Header

UZH-Logo

Maintenance Infos

Caught in a web of trauma: Network analysis of childhood adversity and adult mental ill-health


Breuer, Fabian; Greggersen, Wiebke; Kahl, Kai G; Schweiger, Ulrich; Westermair, Anna Lisa (2020). Caught in a web of trauma: Network analysis of childhood adversity and adult mental ill-health. Child Abuse & Neglect, 107:104534.

Abstract

Background: Current interventions for adverse childhood experiences have only limited effectiveness.

Objective: We sought to identify optimal targets for the development of new interventions against adverse childhood experiences (ACE), that is, ACEs that a) are so central in the network of childhood adversity that curbing them is likely to impact other types of adversity, too, and b) are so central to the link of childhood adversity and adult mental ill-health that curbing them is likely to prevent this negative long-term effect from developing.

Participants and setting: 384 adult psychiatric inpatients.

Methods: Using the R packages qgraph and IsingFit, we analyzed the ACE network and the common network of ACEs and adult mental disorders.

Results: We found two clusters of ACEs: direct interactions with the child and indirect traumatization via adverse circumstances. When controlling for interrelatedness, the associations of sexual abuse with posttraumatic stress disorder and borderline personality disorder were the only direct links between ACEs and adult mental disorders.

Conclusions: As neglect and violence against the mother were the most influential ACEs, curbing them is likely to destabilize the whole network of adversity. Thus, neglect and violence against the mother lend themselves as candidate targets for the development of new interventions. As sexual abuse was the only link between childhood adversity and adult mental ill-health, interventions against it seem most likely to keep this negative long-term effect from developing. Further, ideally prospective, research is needed to corroborate these findings.

Abstract

Background: Current interventions for adverse childhood experiences have only limited effectiveness.

Objective: We sought to identify optimal targets for the development of new interventions against adverse childhood experiences (ACE), that is, ACEs that a) are so central in the network of childhood adversity that curbing them is likely to impact other types of adversity, too, and b) are so central to the link of childhood adversity and adult mental ill-health that curbing them is likely to prevent this negative long-term effect from developing.

Participants and setting: 384 adult psychiatric inpatients.

Methods: Using the R packages qgraph and IsingFit, we analyzed the ACE network and the common network of ACEs and adult mental disorders.

Results: We found two clusters of ACEs: direct interactions with the child and indirect traumatization via adverse circumstances. When controlling for interrelatedness, the associations of sexual abuse with posttraumatic stress disorder and borderline personality disorder were the only direct links between ACEs and adult mental disorders.

Conclusions: As neglect and violence against the mother were the most influential ACEs, curbing them is likely to destabilize the whole network of adversity. Thus, neglect and violence against the mother lend themselves as candidate targets for the development of new interventions. As sexual abuse was the only link between childhood adversity and adult mental ill-health, interventions against it seem most likely to keep this negative long-term effect from developing. Further, ideally prospective, research is needed to corroborate these findings.

Statistics

Citations

Dimensions.ai Metrics

Altmetrics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Pediatrics, Perinatology and Child Health
Social Sciences & Humanities > Developmental and Educational Psychology
Health Sciences > Psychiatry and Mental Health
Uncontrolled Keywords:Pediatrics, Perinatology, and Child Health, Developmental and Educational Psychology, Psychiatry and Mental health
Language:English
Date:1 September 2020
Deposited On:19 Nov 2020 12:30
Last Modified:20 Nov 2020 21:01
Publisher:Elsevier
ISSN:0145-2134
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.chiabu.2020.104534
PubMed ID:32562964

Download

Full text not available from this repository.
View at publisher

Get full-text in a library