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Objective: Aesthetic surgeries are increasingly common procedures today, with rhinoplasty being the most frequently performed. The desire for improved appearance is closely linked to an individual's psychological health. It is known that patients seeking rhinoplasty tend to be more anxious and have experienced more negative childhood experiences. However, the impact of personality traits and adverse childhood experiences on the decision to undergo rhinoplasty remains unclear. Methods: The study included 256 individuals, consisting of 106 who had undergone rhinoplasty, 46 considering rhinoplasty, and 104 not considering rhinoplasty. All participants completed the Eysenck Personality Questionnaire Revised Short Form and the Childhood Trauma Questionnaire. Results: Neuroticism increased the likelihood of undergoing rhinoplasty by 16.3%, and this rate rose to 29.3% if a family member had undergone rhinoplasty. Psychoticism increased the likelihood by 15.4%, and the rate increased to 19.1% if no family member had undergone rhinoplasty. Extraversion increased the likelihood by 24.4%, and this rose to 30.9% if a family member had undergone rhinoplasty. Emotional abuse, mediated by neuroticism, increased the likelihood of undergoing rhinoplasty by 5.4%, and this increased to 17.7% if a family member had undergone rhinoplasty. Physical neglect increased the likelihood by 17.9%, and this rate rose to 22% if no family member had undergone rhinoplasty. Conclusion: Our findings indicate that both personality traits and childhood traumas influence the decision to undergo rhinoplasty. These results will serve as an important guide for future research. Level of Evidence II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

Social competence is a key component in engaging and sustaining everyday interactions. As such, it is prudent to identify factors that protect the development of social competence. In the present study, sociability and locus of control were examined as protective factors in two separate three-way interaction models of the effects of childhood physical and emotional neglect on adult social competence. Participants were 405 introductory psychology students from a public Southern California University. Students answered a computerized battery of assessments examining multidomain regulation. In the physical neglect model, a significant three-way interaction was found, such that for those with an internal locus of control, sociability was a protective factor: there was a strong negative relationship between physical neglect and social competence only when sociability was lower (b = −2.763, p =.024). However, for externally controlled individuals, higher sociability acted as a risk factor, strengthening the association between physical neglect and social competence (b = −2.205, p =.037). Childhood neglect has enduring effects in the lives of maltreated individuals, but their effects are not entirely uniform. Individual traits and perceptions can serve as potential intervention targets to mitigate the effects of childhood neglect on important outcomes. [ABSTRACT FROM AUTHOR]

Abstract Background Suboptimal medication adherence is a major reason for failure in the management of major depressive disorder (MDD), childhood trauma might be an essential risk factor of suboptimal medication adherence. This study aimed to comprehensively explore the associations between different types of childhood trauma and medication adherence among patients with MDD, and to test whether resilience has moderating effects on the foregoing associations. Methods Participants were from the Depression Cohort in China (ChiCTR registry number 1900022145), 282 MDD patients with completed both baseline and 12-weeks follow-up investigations were included in this study. The diagnosis of MDD was assessed by trained psychiatrists using the Mini-International Neuropsychiatric Interview (M.I.N.I.). Childhood trauma was evaluated using the Childhood Trauma Questionnaire-28 item Short Form (CTQ-SF), and resilience was evaluated using the Connor-Davidson Resilience Scale (CD-RISC). Demographic characteristics, depression symptoms, anxiety symptoms, suicidal ideation, suicidal attempt, insomnia symptoms, and painful somatic symptoms were also investigated. Participants were divided into groups of optimal and suboptimal adherence based on their Medication Adherence Rating Scale scores. Logistic regression and stratified analyses were performed. Results A total of 234 participants (83%) reported suboptimal medication adherence. After adjusting for covariates, CTQ total scores (AOR = 1.03, 95%CI = 1.01–1.06), CTQ measures of sexual abuse (AOR = 1.17, 95%CI = 1.01–1.37), and CTQ measures of physical neglect (AOR = 1.12, 95%CI = 1.02–1.23) were all associated with an increased likelihood of suboptimal adherence. There were significant moderating effects of resilience on the associations of childhood trauma (P = 0.039) and physical neglect (P = 0.034) with medication adherence. The stratification analyses showed that CTQ total scores and CTQ measures of physical neglect were independently associated with an increased risk of suboptimal adherence among patients with MDD with low-resilience or moderate-resilience, while not significantly associated with suboptimal adherence in those with high-resilience. Conclusion Childhood trauma was a significant risk factor of suboptimal adherence among patients with MDD, and resilience moderated the foregoing association. Obtaining a history of childhood trauma and assessing resilience may help identify patients with suboptimal adherence when providing MDD pharmacotherapy. Psychiatrists may consider enhancing resilience to cope with the adverse effects of childhood trauma on medication adherence.

Introduction: The Self-Medication Hypothesis suggests that individuals drink to alleviate undesirable affective states. Behavioral Economics Theory states that individuals deprived of resources (i.e., physically neglected) consume more reinforcing substances when they are available than others. Childhood trauma may indirectly increase impaired control over alcohol (IC; drinking beyond one's own intentions) and thereby increase alcohol use and problems through the employment of coping-motives. Method: A structural equation model that included sex as a covariate examined mediated paths with 612 university students. Results: Men were less likely to be emotionally abused and were more likely to use greater amounts of alcohol than women did. Physical neglect was directly linked to both more IC and alcohol use. Emotional and sexual abuse were directly linked to more coping motives. Both emotional and sexual abuse were indirectly linked to more alcohol use and its related problems through increased coping motives and IC. Conclusions: Consistent with Behavioral Economics Theory, there was a direct link between physical neglect and IC. We also found partial support for the Self-Medication Hypothesis regarding the emotional and sexual abuse trauma dimensions; they indirectly contributed to alcohol use and its related problems via the mediating mechanisms of more coping motives and IC. Our findings suggest coping motives could be a therapeutic target for intervention among those sexually or emotionally abused. [ABSTRACT FROM AUTHOR]

Psychological trauma occurs when a person suffers from serious threat or loss to his/her life. Childhood psychological trauma can be of various forms such as physical abuse, sexual abuse, emotional abuse, physical neglect, and emotional neglect. Such adverse childhood experiences, if not effectively dealt or resolved, may lead to the development of drug dependence including alcohol dependence syndrome (ADS) in adult life. In many cases, development of ADS is preceded by the occurrence of childhood psychological trauma(s). Such a person with a history of childhood psychological traumas may consume alcohol to cope with his/her trauma-related distress. Alexithymia is a state characterized by a triad of difficulty in identifying one's own feelings, difficulty in differentiating between physical sensations and emotional arousal, and difficulty in explaining one's own feelings to others. Alexithymia has a role in the development of drug dependence including ADS. The number of childhood psychological trauma among persons with ADS was associated with alexithymia in adulthood. Childhood psychological traumas, mainly emotional abuse, might act as a predisposing factor for the development of alexithymia in persons suffering from ADS. This case series presented clinical picture of two individuals with ADS in which both childhood psychological trauma(s) and alexithymia were assessed by using standard and psychometrically valid psychological tools such as Childhood Trauma Questionnaire and Toronto Alexithymia Scale-20 item, respectively. This case series is unique because the assessment of childhood psychological trauma(s) and alexithymia is neglected area in Indian psychiatric research field and detailed ample of literature is not available at present in which the relationship between childhood psychological traumas, alexithymia, and ADS has been assessed. In the present case series, first individual with ADS had clinically significant alexithymia, severe emotional abuse, severe emotional neglect, moderate physical abuse, and moderate physical neglect, while second individual with ADS had no alexithymia but he had moderate-level emotional neglect and mild levels of emotional abuse, physical abuse, and physical neglect.

Background: Suboptimal medication adherence is a major reason for failure in the management of major depressive disorder (MDD), childhood trauma might be an essential risk factor of suboptimal medication adherence. This study aimed to comprehensively explore the associations between different types of childhood trauma and medication adherence among patients with MDD, and to test whether resilience has moderating effects on the foregoing associations. Methods: Participants were from the Depression Cohort in China (ChiCTR registry number 1900022145), 282 MDD patients with completed both baseline and 12-weeks follow-up investigations were included in this study. The diagnosis of MDD was assessed by trained psychiatrists using the Mini-International Neuropsychiatric Interview (M.I.N.I.). Childhood trauma was evaluated using the Childhood Trauma Questionnaire-28 item Short Form (CTQ-SF), and resilience was evaluated using the Connor-Davidson Resilience Scale (CD-RISC). Demographic characteristics, depression symptoms, anxiety symptoms, suicidal ideation, suicidal attempt, insomnia symptoms, and painful somatic symptoms were also investigated. Participants were divided into groups of optimal and suboptimal adherence based on their Medication Adherence Rating Scale scores. Logistic regression and stratified analyses were performed. Results: A total of 234 participants (83%) reported suboptimal medication adherence. After adjusting for covariates, CTQ total scores (AOR = 1.03, 95%CI = 1.01–1.06), CTQ measures of sexual abuse (AOR = 1.17, 95%CI = 1.01–1.37), and CTQ measures of physical neglect (AOR = 1.12, 95%CI = 1.02–1.23) were all associated with an increased likelihood of suboptimal adherence. There were significant moderating effects of resilience on the associations of childhood trauma (P = 0.039) and physical neglect (P = 0.034) with medication adherence. The stratification analyses showed that CTQ total scores and CTQ measures of physical neglect were independently associated with an increased risk of suboptimal adherence among patients with MDD with low-resilience or moderate-resilience, while not significantly associated with suboptimal adherence in those with high-resilience. Conclusion: Childhood trauma was a significant risk factor of suboptimal adherence among patients with MDD, and resilience moderated the foregoing association. Obtaining a history of childhood trauma and assessing resilience may help identify patients with suboptimal adherence when providing MDD pharmacotherapy. Psychiatrists may consider enhancing resilience to cope with the adverse effects of childhood trauma on medication adherence. [ABSTRACT FROM AUTHOR]

Childhood neglect, a prevalent form of child abuse, has significant short-term and long-term consequences on mental health. This scoping review aimed to provide an overview of existing evidence on childhood neglect in relation to emotion regulation in adulthood. Participants were not individually evaluated but we provided future directions for research based on the overview of studies. A systematic search strategy was conducted, resulting in the analysis of 25 selected articles. We performed an inventory of existing evidence to identify knowledge gaps. The review identified the need for future research to differentiate neglect from other forms of child abuse. Longitudinal studies tracking individuals from childhood to adulthood are recommended to understand developmental trajectories and continuity. Diverse samples, with various ages, genders, and (socio-economic) backgrounds, should be included for enhanced generalizability. Geographical representation should be expanded to capture cultural variations in the association between neglect and adult emotion regulation. Furthermore, investigating other psychopathologies beyond depression in relation to neglect and emotion regulation is suggested. Overall, this scoping review highlights the limited knowledge regarding the link between childhood neglect and adult emotion regulation and provides valuable recommendations for advancing research in this field. [ABSTRACT FROM AUTHOR]

In the 2016 International Olympic Committee Consensus Statement on harassment and abuse, it was outlined that psychological abuse in sport research has been heavily focused on the coach–athlete relationship resulting in a lack of research on other members of the athletes' support system such as their 'entourage.' Researchers of abuse have further noted that psychological abuse remains relatively underexplored in comparison to other types of athlete abuses (e.g. sexual abuse). As psychological abuse is one of the most common types of abuse occurring in sporting contexts, it has been flagged as an urgent safeguarding concern. Psychological abuse can be enacted in different ways with many associated behaviours. The present study explored one under-researched issue shown to be entrenched in sport culture – 'body shaming' – and how it constitutes psychological abuse. We also focused on the role of the athlete entourage (i.e. people associated with the athlete) in relation to psychological abuse through the body shaming of athletes. Using thematic analysis, three female athletes' stories showed how they were subjected to psychological abuse from members of their entourage when their bodies failed to meet socio-cultural expectations (i.e. too fat, not 'slim to win'). While it was not the central focus of our research, the athletes also explained how they were subjected to physical abuse and physical neglect from entourage members when they were perceived to be overweight or too fat. The athlete entourage members found to be perpetrators of abuse and physical neglect included the coach, the parent, the partner, and the manager. This research provides novel insight into how abuse is circulating through sporting contexts, and in so doing, generates knowledge for prevention and intervention initiatives in sport. [ABSTRACT FROM AUTHOR]

Background: Childhood neglect is a risk factor for subsequent mental health problems. However, research on the unique contribution of emotional and physical subtypes of neglect is lacking. Importantly, if emotional and physical neglect have different impacts on mental health, they must be examined separately to understand how to prevent and treat their effects. Objective: This study aimed to examine associations of emotional and physical neglect with depression, anxiety, stress, alcohol and drug use in 18- to 20-year-olds. Methods: Participants (N = 569, mean age = 18.9, 70% female) responded in an online survey to questions on childhood emotional and physical neglect, childhood abuse, symptoms of depression, anxiety and stress, and alcohol and drug use and problems. Procedures were approved by the University of Sydney Human Ethics Committee. Hierarchical linear regressions were performed, controlling for socio-demographic characteristics and other adverse childhood experiences. Results: Combined neglect was associated with depression (B = 2.895, p < 0.001), anxiety (B = 1.572, p = 0.003) and stress (B = 1.781, p = 0.001). However, a second model entering emotional and physical neglect as separate exposures revealed emotional neglect was driving this association with depression (B = 2.884, p < 0.001), anxiety (B = 1.627, p = 0.001) and stress (B = 1.776, p = 0.001), and that physical neglect was not associated with any outcome. Neither emotional nor physical neglect were associated with alcohol or drug use. Conclusion: Emotional neglect is a risk factor for mental health problems in early adulthood. Research that combines emotional and physical neglect into a single exposure may be obscuring relationships with mental health. Mental health prevention and treatment must screen for, and address, emotional neglect. [ABSTRACT FROM AUTHOR]

Psychological trauma occurs when a person suffers from serious threat or loss to his/her life. Childhood psychological trauma can be of various forms such as physical abuse, sexual abuse, emotional abuse, physical neglect, and emotional neglect. Such adverse childhood experiences, if not effectively dealt or resolved, may lead to the development of drug dependence including alcohol dependence syndrome (ADS) in adult life. In many cases, development of ADS is preceded by the occurrence of childhood psychological trauma(s). Such a person with a history of childhood psychological traumas may consume alcohol to cope with his/her trauma-related distress. Alexithymia is a state characterized by a triad of difficulty in identifying one’s own feelings, difficulty in differentiating between physical sensations and emotional arousal, and difficulty in explaining one’s own feelings to others. Alexithymia has a role in the development of drug dependence including ADS. The number of childhood psychological trauma among persons with ADS was associated with alexithymia in adulthood. Childhood psychological traumas, mainly emotional abuse, might act as a predisposing factor for the development of alexithymia in persons suffering from ADS. This case series presented clinical picture of two individuals with ADS in which both childhood psychological trauma(s) and alexithymia were assessed by using standard and psychometrically valid psychological tools such as Childhood Trauma Questionnaire and Toronto Alexithymia Scale-20 item, respectively. This case series is unique because the assessment of childhood psychological trauma(s) and alexithymia is neglected area in Indian psychiatric research field and detailed ample of literature is not available at present in which the relationship between childhood psychological traumas, alexithymia, and ADS has been assessed. In the present case series, first individual with ADS had clinically significant alexithymia, severe emotional abuse, severe emotional neglect, moderate physical abuse, and moderate physical neglect, while second individual with ADS had no alexithymia but he had moderate-level emotional neglect and mild levels of emotional abuse, physical abuse, and physical neglect. [ABSTRACT FROM AUTHOR]

This research analyzes the executive functions in minors between 7 and 16 years of age who have suffered physical abuse and neglect, as well as minors in residential care centers with other measures of protection. Most studies focus on the neurobiological consequences of the abuse, and mainly at an early age. However, there are very few studies that analyze the executive functions of victims of child abuse, while also taking into account the type of abuse suffered. This study aims to identify whether the consequences of child abuse for the executive functions are different for those minors who have been victims of physical abuse and neglect, in comparison with minors with other protective measures. The participants were 44 minors who had suffered child abuse and 24 minors with other protective measures, distinct from abuse. Three neuropsychological tests were used: (a) the Five Digits Test (FDT), (b) the Behavioral Assessment of the Dysexecutive Syndrome in Children (BADS-C), and (c) the Wechsler Intelligence Scale for Children–V (WISC-V). The results showed difficulties in those minors who had been victim of physical abuse and neglect, in their cognitive flexibility capabilities, inhibitory control, the ability to take decisions, the ability to organize and plan their behavior, control of emotions, and attention control. It was the minors who were victims of physical neglect that showed the greatest difficulties in their executive functions. The results of the study will permit us to design an educational intervention in the residential care centers that can encourage advances in the affected areas through the setting up of different strategies to favor the stimulation, reinforcement, and rehabilitation of the executive functions. [ABSTRACT FROM AUTHOR]

Background: Due to the increase in abuse and neglect cases in recent years, the purpose of this study was to assess child abuse and neglect of patients who were hospitalized and followed up in our pediatric intensive care unit (PICU). Methods: A total of 34 abuse and neglect patients who were admitted to the PICU from August 2020 to March 2021 were included retrospectively in the study. Patients’ clinical and demographic characteristics were obtained from our hospital’s patient record system (HIS). Comorbidities and the mental status of the patients, affected systems, treatments, and outcomes were extracted. Results: In this study, 44.1% (n: 15) of the patients were male and 55.9% (n: 19) were female. Physical neglect such as foreign body aspiration, malnutrition, electrocution, drowning, traffic accident, and body collision was detected in 14 (41.2%) patients. Emotional neglect (taking drugs, alcohol, or suicide) was found in 19 (55.9%) of our patients. Only 1 (2.9%) patient presented with physical abuse. Conclusions: Perception of neglect varies among different cultures. Any infant or child who is admitted to the PICU with a history that is not consistent, a history of delay in seeking medical attention, a previous history of abuse or suspected abuse, or the absence of the primary caretaker at the appearance of illness should signal possible abuse. Health-care professionals should give more attention to these patients to prevent the overlooking and recurrence of neglect and abuse cases due to the intense work tempo in the PICU. [ABSTRACT FROM AUTHOR]

Introduction: The Self-Medication Hypothesis suggests that individuals drink to alleviate undesirable affective states. Behavioral Economics Theory states that individuals deprived of resources (i.e., physically neglected) consume more reinforcing substances when they are available than others. Childhood trauma may indirectly increase impaired control over alcohol (IC; drinking beyond one’s own intentions) and thereby increase alcohol use and problems through the employment of coping-motives. Method: A structural equation model that included sex as a covariate examined mediated paths with 612 university students. Results: Men were less likely to be emotionally abused and were more likely to use greater amounts of alcohol than women did. Physical neglect was directly linked to both more IC and alcohol use. Emotional and sexual abuse were directly linked to more coping motives. Both emotional and sexual abuse were indirectly linked to more alcohol use and its related problems through increased coping motives and IC. Conclusions: Consistent with Behavioral Economics Theory, there was a direct link between physical neglect and IC. We also found partial support for the Self-Medication Hypothesis regarding the emotional and sexual abuse trauma dimensions; they indirectly contributed to alcohol use and its related problems via the mediating mechanisms of more coping motives and IC. Our findings suggest coping motives could be a therapeutic target for intervention among those sexually or emotionally abused.

Objectives: This study aimed to investigate the effect of childhood trauma, especially its specific dimensions, and clinical risk factors for suicidal ideation in patients with schizophrenia. Methods: A total of 83 inpatients with schizophrenia were enrolled and divided into two groups: with suicidal ideation (n = 33) and without suicidal ideation (n = 50). All participants were administered the Childhood Trauma Questionnaire-Short Form, the Insomnia Severity Index, the Beck Scale for Suicide Ideation, the Modified Overt Aggression Scales, the auditory hallucination rating scale, the Hamilton Rating Scale of Depression and the Positive and Negative Syndrome Scale. Results: In our sample, 39.8% of the subjects had suicidal ideation, and 60.6% of them had suffered from childhood trauma. Patients with suicidal ideation had a higher Insomnia Severity Index score, Physical neglect score, the Childhood Trauma Questionnaire-Short Form total score (all P < 0.05) compared to those without. The logistic regression analysis revealed that physical neglect in Childhood Trauma Questionnaire was significantly associated with suicidal ideation (OR = 5.46, P < 0.05, 95% CI = 0.007–0.483). Further stepwise multiple linear regression identified that insomnia (β = 0.272, P = 0.011) and physical neglect (β = 0.257, P = 0.017) were strong risk factors for the severity of suicidal ideation in patients with schizophrenia. Mediation analysis showed that insomnia played a complete mediating role between physical neglect and suicidal ideation. Conclusion: Our results indicate that childhood maltreatment of physical neglect is a strong independent risk factor for suicidal ideation in schizophrenia. The risk is probably aggravated by the poor quality of sleep. Early screening and psychosocial treatment are recommended for psychotic individuals with a trauma history. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to investigate the effect of childhood trauma, especially its specific dimensions, and clinical risk factors for suicidal ideation in patients with schizophrenia.Methods: A total of 83 inpatients with schizophrenia were enrolled and divided into two groups: with suicidal ideation (n = 33) and without suicidal ideation (n = 50). All participants were administered the Childhood Trauma Questionnaire-Short Form, the Insomnia Severity Index, the Beck Scale for Suicide Ideation, the Modified Overt Aggression Scales, the auditory hallucination rating scale, the Hamilton Rating Scale of Depression and the Positive and Negative Syndrome Scale.Results: In our sample, 39.8% of the subjects had suicidal ideation, and 60.6% of them had suffered from childhood trauma. Patients with suicidal ideation had a higher Insomnia Severity Index score, Physical neglect score, the Childhood Trauma Questionnaire-Short Form total score (all P < 0.05) compared to those without. The logistic regression analysis revealed that physical neglect in Childhood Trauma Questionnaire was significantly associated with suicidal ideation (OR = 5.46, P < 0.05, 95% CI = 0.007–0.483). Further stepwise multiple linear regression identified that insomnia (β = 0.272, P = 0.011) and physical neglect (β = 0.257, P = 0.017) were strong risk factors for the severity of suicidal ideation in patients with schizophrenia. Mediation analysis showed that insomnia played a complete mediating role between physical neglect and suicidal ideation.Conclusion: Our results indicate that childhood maltreatment of physical neglect is a strong independent risk factor for suicidal ideation in schizophrenia. The risk is probably aggravated by the poor quality of sleep. Early screening and psychosocial treatment are recommended for psychotic individuals with a trauma history.

Psychological traumas may occur during childhood in the form of physical abuse, sexual abuse, emotional abuse, physical neglect, and/or emotional neglect. Trauma may be experienced when a person experiences serious loss or his/her life is under grave threat. If such traumatic event is neither dealt effectively nor resolved completely, it may predispose such a person to development of mental health issues such as drug dependence including alcohol dependence syndrome (ADS). Persons who experience or suffer from childhood psychological trauma tend to consume alcohol in order to cope with their trauma related experiences. Hence, generally, onset of alcohol dependence is preceded by the occurrence of childhood psychological trauma(s). Childhood psychological trauma especially emotional abuse acts as a risk factor for the development of alexithymia in later life among persons with alcohol dependence. Alexithymia is a state of emotional dysregulation, which is characterized by the triad of difficulty in identifying one's own feelings, difficulty in distinguishing between the physical sensation and emotional arousal, and difficulty in explaining one's own feelings to others, which is known as externally oriented style of thinking. Alexithymia is itself a risk factor for the development of ADS. Thus, both childhood psychological trauma(s) and alexithymia play a significant role in the development of ADS. Findings of the present study showed that childhood psychological trauma(s), alexithymia, and ADS are interconnected. The present study findings conclude that significant relationship exists between childhood psychological traumas, alexithymia, and ADS. [ABSTRACT FROM AUTHOR]

Substantial evidence indicates that experiencing physical abuse and neglect during childhood significantly elevates the likelihood of developing depression in adulthood. Nevertheless, there remains a dearth of understanding regarding the mechanisms underpinning this correlation. In this study, we aimed to examine the associations of childhood physical abuse and physical neglect with depression using follow-up data from UK Biobank and quantified the contribution of smoking, insomnia, and BMI in these associations. This study included 144,704 participants (64,168 men and 80,536 women) from UK Biobank, most of whom were white (97 %). Physical abuse and physical neglect were measured using two items of Childhood Trauma Screener (CTS). Data on the incidence of depression were obtained from primary care, hospital inpatient records, self-reported medical conditions, and death registries. We used a sequential mediation analysis based on the "g-formula" approach to explore the individual and joint effects of potential mediators. The depression incidence rate was 1.85 per 1000 person-years for men and 2.83 per 1000 person-years for women, respectively. Results of Cox proportional risk regression showed that physical abuse (HRs: 1.39–1.53, P < 0.001) and physical neglect (HRs: 1.43–1.60, P < 0.001) are associated with depression. Smoking, insomnia, and BMI together mediated 3 %–26 % of the associations. These findings contribute to our understanding of how physical abuse and physical neglect influence depression. Furthermore, a more effective reduction in the burden of depression can be achieved by managing modifiable mediators. • Large sample data from UK Biobank reduced the probability of random error. • Sequential mediation methods can be used to quantify effects of mediators and adjust for exposure-affected confounders. • Quantification of pathway effects facilitated the development of more cost-effective interventions. [ABSTRACT FROM AUTHOR]

Introduction In 2017, the third cyclical study on the scale of domestic violence against schoolchildren and youth in one of the rural communes of the Western Pomerania (Poland) was carried out. The study took into account five forms of violence: mental, physical, neglect, economic and sexual. Previous two editions of the study covered urban-rural (2016) and urban gminas (2015). Material and methods The research concept was implemented by means of the representative research method, with the use of auditing questionnaire interview technique, based on a research tool developed on the basis of a number of previous qualitative research and quantitative tests to measure the social scale of domestic violence. Results Domestic violence against minors reaches 48.2% in the rural area under study, 51.8% in the urban-rural area and 65.5% in the urban area. In all types of areas the most frequent form of violence is psychological violence, it affects 42.4% of children in rural gminas, 51.3% in urban-rural and 60.5% in urban gminas. In reference to other, less frequent forms of violence, there is also a difference in scale due to the area type. Conclusions The incidence of individual forms of domestic violence varies depending on the type of area: Psychological violence: rural areas – 42.4%, urban-rural – 51.3%, urban areas – 60.5%; Neglect: rural areas – 21.1%, urban-rural – 13.5%, urban areas – 22.3%; Physical violence: rural areas – 17.1%, urban-rural – 20.7%, urban areas – 29.4%; Economic violence: rural areas – 12.6%, urban-rural – 19.2%, urban areas – 29.3%; Sexual violence: rural areas – 3.2%, urban-rural – 3.6%, urban areas – 8.1%.

Childhood maltreatment (CM), including emotional, physical, and sexual abuse and emotional and physical neglect, is associated with severity of borderline personality disorder (BPD). However, knowledge on the impact of CM on treatment response is scarce. The authors investigated whether self-reported CM or one of its subtypes affected treatment retention, depressive symptoms, and impulsivity throughout short-term intensive dialectical behavior therapy (I-DBT) in 333 patients with BPD. Data were analyzed with linear and logistic regressions and linear mixed models, using a Bayesian approach. Patients who reported childhood emotional abuse had a higher dropout rate, whereas it was lower in patients who reported childhood emotional neglect. Emotional neglect predicted a greater decrease of depressive symptoms, and global CM predicted a greater decrease of impulsivity. The authors concluded that patients with BPD who experienced CM might benefit from I-DBT in specific symptom domains. Nonetheless, the impact of emotional abuse on higher dropout needs to be considered. [ABSTRACT FROM AUTHOR]

Introduction: Psychological trauma may occur when an individual suffers from serious loss or his/her life is under serious threat. If such traumatic experience is failed to be resolved, it may lead to drug misuse including alcohol dependence. Early childhood trauma may predispose an individual to mental health issues, including development of alcohol dependence later in life. Childhood trauma includes various forms like emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect. Those who experience and suffer from earlylife trauma may consume alcohol to cope with trauma related symptoms. In general, onset of trauma precedes onset of alcohol dependence. Childhood trauma can act as preceding factor for alexithymia. Childhood emotional abuse might be a risk factor for alexithymia among inpatient alcohol dependents. Aim: Present synopsis aims at finding out relationship between childhood trauma and alexithymia in persons diagnosed with Alcohol Dependence Syndrome (ADS). Materials and Methods: The study would be a case control study. It will be conducted at tertiary healthcare centre from central rural India. Study participants will be selected from psychiatry inpatients with diagnosis of ADS. The study will include total 110 persons of which 55 will belong to “case” group and 55 will belong to “control” group, both including persons between age group of 18-45 years who fulfill International Classification of Mental and Behavioural Disorders 10th revision Diagnostic Criteria for Research (ICD 10 DCR) and diagnostic criteria for ADS. Conclusion: The study expect to find significant relationship between childhood traumatic experiences and alexithymia among the persons with ADS.

BackgroundChildhood trauma is a risk factor for psychosis as well for violent behavior and offending later in life. Childhood trauma comprises subdomains of abuse and neglect that may be differently related to later violence among patients with schizophrenia. The aim of this study was to map the subdomains of childhood trauma associated with violent offending in schizophrenia.MethodsInformation on childhood trauma from predominantly male patients with a DSM-IV diagnosis of schizophrenia and a history of violent offending (interpersonal violence) (SCZ-V, n = 19), schizophrenia patients without a history of violence (SCZ-NV, n = 34), and healthy controls (HC, n = 66) was obtained with the Childhood Trauma Questionnaire (CTQ). Differences between groups in total maltreatment scores and the five subdomains including physical, emotional, and sexual abuse, as well as physical and emotional neglect were analyzed.ResultsSCZ-V had the highest median CTQ scores for all sub-domains. SCZ-V reported significantly higher total CTQ scores than SCZ-NV and HC. SCZ-V had significantly higher scores than HC on all subdomains, and significantly higher than SCZ-NV on physical and emotional neglect. SCZ-NV had higher scores on all domains except sexual abuse compared to HC.ConclusionSCZ-V patients had higher exposure to childhood trauma than SCZ-NV, and both schizophrenia groups had higher exposure than HC. The results suggest that childhood physical and emotional neglect may be of specific importance to later violence in schizophrenia.

Dental neglect can be an indicator of general child neglect. Inadequately treated dental disease may have significant long-term impacts on the physical and psychological well-being of children. Primary care providers play a critical role in the prevention of dental neglect, and should be aware of the manifestations of dental caries and dental trauma. When diagnosing dental neglect, health professionals should ensure the child's caregivers have demonstrated an understanding of the condition, its consequences, and the recommended treatment and then failed to comply with the treatment. Attempts should be made to eliminate any barriers preventing caretakers from complying with professional advice. Dental neglect is a form of child maltreatment and, if suspected, should be reported to the appropriate child protective agencies. [ABSTRACT FROM AUTHOR]

Introduction: Psychological trauma may occur when an individual suffers from serious loss or his/her life is under serious threat. If such traumatic experience is failed to be resolved, it may lead to drug misuse including alcohol dependence. Early childhood trauma may predispose an individual to mental health issues, including development of alcohol dependence later in life. Childhood trauma includes various forms like emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect. Those who experience and suffer from early-life trauma may consume alcohol to cope with trauma related symptoms. In general, onset of trauma precedes onset of alcohol dependence. Childhood trauma can act as preceding factor for alexithymia. Childhood emotional abuse might be a risk factor for alexithymia among inpatient alcohol dependents. Aim: Present synopsis aims at finding out relationship between childhood trauma and alexithymia in persons diagnosed with Alcohol Dependence Syndrome (ADS). Materials and Methods: The study would be a case control study. It will be conducted at tertiary healthcare centre from central rural India. Study participants will be selected from psychiatry inpatients with diagnosis of ADS. The study will include total 110 persons of which 55 will belong to “case” group and 55 will belong to “control” group, both including persons between age group of 18-45 years who fulfill International Classification of Mental and Behavioural Disorders 10th revision Diagnostic Criteria for Research (ICD 10 DCR) and diagnostic criteria for ADS. Conclusion: We expect to find significant relationship between childhood traumatic experiences and alexithymia among the persons with ADS. [ABSTRACT FROM AUTHOR]

Background: Childhood trauma is a risk factor for psychosis as well for violent behavior and offending later in life. Childhood trauma comprises subdomains of abuse and neglect that may be differently related to later violence among patients with schizophrenia. The aim of this study was to map the subdomains of childhood trauma associated with violent offending in schizophrenia. Methods: Information on childhood trauma from predominantly male patients with a DSM-IV diagnosis of schizophrenia and a history of violent offending (interpersonal violence) (SCZ-V, n = 19), schizophrenia patients without a history of violence (SCZ-NV, n = 34), and healthy controls (HC, n = 66) was obtained with the Childhood Trauma Questionnaire (CTQ). Differences between groups in total maltreatment scores and the five subdomains including physical, emotional, and sexual abuse, as well as physical and emotional neglect were analyzed. Results: SCZ-V had the highest median CTQ scores for all sub-domains. SCZ-V reported significantly higher total CTQ scores than SCZ-NV and HC. SCZ-V had significantly higher scores than HC on all subdomains, and significantly higher than SCZ-NV on physical and emotional neglect. SCZ-NV had higher scores on all domains except sexual abuse compared to HC. Conclusion: SCZ-V patients had higher exposure to childhood trauma than SCZ-NV, and both schizophrenia groups had higher exposure than HC. The results suggest that childhood physical and emotional neglect may be of specific importance to later violence in schizophrenia. [ABSTRACT FROM AUTHOR]

Childhood maltreatment (CM) is experienced by ∼40% of all children at major personal and societal costs. The divergent associations between emotional, physical, and sexual abuse or neglect in childhood and differences in adult emotional functioning and regulation were examined in terms of daily emotion intensity, variability, instability, inertia, and diversity, reported over 30 days by 290 Dutch aged 19-73. Participants described their abuse/neglect experiences retrospectively using the Childhood Trauma Questionnaire (CTQ). Dissecting CM effects on adult emotion dynamics may inform theories on the ontogenesis and functioning of emotions, on effects of abuse and neglect, to better understand (dys)functional emotional development, and to prevent their adverse sequelae. Structural equation models (SEM) showed that most types of CM were associated with specific patterns of emotion dynamics, and only emotional abuse had no unique effects on the emotional dynamic indices. Emotional neglect was associated with most measures of emotion dynamics (i.e., less intense, variable, unstable, and diverse emotions). Sexual abuse associated with increases and physical neglect decreases in negative affect variability and instability. Physical abuse was associated with inertia but with a small effect size. Social contact frequency did not mediate much of the relationship between CM types and emotion dynamics.

Introduction. In 2017, the third cyclical study on the scale of domestic violence against schoolchildren and youth in one of the rural communes of the Western Pomerania (Poland) was carried out. The study took into account five forms of violence: mental, physical, neglect, economic and sexual. The previous two editions of the study covered urban-rural (2016) and urban communities (2015). Materials and method. The research concept was implemented by means of the representative research method, using an auditing questionnaire interview technique, based on a research tool developed on the basis of a number of previous qualitative research and quantitative tests to measure the social scale of domestic violence. Results. Domestic violence against minors reaches 48.2% in the rural area under study, 51.8% in the urban-rural area and 65.5% in the urban area. In all types of areas, the most frequent form of violence was psychological violence, it affects 42.4% of children in rural communitys, 51.3% in urban-rural and 60.5% in urban municipalities. In reference to other, less frequent forms of violence, there was also a difference in scale according to the area type. Conclusions. The incidence of individual forms of domestic violence varied depending on the type of area: Psychological violence: rural areas – 42.4%, urban-rural – 51.3%, urban areas – 60.5%; Neglect: rural areas – 21.1%, urban-rural – 13.5%, urban areas – 22.3%; Physical violence: rural areas – 17.1%, urban-rural – 20.7%, urban areas – 29.4%; Economic violence: rural areas – 12.6%, urban-rural – 19.2%, urban areas – 29.3%; Sexual violence: rural areas – 3.2%, urban-rural – 3.6%, urban areas – 8.1%. [ABSTRACT FROM AUTHOR]

Abstract Objective: Left-behind children have a high incidence of behavioral problems in some Eastern countries, especially China. We sought to assess the combined effects of physical neglect, a major embodiment of the left-behind phenomenon, and the trauma of being left behind on subsequent behavioral problems. Method: 776 children (including 600 left-behind children) aged 12–16 years were chosen by cluster sampling in rural China. The Childhood Trauma Questionnaire-Short Form and the Conners Teacher Rating Scale were used to evaluate physical neglect and behavioral problems. Results: Left-behind children experienced more physical neglect (mean difference = 0.63; 95%CI 0.15–1.10; P = 0.01) and were more inattentive (mean difference=0.11; 95%CI 0.03–0.19; P = 0.009) than non-left-behind children. Physically neglected left-behind children had higher scores for conduct problems, inattention, and hyperactivity index than non-left-behind without physical neglect group (P < 0.05 for each). Among left-behind children, physical neglect group had significantly more conduct problems than those of controls (mean difference=0.14; 95%CI 0.05–0.23; P = 0.008). Physically neglected non-left-behind children had higher scores for conduct problems than those of left-behind children without physical neglect (mean difference=0.31; 95%CI 0.13–0.47; P = 0.003). Among physically neglected children, left-behind children had significantly higher scores for inattention than those of non-left-behind children (mean difference=0.13; 95%CI 0.04–0.22; P = 0.037). Conclusion: Left-behind children have more behavioral problems than non-left-behind children. Physical neglect may result in more severe conduct problems than those associated with staying behind, and staying behind may lead to inattention. Exposure to both may lead to more obvious behavioral problems. Therefore, we should accord more attention to physically neglected and left-behind children. [ABSTRACT FROM AUTHOR]

Objective. The aim of the study was to verify psychometric properties of the Czech version of Childhood Trauma Questionnaire (CTQ) in a representative sample of the Czech Republic and to assess sociodemographic differences in various types of trauma across different groups of the Czech population. Methods. A cross-sectional study (N=1000, mean age 46.0, 48.6% men) collected data using the CTQ. Medians and quartiles were used to assess the data, non-parametric tests were used to test the differences between groups. The dimensional structure was tested by confirmatory and exploratory factor analyses. Results. All subscales of the CTQ correlated moderately. The exploratory and confirmatory factor analyses showed the suitability of the original 5-factor solution. The internal consistency of the CTQ subscales was very good (a ranged from .817 to .922), except physical neglect with questionable consistency (a= .642). According to the empirically derived cut off score, emotional abuse (EA) was found in 20.2%, physical abuse (PA) in 18%, sexual abuse (SA) in 9.7%, emotional neglect (EN) in 15.6% and physical neglect (PN) in 37.2% of the Czech population, with 24.5% of respondents with one type of trauma experience and 23.8% with multiplex traumatisation. People living alone had a significantly higher occurrence of EA, EN and PN. People with primary school education had a significantly higher occurrence of EN and PN compared to those with higher education. Disability was significantly associated with the occurrence of EA. The incidence of SA was significantly associated with living alone and achieved primary education. Limitations. Data collection method (a standardised face to face interview) could affect the social desirability of answers as well as sensitivity to emotionally demanding items. [ABSTRACT FROM AUTHOR]

Child neglect, whether intentional or unintentional on the part of caregivers, has serious and far-reaching negative consequences for children. Neglect is the most prevalent form of child maltreatment and has been associated with impaired cognitive development, changes in brain structure and nervous systems, behavioral and personality disorders and poor academic performance. However, the role of child neglect, and subtypes of neglect, in the development of adult violent behavior is not well understood. The “cycle of violence” hypothesis, which predicts that individuals exposed to child physical abuse are more likely to be physically violent in adulthood, is well supported by the literature. However, a growing number of studies suggests that child neglect may be equally predictive, or more predictive, of adult violent behavior than child physical abuse. The present review considers a range of studies that investigate aspects of this relationship, and identifies key patterns and trends that have emerged from these investigations. Methodological issues and limitations of the existing literature are also identified and new research directions suggested. This review also considers studies that support the possibility of protective factors against the development of adult violent behavior in victims of child neglect. [ABSTRACT FROM AUTHOR]

Childhood trauma is an environmental risk factor for bipolar disorder (BD), But its influence on the clinical features of BD has not been examined sufficiently. We compared the childhood trauma between patients with BD and healthy controls (HCs) and determined how childhood trauma impacts clinical features, such as severity, mood episodes, and disease duration. The study population comprised patients with BD (in a state of euthymia or depression, n = 90) and HCs (n = 94). The Structured Clinical Interview for DSM-IV Axis I Disorders was used to diagnose BD and ascertain its clinical features. The Childhood Trauma Questionnaire (CTQ) was used to assess childhood trauma. The total CTQ score and scores for the CTQ subscales emotional abuse, sexual abuse, emotional neglect, and physical neglect, significantly differed between the BD and HC groups. Emotional abuse was correlated with higher Hamilton Anxiety Rating Scale (HARS) score and more frequent mood episodes; emotional neglect was correlated with higher HARS score, longer disease duration, and more mood episodes; and total CTQ score was positively correlated with HARS score, disease duration, and mood episodes. Regression analysis showed that emotional neglect significantly predicted HARS score, Hamilton Depression Rating Scale score, and disease duration in the BD group (P < 0.05). Patients with BD have more serious childhood trauma. General childhood trauma, emotional abuse, and emotional neglect negatively affect the clinical features of BD. • Patients with bipolar disorder (BD) have more childhood trauma. Different trauma contribute to the clinical features of BD. • Emotional abuse neglect were correlated with higher Hamilton Anxiety Rating Scale (HARS) score and more mood episodes. • Emotional neglect significantly predicted HARS score, Hamilton Depression Rating Scale score, and disease duration of BD. [ABSTRACT FROM AUTHOR]

Background: Much of the research on anxiety disorders has focused on associated risk factors with less attention paid to factors such as resilience that may mitigate risk or offer protection in the face of psychopathology.Objective: This study sought to compare resilience in individuals with posttraumatic stress disorder (PTSD) and social anxiety disorder (SAD) relative to age-, gender- and education- matched individuals with no psychiatric disorder. We further assessed the correlation of resilience scores with childhood trauma severity and type.Method: The sample comprised of 93 participants, 40 with SAD with childhood trauma), 22 with PTSD with childhood trauma, and 31 with no psychiatric disorder (i.e., healthy matched controls). Participants were administered the Mini-International Neuropsychiatric Interview (MINI), Liebowitz Social Anxiety Scale (LSAS), Clinician-Administered PTSD Scale (CAPS), Childhood Trauma Questionnaire—Short Form (CTQ-SF), and the Connor-Davidson Resilience Scale (CD-RISC). The mean age of participants was 34 years (SD = 11). 52 Participants were female (55.9%) and 54 Caucasian (58.1%). Analysis of variance was used to assess for significant group differences in resilience scores. Non-parametric correlation analyses were conducted for resilience and different types of childhood trauma.Results: There were significant differences in resilience between the SAD and PTSD groups with childhood trauma, and controls. Both disorder groups had significantly lower levels of resilience than healthy controls. No significant correlation was found between total resilience scores and childhood trauma scores in the childhood trauma (SAD and PTSD) groups. However, in the combined dataset (SAD, PTSD, healthy controls), significant negative correlations were found between resilience scores and emotional abuse, emotional neglect, and total childhood trauma scores.Conclusions: Patients who have PTSD and SAD with childhood trauma appear to be significantly less resilient than those with no disorder. Assessing and addressing resilience in these disorders, particularly when childhood trauma is present, may facilitate long-term recovery and warrants further investigation.

The mechanisms through which childhood neglect leads to disordered eating behaviors are not wellunderstood, and these phenomena have been particularly understudied in men. The current study examined the associations between physical and emotional neglect occurring in childhood and 2 types of disordered eating symptoms (binge eating and drive for muscularity) among college men and women. Specifically, it was hypothesized that the relations between childhood physical and emotional neglect and eating disorder symptoms would be mediated by alexithymia. Participants (N = 1344) completed self-report measures through an online system. Four moderated mediation models were tested to examine our proposed mediation model in the context of potential gender differences. Consistent with prediction, our analyses revealed significant associations between childhood physical and emotional neglect and 2 types of disordered eating symptoms, and alexithymia mediated these relationships. Contrary to our hypothesis, gender moderated the relationship between alexithymia and binge eating, but not drive for muscularity. Childhood neglect, both physical and emotional, was associated with higher levels of binge eating in women, but not men. These findings suggest that the experience of neglect in early childhood may be related to certain types of eating disorder symptoms through its impact on the ability to identify, experience, and express one's own emotions. [ABSTRACT FROM AUTHOR]

This secondary data analysis examined the risk and protective factor(s) associated with physical neglect within a sample of impoverished children. We conducted a multivariate logistic regression analysis to examine the associations among maternal age, child gender, caregiver depression, caregiver history of maltreatment, income-to-needs ratio, number of children in the home, marital status, neighborhood quality, and physical neglect. Social support was explored as a potential moderator. Among this impoverished sample, children whose caregivers had depression were 2.03 times as likely to experience physical neglect as children whose caregivers were not depressed (95% CI 1.25, 3.30; p = 0.004). Children whose caregivers reported experiencing child maltreatment were 1.81 times as likely to experience physical neglect as children whose caregivers did not experience maltreatment as a child (95% CI 1.17, 2.81; p = 0.008). Children who live in higher quality neighborhoods were 0.74 times as likely to experience physical neglect as children who live in lower quality neighborhoods (95% CI 0.57, 0.96; p = 0.03). No other significant relationships were found. [ABSTRACT FROM AUTHOR]

Individuals with eating disorders (EDs) often report a history of early traumatization. Although great attention has been paid to certain types of trauma, such as sexual and emotional abuse, less is known about the occurrence of childhood neglect in individuals with EDs. The aim of the present meta-analysis was to provide an estimate of the prevalence of childhood emotional neglect (EN) and physical neglect (PN) in individuals with EDs. A systematic literature search, a critical appraisal of the collected studies, and a meta-analysis were conducted. An electronic search of EMBASE, PsycINFO, PubMed, and the Cochrane Library from the inception of these databases up to July 2015 was performed. The final meta-analyzed data set included 7 studies focusing on EN in EDs (N = 963) and 6 on PN in EDs (N = 665). Our meta-analytic data showed that among individuals with EDs, the prevalence of childhood EN is 53.3%, whereas 45.4% reported experience of childhood PN. These preliminary findings confirm the high prevalence of childhood EN and PN in ED samples compared to the general population and underline the importance of systematically screening for the presence of neglect as a possible traumatic experience in individuals with EDs, as its presence may have important consequences for the therapeutic approach. [ABSTRACT FROM PUBLISHER]