Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis

Lindert, Jutta; Ehrenstein, Ondine S. von; Grashow, Rachel; Gal, Gilad; Bräehler, Elmar

doi:10.1007/s00038-013-0519-5

Cited by 488 publications

(313 citation statements)

References 62 publications

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“…A meta-analysis of 12 studies by Infurna [57] indicated the link between more severe sexual abuse and depression. Lindert [58] reported greater sexual abuse in patients with depression. Likewise, higher severity of emotional neglect in patients with psoriasis was associated with depression.…”

Section: Discussionmentioning

confidence: 99%

Childhood trauma: a risk for major depression in patients with psoriasis

Erfanian

2018

Psychiatry and Clinical Psychopharmacology

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INTRODUCTION:A history of childhood trauma is an important determinant for understanding the development of psychiatric and physical disorders. The chronic inflammatory disease, psoriasis, has been reported to be affected by childhood psychological stressors. Early life stress is also a well-known contributor to major depression. The current study aims to clarify a possible association between levels and types of childhood trauma with psoriasis severity and major depression. METHOD: Sixty-four patients diagnosed with mild-to-severe psoriasis (male = 27, mean age = 52.51 ± 14.72 years and female = 37, mean age = 42.76 ± 14.45 years, age range = 21-77) were admitted to our study between April 2014 and September 2014. For the diagnosis of psoriasis, the single most recently developed lesion was examined dermoscopically and histopathologically. We evaluated the history of childhood trauma with the Childhood Trauma Questionnaire and diagnosis of major depression with the Mini International Neuropsychiatric Interview (MINI 5.0.0 current). The participants were scanned for their severity of psoriasis with Psoriasis Area and Severity Index 75 (PASI 75). Initially, the data were checked for normality using Kolmogorov-Smirnov/Shapiro-Wilk's tests, histograms, and probability plots. Because normality of the data could not be assumed, we evaluated childhood trauma subscales and psoriasis by running Kendell's tau-b correlation coefficients for bivariate comparisons. Mann-Whitney U test was conducted to assess the differences in childhood trauma severity of each subscale between two groups of depressed and nondepressed patients with psoriasis. Ultimately, we ran chi-square analysis to evaluate the association between gender and depression. RESULTS: Emotional (0.325), physical (0.614), sexual (0.963) abuse, and emotional (0.331) neglect were positively correlated with higher severity of psoriasis (p < .01). Subsequently, emotional (U = 372, p = .43), physical (U = 387, p = .049), sexual (U = 297, p = .0005) abuse, emotional (U = 299.5, p = .001), and physical U = 372, p = .031) neglect were significantly higher in psoriasis patients with depression compared to non-depressed (p < .05). CONCLUSION:The findings of the current study underline the relationship between childhood trauma and major depression, as well as childhood trauma and psoriasis. The increased level of emotional, physical, sexual abuse, and emotional neglect was linked to elevated severity of psoriasis. Likewise, all childhood trauma subtypes appeared to be more severe in the group of psoriasis patients with major depression. Investigation of childhood traumatic experiences, and major depression in individuals with psoriasis, the screening of depressed patients for psoriasis, and the cross-referencing of the outcome can be expected to provide remarkable findings, new approaches for diagnosis and treatment, as well as implications for promulgating new legislation.

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Section: Discussionmentioning

confidence: 99%

Childhood trauma: a risk for major depression in patients with psoriasis

Erfanian

2018

Psychiatry and Clinical Psychopharmacology

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“…Over the course of the reported weeks, her condition improved continuously (Online Supplemental Tables 1 and 3, Online Supplemental Material; www.karger.com/?DOI=487768 ). Considering her traumatic history and the distress she presented with at the beginning of her outpatient rehabilitation, the patient was originally at risk of an unfavorable rehabilitation course [37,38,39]. Given the multimodal setting and the singularity of this case, it remains unclear whether some of this success can be attributed to WATSU.…”

Section: Discussionmentioning

confidence: 99%

Passive Hydrotherapy WATSU® for Rehabilitation of an Accident Survivor: A Prospective Case Report

Schitter

Fleckenstein

2018

Complement Med Res

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Background: WaterShiatsu (WATSU) is a passive form of hydrotherapy in warm water (35 °C) that aims at relaxation, pain relief, and a sense of security. This case report focuses on a patient's experience of integrating WATSU into her rehabilitative care. Case Report: A 52-year-old woman survived a severe motorcycle accident in which she sustained several fractures on the right side of her body, including ribs, the pelvis, and the femur. After discharge from stationary care, she independently scheduled 8 weekly WATSU sessions with an experienced WATSU therapist also trained in physiotherapy and psychosomatics. Quantitative and qualitative data obtained from the patient's diary and the therapist's notes is presented. Results: The patient associated WATSU with physical and emotional release, reconciliation with her body, and trunk mobilization (followed by ameliorated breath). She ascribed WATSU lasting effects on her body image and reported continuous improvement by the Patient-Specific Functional Scale. The therapist employed WATSU to equalize awareness throughout the body and for careful mobilization. Due to complications (elevated inflammation markers), only 6 of 8 scheduled sessions were administered. Conclusions: WATSU was experienced as helpful in approaching a condition that the patient felt insufficiently covered by conventional physiotherapy alone. In early rehabilitation, additional medical/physiotherapeutic skills of contributing complementary therapists are advocated.

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“…Child maltreatment is associated with short-term risk for depression and anxiety (Lansford et al, 2002) and behavior problems (Grogan-Kaylor et al, 2008), as well as high levels of depression, anxiety, and distress in adulthood (Lindert et al, 2014). Children exposed to domestic violence (DV) have increased risk for externalizing behavior problems, internalizing behavior problems, and trauma symptoms (Evans, Davies, and DiLillo, 2008), while childhood exposure to community violence has been shown to be strongly related to both externalizing behavior problems and posttraumatic stress disorder (PTSD) (Fowler et al, 2009).…”

Section: Acknowledgmentsmentioning

confidence: 99%

Improving Outcomes for Children Exposed to Violence: Safe Start Promising Approaches

Schultz¹,

Jaycox²,

Ayer³

et al. 2017

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Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis

Abstract: High levels of depression, anxiety and distress are reported in adults exposed to childhood sexual and physical abuse. These findings require increased awareness for the potential needs of adults exposed to child abuse and public health interventions to prevent child abuse.

Cited by 488 publications

References 62 publications

Childhood trauma: a risk for major depression in patients with psoriasis

Childhood trauma: a risk for major depression in patients with psoriasis

Passive Hydrotherapy WATSU® for Rehabilitation of an Accident Survivor: A Prospective Case Report

Improving Outcomes for Children Exposed to Violence: Safe Start Promising Approaches

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