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Patterns of Childhood Abuse and Neglect in a Representative German Population Sample

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dc.contributor.author Schilling, C., Weidner, K., Brähler, E., Glaesmer, H., Häuser, W., & Pöhlmann, K.
dc.date.accessioned 2017-02-15T21:09:01Z
dc.date.available 2017-02-15T21:09:01Z
dc.date.issued 2016
dc.identifier.citation Schilling, C., Weidner, K., Brähler, E., Glaesmer, H., Häuser, W., & Pöhlmann, K. (2016). Patterns of childhood abuse and neglect in a representative German population sample. PLoS one, 11(7), e0159510. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956042/pdf/pone.0159510.pdf  
dc.identifier.uri http://hdl.handle.net/11212/3229
dc.description.abstract Background: Different types of childhood maltreatment, like emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse are interrelated because of their co-occurrence. Different patterns of childhood abuse and neglect are associated with the degree of severity of mental disorders in adulthood. The purpose of this study was (a) to identify different patterns of childhood maltreatment in a representative German community sample, (b) to replicate the patterns of childhood neglect and abuse recently found in a clinical German sample, (c) to examine whether participants reporting exposure to specific patterns of child maltreatment would report different levels of psychological distress, and (d) to compare the results of the typological approach and the results of a cumulative risk model based on our data set. Methods: In a cross-sectional survey conducted in 2010, a representative random sample of 2504 German participants aged between 14 and 92 years completed the Childhood Trauma Questionnaire (CTQ). General anxiety and depression were assessed by standardized questionnaires (GAD-2, PHQ-2). Cluster analysis was conducted with the CTQ-subscales to identify different patterns of childhood maltreatment. Results: Three different patterns of childhood abuse and neglect could be identified by cluster analysis. Cluster one showed low values on all CTQ-scales. Cluster two showed high values in emotional and physical neglect. Only cluster three showed high values in physical and sexual abuse. The three patterns of childhood maltreatment showed different degrees of depression (PHQ-2) and anxiety (GAD-2). Cluster one showed lowest levels of psychological distress, cluster three showed highest levels of mental distress. Conclusion: The results show that different types of childhood maltreatment are interrelated and can be grouped into specific patterns of childhood abuse and neglect, which are associated with differing severity of psychological distress in adulthood. The results correspond to those recently found in a German clinical sample and support a typological approach in the research of maltreatment. While cumulative risk models focus on the number of maltreatment types, the typological approach takes the number as well as the severity of the maltreatment types into account. Thus, specific patterns of maltreatment can be examined with regard to specific long-term psychological consequences. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher PLoS One en_US
dc.subject child abuse en_US
dc.subject incidence en_US
dc.subject prevalence en_US
dc.subject risk factors en_US
dc.subject International Resources en_US
dc.subject Germany en_US
dc.subject research en_US
dc.title Patterns of Childhood Abuse and Neglect in a Representative German Population Sample en_US
dc.type Article en_US


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