Gender moderates the relationship between childhood abuse and internalizing and substance use disorders later in life: A cross-sectional analysis
Abstract
Although some studies examined the moderating role of gender in the relationship between
childhood maltreatment and mental disorders later in life, a number of them examined the effects of only one or
two types of maltreatment on an individual mental disorder, for instance, depression, substance use. It is of
considerable clinical and theoretical importance to have in-depth understanding what roles of different types of
childhood abuse play out in a wide range of mental disorders among women and men using well accepted
instruments measuring abuse and mental disorders. The present study aimed to examine this issue using a large
nationally representative population sample to explore the gender effect of different types of childhood abuse in
mental disorders, and assess the moderating role of gender in the abuse-mental disorder relationship.
Methods: Using data from the Canadian Community Health Survey 2012: Mental Health we sought to answer this
question. Respondents with information on childhood maltreatment prior to age 16 were selected (N = 23, 395).
Results: We found: i) strong associations between childhood abuse frequency and gender; ii) significant differences
between men and women in terms of mental disorders; iii) strong associations between childhood abuse and
mental disorders; and, iv) gender moderated the role of childhood abuse history on adulthood mental disorders.
Females with a history of sexual abuse and/or exposure to interpersonal violence were at a greater risk of alcohol
abuse or dependence later in life.
Conclusions: Intervention should occur as early as possible, and should help female victims of childhood sexual
abuse and/or exposure to interpersonal violence, and their families to build more constructive ways to effectively
reduce the negative affects of these experiences. Recognition of the moderating role of gender on the relationship
between childhood abuse history and mental disorders later in life may aid clinicians and researchers in providing
optimal health services.
Description
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Article
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Keywords
childhood maltreatment, internalizing, child abuse, substance use, interaction, gender, Canada, International Resources
Citation
Meng, X., & D’Arcy, C. (2016). Gender moderates the relationship between childhood abuse and internalizing and substance use disorders later in life: A cross-sectional analysis. BMC Psychiatry, 16, 401. http://doi.org/10.1186/s12888-016-1071-7