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Childhood trauma and anger in adults with and without depressive and anxiety disorders

INTRODUCTION: Childhood trauma (CT) is associated with severe sequelae, including personality disorders and stress-related mental health disorders that can perpetuate long into adulthood. OBJECTIVES: We aimed to investigate (1) whether childhood trauma is associated with anger in adulthood, and, if...

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Autores principales: De Bles, N., Putz, L. E., Rius Ottenheim, N., van Hemert, A. M., Elzinga, B. M., Penninx, B. W., Giltay, E. J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596111/
http://dx.doi.org/10.1192/j.eurpsy.2023.270
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author De Bles, N.
Putz, L. E.
Rius Ottenheim, N.
van Hemert, A. M.
Elzinga, B. M.
Penninx, B. W.
Giltay, E. J.
author_facet De Bles, N.
Putz, L. E.
Rius Ottenheim, N.
van Hemert, A. M.
Elzinga, B. M.
Penninx, B. W.
Giltay, E. J.
author_sort De Bles, N.
collection PubMed
description INTRODUCTION: Childhood trauma (CT) is associated with severe sequelae, including personality disorders and stress-related mental health disorders that can perpetuate long into adulthood. OBJECTIVES: We aimed to investigate (1) whether childhood trauma is associated with anger in adulthood, and, if so, (2) to explore which types of childhood trauma predominate in the prediction of anger, and (3) to explore whether the association is independent of psychopathology in a cohort that included participants without lifetime psychiatric disorders, with current or remitted depressive and anxiety disorders, or comorbid depressive and anxiety disorders. METHODS: In the Netherlands Study of Depression and Anxiety (NESDA), childhood trauma was assessed with a semi-structured Childhood Trauma Interview (CTI) at baseline, and analyzed in relation to anger as measured at 4-year follow-up with the Spielberger Trait Anger Subscale (STAS), the Anger Attacks Questionnaire, and cluster B personality traits (i.e., borderline, antisocial) of the Personality Disorder Questionnaire 4 (PDQ-4), using analysis of covariance (ANCOVA) and multivariable logistic regression analyses. Post-hoc analyses comprised cross-sectional regression analyses, using the Childhood Trauma Questionnaire – Short Form (CTQ-SF) obtained at 4-year follow-up. RESULTS: Participants (n = 2,276) were on average 42.1 years (SD = 13.1), and 66.3% were female. Childhood trauma showed a dose-response association with all anger constructs. Zooming in, all types of childhood trauma except for sexual abuse were associated with higher levels of trait anger, and a higher prevalence of anger attacks and antisocial personality traits in adulthood, independently of depression and anxiety. Additionally, all types of childhood trauma were significantly associated with borderline personality traits. Cross-sectionally, the effect sizes were larger compared to the analyses with the childhood trauma measured four years prior to the anger measures. CONCLUSIONS: Childhood trauma is linked with anger in adulthood, most strongly for trait anger and borderline personality traits. It is of clinical importance to explore childhood traumatic experience and start trauma-focused interventions when appropriate. DISCLOSURE OF INTEREST: None Declared
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spelling pubmed-105961112023-10-25 Childhood trauma and anger in adults with and without depressive and anxiety disorders De Bles, N. Putz, L. E. Rius Ottenheim, N. van Hemert, A. M. Elzinga, B. M. Penninx, B. W. Giltay, E. J. Eur Psychiatry Abstract INTRODUCTION: Childhood trauma (CT) is associated with severe sequelae, including personality disorders and stress-related mental health disorders that can perpetuate long into adulthood. OBJECTIVES: We aimed to investigate (1) whether childhood trauma is associated with anger in adulthood, and, if so, (2) to explore which types of childhood trauma predominate in the prediction of anger, and (3) to explore whether the association is independent of psychopathology in a cohort that included participants without lifetime psychiatric disorders, with current or remitted depressive and anxiety disorders, or comorbid depressive and anxiety disorders. METHODS: In the Netherlands Study of Depression and Anxiety (NESDA), childhood trauma was assessed with a semi-structured Childhood Trauma Interview (CTI) at baseline, and analyzed in relation to anger as measured at 4-year follow-up with the Spielberger Trait Anger Subscale (STAS), the Anger Attacks Questionnaire, and cluster B personality traits (i.e., borderline, antisocial) of the Personality Disorder Questionnaire 4 (PDQ-4), using analysis of covariance (ANCOVA) and multivariable logistic regression analyses. Post-hoc analyses comprised cross-sectional regression analyses, using the Childhood Trauma Questionnaire – Short Form (CTQ-SF) obtained at 4-year follow-up. RESULTS: Participants (n = 2,276) were on average 42.1 years (SD = 13.1), and 66.3% were female. Childhood trauma showed a dose-response association with all anger constructs. Zooming in, all types of childhood trauma except for sexual abuse were associated with higher levels of trait anger, and a higher prevalence of anger attacks and antisocial personality traits in adulthood, independently of depression and anxiety. Additionally, all types of childhood trauma were significantly associated with borderline personality traits. Cross-sectionally, the effect sizes were larger compared to the analyses with the childhood trauma measured four years prior to the anger measures. CONCLUSIONS: Childhood trauma is linked with anger in adulthood, most strongly for trait anger and borderline personality traits. It is of clinical importance to explore childhood traumatic experience and start trauma-focused interventions when appropriate. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10596111/ http://dx.doi.org/10.1192/j.eurpsy.2023.270 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
De Bles, N.
Putz, L. E.
Rius Ottenheim, N.
van Hemert, A. M.
Elzinga, B. M.
Penninx, B. W.
Giltay, E. J.
Childhood trauma and anger in adults with and without depressive and anxiety disorders
title Childhood trauma and anger in adults with and without depressive and anxiety disorders
title_full Childhood trauma and anger in adults with and without depressive and anxiety disorders
title_fullStr Childhood trauma and anger in adults with and without depressive and anxiety disorders
title_full_unstemmed Childhood trauma and anger in adults with and without depressive and anxiety disorders
title_short Childhood trauma and anger in adults with and without depressive and anxiety disorders
title_sort childhood trauma and anger in adults with and without depressive and anxiety disorders
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596111/
http://dx.doi.org/10.1192/j.eurpsy.2023.270
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