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From Maltreatment to Psychiatric Disorders in Childhood and Adolescence: The Relevance of Emotional Maltreatment.
Schlensog-Schuster, Franziska; Keil, Jan; Von Klitzing, Kai; Gniewosz, Gabriela; Schulz, Charlotte C; Schlesier-Michel, Andrea; Mayer, Steffi; Stadelmann, Stephanie; Döhnert, Mirko; Klein, Annette M; Sierau, Susan; Manly, Jody T; Sheridan, Margaret A; White, Lars O.
Afiliación
  • Schlensog-Schuster F; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Keil J; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Von Klitzing K; LIFE - Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.
  • Gniewosz G; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Schulz CC; Department of Educational Science, University of Innsbruck, Innsbruck, Austria.
  • Schlesier-Michel A; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Mayer S; Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany.
  • Stadelmann S; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Döhnert M; Department of Developmental Psychology, University of Jena, Jena, Germany.
  • Klein AM; Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
  • Sierau S; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • Manly JT; LIFE - Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.
  • Sheridan MA; Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.
  • White LO; LIFE - Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.
Child Maltreat ; 29(1): 142-154, 2024 02.
Article en En | MEDLINE | ID: mdl-36426806
ABSTRACT
Different forms of maltreatment are thought to incur a cumulative and non-specific toll on mental health. However, few large-scale studies draw on psychiatric diagnoses manifesting in early childhood and adolescence to identify sequelae of differential maltreatment exposures, and emotional maltreatment, in particular. Fine-grained multi-source dimensional maltreatment assessments and validated age-appropriate clinical interviews were conducted in a sample of N = 778 3 to 16-year-olds. We aimed to (a) substantiate known patterns of clinical outcomes following maltreatment and (b) analyse relative effects of emotional maltreatment, abuse (physical and sexual), and neglect (physical, supervisory, and moral-legal/educational) using structural equation modeling. Besides confirming known relationships between maltreatment exposures and psychiatric disorders, emotional maltreatment exerted particularly strong effects on internalizing disorders in older youth and externalizing disorders in younger children, accounting for variance over and above abuse and neglect exposures. Our data highlight the toxicity of pathogenic relational experiences from early childhood onwards, urging researchers and practitioners alike to prioritize future work on emotional maltreatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Maltrato a los Niños / Trastornos Mentales Límite: Adolescent / Aged / Child / Child, preschool / Humans Idioma: En Revista: Child Maltreat Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Maltrato a los Niños / Trastornos Mentales Límite: Adolescent / Aged / Child / Child, preschool / Humans Idioma: En Revista: Child Maltreat Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos