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1

Ered, Arielle, and Lauren M. Ellman. "Specificity of Childhood Trauma Type and Attenuated Positive Symptoms in a Non-Clinical Sample." Journal of Clinical Medicine 8, no. 10 (September 25, 2019): 1537. http://dx.doi.org/10.3390/jcm8101537.

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Background: Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization. Methods: We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample (n = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas. Results: Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis (n = 14). Conclusions: Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.
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Bader, Klaus, Corina Hänny, Valérie Schäfer, Andrea Neuckel, and Christian Kuhl. "Childhood Trauma Questionnaire – Psychometrische Eigenschaften einer deutschsprachigen Version." Zeitschrift für Klinische Psychologie und Psychotherapie 38, no. 4 (October 2009): 223–30. http://dx.doi.org/10.1026/1616-3443.38.4.223.

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Mollon, Josephine, Emma Knowles, Samuel Mathias, Amanda Rodrigue, Marinka Koenis, Godfrey Pearlson, and David Glahn. "T67. TRAUMA IN AFFECTIVE AND NONAFFECTIVE PSYCHOSIS: ASSOCIATIONS AND DISSOCIATIONS WITH COGNITIVE FUNCTIONING IN CHILDHOOD AND ADULTHOOD." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S256—S257. http://dx.doi.org/10.1093/schbul/sbaa029.627.

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Abstract Background Childhood trauma and cognitive impairment are important risk factors for psychotic disorders. However, the relationship between trauma and psychosis throughout the lifespan, as well as between lifetime trauma and cognitive functioning, remain unclear. Methods Using data from a case-control study of African-American adults with psychotic disorders, we examined childhood and adult trauma, as well as their interaction with cognitive functioning, in adults with affective psychotic disorders (n=101), nonaffective psychotic disorders (n=109), non-psychotic psychiatric disorders (n=105), compared to controls (n=211). Childhood trauma was measured using the Childhood Trauma Questionnaire (CTQ), which produces dimensional measures of physical neglect, emotional neglect, physical abuse, emotional abuse, and sexual abuse. Adult trauma was measured using the Trauma History Questionnaire (THQ), which ascertains the presence of death-, and personal-related traumas throughout adulthood. Cognitive functioning was measured using a comprehensive computerized battery (‘Charlie’, https://github.com/sammosummo/Charlie). Results All three psychiatric groups showed greater childhood trauma compared to controls, but the affective psychosis group showed the most trauma (Cohen d=0.97–1.29, p<0.001), followed by the nonaffective psychosis group (d=0.54–0.72, p<0.001), and then the non-psychotic group (d=0.05–0.16, p<0.04). Despite the fact that childhood trauma was significantly associated with adult trauma (OR=0.67–2.08,p<0.002), only the affective psychosis group showed a significantly increased likelihood of experiencing both death- and personal-related traumas in adulthood (OR=0.86–2.14, p<0.01), while the nonaffective psychosis group showed an increased likelihood of experiencing personal-related traumas (OR=1.00, p=0.003). Significant childhood-trauma-by-group interactions on cognitive functioning showed that greater childhood neglect was associated with better performance in the affective psychosis group on measures of processing speed (d=0.52, p=0.011), social processing (d=0.57, p=0.020), and executive functioning (d=0.50–0.71,p<0.020). A similar pattern emerged in the affective psychosis group with both death- and personal-related adult traumas on measures of processing speed (d=0.67–0.74, p<0.010), memory (d=0.67–0.68, p<0.014), and emotional processing (d=0.79, p=0.008). In the domain of complex reasoning, on the other hand, increased childhood sexual abuse in the affective psychosis group, and personal-related adult traumas in the psychosis group, showed a deleterious effect (d=–0.44, p=0.025; d=–0.65, p=0.010). Discussion Individuals with psychotic disorders, especially affective psychoses, experienced more childhood and adult trauma than controls, and also individuals with non-psychotic psychiatric disorders. However, both childhood neglect and adult trauma were associated with better cognitive functioning in the affective psychosis group. One explanation for this seemingly paradoxical finding may be that traumatic experiences in childhood and adulthood lead to increased cognitive vulnerability, as typically seen in psychotic disorders. Thus, individuals who experience more lifetime trauma may follow a different pathway to psychosis, involving less neurodevelopmental impairment, but greater environmental stress, leading to more affective, rather than nonaffective, manifestations of psychosis.
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Petrikova, Martina, Natalia Kascakova, Jana Furstova, Jozef Hasto, and Peter Tavel. "Validation and Adaptation of the Slovak Version of the Childhood Trauma Questionnaire (CTQ)." International Journal of Environmental Research and Public Health 18, no. 5 (March 2, 2021): 2440. http://dx.doi.org/10.3390/ijerph18052440.

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Background: Previous research has shown a strong relationship between childhood trauma and worsened physical and mental health. The Childhood Trauma Questionnaire (CTQ) is a commonly used tool assessing early traumatic experiences. The aim of this study was to verify the psychometric properties of the Slovak version of the CTQ. Methods: Data were collected on a representative Slovak sample (N = 1018, mean age 46.24 years, 48.7% of men). The dimensional structure of the CTQ was tested by confirmatory factor analysis (CFA); convergent validity was assessed using the Adverse Childhood Questionnaire (ACE-IQ). Results: CFA confirmed the standard 5-factor CTQ model. The subscales of the CTQ and the ACE-IQ questionnaires showed moderate to high correlations. The internal consistency of the scale was found to be acceptable. Emotional neglect (EN) was reported in 48.1%, physical neglect (PN) in 35.8%, emotional abuse in 15.8%, physical abuse (PA) in 11.0%, and sexual abuse (SA) in 9.1% of the Slovak population, according to the scoring, when even low abuse or neglect is assessed as trauma. Conclusion: The CTQ questionnaire fulfilled the validation criteria and appeared to be a suitable method for assessing retrospectively reported childhood trauma experiences in the Slovak population.
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Simeon, Daphne, Dorothy Nelson, Rachela Elias, Jennifer Greenberg, and Eric Hollander. "Relationship of Personality to Dissociation and Childhood Trauma in Borderline Personality Disorder." CNS Spectrums 8, no. 10 (October 2003): 755–62. http://dx.doi.org/10.1017/s109285290001912x.

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ABSTRACTBackground:Dissociation is a prominent feature in some individuals with borderline personality disorder (BPD), yet our understanding of the meanings and implications of prominent dissociation in BPD remains limited. The purpose of this study was to investigate the relationship between dissociation and childhood trauma in BPD and to explore the relationships of dissociation and trauma to various personality features of BPD.Methods:Twenty BPD subjects and 24 healthy comparison subjects of similar age and gender were administered the Dissociative Experiences Scale, the Childhood Trauma Questionnaire—short form, the Tridimensional Personality Questionnaire, the Defense Style Questionnaire, the Relationship Style Questionnaire, and the Schema Questionnaire.Results:The BPD group exhibited greater dissociation and childhood trauma, as well as greater pathology in most personality variables, compared with the healthy group. Dissociation in BPD was not significantly related to total childhood trauma, but only to emotional neglect, which accounted for 23% of the variance in dissociation scores.Conclusion:Within the BPD group, dissociation was associated with fearful attachment and immature defenses, while total childhood trauma and emotional neglect were associated with overconnection and disconnection schemata. This is a preliminary study with a small sample size, yet the correlates of dissociation in BPD merit further investigation.
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Zhang, Simei, Xiujin Lin, Tingyu Yang, Shengjie Zhang, Yuli Pan, Jianping Lu, and Jianbo Liu. "Prevalence of childhood trauma among adults with affective disorder using the Childhood Trauma Questionnaire: A meta-analysis." Journal of Affective Disorders 276 (November 2020): 546–54. http://dx.doi.org/10.1016/j.jad.2020.07.001.

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Beilharz, Jessica Elise, Marlee Paterson, Scott Fatt, Chloe Wilson, Alexander Burton, Erin Cvejic, Andrew Lloyd, and Uté Vollmer-Conna. "The impact of childhood trauma on psychosocial functioning and physical health in a non-clinical community sample of young adults." Australian & New Zealand Journal of Psychiatry 54, no. 2 (October 21, 2019): 185–94. http://dx.doi.org/10.1177/0004867419881206.

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Objective: Given the fundamental emotional, social and physical development that occurs during the early years of life, childhood experiences are formative in shaping a person’s life trajectory. Childhood trauma is a prevalent, multifaceted issue with well-documented long-term adverse health effects in clinical populations however; the impact of childhood trauma in the community is less clear. To address this, this study investigated how childhood trauma may impact physical and psychological health, sleep quality and autonomic function in a non-clinical community sample of adults. Method: Participants completed questionnaires, an in-laboratory autonomic assessment (including stress reactivity to mental and physical stressors) and overnight autonomic and sleep monitoring. Overall childhood trauma and its subtypes (e.g. physical abuse, emotional neglect) were defined using the Childhood Trauma Questionnaire. Results: We identified 22 childhood trauma cases (total score > 36) and, of the 89 non-childhood trauma cases, some individuals also experienced significant levels of trauma in one or more of the childhood trauma subtypes. Childhood trauma and some trauma subtypes were significantly correlated with a myriad of negative physiological and physical health outcomes including elevated psychological distress, increased sleep disturbances, reduced emotional wellbeing and lower perceived social support. Autonomic dysregulation was found in those with high levels of childhood trauma, which was reflected in an increased stress response to laboratory tasks. Notably, the experience of physical abuse in childhood was significantly associated with alterations in nocturnal heart rate and heart rate variability. Conclusion: Together, these results highlight that childhood trauma can have lasting detrimental consequences on an individual’s emotional and physical health, sleep quality and stress reactivity.
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ŞAR, Vedat, Psk Erdinç .ÖZTÜRK, and Eda İKİKARDEŞ. "Validity and Reliability of the Turkish Version of Childhood Trauma Questionnaire." Turkiye Klinikleri Journal of Medical Sciences 32, no. 4 (2012): 1054–63. http://dx.doi.org/10.5336/medsci.2011-26947.

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ROY, ALEC. "Childhood trauma and neuroticism as an adult: possible implication for the development of the common psychiatric disorders and suicidal behaviour." Psychological Medicine 32, no. 8 (November 2002): 1471–74. http://dx.doi.org/10.1017/s0033291702006566.

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Background. Neuroticism is an important personality dimension associated with depressive and anxiety disorders. Both genetic and social factors are thought to contribute to neuroticism. This study aims to examine whether early childhood adversity may be a determinant of neuroticism.Method. Five hundred and thirty-two abstinent substance dependent patients completed both the Childhood Trauma Questionnaire (CTQ) and the Eysenck Personality Questionnaire (EPQ).Results. There was a significant relationship between total childhood trauma scores on the CTQ and neuroticism scores on the EPQ. There were also significant relationships between neuroticism and CTQ subscores for emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect.Conclusions. Childhood trauma may be a determinant of neuroticism. This may be one way in which childhood trauma plays a role in the development of psychiatric disorders. General population studies are needed.
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Loureiro, Camila M., Helene A. Fachim, Fabiana Corsi-Zuelli, Rosana Shuhama, Paulo R. Menezes, Caroline F. Dalton, Cristina M. Del-Ben, Gavin P. Reynolds, and Paulo Louzada-Junior. "The relationship of childhood trauma and DNA methylation of NMDA receptor genes in first-episode schizophrenia." Epigenomics 13, no. 12 (June 2021): 927–37. http://dx.doi.org/10.2217/epi-2020-0451.

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Aim: We investigated GRIN1, GRIN2A, GRIN2B and LINE-1 DNA methylation in first-episode schizophrenia patients, their nonaffected siblings and age- and sex-matched controls testing for associations between DNA methylation and exposition to childhood trauma. Materials & methods: The Childhood Trauma Questionnaire evaluated the history of childhood trauma. Genomic DNA was bisulfite converted and pyrosequencing was employed to quantify DNA methylation. Results: GRIN2A, GRIN2B and LINE-1 DNA methylation was not associated with childhood trauma in patients, siblings and controls. Siblings with childhood trauma had hypermethylation at CpG1 of GRIN1 compared with siblings without trauma. Conclusion: Childhood trauma may influence GRIN1 methylation in subjects with liability to psychosis, but not in frank schizophrenia or controls.
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Grassi-Oliveira, Rodrigo, Lilian Milnitsky Stein, and Júlio Carlos Pezzi. "Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire." Revista de Saúde Pública 40, no. 2 (April 2006): 249–55. http://dx.doi.org/10.1590/s0034-89102006000200010.

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OBJETIVO: O Childhood Trauma Questionnaire é um instrumento auto-aplicável em adolescentes e adultos que investigam história de abuso e negligência durante a infância. O objetivo do trabalho foi de traduzir, adaptar e validar o conteúdo do questionário para uma versão em português denominada Questionário Sobre Traumas na Infância. MÉTODOS: O processo de tradução e adaptação envolveu cinco etapas: (1) tradução; (2) retradução; (3) correção e adaptação semântica; (4) validação do conteúdo por profissionais da área (juízes) e (5) avaliação por amostra da população-alvo, por intermédio de uma escala verbal-numérica. RESULTADOS: As 28 questões e as instruções iniciais traduzidas e adaptadas criaram o Questionário Sobre Traumas na Infância. Na avaliação pela população-alvo, 32 usuários adultos do Sistema Único de Saúde responderam a avaliação, com boa compreensão do instrumento na escala verbal-numérica (média=4,86±0,27). CONCLUSÕES: A versão mostrou ser de fácil compreensão obtendo-se adequada validação semântica. Entretanto, ainda carece de estudos que avaliem outras qualidades psicométricas.
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Garrusi, Behshid, and Nouzar Nakhaee. "Validity and Reliability of a Persian Version of the Childhood Trauma Questionnaire." Psychological Reports 104, no. 2 (April 2009): 509–16. http://dx.doi.org/10.2466/pr0.104.2.509-516.

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The purposes of this study were to translate the English version of the Childhood Trauma Questionnaire into Persian and to examine its psychometric properties. Reliability was examined using Cronbach coefficient alpha and corrected item-total correlation. A confirmatory factor analysis, based on a five-factor model, was performed using AMOS. Consecutive samples of 194 drug addicts, 197 psychiatric patients, and 599 college students were selected for the study. The mean age of participants ( N= 1,000) was 24.8 yr. ( SD = 7.1), and 49% were female. The test-retest reliability coefficient and the internal consistency reliability coefficient for the whole scale were suitable. The Childhood Trauma Questionnaire exhibited acceptable convergent validity with the General Health Questionnaire. A four-factor solution was selected as the most appropriate model using exploratory principal component analysis with oblique rotation. In conclusion, the Persian version of the Childhood Trauma Questionnaire showed acceptable psychometric properties.
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Mall, S. "Does Substance Abuse Mediate or Moderate the Relationship Between Childhood Trauma and the Experience of Persecutory Delusions in People with Schizophrenia in South Africa?" European Psychiatry 41, S1 (April 2017): s246. http://dx.doi.org/10.1016/j.eurpsy.2017.02.026.

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BackgroundPersecutory delusions, a key symptom of schizophrenia, may be associated with the experience of early childhood trauma as well as with cannabis dependence. Little research has, however, addressed these associations in people with schizophrenia on the African continent. We examined if persecutory delusions were significantly associated with childhood trauma in people with schizophrenia from South Africa, and we investigated whether cannabis dependence mediates or moderates this association.MethodsSeven hundred and twenty-eight people with schizophrenia completed several scales including the childhood trauma questionnaire (CTQ) which captures several domains of childhood trauma. Logistic regression and structural equation modelling methods were employed to examine the relationship between persecutory delusions and specific experiences of childhood trauma, and to determine if cannabis dependence is mediating or moderating this relationship.ResultsPreliminary results suggest that of the various childhood traumas, the strongest predictor of the presence of persecutory delusions was emotional abuse [OR: 1.02 (0.94–1.08)]. There was no evidence of mediation by cannabis dependence. However, all experiences of childhood trauma, measured by the CTQ (with the exception of physical neglect) interacted with cannabis dependence to increase the risk of the onset of persecutory delusions (P < 0.001).ConclusionsThese results are consistent with previous data in demonstrating that both childhood trauma and cannabis dependence are associated with persecutory delusions in schizophrenia. These findings suggest that it is important to examine the role of early childhood trauma as well as substance use in predicting the onset of psychosis to inform treatment strategies.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Hernandez, Ana, David Gallardo-Pujol, Noemí Pereda, Arnoud Arntz, David P. Bernstein, Ana M. Gaviria, Antonio Labad, Joaquín Valero, and Jose Alfonso Gutiérrez-Zotes. "Initial Validation of the Spanish Childhood Trauma Questionnaire-Short Form." Journal of Interpersonal Violence 28, no. 7 (December 24, 2012): 1498–518. http://dx.doi.org/10.1177/0886260512468240.

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Dennison, U., D. McKernan, J. Cryan, and T. Dinan. "Schizophrenia patients with a history of childhood trauma have a pro-inflammatory phenotype." Psychological Medicine 42, no. 9 (February 23, 2012): 1865–71. http://dx.doi.org/10.1017/s0033291712000074.

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BackgroundIncreasing evidence indicates that childhood trauma is a risk factor for schizophrenia and patients with this syndrome have a pro-inflammatory phenotype. We tested the hypothesis that the pro-inflammatory phenotype in schizophrenia is associated with childhood trauma and that patients without a history of such trauma have a similar immune profile to healthy controls.MethodWe recruited 40 schizophrenia patients and 40 controls, all of whom completed the Childhood Trauma Questionnaire (CTQ). Using enzyme-linked immunosorbent assay (ELISA) techniques, we measured peripheral levels of interleukin (IL)-1β, IL-6, IL-8 and tumour necrosis factor (TNF)-α. These immune parameters were compared in schizophrenia with childhood trauma, schizophrenia without childhood trauma and healthy controls.ResultsPatients with childhood trauma had higher levels of IL-6 and TNF-α than patients without trauma and healthy controls, and TNF-α levels correlated with the extent of the trauma. Patients with no trauma had similar immune profiles to controls.ConclusionsChildhood trauma drives changes, possibly epigenetic, that generate a pro-inflammatory phenotype.
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Sengutta, Mary, Łukasz Gawęda, Steffen Moritz, and Anne Karow. "The mediating role of borderline personality features in the relationship between childhood trauma and psychotic-like experiences in a sample of help-seeking non-psychotic adolescents and young adults." European Psychiatry 56, no. 1 (December 31, 2018): 84–90. http://dx.doi.org/10.1016/j.eurpsy.2018.11.009.

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AbstractObjective:Psychotic-like experiences (PLEs) often occur across different non-psychotic disorders in adolescent and young adult population and are related to early trauma. However, the mechanisms of how exposure to early trauma shapes the risk of PLEs are unclear. In our study, we investigated whether borderline personality features and further non-psychotic symptoms, i.e. factors related to both PLEs and childhood trauma, may mediate the relationship between childhood trauma and PLEs.Methods:Two hundred inpatients aged 16–21 years who were treated due to non-psychotic disorders were included. PLEs were assessed with the Prodromal Questionnaire (PQ-16). Childhood Trauma was assessed with the Adverse Childhood Experience Questionnaire (ACE). Borderline personality features were assessed by using the Borderline-Symptom Checklist (BSL-23). Presence and frequency of depressive symptoms and anxiety were assessed by Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Questionnaire (GAD-7).Table 1Clinical characteristics (n = 200).Mean (SD)Male/female67/133Age18.72 (1.85)Clinical diagnosisDepressive disorder (F32.1, F32.2, F33.0, F33.1, F33.2)167 (83.5%)Anxiety disorder (F40.1, F41.0, F41.1, F41.2)51 (25.5%)ComorbiditiesPTSD26 (13.0%)Personality disorders (F60.30, F60.31, F60.4, F60.6, F60.7, F60.8, F61)124 (66.5%)Eating disorder (F50.0, F50.1, F50.2)19 (9.5%)Others (F42.1, F42.2, F45.1, F44.5, F90.0)33 (16.5%)Measures: The Structured Clinical Interview for the Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV) (SCID-I) and the Structured Clinical Interview for DSM-IV Axis II Personality Disorders II (SCID-II) were used to identify the clinical diagnoses.Results:A significant relationship between childhood trauma (ACE total score) and PLEs was found (ß = 0.30, 95% CI 0.247--0.659). In particular, emotional neglect (r = 0.298, p < 0.001) and sexual abuse (r = 0.264, p < 0.001) were significantly associated with PLEs. Borderline personality features fully mediated the relationship of childhood trauma and PLEs (ß = 0.12, 95% CI: -0.019--0.370). Anxiety and Depression showed a significant, but partial mediation of the relationship.Conclusion:Borderline personality features seem to be an important mediator of the relationship between childhood trauma and PLEs in adolescent patients with different non-psychotic psychiatric disorders. Theoretical and clinical implications are discussed.
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Dereli İman, Esra. "The relationship between adolescents’ childhood trauma experiences and empathetic tendency, social problem solving." Pegem Eğitim ve Öğretim Dergisi 5, no. 3 (September 1, 2015): 235–56. http://dx.doi.org/10.14527/pegegog.2015.013.

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The purpose of this study was to investigate whether high school students’ childhood trauma experiences differ based on individual differences, and whether childhood trauma experiences of adolescents predict empathic tendency and social problem solving. In this study, Childhood Trauma Questionnaire, Adolescent KA-Sİ Empathic Tendency Scale, and Social Problem Solving Inventory were used. Adolescents’ physical abuse, emotional abuse-neglect, and sexual abuse sub-dimensions of childhood trauma experience scores significantly differed based on gender. Adolescents’ physical abuse, emotional abuse-neglect sub dimensions of childhood trauma experience scores significantly differed based on father education-level, number of siblings and income- level of family. Adolescents’ emotional abuse-neglect sub dimension of childhood trauma experiences scores significantly differed based on mother education-level. Also physical abuse, emotional abuse-neglect sub dimensions of childhood trauma experiences predicted cognitive empathy whereas emotional abuse-neglect, sexual abuse sub dimensions of childhood trauma experiences predicted emotional empathy. The results also indicate that adolescents’ emotional abuse-neglect sub dimensions of childhood trauma experiences predicted sub dimensions of social problem solving.
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Kascakova, Natalia, Jana Furstova, Jozef Hasto, Andrea Madarasova-Geckova, and Peter Tavel. "When a Head Is about to Burst: Attachment Mediates the Relationship Between Childhood Trauma and Migraine." International Journal of Environmental Research and Public Health 17, no. 12 (June 25, 2020): 4579. http://dx.doi.org/10.3390/ijerph17124579.

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Background: People exposed to childhood trauma show insecure attachment patterns and are more prone to chronic and pain-related conditions, including migraine. The aim of this study was to explore the mediating role of attachment in the association between childhood trauma and adulthood chronic health conditions, with a focus on migraine. Methods: Respondents from a representative sample of citizens of the Czech Republic (n = 1800, mean age: 46.6 years, 48.7% male) were asked to report various chronic and pain-related conditions, childhood trauma (The Childhood Trauma Questionnaire, CTQ), and attachment anxiety and avoidance (The Experience in Close Relationships Revised, ECR-R) in a cross-sectional, questionnaire-based survey conducted in 2016. Structural equation models (SEM) adjusted for sociodemographic variables were used to assess the relationship between childhood trauma, adulthood attachment, and adulthood chronic health conditions (migraine, other pain-related conditions, chronic health conditions other than pain, no chronic health complaints). Results: After adjusting for sociodemographic variables, SEM confirmed a significant mediation of the relationship between childhood trauma and migraine through adulthood attachment. There was no mediation effect of adulthood attachment found in other health complaints. Conclusion: This study highlights the mediation effect of attachment in the link between childhood trauma and migraine. Attachment-based therapeutic interventions can be useful in the treatment of patients with migraine.
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Kilic, O., O. Taycan, C. Aksoy Poyraz, T. C. Erol, O. Tecer, H. M. Emul, V. Sar, and M. Ozmen. "Childhood trauma, dissociation in patients with fibromyalgia and rheumatoid arthritis." European Psychiatry 26, S2 (March 2011): 382. http://dx.doi.org/10.1016/s0924-9338(11)72090-9.

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IntroductionThe contribution of childhood trauma and dissociation to the unknown pathophysiology of fibromyalgia has been the subject of considerable debate.ObjectivesTo assess and compare the relationship of childhood trauma and somatoform dissociation between patients with fibromyalgia and rheumatoid arthritis both of which are characterized by chronic pain and disability.AimsEarly life and prolonged trauma may affect brain modulatory circuitry of pain and emotions. The findings of relationship between traumatic events, dissociation and fibromyalgia can lead to a better understanding of the etiology and suggest new treatment modalities.MethodsThirty-one patients with fibromyalgia and 19 patients with rheumatoid arthritis were enrolled in the study. All participants were asked to fill in the Childhood Trauma Questionnaire, Somatoform Dissociation Questionnaire and Dissociation Questionnaire.ResultsPhysical neglect score was higher in fibromyalgia group than rheumatoid arthritis group (p < 0.05) although there was no significant difference between two groups in other subscores of childhood trauma and the rest of the dissociation scores. Total trauma scores were positively correlated with dissociation scores in fibromyalgia group whereas this correlation was not seen in rheumatoid group.ConclusionsAmong childhood trauma types, physical neglect seems to have a more important role in fibromyalgia than rheumatoid arthritis. Fibromyalgia may be related to early life stress or prolonged trauma, affecting brain modulatory circuitry of pain and emotions in genetically susceptible individuals.
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Khanjani, Mohammad Saeed, Shadan Mosavat, Bahman Bbahmani, and Enayatollah Bakhshi. "Comparison of the Childhood Trauma, Mindfulness Attention Awareness and Integrative Self Knowledge in Cancer Patients and General Population." Iranian Journal of Psychiatry and Clinical Psychology 27, no. 1 (April 1, 2021): 32–47. http://dx.doi.org/10.32598/ijpcp.27.1.3187.1.

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Objectives: This study aims to compare childhood trauma, integrative self-knowledge and mindfulness in patients with cancer and healthy people. Methods: This descriptive-analytical study was conducted on 139 patients with cancer and 139 healthy people referred to Firoozgar Hospital and SAMAR Charity House who were selected by a convenience sampling method. They were asked to complete Integrative Self-Knowledge (ISK) Questionnaire, Childhood Trauma Questionnaire (CTQ) and Mindfulness Attention Awareness Scale (MAAS). Data were analyzed using descriptive and inferential statistic methods including MANOVA. Results: There was a significant difference between patients and controls in terms of ISK (P<0.001), mindfulness (P<0.001) and childhood trauma (P<0.001). Conclusion: Cancer patients have lower ISK and mindfulness but higher childhood trauma compared to healthy people. Attention should be paid to the role of these factors in prevention and treatment processes.
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Määttä, Jaakko. "High Level of Childhood Trauma Predicts a Poor Response to Spinal Cord Stimulation in Chronic Neuropathic Pain." Pain Physician 1, no. 22;1 (January 11, 2019): E37—E44. http://dx.doi.org/10.36076/ppj/2019.22.e37.

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Background: Spinal cord stimulation (SCS) relieves pain by delivering doses of electric current to the dorsal column of the spinal cord and has been found to be most effective in the treatment of neuropathic pain. Psychological distress is a significant risk factor for the development of chronic pain and has been found to affect the outcome of SCS. Childhood trauma is a risk factor for chronic pain, but has not previously been studied in SCS patients. Objectives: The objective of this prospective registry-based study was to investigate the prevalence of 5 domains of childhood trauma (emotional neglect, emotional abuse, physical neglect, physical abuse, and sexual abuse) and their relationship with the outcome of spinal cord stimulation on patients suffering from treatment-resistant chronic pain. Methods: SCS patients treated at Kuopio University Hospital between 1/1/2015 and 12/31/2016 were sent a survey in the mail, the Trauma and Distress Scale, assessing childhood trauma (n = 43). Neuropathic pain, disability, anxiety, and depression were measured in the patients pre-surgery and at 6 and 12 months post-surgery. The patients who provided their name on the questionnaire (n = 22) and had suffered from 3 or more domains of trauma were grouped as the high-trauma group (n = 13) and the rest as the low-trauma group (n = 9). Results: The questionnaire was completed by 40 patients (93%). At least 1 domain of trauma was experienced by 35 (88%) patients, and at least 2 by 24 (60%). The low-trauma group displayed a statistically significant decrease in the mean PainDETECT score from 21.5 before SCS to 16.5 at 12 months post-surgery (Wilk’s lambda = 0.297, F(2,9) = 10.6, P = 0.004), contrary to the hightrauma group (Wilk’s lambda = 0.904, F(2,6) = 0.3, P = 0.739). Limitations: Only 22 of the 40 patients provided their name on the questionnaire, which decreased the sample size on follow-up. Conclusion: This was the first study to investigate childhood trauma in SCS patients. Patients who had experienced high amounts of childhood trauma did not experience any relief from neuropathic pain 12 months’ post-SCS, contrary to the low-trauma group. Childhood trauma might be a factor worth screening in the preoperative evaluation and aftercare of SCS candidates. Key words: Spinal cord stimulation, the Trauma and Distress Scale, chronic pain, childhood trauma, childhood abuse, childhood neglect, chronic back pain, back pain, psychological distress, neuropathic pain
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Watson, Stuart, Roy Chilton, Helen Fairchild, and Peter Whewell. "Association between Childhood Trauma and Dissociation Among Patients with Borderline Personality Disorder." Australian & New Zealand Journal of Psychiatry 40, no. 5 (May 2006): 478–81. http://dx.doi.org/10.1080/j.1440-1614.2006.01825.x.

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Objective: To examine the relationship between childhood trauma and dissociative experience in adulthood in patients with borderline personality disorder. Method: Dissociative experiences scale scores and subscale scores for the Childhood Trauma Questionnaire were correlated in 139 patients. Patients were dichotomized into high or low dissociators using the Median Dissociative Experiences Scale score as the cut-off. Results: Childhood Trauma Questionnaire Subscale scores for emotional and physical abuse and emotional neglect but not sexual abuse correlated significantly with Dissociative Experiences Scale scores. High dissociators reported significantly greater levels of emotional abuse, physical abuse, emotional neglect and physical neglect but not sexual abuse than low dissociators. Conclusion: Patients with borderline personality disorder therefore demonstrated levels of dissociation that increased with levels of childhood trauma, supporting the hypothesis that traumatic childhood experiences engender dissociative symptoms later in life. Emotional abuse and neglect may be at least as important as physical and sexual abuse in the development of dissociative symptoms.
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MacDonald, Kai, Michael L. Thomas, Tina M. MacDonald, and Andres F. Sciolla. "A Perfect Childhood? Clinical Correlates of Minimization and Denial on the Childhood Trauma Questionnaire." Journal of Interpersonal Violence 30, no. 6 (June 30, 2014): 988–1009. http://dx.doi.org/10.1177/0886260514539761.

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Muench, John, Sheldon Levy, Rebecca Rdesinski, Rebekah Schiefer, Kristin Gilbert, and Joan Fleishman. "Personal characteristics associated with the effect of childhood trauma on health." International Journal of Psychiatry in Medicine 53, no. 5-6 (August 9, 2018): 384–94. http://dx.doi.org/10.1177/0091217418791458.

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Objective This article will describe a pilot study to explore associations between adult attachment style, resilience, Adverse Childhood Experiences, and adult health. Method A self-report survey was mailed to 180 randomly selected primary care patients and linked to a retrospective chart review. The patients met the following criteria: (1) enrolled for at least the previous year at their primary care clinic, (2) 21 years of age or greater, (3) English as their primary language, and (4) were seen by their provider on selected dates of the study. The survey was made up of three instruments: (1) the Adverse Childhood Experiences Questionnaire which consists of 10 questions about the respondent’s adverse experiences during their first 18 years of life; (2) the Relationship Scales Questionnaire which measures adult attachment style; and (3) the Connor–Davidson Resilience Scale, a self-report scale that measures individual’s perceptions of their resilience. For each returned questionnaire, we calculated a measure of medical complexity using the Elixhauser Comorbidity Index. Results Of the 180 randomly selected patients from four clinic sites, 84 (46.6%) returned completed questionnaires. We found that Adverse Childhood Experience scores were significantly correlated with health and attachment style and trended toward association with resilience. Conclusion This pilot study revealed expected relationships of the complex associations between Adverse Childhood Experiences, attachment style, and resiliency. Further research with more subjects is warranted in order to continue to explore these relationships.
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Dragkioti, E., D. Damigos, V. Mavreas, E. Kotrotsiou, and M. Gouva. "Effects of childhood traumatic events in later life hostility." European Psychiatry 26, S2 (March 2011): 1197. http://dx.doi.org/10.1016/s0924-9338(11)72902-9.

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IntroductionInterpersonal childhood traumas have been linked empirically with adults’ reports of a wide range of symptoms.ObjectiveThis study tested the association between childhood trauma and adult hostility.AimThe aim was to investigate the impact of childhood trauma on hostility and aggression among individuals who had been exposed to childhood traumatic life events.Method595 community individuals participated to the present study (164 men - 431 women, mean age 34, SD = 12, ranged 18–75). Subjects were classified into two groups — trauma and no-trauma — based on their personal statements of experienced negative life events (300 and 295 individuals respectively). In all individuals, the Hostility and Direction of Hostility Questionnaire (HDHQ) and the Aggression subscale of The Symptom Checklist-90-R (SCL-90-R) were administered.ResultsHigher levels of hostile and aggressive attitude were observed among participants who had reported exposition to a traumatic event during childhood. In specific, the trauma group reported marginally higher levels of aggressive behavior (p = .041) as measured by aggression SCL-90-R. Significantly differences between groups were observed on paranoid hostility (p = .006), self criticism (p = .011), Guilt (p = .011), intropunitiveness (p = .007) and on total score of hostility (p = .040). Finally, logistic regression revealed that, participants who had experienced childhood trauma had a higher risk of overall hostility (OR = 0.92, 95% CI = .89–.99).ConclusionHigh levels of hostility may reflect difficulties in interpersonal relationships. Our findings illuminate the effect of early traumatic experiences in developing these hostile and aggressive attitudes in adulthood.
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Gulec Oyekcin, D., and A. Gurgen. "Impact of childhood trauma on co-morbidity among alcohol dependent patients: Controlled study." European Psychiatry 41, S1 (April 2017): s864. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1728.

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IntroductionChildhood trauma has been found to be prevalent in treatment-seeking alcoholics.ObjectivesWe aimed to investigate the childhood trauma prevalence among alcohol dependent patients and the prevalence of psychiatric co-morbidity.MethodsA total of 61 participants were assessed; 35 treatment-seeking alcohol dependent patients and 26 age-gender matched controls in the addiction division of psychiatry department of Çanakkale Onsekiz Mart University. After describing the study and obtaining informed consent, participants were assessed with demographic questionnaires, followed by the structured clinical interview for the DSM-IV-TR and childhood trauma questionnaire (CTQ-28).ResultThe 91.4% of the patients were male, mean age was 42.03 ± 12.9. The overall prevalence of CTE of the alcohol dependent patients was (88.6%) higher than the control (42.3%) group. Respectively the prevalence of physical neglect was 80%, emotional neglect 74.3%, emotional abuse was 51.4%, physical abuse 40% and sexual abuse 28.6%. For psychiatric disorders 96.8% of the alcohol dependent patients with childhood trauma reported any of the psychiatric disorders, 64.5% ever having a mood disorder with 25.8% ever having any anxiety disorders, and 16.1% ever having attention and hyperactivity disorder. The most common psychiatric co-morbidity was found to be as depression (58.1%).ConclusionsIn conclusion alcohol use disorders are thought to be associated with childhood trauma. Patients with alcohol use disorders are exposed to have more childhood trauma. Childhood trauma is associated with psychiatric co-morbidity especially depression. We have to ask for childhood trauma in alcohol dependent patients with psychiatric co-morbidity.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Negele, Alexa, Johannes Kaufhold, Lisa Kallenbach, and Marianne Leuzinger-Bohleber. "Childhood Trauma and Its Relation to Chronic Depression in Adulthood." Depression Research and Treatment 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/650804.

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There is a large consensus indicating that childhood trauma is significantly involved in the development of depression. The aim of this study was to examine the prevalence of retrospectively recalled childhood trauma in chronically depressed patients and to investigate a more specific relationship between trauma type and depression. We further asked for the influence of multiple experiences of childhood trauma on the vulnerability to a chronic course of depression in adulthood. 349 chronically depressed patients of the German LAC Depression Study completed the Childhood Trauma Questionnaire, a self-report measure of traumatic experiences in childhood. 75.6% of the chronically depressed patients reported clinically significant histories of childhood trauma. 37% of the chronically depressed patients reported multiple childhood traumatization. Experiences of multiple trauma also led to significantly more severe depressive symptoms. Stepwise multiple regression analysis suggested that childhood emotional abuse and sexual abuse were significantly associated with a higher symptom severity in chronically depressed adults. Yet, expanding the regression model for multiple exposures showed that multiplicity was the only remaining significant predictor for symptom severity in chronically depressed patients. Clinical implications suggest a precise assessment of childhood trauma in chronically depressed patients with a focus on emotional abuse, sexual abuse, and multiple exposures to childhood trauma. This trial is registered with registration numberISRCTN91956346.
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Filippon, Ana Paula Mezacaza, Diego Garcia Bassani, Rogério Wolf de Aguiar, and Lúcia Helena Freitas Ceitlin. "Association between childhood trauma and loss of functionality in adult women with fibromyalgia." Trends in Psychiatry and Psychotherapy 35, no. 1 (2013): 46–54. http://dx.doi.org/10.1590/s2237-60892013000100006.

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OBJECTIVE: To investigate whether history of childhood trauma is associated with loss of functionality in adult women with fibromyalgia (FM). A secondary objective was to assess the presence of differences between depressed and non-depressed adult women with FM in a regression model for functionality. METHODS: A total of 114 adult women with FM according to the American College of Rheumatology diagnostic criteria answered the Childhood Trauma Questionnaire and the Fibromyalgia Impact Questionnaire. All subjects were interviewed by trained psychiatrists and evaluated for depression using the Mini International Neuropsychiatric Interview (MINI) - Brazilian version 5.0.0. Correlation and regression models were used to investigate associations between childhood trauma and loss of functionality among patients with FM. The sample was stratified by presence and absence of clinical depression. RESULTS: Overall, childhood trauma was associated with of loss of functionality in adult women with FM. When stratified by depression, the regression model significantly increased the association among non-depressed patients, even after adjustment for age and use of psychotropic medications. CONCLUSIONS: Childhood trauma showed a clinically important association with loss of functionality among adult women with FM. The associations were more pronounced among subjects without comorbid depression.
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Innamorati, Marco, Denise Erbuto, Paola Venturini, Francesca Fagioli, Federica Ricci, David Lester, Mario Amore, Paolo Girardi, and Maurizio Pompili. "Factorial validity of the Childhood Trauma Questionnaire in Italian psychiatric patients." Psychiatry Research 245 (November 2016): 297–302. http://dx.doi.org/10.1016/j.psychres.2016.08.044.

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BERNSTEIN, DAVID P., TARUNA AHLUVALIA, DAVID POGGE, and LEONARD HANDELSMAN. "Validity of the Childhood Trauma Questionnaire in an Adolescent Psychiatric Population." Journal of the American Academy of Child & Adolescent Psychiatry 36, no. 3 (March 1997): 340–48. http://dx.doi.org/10.1097/00004583-199703000-00012.

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Wright, Kristi D., Gordon J. G. Asmundson, Donald R. McCreary, Christy Scher, Shadha Hami, and Murray B. Stein. "Factorial validity of the Childhood Trauma Questionnaire in men and women." Depression and Anxiety 13, no. 4 (2001): 179–83. http://dx.doi.org/10.1002/da.1034.

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Schulze, Lara N., Sandra Van der Auwera, Deborah Janowitz, Johannes Hertel, Katharina Wittfeld, René Walk, Nele Friedrich, Henry Völzke, and Hans J. Grabe. "The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index." Global Psychiatry 2, no. 1 (May 13, 2019): 97–106. http://dx.doi.org/10.2478/gp-2019-0008.

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AbstractObjectivesObesity is associated with several somatic diseases and increased psychological burden. This study focused on two potential psychological predictors of the body mass index (BMI), childhood trauma and depressive symptoms.MethodsWe used three independent populations: two general population samples (Study of Health in Pomerania, SHIP-2, N = 1,657; SHIP-TREND-0, N = 3,278) and one patient sample (GANI_MED, N = 1,742). Childhood trauma was measured with the childhood trauma questionnaire (CTQ) and depression with the Beck Depression Inventory (BDI-II) in SHIP-2 and the Patient Health Questionnaire (PHQ-9) in SHIP-TREND-0 and GANI_MED. We investigated the impact of childhood trauma and depression on BMI. Furthermore, we used mediation analysis to assess whether depression was a significant mediator on the path from childhood trauma to adult BMI in each of the three samples.ResultsIn all the three populations, depressive symptoms exhibited a significant association towards higher BMI (p < 0.05). Childhood trauma was positively associated with BMI with significant associations in SHIP-TREND-0 (p < 0.001) and GANI_MED (p = 0.005). The relationship between CTQ and BMI was significantly partially mediated (p < 0.05) by depressive symptoms in SHIP-TREND-0 (38.0%) and GANI_MED (16.4%), in SHIP-2 results pointed in the same direction. All the trauma sub-dimensions, except sexual abuse, exhibited at least one significant association towards increased BMI in one of the samples.ConclusionsChildhood trauma and depressive symptoms may be considered as causes of obesity. These results suggest that psychological treatments against obesity should address childhood maltreatment as well as depressive symptoms in their diagnostic assessment and could facilitate psychotherapeutic treatment when necessary.
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Sezer, G., G. Hızlı Sayar, and H. Gulmez. "The relationship between childhood traumas and depression and anxiety in high school students in Turkey." European Psychiatry 41, S1 (April 2017): S440. http://dx.doi.org/10.1016/j.eurpsy.2017.01.443.

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The aim of this study is to investigate the relationship between childhood traumas and depression and anxiety levels of high school students in Sakarya. The sample of the present study consisted of 145 students 79 are girls and 66 are boys are chosen from five different school. To measure depression levels of students “Beck Depression Inventory” is used. To measure anxiety levels “Beck Anxiety Inventory” is used. To collect data about childhood traumas “Childhood Trauma Questionnaire” is used. Data were analyzed using SPSS 16.00. In result of this study, 86 people had symptoms of depression. And also there is a relationship between depression symptoms and anxiety symptoms. However, there is no relationship between childhood traumas and anxiety symptoms and depression symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Deles, Bayram, and Nilgun Sarp. "Investigation of the correlation between childhood trauma, psychological well-being, and altruistic fear of crime of mothers with children aged three to six years." Research in Pedagogy 11, no. 1 (2021): 124–36. http://dx.doi.org/10.5937/istrped2101124d.

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Childhood is the period during which physical and mental development is extremely rapid from the first years of life. Furthermore, many basic factors affecting the future lives of individuals start to be shaped. The child's future life, psychological well-being, and quality of life are negatively affected by the exposure to unwanted situations by the family or the environment during this period. As a matter of fact, behavior patterns exhibited by individuals during adulthood are thought to be correlated with childhood traumas. Thus, this study aimed to investigate the relationship between the altruistic fear of crime, psychological well-being, and childhood traumas among mothers with children aged three to six years. A cross-sectional correlation research design was used for this study. The sample of the study consisted of 214 volunteer mothers, whose children were attending a private preschool education institution in the city center of Gumushane province of Turkey during the 2019/2020 academic year. The research data were collected using "Personal Information Form", "Childhood Trauma Questionnaire", "Altruistic Fear of Crime Scale" and "Psychological Well-being Scale". Data were analyzed using t-test, ANOVA, and correlation analysis. The results of the research showed that the age of the mothers, birth order, presence of any family member receiving psychological support, and marital satisfaction caused significant differences. Furthermore, scores obtained from "Personal Information Form", "Childhood Trauma Questionnaire", "Altruistic Fear of Crime" and "Psychological Well-being Scale" were found to be significantly correlated.
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Quinn, Megan, Gabrielle Caldara, Kathleen Collins, Heather Owens, Ifeoma Ozodiegwu, Elaine Loudermilk, and Jill D. Stinson. "Methods for understanding childhood trauma: modifying the adverse childhood experiences international questionnaire for cultural competency." International Journal of Public Health 63, no. 1 (November 18, 2017): 149–51. http://dx.doi.org/10.1007/s00038-017-1058-2.

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Kascakova, Natalia, Jana Furstova, Jozef Hasto, Andrea Madarasova Geckova, and Peter Tavel. "The Unholy Trinity: Childhood Trauma, Adulthood Anxiety, and Long-Term Pain." International Journal of Environmental Research and Public Health 17, no. 2 (January 8, 2020): 414. http://dx.doi.org/10.3390/ijerph17020414.

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Background: Childhood trauma is considered to be a risk factor for developing anxiety as well as chronic pain. The aim of this study was to assess the association between childhood trauma and reporting anxiety and long-term pain conditions in the general and clinical populations. Methods: Respondents from a representative sample in the Czech Republic (n = 1800, mean age: 46.6 years, 48.7% male) and patients with a clinically diagnosed anxiety or adjustment disorder (n = 67, mean age: 40.5 years, 18.0% male) were asked to report anxiety, various chronic and pain-related conditions, and childhood trauma (The Childhood Trauma Questionnaire, CTQ) in a cross-sectional questionnaire-based survey conducted in 2016 and 2017. Results: Reporting emotional abuse (Odds ratio OR from 2.14 to 14.71), emotional neglect (OR from 2.42 to 10.99), or physical neglect (OR from 2.24 to 3.30) was associated with reporting anxiety and long-term pain both in the general and clinical populations and reporting physical abuse moreover with reporting anxiety or adjustment disorder with concurrent long-term pain (OR from 4.04 to 6.39). Conclusion: This study highlights the relevance of childhood trauma as a possible factor contributing to anxiety with concurrent pain conditions in adulthood in both the general and clinical populations.
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Garami, Julia, Ahmad Valikhani, Denise Parkes, Paul Haber, Justin Mahlberg, Blazej Misiak, Dorota Frydecka, and Ahmed A. Moustafa. "Examining Perceived Stress, Childhood Trauma and Interpersonal Trauma in Individuals With Drug Addiction." Psychological Reports 122, no. 2 (March 23, 2018): 433–50. http://dx.doi.org/10.1177/0033294118764918.

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The investigation of psychosocial factors in relation to opiate addiction is limited and typically uses binary measures to assess how incidences of childhood trauma correlate with addiction. There has also been a lack of enquiry into how experiences of noninterpersonal versus interpersonal trauma may impact drug use addiction. In this regard, the current study utilized a novel measurement of interpersonal versus noninterpersonal lifetime trauma and a scale assessing severity of childhood trauma to examine how these factors may impact patients with opioid addiction. The interaction between these factors and current perceived stress was also examined. Thirty-six opioid-dependent individuals (recruited from the Drug Health Services and Opioid Treatment Program at the Royal Prince Alfred Hospital in Sydney, Australia) and 33 healthy controls completed the Childhood Maltreatment Questionnaire, Lifetime Trauma Survey, and Perceived Levels of Stress Scale. The patient group reported significantly greater childhood trauma severity, more incidences of lifetime trauma, and higher perceived stress than controls. Logistic regression analyses indicated that the severity of childhood trauma was more strongly associated with addiction status than perceived stress. A greater number of lifetime trauma incidence was the best predictor of addiction. Contrary to expectations, noninterpersonal lifetime trauma was a better predictor of addiction status than was interpersonal lifetime trauma. Results suggest that lifetime trauma and childhood trauma may play an important factor in opioid addiction over what can be accounted for by stress.
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Wota, A. P., C. Byrne, I. Murray, T. Ofuafor, Z. Nisar, F. Neuner, and B. P. Hallahan. "An examination of childhood trauma in individuals attending an adult mental health service." Irish Journal of Psychological Medicine 31, no. 4 (September 23, 2014): 259–70. http://dx.doi.org/10.1017/ipm.2014.49.

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ObjectivesChildhood sexual abuse has previously been associated with adult mental health difficulties, however, few studies have evaluated all forms of childhood maltreatment in individuals attending adult mental health services. Consequently, this study investigates the association of five forms of childhood trauma with a range of clinical symptoms and mental health disorders in 136 individuals attending a mental health service in Ireland utilising the Childhood Trauma Questionnaire (CTQ).MethodOne hundred and thirty-six patients attending the Roscommon Mental Health Services completed the CTQ and a number of additional psychometric instruments evaluating illness severity, impulsivity, disability and the presence of a personality disorder(s) (PD) to ascertain the prevalence of childhood trauma and any potential associations between childhood trauma and a range of demographic and clinical factors.ResultSeventy-six per cent of individuals reported childhood trauma, with emotional neglect most frequently reported (61%). Individuals who had experienced childhood trauma had higher rates of clinical symptoms, distress and impulsivity. Substance abuse and paranoid, borderline and antisocial PDs most associated with childhood trauma.ConclusionThis study demonstrates the need to routinely elicit information on all forms of childhood traumatic experiences from patients.
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Tosun Altınöz, Şengül, Ali Ercan Altınöz, Çisem Utku, Altan Eşsizoğlu, and Selçuk Candansayar. "Femicide: Psychosocial Characteristics of the Perpetrators in Turkey." International Journal of Offender Therapy and Comparative Criminology 62, no. 13 (March 19, 2018): 4174–86. http://dx.doi.org/10.1177/0306624x18763765.

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Female homicides are widely prevalent in Turkey with rising trend. The aim of this study is to identify gender role attitudes, childhood trauma histories, and individual characteristics of men who have been involved in the femicide, and to compare them with men who do not exercise violence against women. Participants completed a Sociodemographic and Clinical Information form, Semistructured Interview form, and the Childhood Trauma Questionnaire. Case group was not significantly different than the control group in terms of any measured individual characteristics including childhood traumas, psychopathology, and gender attitudes. Our data indicate that only migration history may be linked to femicide. A unique psychopathology that could be related to being a femicide perpetrator was not identified. Migration and perception of gender roles stand out as factors that separate men who exercise violence from men who do not.
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Bos, Henny, Stans de Haas, and Lisette Kuyper. "Lesbian, Gay, and Bisexual Adults: Childhood Gender Nonconformity, Childhood Trauma, and Sexual Victimization." Journal of Interpersonal Violence 34, no. 3 (April 1, 2016): 496–515. http://dx.doi.org/10.1177/0886260516641285.

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The present study examined whether the relationship between childhood gender nonconformity and sexual victimization in adulthood among lesbian, gay, and bisexual (LGB) same-sex attracted men and women is mediated by experiences with childhood trauma experiences by an adult family member. Data are based on a survey among same-sex attracted individuals ( N = 2,352; 1,396 men and 956 women; Mage= 44.97) recruited from an online research panel. Participants completed an online questionnaire consisting of existing scales. Sixteen percent of the participants reported that they had experienced sexual victimization as an adult. There were gender differences: Men reported less childhood gender nonconformity and women more often reported experiences with childhood trauma by an adult family member and sexual victimization as an adult. Bootstrapped mediation analysis and follow-up moderated mediation analyses showed that childhood trauma significantly mediated the relation between childhood gender nonconformity and experiences of sexual victimization for men but not for women. In other words, for men higher levels of childhood gender nonconformity predicted experiences with childhood trauma by an adult family member, which in turn predicted the higher prevalence of sexual victimization. Implementations of these findings are that interventions aimed at increasing the social acceptance of gender nonconformity might also lower the levels of childhood trauma and sexual victimization among gay and bisexual men. Professionals working with children (and especially with boys) should be aware of the impact of gender nonconformity on childhood trauma and experiences of sexual victimization later in life.
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Berg, A. O., M. Aas, S. Larsson, M. Nerhus, E. Hauff, O. A. Andreassen, and I. Melle. "Childhood trauma mediates the association between ethnic minority status and more severe hallucinations in psychotic disorder." Psychological Medicine 45, no. 1 (May 20, 2014): 133–42. http://dx.doi.org/10.1017/s0033291714001135.

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BackgroundEthnic minority status and childhood trauma are established risk factors for psychotic disorders. Both are found to be associated with increased level of positive symptoms, in particular auditory hallucinations. Our main aim was to investigate the experience and effect of childhood trauma in patients with psychosis from ethnic minorities, hypothesizing that they would report more childhood trauma than the majority and that this would be associated with more current and lifetime hallucinations.MethodIn this cross-sectional study we included 454 patients with a SCID-I DSM-IV diagnosis of non-affective or affective psychotic disorder. Current hallucinations were measured with the Positive and Negative Syndrome Scale (P3; Hallucinatory Behaviour). Lifetime hallucinations were assessed with the SCID-I items: auditory hallucinations, voices commenting and two or more voices conversing. Childhood trauma was assessed with the Childhood Trauma Questionnaire, self-report version.ResultsPatients from ethnic minority groups (n = 69) reported significantly more childhood trauma, specifically physical abuse/neglect, and sexual abuse. They had significantly more current hallucinatory behaviour and lifetime symptoms of hearing two or more voices conversing. Regression analyses revealed that the presence of childhood trauma mediated the association between ethnic minorities and hallucinations.ConclusionsMore childhood trauma in ethnic minorities with psychosis may partially explain findings of more positive symptoms, especially hallucinations, in this group. The association between childhood trauma and these first-rank symptoms may in part explain this group's higher risk of being diagnosed with a schizophrenia-spectrum diagnosis. The findings show the importance of childhood trauma in symptom development in psychosis.
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Pereira, Flávia Garcia, and Maria Carmen Viana. "Instrumentos mais utilizados na avaliação da exposição a Experiências Adversas na Infância: uma revisão da literatura." Saúde em Debate 45, no. 129 (June 2021): 501–13. http://dx.doi.org/10.1590/0103-1104202112919.

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RESUMO O objetivo deste estudo foi identificar e descrever os instrumentos mais frequentemente utilizados nas pesquisas epidemiológicas para a avaliação das Experiências Adversas na Infância, nos últimos dez anos. Trata-se de uma revisão da literatura, cujos critérios de inclusão foram artigos disponíveis na íntegra, nos idiomas inglês, espanhol e português, publicados e indexados nas bases de dados Medline e Lilacs, que citassem no resumo os instrumentos de avaliação utilizados nos estudos. Foram analisados 6 dos 38 instrumentos identificados nos 253 artigos selecionados para análise. Os instrumentos mais citados foram: 1) Childhood Trauma Questionnaire, 2) Childhood Experience of Care and Abuse, 3) Adverse Childhood Experiences Questionnaire, 4) Child Abuse and Trauma Scale, 5) Early Trauma Inventory Self Report e 6) Adverse Childhood Experiences International Questionnaire. Os instrumentos descritos diferiram quanto às propriedades psicométricas, à idade para aplicação e à quantidade de Experiências Adversas na Infância avaliadas. Predominaram estudos publicados em periódicos internacionais na língua inglesa. Três instrumentos apresentam versão em português vigente no Brasil, sendo que um deles considera somente a avaliação de aspectos específicos de Experiências Adversas na Infância, enquanto que os outros dois avaliam, também, outras experiências traumáticas.
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Matthies, Swantje, Chiharu Sadohara-Bannwarth, Sebastian Lehnhart, Jan Schulte-Maeter, and Alexandra Philipsen. "The Impact of Depressive Symptoms and Traumatic Experiences on Quality of Life in Adults With ADHD." Journal of Attention Disorders 22, no. 5 (September 2, 2016): 486–96. http://dx.doi.org/10.1177/1087054716654568.

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Objective: We assessed factors influencing quality of life (QoL) in adults with ADHD. Method: QoL, traumatic childhood experiences, and depression were assessed using the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), Childhood Trauma Questionnaire (CTQ), and Beck Depression Inventory (BDI), respectively, in 60 adult ADHD outpatients and 60 age- and gender-matched controls. Results: Emotional neglect or abuse had occurred significantly more often during childhood in adults with ADHD. Depressive symptoms were rated significantly higher by ADHD patients. QoL was significantly lower in adults with ADHD, and the variables depression, ADHD symptom severity, and traumatic load, accounted for ~60% of variance in overall QoL. Conclusion: QoL is significantly reduced in adult ADHD patients. Depressive symptoms and traumatic childhood experiences influence QoL. Treatment for adult ADHD patients should take the high interdependence of depressive symptoms, childhood trauma, and QoL into consideration.
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Monaco, F., A. M. Monteleone, F. Pellegrino, F. De Riso, G. Patriciello, M. Cimino, M. Calvanese, U. Volpe, and P. Monteleone. "Childhood trauma and cortisol awakening response in eating disorders: A dose-dependent trauma effect." European Psychiatry 33, S1 (March 2016): S165. http://dx.doi.org/10.1016/j.eurpsy.2016.01.329.

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IntroductionA role for the hypothalamus-pituitary-adrenal (HPA) axis has been suggested in the pathophysiology of anorexia nervosa (AN) and bulimia nervosa (BN), and childhood trauma experiences have been detected frequently in patients with AN and BN. Since trauma exposure in the childhood may persistently affect HPA axis functioning, we explored HPA axis activity in AN and BN patients with and without childhood trauma history.Objectives and aimsWe aimed to examine possible associations between childhood traumatic experiences and HPA axis functioning, as assessed by the cortisol awakening response (CAR), in adult patients with AN or BN as compared to adult healthy controls.MethodsSaliva samples were collected by 41 patients with symptomatic AN, 32 with symptomatic BN and 45 healthy controls at wakening and after 15, 30 and 60 min. They filled in the Childhood Trauma Questionnaire (CTQ), which assesses five specific types of childhood trauma.ResultsAs compared to the control group, the no-maltreated AN patient group exhibited an enhanced CAR whereas the no-maltreated BN patient group showed a similar CAR. On the contrary, both AN and BN patients with a positive history of childhood maltreatment exhibited statistically significant blunted CAR as compared to no-maltreated patients. Moreover, in maltreated ED patients the CAR tended to decrease when the number of trauma types increased.DiscussionPresent findings confirm a dysregulation of the HPA axis activity in symptomatic patients with AN and BN and suggest a dose-dependent effect of childhood adverse experiences on the CAR of adult ED patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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45

Allen, Jon G., Lolafaye Coyne, and Janis Huntoon. "Trauma Pervasively Elevates Brief Symptom Inventory Profiles in Inpatient Women." Psychological Reports 83, no. 2 (October 1998): 499–513. http://dx.doi.org/10.2466/pr0.1998.83.2.499.

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The Brief Symptom Inventory was administered to 228 women ( M age: 37) consecutively admitted to specialized inpatient treatment for trauma-related disorders. Subsamples of patients were administered different posttraumatic stress disorder scales, the Impact of Events Scale–Revised, the Posttraumatic Stress Diagnostic Scale, and the PTSD scale of the Millon Clinical Multiaxial Inventory–Ill, as well as a measure of child abuse and neglect, the Childhood Trauma Questionnaire. In this severely traumatized group, every scale of the Brief Symptom Inventory was significantly more elevated than the inpatient female norms, with the five most highly elevated scales being Depression, Obsessive-Compulsive, Anxiety, Interpersonal Sensitivity, and Psychoticism. Different indicators of trauma (Childhood Trauma Questionnaire, PTSD scales, and PTSD diagnosis) show different patterns of relationships with the individual scales of the Brief Symptom Inventory. There is no simple relationship between trauma and BSI symptoms, but clinicians should consider severe interpersonal trauma to be one pathway to pervasively elevated profiles of the Brief Symptom Inventory.
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Farina, Anne S. J., Katherine J. Holzer, Matt DeLisi, and Michael G. Vaughn. "Childhood Trauma and Psychopathic Features Among Juvenile Offenders." International Journal of Offender Therapy and Comparative Criminology 62, no. 14 (March 30, 2018): 4359–80. http://dx.doi.org/10.1177/0306624x18766491.

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Despite growing interest in psychopathic personality features in juvenile offenders, few studies have examined the relationship between childhood trauma and psychopathy. The present study utilized two datasets: 253 adolescents in a residential facility for juvenile offenders in Pennsylvania and 723 institutionalized delinquents in Missouri. Zero-order correlations and linear regression techniques were employed for boys and girls to examine the relationships between trauma, assessed using the Massachusetts Youth Screening Instrument Version 2 (MAYSI-2) Traumatic Experiences Scale and the Childhood Trauma Questionnaire (CTQ), and psychopathy as measured by the Youth Psychopathic Traits Inventory (YPI) and the Psychopathic Personality Inventory–Short Form (PPI-SF). Results indicate that psychopathy is significantly correlated with childhood trauma. For the Missouri data, trauma significantly predicted psychopathy scores for both boys and girls. These results suggest that nuanced understanding of traumatic history of these adolescents may not only be a pathway to psychopathy but also a critical part of their overall assessment and treatment plan.
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Spinhoven, Philip, Brenda W. Penninx, Marian Hickendorff, Albert M. van Hemert, David P. Bernstein, and Bernet M. Elzinga. "Childhood Trauma Questionnaire: Factor structure, measurement invariance, and validity across emotional disorders." Psychological Assessment 26, no. 3 (September 2014): 717–29. http://dx.doi.org/10.1037/pas0000002.

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48

Cassiers, Laura L. M., Peter Niemegeers, Erik Fransen, Manuel Morrens, Peter De Boer, Luc Van Nueten, Stephan Claes, Bernard G. C. Sabbe, and Filip Van Den Eede. "Neuroendocrine and Inflammatory Effects of Childhood Trauma Following Psychosocial and Inflammatory Stress in Women with Remitted Major Depressive Disorder." Brain Sciences 9, no. 12 (December 13, 2019): 375. http://dx.doi.org/10.3390/brainsci9120375.

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The dysregulation of the inflammatory and neuroendocrine systems seen in major depressive disorder (MDD) may persist after remission and this is associated with a higher risk of relapse. This vulnerable subgroup may be characterized by a history of childhood trauma. In a single-blind randomized placebo-controlled crossover study, 21 women with remitted recurrent MDD and 18 healthy controls were exposed to psychosocial stress (Trier social stress test) or inflammatory stress (typhoid vaccine), or both, to investigate the effects of childhood trauma on the neuroendocrine and inflammatory responses. Childhood trauma was assessed using the Childhood Trauma Questionnaire and participants were dichotomized into a traumatized and non-traumatized group. Serum adrenocorticotropic hormone (ACTH), cortisol, interferon (IFN)-γ, tumor necrosis factor (TNF)-α, and interleukin (IL)-6 were measured at regular intervals after each intervention. The effects of trauma, time, and intervention on these parameters were modeled by fitting linear mixed models. Childhood trauma in itself did not have a main effect on the outcome measurements. However, an interactional effect of trauma with stressor type was found in the remitted MDD group: trauma was associated with higher cortisol levels only after adding immunological to psychosocial stress, and with lower TNF-α levels in response to vaccination. This suggests the existence of a vulnerable trauma-associated MDD endophenotype.
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Seganfredo, Ana Carolina Gaspar, Mariana Torres, Giovanni Abrahão Salum, Carolina Blaya, Jandira Acosta, Cláudio Eizirik, and Gisele Gus Manfro. "Gender differences in the associations between childhood trauma and parental bonding in panic disorder." Revista Brasileira de Psiquiatria 31, no. 4 (August 7, 2009): 314–21. http://dx.doi.org/10.1590/s1516-44462009005000005.

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OBJECTIVE: The aim of this study is to evaluate the association between childhood trauma and the quality of parental bonding in panic disorder compared to non-clinical controls. METHOD: 123 patients and 123 paired controls were evaluated with the Mini International Neuropsychiatric Interview, the Childhood Trauma Questionnaire and the Parental Bonding Instrument. RESULTS: The Parental Bonding Instrument and the Childhood Trauma Questionnaire were highly correlated. Panic disorder patients presented higher rates of emotional abuse (OR = 2.54, p = 0.001), mother overprotection (OR = 1.98, p = 0.024) and father overprotection (OR = 1.84, p = 0.041) as compared to controls. Among men with panic disorder, only mother overprotection remained independently associated with panic disorder (OR = 3.28, p = 0.032). On the other hand, higher father overprotection (OR = 2.2, p = 0.017) and less father warmth (OR = 0.48, p = 0.039) were independently associated with panic disorder among female patients. CONCLUSION: Higher rates of different types of trauma, especially emotional abuse, are described in panic disorder patients as compared to controls. The differences regarding gender and parental bonding could be explained in the light of the psychodynamic theory.
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Schmidt, Madison R., Angela J. Narayan, Victoria M. Atzl, Luisa M. Rivera, and Alicia F. Lieberman. "Childhood Maltreatment on the Adverse Childhood Experiences (ACEs) Scale versus the Childhood Trauma Questionnaire (CTQ) in a Perinatal Sample." Journal of Aggression, Maltreatment & Trauma 29, no. 1 (October 10, 2018): 38–56. http://dx.doi.org/10.1080/10926771.2018.1524806.

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