The long-term impact of childhood abuse on internalizing disorders among older adults: The moderating role of self-esteem

Sachs‐Ericsson, Natalie; Gayman, Mathew D.; Kendall–Tackett, Kathleen; Lloyd, Donald A.; Medley, Amanda; Collins, Nicole; Corsentino, Elizabeth; Sawyer, Kathryn

doi:10.1080/13607860903191382

Cited by 54 publications

(41 citation statements)

References 63 publications

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“…In a study of 2402 low-income women aged 19 74 years in the US, Hill et al found that the effect of sexual coercion before age 18 years on psychological distress is partially mediated by instrumental support and selfesteem (110). In a study of older adults (50 years and older), Sachs-Ericsson et al found that self-esteem moderates but does not mediate the relationship between childhood abuse (physical, emotional and sexual abuse) and internalizing disorders (111). Studies have also reported associations between low self-esteem and poor QoL or well-being in general adolescent populations (112) and in adolescent and adult populations with psychiatric problems (113)(114)(115)).…”

Section: Self-esteemmentioning

confidence: 93%

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

Greger

Myhre

Klöckner

et al. 2017

Child Abuse & Neglect

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Printed by NTNU Grafisk senter 1 NORSK SAMMENDRAG Ungdom i risiko: Overgrepserfaringer, psykopatologi og livskvalitet blant ungdom i barnevernsinstitusjonerOvergrep og omsorgssvikt i barndommen er assosiert med en rekke fysiske og psykiske helseplager senere i livet. Å kunne identifisere risikoutsatte befolkningsgrupper er svaert verdifullt med tanke på å kunne forebygge helseplager. Barn og unge i fosterhjem og på barnevernsinstitusjoner har opplevd mer overgrep og omsorgssvikt enn barn og unge i normalbefolkningen, og kan derfor vaere i en høy-risikogruppe for helseproblemer.Hovedmålet med denne studien var å studere om overgrepserfaringer var assosiert med psykiske lidelser og redusert livskvalitet også i en høy-risikogruppe av ungdom bosatt i barnevernsinstitusjoner. Et sekundaert mål var å forsøke å identifisere medierende faktorer som kunne øke kunnskapen om disse assosiasjonene ytterligere.Prosjektet er en del av studien «Psykisk helse hos barn og unge i barnevernsinstitusjoner» som ble gjennomført mellom 2010 og 2015. 400 ungdommer mellom 12 og 20 år bosatt i barnevernsinstitusjoner i Norge ble inkludert, og av disse gjennomførte 335 et semi-strukturert diagnostisk intervju som i tillegg til informasjon om psykiske lidelser også ga informasjon om overgrepserfaringer.En stor andel av ungdommene (71 %) oppga å ha overgrepserfaringer (å ha vaert vitne til vold, å ha vaert utsatt for fysiske eller seksuelle overgrep). I denne gruppa var det høyere forekomst av en rekke psykiske sykdommer sammenlignet med de andre ungdommene i barnevernsinstitusjonene. Det var statistisk signifikant forskjell i forekomst av alvorlig depresjon, dystymi, generalisert angstlidelse, alvorlig atferdsforstyrrelse og autismespekterforstyrrelse mellom de to ungdomsgruppene. I tillegg var det signifikant økt forekomst av tidligere selvmordsforsøk blant ungdommene med overgrepserfaringer. Denne gruppen ungdommer hadde også dårligere livskvalitet enn ungdom i normalbefolkningen i forhold til fysisk og emosjonelt velvaere, selvtillit og i forholdet til venner. Økende antall ulike typer overgrepserfaringer inkludert dysfunksjonelle familieforhold, var assosiert med økt odds for flere av de psykiatriske diagnosene, og for dårligere livskvalitet på alle undersøkte livsområder. Tre potensielle medierende faktorer ble undersøkt: globalt selvbilde, tilknytningsproblemer og bruk av tobakk/rusmidler. Av disse ble det funnet at kun globalt selvbilde hadde medierende effekt både på assosiasjonen mellom overgrepserfaringer og psykopatologi, og overgrepserfaringer og livskvalitet.Unge i barnevernsinstitusjoner hadde opplevd en rekke overgrepserfaringer. Resultatene fra denne studien indikerer at overgrepserfaringer spiller en nøkkelrolle i utviklingen av psykiske lidelser og utviklingen av dårlig livskvalitet blant ungdom i barnevernsinstitusjoner. Global selvfølelse ble identifisert som en mediator, og kan derfor vaere et velegnet angrepspunkt for intervensjon innenfor denne ungdomsgruppa. Studien åpner for muligheten av at tiltak som øker selvbild...

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Section: Self-esteemmentioning

confidence: 93%

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

Greger

Myhre

Klöckner

et al. 2017

Child Abuse & Neglect

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“…Afifi et al (2008) found that the estimated attributable fractions for psychiatric disorders related to having experienced any ACE (childhood sexual or physical abuse, domestic violence) ranged from 22% to 32% among women and 20% to 24% among men. A particularly strong link has been identified between childhood physical, sexual abuse and neglect and the mood and anxiety disorders (Heim et al, 2008(Heim et al, , 2010Liu et al, 2012;Sachs-Ericsson et al, 2010). For example, researchers found that people who were verbally abused had 1.6 times as many symptoms of depression and anxiety as those who had not been verbally abused and were twice as likely to have suffered a mood or anxiety disorder over their lifetime (Sachs-Ericsson, Verona, Joiner, & Preacher, 2006).…”

Section: Gene-environmentmentioning

confidence: 96%

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

Sachs‐Ericsson

Rushing

Stanley

et al. 2015

Aging & Mental Health

119

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“…From evidence across numerous studies, researchers have concluded that the effects of ACEs on physical and mental health conditions persist throughout the life course (Draper et al., ; Sachs‐Ericsson et al., ; Sachs‐Ericsson, Medley, Kendall–Tackett, & Taylor, ; Sachs‐Ericsson, Rushing, Stanley, & Sheffler, ). For example, in a large population‐based cohort study of middle‐aged men and women, researchers found that retrospective reports of childhood physical abuse were associated with worse physical health decades after the abuse (Springer, Sheridan, Kuo, & Carnes, ).…”

Section: Definition Of Childhood Abuse and Acesmentioning

confidence: 99%

When Emotional Pain Becomes Physical: Adverse Childhood Experiences, Pain, and the Role of Mood and Anxiety Disorders

Sachs‐Ericsson¹,

Sheffler²,

Stanley³

et al. 2017

J Clin Psychol

118

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Objective: We examined the association between retrospective reports of adverse childhood experiences (ACEs) and painful medical conditions. We also examined the mediating and moderating roles of mood and anxiety disorders in the ACEs–painful medical conditions relationship. Method: Ten-year longitudinal data were obtained from the National Comorbidity Surveys (NCS-1, NCS-2; N = 5001). The NCS-1 obtained reports of ACEs, current health conditions, current pain severity, and mood and anxiety disorders. The NCS-2 assessed for painful medical conditions (e.g., arthritis/rheumatism, chronic back/neck problems, severe headaches, other chronic pain). Results: Specific ACEs (e.g., verbal and sexual abuse, parental psychopathology, and early parental loss) were associated with the painful medical conditions. Baseline measures of depression, bipolar disorder, and posttraumatic stress disorder were also associated with the number of painful medical conditions. Anxiety and mood disorders were found to partially mediate the ACEs–painful medical conditions relationship. We determined through mediation analyses that ACEs were linked to an increase in anxiety and mood disorders, which, in turn, were associated with an increase in the number of painful medical conditions. We determined through moderation analyses that ACEs had an effect on increasing the painful medical conditions at both high and low levels of anxiety and mood disorders; though, surprisingly, the effect was greater among participants at lower levels of mood and anxiety disorders. Conclusion: There are pernicious effects of ACEs across mental and physical domains. Dysregulation of the hypothalamic-pituitary-adrenal stress response and the theory of reserve capacity are reviewed to integrate our findings of the complex relationships.

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The long-term impact of childhood abuse on internalizing disorders among older adults: The moderating role of self-esteem

Cited by 54 publications

References 63 publications

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

Childhood maltreatment, psychopathology and well-being: The mediator role of global self-esteem, attachment difficulties and substance use

In my end is my beginning: developmental trajectories of adverse childhood experiences to late-life suicide

When Emotional Pain Becomes Physical: Adverse Childhood Experiences, Pain, and the Role of Mood and Anxiety Disorders

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