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The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population
BACKGROUND: Child maltreatment is an identified risk factor for Non-Suicidal Self-Injury (NSSI). The aim of the current study was to investigate effects of different types of maltreatment, and mediating effects of depression and anxiety on NSSI in the general population. METHODS: A representative sa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994090/ https://www.ncbi.nlm.nih.gov/pubmed/29884152 http://dx.doi.org/10.1186/s12888-018-1754-3 |
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author | Brown, Rebecca C. Heines, Stefanie Witt, Andreas Braehler, Elmar Fegert, Joerg M. Harsch, Daniela Plener, Paul L. |
author_facet | Brown, Rebecca C. Heines, Stefanie Witt, Andreas Braehler, Elmar Fegert, Joerg M. Harsch, Daniela Plener, Paul L. |
author_sort | Brown, Rebecca C. |
collection | PubMed |
description | BACKGROUND: Child maltreatment is an identified risk factor for Non-Suicidal Self-Injury (NSSI). The aim of the current study was to investigate effects of different types of maltreatment, and mediating effects of depression and anxiety on NSSI in the general population. METHODS: A representative sample of the German population, comprising N = 2498 participants (mean age = 48.4 years (SD = 18.2), 53.3% female) participated in this study. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ),NSSI was assessed with a question on lifetime engagement in NSSI, depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-2) and anxiety symptoms by the General Anxiety Disorder questionnaire (GAD-2). RESULTS: Lifetime prevalence of NSSI in this sample was 3.3, and 30.8% reported at least one type of child maltreatment. Participants in the NSSI group reported significantly more experiences of child maltreatment. Emotional abuse was endorsed by 72% of all participants with NSSI. A path analytic model demonstrated an unmediated direct effect of emotional neglect, a partially mediated effect of emotional abuse, and a fully mediated effect of sexual abuse and physical neglect by depression and anxiety on NSSI. CONCLUSIONS: Especially emotional neglect and abuse seem to play a role in the etiology of NSSI above and beyond depression and anxiety, while sexual and physical abuse seem to have a rather indirect effect. |
format | Online Article Text |
id | pubmed-5994090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59940902018-06-21 The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population Brown, Rebecca C. Heines, Stefanie Witt, Andreas Braehler, Elmar Fegert, Joerg M. Harsch, Daniela Plener, Paul L. BMC Psychiatry Research Article BACKGROUND: Child maltreatment is an identified risk factor for Non-Suicidal Self-Injury (NSSI). The aim of the current study was to investigate effects of different types of maltreatment, and mediating effects of depression and anxiety on NSSI in the general population. METHODS: A representative sample of the German population, comprising N = 2498 participants (mean age = 48.4 years (SD = 18.2), 53.3% female) participated in this study. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ),NSSI was assessed with a question on lifetime engagement in NSSI, depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-2) and anxiety symptoms by the General Anxiety Disorder questionnaire (GAD-2). RESULTS: Lifetime prevalence of NSSI in this sample was 3.3, and 30.8% reported at least one type of child maltreatment. Participants in the NSSI group reported significantly more experiences of child maltreatment. Emotional abuse was endorsed by 72% of all participants with NSSI. A path analytic model demonstrated an unmediated direct effect of emotional neglect, a partially mediated effect of emotional abuse, and a fully mediated effect of sexual abuse and physical neglect by depression and anxiety on NSSI. CONCLUSIONS: Especially emotional neglect and abuse seem to play a role in the etiology of NSSI above and beyond depression and anxiety, while sexual and physical abuse seem to have a rather indirect effect. BioMed Central 2018-06-08 /pmc/articles/PMC5994090/ /pubmed/29884152 http://dx.doi.org/10.1186/s12888-018-1754-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Brown, Rebecca C. Heines, Stefanie Witt, Andreas Braehler, Elmar Fegert, Joerg M. Harsch, Daniela Plener, Paul L. The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title | The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title_full | The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title_fullStr | The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title_full_unstemmed | The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title_short | The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
title_sort | impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994090/ https://www.ncbi.nlm.nih.gov/pubmed/29884152 http://dx.doi.org/10.1186/s12888-018-1754-3 |
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