Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys
Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age. To examine variation in associations of childhood adv...
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| Vydáno v: | British journal of psychiatry Ročník 211; číslo 5; s. 280 - 288 |
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| Hlavní autoři: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Cambridge, UK
Cambridge University Press
01.11.2017
Royal College of Psychiatrists |
| Témata: | |
| ISSN: | 0007-1250, 1472-1465, 1472-1465 |
| On-line přístup: | Získat plný text |
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| Abstract | Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.
To examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.
Epidemiological data were analysed from the World Mental Health Surveys (
= 27 017).
Four childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity-PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.
Childhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. |
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| AbstractList | Background
Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.
Aims
To examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.
Method
Epidemiological data were analysed from the World Mental Health Surveys (n = 27 017).
Results
Four childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity–PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.
Conclusions
Childhood adversities are differentially associated with PTSD, with the strongest associations in childhood–adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. BackgroundAlthough childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.AimsTo examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.MethodEpidemiological data were analysed from the World Mental Health Surveys (n = 27 017).ResultsFour childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity-PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.ConclusionsChildhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences.BackgroundAlthough childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.AimsTo examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.MethodEpidemiological data were analysed from the World Mental Health Surveys (n = 27 017).ResultsFour childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity-PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.ConclusionsChildhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. Background: Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.AimsTo examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage. Method: Epidemiological data were analysed from the World Mental Health Surveys (n = 27 017).ResultsFour childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity-PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood. Conclusions: Childhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. Although childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age. To examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage. Epidemiological data were analysed from the World Mental Health Surveys ( = 27 017). Four childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR) = 1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity-PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood. Childhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. BackgroundAlthough childhood adversities are known to predict increased risk of post-traumatic stress disorder (PTSD) after traumatic experiences, it is unclear whether this association varies by childhood adversity or traumatic experience types or by age.AimsTo examine variation in associations of childhood adversities with PTSD according to childhood adversity types, traumatic experience types and life-course stage.MethodEpidemiological data were analysed from the World Mental Health Surveys (n = 27017).ResultsFour childhood adversities (physical and sexual abuse, neglect, parent psychopathology) were associated with similarly increased odds of PTSD following traumatic experiences (odds ratio (OR)=1.8), whereas the other eight childhood adversities assessed did not predict PTSD. Childhood adversity–PTSD associations did not vary across traumatic experience types, but were stronger in childhood-adolescence and early-middle adulthood than later adulthood.ConclusionsChildhood adversities are differentially associated with PTSD, with the strongest associations in childhood-adolescence and early-middle adulthood. Consistency of associations across traumatic experience types suggests that childhood adversities are associated with generalised vulnerability to PTSD following traumatic experiences. |
| Author | ten Have, Margreet Navarro-Mateu, Fernando Kessler, Ronald C. Petukhova, Maria Posada-Villa, José Koenen, Karestan C. Aguilar-Gaxiola, Sergio de Girolamo, Giovanni Gureje, Oye Ruscio, Ayelet Meron Demyttenaere, Koen Viana, Maria Carmen Stein, Dan J. Dinolova, Rumyana V. Pennell, Beth-Ellen Borges, Guilherme Karam, Elie G. Sampson, Nancy A. McLaughlin, Katie A. Lee, Sing Liu, Howard Alonso, Jordi Florescu, Silvia Kawakami, Norito Bromet, Evelyn J. Ferry, Finola Piazza, Marina |
| Author_xml | – sequence: 1 givenname: Katie A. surname: McLaughlin fullname: McLaughlin, Katie A. email: mclaughk@uw.edu organization: Department of Psychology, University of Washington, Seattle, Washington, USA – sequence: 2 givenname: Karestan C. surname: Koenen fullname: Koenen, Karestan C. organization: Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA – sequence: 3 givenname: Evelyn J. surname: Bromet fullname: Bromet, Evelyn J. organization: Department of Psychiatry, Stony Brook University School of Medicine, Stony Brook, New York, USA – sequence: 4 givenname: Elie G. surname: Karam fullname: Karam, Elie G. organization: Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut – sequence: 5 givenname: Howard surname: Liu fullname: Liu, Howard organization: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA – sequence: 6 givenname: Maria surname: Petukhova fullname: Petukhova, Maria organization: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA – sequence: 7 givenname: Ayelet Meron surname: Ruscio fullname: Ruscio, Ayelet Meron organization: Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania, USA – sequence: 8 givenname: Nancy A. surname: Sampson fullname: Sampson, Nancy A. organization: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA – sequence: 9 givenname: Dan J. surname: Stein fullname: Stein, Dan J. organization: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Republic of South Africa – sequence: 10 givenname: Sergio surname: Aguilar-Gaxiola fullname: Aguilar-Gaxiola, Sergio organization: Center for Reducing Health Disparities, UC Davis Health System, Sacramento, California, USA – sequence: 11 givenname: Jordi surname: Alonso fullname: Alonso, Jordi organization: IMIM-Hospital del Mar Research Institute, Parc de Salut Mar, Barcelona, Pompeu Fabra University (UPF), Barcelona – sequence: 12 givenname: Guilherme surname: Borges fullname: Borges, Guilherme organization: Instituto Nacional de Psiquiatría, San Lorenzo Huipulco, Mexico – sequence: 13 givenname: Koen surname: Demyttenaere fullname: Demyttenaere, Koen organization: Department of Psychiatry, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium – sequence: 14 givenname: Rumyana V. surname: Dinolova fullname: Dinolova, Rumyana V. organization: National Center of Public Health and Analyses, Sofia, Bulgaria – sequence: 15 givenname: Finola surname: Ferry fullname: Ferry, Finola organization: Bamford Centre for Mental Health and Wellbeing, Ulster University, Coleraine, UK – sequence: 16 givenname: Silvia surname: Florescu fullname: Florescu, Silvia organization: National School of Public Health, Management and Development, Bucharest, Romania – sequence: 17 givenname: Giovanni surname: de Girolamo fullname: de Girolamo, Giovanni organization: Unit of Epidemiological and Evaluation Psychiatry, IRCCS-St. John of God Clinical Research Centre, Brescia, Italy – sequence: 18 givenname: Oye surname: Gureje fullname: Gureje, Oye organization: Department of Psychiatry, University College Hospital, Ibadan, Nigeria – sequence: 19 givenname: Norito surname: Kawakami fullname: Kawakami, Norito organization: Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan – sequence: 20 givenname: Sing surname: Lee fullname: Lee, Sing organization: Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong – sequence: 21 givenname: Fernando surname: Navarro-Mateu fullname: Navarro-Mateu, Fernando organization: Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud, Murcia, IMIB-Arrixaca, Murcia and CIBERESP-Murcia, Murcia, Spain – sequence: 22 givenname: Marina surname: Piazza fullname: Piazza, Marina organization: Universidad Cayetano Heredia; National Institute of Health, Lima, Peru – sequence: 23 givenname: Beth-Ellen surname: Pennell fullname: Pennell, Beth-Ellen organization: Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA – sequence: 24 givenname: José surname: Posada-Villa fullname: Posada-Villa, José organization: Faculty of Social Sciences Colegio Mayor de Cundinamarca University, Bogota, Colombia – sequence: 25 givenname: Margreet surname: ten Have fullname: ten Have, Margreet organization: Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands – sequence: 26 givenname: Maria Carmen surname: Viana fullname: Viana, Maria Carmen organization: Department of Social Medicine, Federal University of Espírito Santo, Vitoria, Brazil – sequence: 27 givenname: Ronald C. surname: Kessler fullname: Kessler, Ronald C. organization: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28935660$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | Copyright © The Royal College of Psychiatrists 2017 The Royal College of Psychiatrists 2017. Cambridge University Press. The published version of the article: McLaughlin KA, Koenen KC, Bromet EJ, Karam EG, Liu H, Petukhova M. et al. Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys. Br J Psychiatry. 2017 Nov;211(5):280-288 is available at https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry. info:eu-repo/semantics/embargoedAccess The Royal College of Psychiatrists 2017. 2017 |
| Copyright_xml | – notice: Copyright © The Royal College of Psychiatrists 2017 – notice: The Royal College of Psychiatrists 2017. – notice: Cambridge University Press. The published version of the article: McLaughlin KA, Koenen KC, Bromet EJ, Karam EG, Liu H, Petukhova M. et al. Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys. Br J Psychiatry. 2017 Nov;211(5):280-288 is available at https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry. info:eu-repo/semantics/embargoedAccess – notice: The Royal College of Psychiatrists 2017. 2017 |
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| SubjectTerms | Abuse Adolescents Adult Survivors of Child Abuse - statistics & numerical data Adult Survivors of Child Adverse Events - statistics & numerical data Adults Adverse childhood experiences Adversity Age Factors Anxiety Associations Child abuse & neglect Child of Impaired Parents - statistics & numerical data Child sexual abuse Childhood Children Columns Epidemiology Global Health - statistics & numerical data Health surveys Health Surveys - statistics & numerical data Humans Infants Life course Life events Mental depression Mental disorders Mental health Mental Health - statistics & numerical data Polls & surveys Post traumatic stress disorder Psychiatry Psychological Trauma - epidemiology Psychopathology Royalties Salut mental Sexual abuse Stress Disorders, Post-Traumatic - epidemiology Trastorn per estrès posttraumàtic Trauma Traumatic life events Victimization Violence Vulnerability |
| Title | Childhood adversities and post-traumatic stress disorder: evidence for stress sensitisation in the World Mental Health Surveys |
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