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Childhood trauma and anger in adults with and without depressive and anxiety disorders.
de Bles, N J; Pütz, L E H; Rius Ottenheim, N; van Hemert, A M; Elzinga, B M; Penninx, B W J H; Giltay, E J.
Afiliación
  • de Bles NJ; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
  • Pütz LEH; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
  • Rius Ottenheim N; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
  • van Hemert AM; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
  • Elzinga BM; Department of Clinical Psychology, Institute of Psychology, Leiden University, Leiden, The Netherlands.
  • Penninx BWJH; Department of Psychiatry, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
  • Giltay EJ; Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Acta Psychiatr Scand ; 148(3): 288-301, 2023 09.
Article en En | MEDLINE | ID: mdl-37430486
BACKGROUND: Childhood trauma (CT) is associated with severe sequelae, including stress-related mental health disorders that can perpetuate long into adulthood. A key mechanism in this relationship seems to be emotion regulation. We aimed to investigate (1) whether childhood trauma is associated with anger in adulthood, and, if so, (2) to explore which types of childhood trauma predominate in the prediction of anger in a cohort that included participants with and without current affective disorders. METHODS: In the Netherlands Study of Depression and Anxiety (NESDA), childhood trauma was assessed with a semi-structured Childhood Trauma Interview (CTI) at baseline, and analyzed in relation to anger as measured at a 4-year follow-up with the Spielberger Trait Anger Subscale (STAS), the Anger Attacks Questionnaire, and cluster B personality traits (i.e., borderline, antisocial) of the Personality Disorder Questionnaire 4 (PDQ-4), using analysis of covariance (ANCOVA) and multivariable logistic regression analyses. Post hoc analyses comprised cross-sectional regression analyses, using the Childhood Trauma Questionnaire-Short Form (CTQ-SF) also obtained at a 4-year follow-up. RESULTS: Participants (n = 2271) were on average 42.1 years (SD = 13.1), and 66.2% were female. Childhood trauma showed a dose-response association with all anger constructs. All types of childhood trauma were significantly associated with borderline personality traits, independently of depression and anxiety. Additionally, all types of childhood trauma except for sexual abuse were associated with higher levels of trait anger, and a higher prevalence of anger attacks and antisocial personality traits in adulthood. Cross-sectionally, the effect sizes were larger compared with the analyses with the childhood trauma measured 4 years prior to the anger measures. CONCLUSIONS: Childhood trauma is linked with anger in adulthood, which could be of particular interest in the context of psychopathology. Focus on childhood traumatic experiences and adulthood anger may help to enhance the effectiveness of treatment for patients with depressive and anxiety disorders. Trauma-focused interventions should be implemented when appropriate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Experiencias Adversas de la Infancia Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Acta Psychiatr Scand Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Experiencias Adversas de la Infancia Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Acta Psychiatr Scand Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos