory of depression (Abramson, Metalsky, & Alloy, 1989), Rose and Abramson (1992) proposed a developmental model by which childhood maltreatment may contribute to the development of a negative inferential style. Once developed, this negative inferential style leaves the individual vulnerable to developing hopelessness and symptoms of hopelessness depression. In the current cross‐sectional study, reports of childhood emotional, but not physical or sexual, maltreatment were significantly related to undergraduates' inferential styles. In addition, results from path analyses indicated that inferences about specific experiences of childhood emotional maltreatment mediated this relationship. Testing Rose and Abramson's entire model, results from path analyses supported a partial, but not full, mediation model.     

Emotional, physical, and sexual maltreatment in childhood versus adolescence and personality dysfunction in young adulthood.

The current study examined the unique relations of childhood and adolescent maltreatment (emotional, physical, and sexual) with DSM-III-R personality disorder (PD) dimensions in a sample of undergraduates. The results suggested that reported levels of childhood sexual maltreatment were uniquely related to six of the 11 PD dimensions examined. In contrast, reported levels of adolescent emotional maltreatment were uniquely related to only three PD dimensions and reported levels of adolescent physical maltreatment were uniquely related to only one PD dimension. Thus, whereas reported levels of adolescent emotional and physical maltreatment demonstrated some specificity to the various kinds of personality dysfunction, reported levels of childhood sexual maltreatment appeared to be related to more generalized personality dysfunction in young adulthood.     

Childhood maltreatment, emotional distress, and early adolescent sexual intercourse: multi-informant perspectives on parental monitoring

This prospective investigation used multi-informant models to examine whether parental monitoring moderated associations between child maltreatment and either emotional distress or sexual intercourse. Data included 637 youth in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Child maltreatment was determined by lifetime Child Protective Service records and youth self-report and included sexual, physical, psychological abuse, and neglect (age 12). The moderating variable was youth- and caregiver-reported parental monitoring (age 12). Outcome variables were emotional distress (age 12) and sexual intercourse (age 14). Analyses included multi- and individual-informant models, adjusting for age, ethnicity/race, family income, and study site. Rates of parental monitoring did not differ by gender, but gender-specific analyses found that among girls, but not boys, youth-reported parental monitoring buffered the effect of maltreatment on emotional distress. Subtype analyses found that the buffering effects of monitoring on emotional distress were strongest for sexual and physical abuse and when youth experienced multiple subtypes of maltreatment. Caregiver-reported monitoring was not associated with reduced emotional distress. Youth and caregiver reports of parental monitoring were inversely associated with sexual intercourse, regardless of maltreatment history. Findings suggest that promoting parental monitoring among caregivers, and perceptions of monitoring among youth, may prevent early sexual intercourse regardless of maltreatment history. Promoting parental monitoring among youth with a history of maltreatment, especially girls or those who have experienced sexual or physical abuse or multiple subtypes of abuse, may reduce the likelihood of emotional distress.     

Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism

We examined the relation between child maltreatment and non-suicidal self-injury (NSSI). Participants were 86 adolescents who completed measures of child maltreatment, self-criticism, perceived criticism, depression, and NSSI. Analyses revealed significant, small-to-medium associations between specific forms of child maltreatment (physical neglect, emotional abuse, and sexual abuse) and the presence of a recent history of NSSI. Emotional and sexual abuse had the strongest relations with NSSI, and the data supported a theoretical model in which self-criticism mediates the relation between emotional abuse and engagement in NSSI. Specificity for the mediating role of self-criticism was demonstrated by ruling out alternative mediation models. Taken together, these results indicate that several different forms of childhood maltreatment are associated with NSSI and illuminate one mechanism through which maltreatment may be associated with NSSI. Future research is needed to test the temporal relation between maltreatment and NSSI and should aim to identify additional pathways to engagement in NSSI.     

Childhood maltreatment and college students' current suicidal ideation: a test of the hopelessness theory.

Few studies have examined the relation between childhood maltreatment and adult suicidality within the context of a coherent theoretical model. The current study evaluates the ability of the hopelessness theory of depression's (Abramson, Metalsky, & Alloy, 1989) etiological chain to account for this relation in a sample of 297 undergraduates. Supporting the model, emotional, but not physical or sexual, maltreatment was uniquely related to average levels of suicidal ideation across a 2.5-year follow-up. Further, students' cognitive styles and average levels of hopelessness partially mediated this relation. Although these results cannot speak to causality, they support the developmental model evaluated.     

儿童期受虐经历与抑郁的元分析

本研究采用元分析技术探讨儿童期虐待亚类型与抑郁的关系。通过文献搜索与检查获得了31项研究和92个独立效应量,共包含24283名被试。元分析表明儿童期虐待亚类型(心理虐待与忽视、性虐待、身体虐待与忽视)对抑郁障碍存在不同程度的影响,其中心理虐待与忽视影响程度最高;另外,被试的年龄、性别可以调节儿童期虐待与抑郁的关系。这些结果表明了在预防和治疗儿童期不良经历对抑郁影响时,尤其要关注心理虐待与忽视的消极影响,且应给予青少年群体、女性更多的关注和保护。     

Childhood Maltreatment and its Effect on Parenting among High-Risk Parents

Research evidence indicates that a childhood history of maltreatment affects parental behaviors in adulthood. The aim of the study was to investigate the predictors for parental behaviors among individuals who reported a history of maltreatment. The current study investigated whether attachment styles, emotional regulation and cognitive appraisals of parenting predicted parental behaviors (positive vs. negative). The study also investigated the differential effects of abuse experiences in childhood (physical, sexual, emotional, and neglect) on parental behaviors. The participants were 213 high-risk Jewish and Arab parents of children aged six and under. Participants completed five self-report questionnaires assessing parental behaviors, childhood experiences of abuse and neglect, attachment styles, emotional regulation, and cognitive appraisal of parenthood. The regression analyses revealed that personal attributes such as ethnicity, childhood experience of emotional abuse/neglect, emotional regulation, and appraisal of parenting, predict negative parental behavior. Anxious attachment and childhood emotional abuse and neglect moderated the impact of parenthood appraisal on parenting behaviors. Although physical and sexual abuse had the highest impact on insecure attachment, emotional abuse/neglect had higher predictive power for non-positive parenting. Clinical interventions for improving the capacity for emotional regulation and parent-child relational skills are suggested.     

儿童期遭受心理虐待个体的自我加工特点

儿童期心理虐待会导致个体形成消极自我,这种消极自我还会影响个体行为。与以往研究采用自我报告方法不同,本研究采用知觉匹配范式,用客观量化方法,以自我加工优势（自我关联会自动增强刺激的加工,表现为人们总是对自己相关信息加工又快又好）来评估儿童期遭受心理虐待个体的自我加工能力。结果发现,儿童期遭受心理虐待个体依然存在自我加工优势,且朋友加工优势得到增强;在消极情绪条件下遭受心理虐待个体自我优势稳定存在,在积极情绪条件其自我优势消失。结论：儿童期遭受心理虐待个体自我整合功能并不稳定,消极情绪维持其自我加工能力,积极情绪则降低其自我加工能力。     

Childhood maltreatment associated with adult personality disorders: findings from the Collaborative Longitudinal Personality Disorders Study

Adverse childhood experiences such as abuse and neglect are frequently implicated in the development of personality disorders (PDs); however, research on the childhood histories of most PD groups remains limited. In this multisite investigation, we assessed self-reported history of abuse and neglect experiences among 600 patients diagnosed with either a PD (borderline, schizotypal, avoidant, or obsessive-compulsive) or major depressive disorder without PD. Results indicate that rates of childhood maltreatment among individuals with PDs are generally high (73% reporting abuse; 82% reporting neglect). As expected, borderline PD was more consistently associated with childhood abuse and neglect than other PD diagnoses. However, even when controlling for the effect of borderline PD, other PD diagnoses were associated with specific types of maltreatment.     

Relations between Minnesota Multiphasic Personality Inventory-A scales and Rorschach variables with the scope and severity of maltreatment among adolescents

This study examined preexisting Rorschach (Exner, 2001) and Minnesota Multiphasic Personality Inventory-A (MMPI-A; Butcher et al., 1992) profiles to determine if selected MMPI-A scales and Rorschach variables would jointly associate with the number and severity of maltreatment subtypes (physical abuse, sexual abuse, neglect, and emotional maltreatment) of 157 adolescents (ages 14-17) with documented maltreatment histories. The Maltreatment Classification System was used to systematically code the maltreatment attributes. Six Rorschach variables (MOR, PER, Afr, SumY, SumC', Human Content) were significantly correlated with the number of maltreatment subtypes, but none of the anticipated MMPI-A scales were related. MMPI-A Scale 7 and Rorschach variables Ego, MOR, and PER were jointly associated with physical abuse severity. MMPI-A Scale 0 and Rorschach variables MOR, PER, SumY, SumC', PTI, Human Content, and Texture jointly associated with sexual abuse severity. This study supports the potential for certain MMPI-A scales and Rorschach variables to reflect the impact of adolescents' maltreatment experiences in terms of the number and severity of types of maltreatment experienced. Because both instruments captured different aspects of adolescents' maltreatment experiences, clinicians should consider using both when evaluating the impact of maltreatment on adolescents.     

Early maladaptive schemas in Finnish adult chronic pain patients and a control sample

Engel (1959) suggested that negative physical or emotional experiences in childhood predispose to the development of chronic pain. Studies have shown that physical and sexual abuse in early life is connected with chronic pain. Emotional adversities are much less studied causes contributing to the development of chronic pain and disability. Early emotional abuse, neglect, maltreatment and other adversities are deleterious childhood experiences which, according to Young's schema theory (1990), produce early maladaptive schemas (EMSs). The primary goal of this study was to examine whether early adversities were more common in chronic pain patients than in a control group. A total of 271 (53% women) first-visit chronic pain patients and 331 (86% women) control participants took part in the study. Their socio-demographic data, pain variables and pain disability were measured. To estimate EMSs the Young Schema Questionnaire was used. Chronic pain patients scored higher EMSs reflecting incapacity to perform independently, catastrophic beliefs and pessimism. The most severely disabled chronic pain patients showed an increase in all the EMSs in the Disconnection and Rejection schema domain, namely Abandonment/Instability, Mistrust/Abuse, Emotional Deprivation, Defectiveness/Shame and Social Isolation/Alienation EMSs. The results of the study suggested that chronic pain patients had suffered early emotional maltreatment.     

Authenticity as a Mediator of the Relation Between Child Maltreatment and Negative Outcomes for College Women

The goal of this cross-sectional study was to determine if authenticity in relationships mediated the relation between early childhood maltreatment and negative outcomes (depression, low self-esteem, and traumatic symptoms). An ethnically diverse sample of female college students (N = 257, M age = 19.74) completed self-report questionnaires related to early childhood maltreatment, negative outcomes, and authenticity in relationships. Approximately 30% of participants experienced childhood maltreatment including physical maltreatment, emotional maltreatment, or both. Results from multiple mediation analyses indicated that, when controlling for physical maltreatment, authenticity in close relationships significantly partially mediated the relation between emotional maltreatment and depression, self-esteem, and traumatic symptoms (p < .05). However, when controlling for emotional maltreatment, physical maltreatment did not significantly predict any of the outcome variables, so physical maltreatment was not significantly mediated by authenticity in relationships. These results have important clinical implications for women who experience negative mental health outcomes as a result of childhood maltreatment.     

Emotion Dysregulation Mediates the Relationship Between Child Maltreatment and Non-Suicidal Self-Injury

One risk factor for non-suicidal self-injury (NSSI) in adolescents is exposure to traumatic experiences, particularly child maltreatment. However, the mechanisms through which childhood maltreatment predicts NSSI are largely unknown. Emotion dysregulation (ED) is likely an important mechanism in this relationship. Therefore, this study examined the relationship between childhood maltreatment, ED, and NSSI in a sample of adolescent inpatients (n = 53). Results demonstrated that child physical and emotional maltreatment, but not child sexual abuse, was significantly associated with NSSI frequency. More specifically, ED mediated the relationship between child physical and emotional maltreatment and NSSI frequency. Findings support the importance of ED as a mediating factor in the relationship between childhood maltreatment and NSSI behaviors and highlight the need for teaching emotion regulation skills to youth affected by trauma.     

Emotional maltreatment in adolescents' everyday lives: furthering sociolegal reforms and social service provisions

The article examines sociolegal responses to adolescent victimization, particularly responses to the emotional dimensions of their violent personal relationships. The investigation reveals how the legal system generally fails to recognize youth's emotional maltreatment. Responses tend to consider emotional maltreatment as subordinate and secondary to some legally prohibited sexual and physical assaults. Rather than casting emotional dimensions as ancillary to a narrowly delimited set of sexual and physical assaults, this article proposes that efforts to counter emotional maltreatment become the centerpiece of efforts to understand adolescents' violent relationships; that it become central in the design of policies aimed to foster adolescent development; and that no existing legal rules or policy considerations prevent further recognition of adolescents' legal right to protection from emotional maltreatment. © 1998 John Wiley & Sons, Ltd.     

Childhood Abuse,the Interpersonal–Psychological Theory of Suicide,and the Mediating Role of Depression

Although childhood abuse is a well‐known risk factor for suicide, no studies have investigated the role of interpersonal–psychological (Joiner, 2005), constructs in this association. This study examined whether childhood physical, sexual, and emotional abuse were associated with IPTS constructs, and whether depressive symptoms mediated these associations. Ninety‐one participants completed self‐report measures. Emotional abuse predicted perceived burdensomeness and thwarted belongingness, and depressive symptoms mediated these associations. Physical abuse predicted the acquired capability for suicide, although depression did not mediate this association. These findings suggest that specific types of abuse differentially predict IPTS components and underscore depression as a potential mechanism.     

Religiosity of young adults: does childhood maltreatment make a difference?

Previous research on the association between maltreatment in childhood and later religious beliefs and behaviours suggests that maltreatment may have either negative or positive influences on religiosity. However, methodological limitations of previous studies may limit their generalisability. The present study attempted to address these limitations. We examined associations between childhood physical, sexual, and emotional abuse and several dimensions of adult religiosity in a large sample of college students (N = 763). Associations between child maltreatment and religiosity were weak (rs ≤ 0.09). After controlling for possible demographic confounds, the only significant association was between childhood emotional abuse and religious questing.     

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n=176), night eating syndrome (NES, n=57), and overweight/obese comparison (OC, n=38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cut-points (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups, whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.     

Demographic factors,childhood maltreatment and psychological functioning among university students' in Ghana: A retrospective study

This study retrospectively investigates the influence of child (i.e., gender), care‐giver (e.g., who grew up with), household size (i.e., number of siblings grew up with) and community (i.e., rural versus urban) factors on childhood maltreatment, as well as the impacts of maltreatment on psychological functioning. A cross‐sectional survey and self‐report methodology is used to gather data from 300 students of the University of Ghana. The results show that being a male, growing up in rural areas, living with more than 3 siblings in the same household and being raised by both biological parents have significant main effects on childhood maltreatment. Analyses of the interaction effects show that living with more than 5 siblings in a rural household with “other” parents (i.e., non‐biological parents) has a significant effect on physical abuse. Furthermore, males from rural households consisting of more than 3 siblings and who did not grow up with both biological parents endorsed significantly more physical abuse and physical neglect, compared with the females. With respect to the psychological outcome, childhood maltreatment significantly predicts and account for significant variance in depression (34%), self‐efficacy (18%) and life satisfaction (22%). The findings and the implications of the study are briefly discussed.     

Childhood maltreatment and adult personality disorder symptoms in a non‐clinical sample

It can be argued that the well‐substantiated relationship between childhood maltreatment and adult personality disorder (PD) symptoms may be confounded by comorbid symptoms of depression, anxiety or dysfunctional childhood family environments. Therefore, the current study was designed to test the hypothesis that retrospective reports of childhood maltreatment would still be significantly related to reports of more PD symptoms when statistically controlling for these factors. One hundred and seventy‐eight non‐clinical participants were divided into groups reporting childhood maltreatment (n = 54) or not (n = 124) according to scores on the Childhood Trauma Questionnaire. Participants also completed questionnaires measuring current depression, anxiety, and PD symptoms as well as retrospective reports of their childhood environment. Results showed that individuals reporting childhood maltreatment reported more symptoms of PD than those not reporting childhood maltreatment, even when statistically controlling for depression, anxiety and retrospective reports of dysfunctional family environment. These findings underscore the relevance and independent contribution of childhood maltreatment to the development of PDs, with important implications for further research and clinical practice.