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This document is a corrigendum for an article titled "The cycle of violence: effects of violence experience, behavior, and attitudes on adolescents' peer rejection networks." The corrigendum addresses errors in the published article, including the omission of Table 6 and incorrect references to other tables. The authors apologize for the errors and state that they do not affect the scientific conclusions of the article. The original article has been updated. [Extracted from the article]

BackgroundAlterations in major stress response systems are present during the immediate aftermath of trauma and may play a role in determining risk for developing posttraumatic stress disorder (PTSD). However, the dynamics and determinants of stress responses during this acute recovery phase, and their relevance for longitudinal clinical course and prognosis, have yet to be fully examined. The objectives of the present study were to characterize stress response and habituation patterns to repeated social stressors in women who recently experienced interpersonal trauma and to determine the extent to which these stress responses were associated with PTSD during prospective follow-up.MethodThis longitudinal study examined salivary cortisol and alpha-amylase and heart rate (HR) responses to repeated stressors in 98 young women (ages 18-30). Participants included women who had experienced an incident of interpersonal trauma (i.e., physical and/or sexual assault) in the three months prior to their baseline assessment (n = 58) and a comparison group of healthy, non-traumatized women (n = 40). Women completed the Trier Social Stress Test (TSST), clinical interviews to evaluate posttraumatic stress symptom severity at the baseline assessment and again at 1-, 3-, and 6-month follow-ups.ResultsMultilevel models revealed a pattern of robust initial cortisol TSST responses and habituation across successive TSSTs; alpha-amylase and HR responses showed no evidence of habituation across TSSTs. Among interpersonal trauma survivors, current PTSD status was associated with more pronounced cortisol responses to the first TSST. Survivors exhibited similarly blunted cortisol responses across follow-up TSSTs regardless of PTSD status, suggesting habituation of cortisol responses among survivors who developed PTSD. PTSD re-experiencing symptoms were uniquely associated with blunting of cortisol TSST responses.ConclusionFindings suggest that PTSD as a diagnostic entity is meaningfully associated with cortisol responses to repeated social stressors. Social-evaluative threat is a salient form of danger for interpersonal trauma survivors. Identifying the determinants of cortisol (non)habituation to repeated social-evaluative threat among interpersonal trauma survivors could inform the development of early interventions for PTSD.

ABSTRACTBackground: Adverse childhood experiences (ACEs) have been shown to negatively affect health in adulthood. Estimates of associations between ACEs and chronic painful conditions are lacking.Objectives: This systematic review and meta-analysis aimed to evaluate associations between exposure to ACEs and chronic pain and pain-related disability in adults.Methods: We searched 10 electronic databases from inception to February 2023. We included observational studies assessing associations between direct ACEs (childhood sexual, physical, emotional abuse, or neglect) alone or in combination with indirect ACEs (witnessing domestic violence, household mental illness), and adult chronic pain (≥3 months duration) and pain-related disability (daily activities limited by chronic pain). Pairs of reviewers independently extracted data and assessed study risks of bias. Random-effect models were used to calculate pooled adjusted odds ratios [aOR]. Tau square [T2], 95% prediction intervals [95%PI] and I2 expressed the amount of heterogeneity, and meta-regressions and subgroup meta-analyses investigated sources of heterogeneity (PROSPERO: CRD42020150230).Results: We identified 85 studies including 826,452 adults of which 57 studies were included in meta-analyses. Study quality was generally good or fair (n = 70). The odds of reporting chronic pain in adulthood were significantly higher among individuals exposed to a direct ACE (aOR, 1.45, 95%CI, 1.38–1.53). Individuals reporting childhood physical abuse were significantly more likely to report both chronic pain (aOR, 1.50, 95CI, 1.39–1.64) and pain-related disability (1.46, 95CI, 1.03–2.08) during adulthood. Exposure to any ACEs alone or combined with indirect ACEs significantly increase the odds of adult chronic painful conditions (aOR, 1.53, 95%CI, 1.42–1.65) and pain-related disability (aOR, 1.29; 95%CI, 1.01–1.66). The risk of chronic pain in adulthood significantly increased from one ACE (aOR, 1.29, 95%CI, 1.22–1.37) to four or more ACEs (1.95, 95%CI, 1.73–2.19).Conclusions: Single and cumulative ACEs are significantly associated with reporting of chronic pain and pain-related disability as an adult.

Objective: To explore the relationship between non-suicidal self-injury (NSSI) and childhood abuse in transgender people and the mediating effect of emotional dysregulation traits in the association between childhood abuse and non-suicidal self-injury. Patients and methods: From May to October 2021, 296 female-to-male (FTM) and 675 male-to-females (MTF), with age of 24.5 ± 6.4 years, were recruited using peer-driven sampling and anonymous questionnaires in Guangdong Province. The Childhood Abuse Questionnaire (CTQ-SF), the Personality Diagnostic Questionnaire (PDQ-4+) emotion regulation ability scale and the DSM-5 Clinical Examination of Stereotypic Disorders were used to measure childhood abuse experiences, emotional dysregulation traits and self-injurious behaviour, respectively. Results: Childhood abuse scores were positively correlated with both emotional dysregulation traits scores and non-suicidal self-injury (NSSI) behaviours (p < 0.01), and emotional dysregulation traits scores were positively correlated with NSSI behaviours (p < 0.01); emotional dysregulation traits partially mediated the association between childhood abuse and NSSI behaviours, with the mediating effect accounting for 23.23% of the total effect. In addition, among the factors of childhood abuse, emotional dysregulation traits mediated the association between emotional abuse, emotional neglect, sexual abuse, physical abuse, physical neglect and NSSI behaviour significantly, with the mediating effect accounting for 22.48%-32.58% of the total effect. Conclusion: Transgender NSSI behaviours are associated with childhood abuse and emotional dysregulation traits, and emotional dysregulation traits partially mediates the association between childhood abuse and NSSI behaviours, and screening for emotional dysregulation traits in transgender people and timely interventions are needed to improve the current situation of discrimination against transgender people. [ABSTRACT FROM AUTHOR]

Introduction: Interpersonal violence results in injuries that frequently affect oral, head and neck structures, the treatment of which must be carried out by Oral health practitioners with sufficient training to detect the problem and manage the victim's lesions and need for referral. The objective of this study is to know the academic preparation that Spanish dentistry students receive in learning outcomes related to interpersonal violence during undergraduate academic training. Materials and methods: A survey was conducted through an online form with 9 questions (Survey Monkey platform). The link was sent by email to the deans of the 23 Spanish universities (public and private) offering dentistry degrees. The analysis of the results was carried out using Fisher's test and a chi‐squared test. Results: 95.63% of the deans (n = 22) responded. 85.7% of the universities report to carry on training in violence, according with Spanish legislation. Currently 33.3% dedicate less than 5 h to this training, whereas in the future study plans only 19% would dedicate less than 5 h to these learning outcomes. 85.7% of the respondents agree in consider this training as mandatory. The subjects in which learning outcomes on interpersonal violence were reported to be included were: legal and forensic dentistry (78%), psychology (55%), medical ethics (33.3%), paediatric dentistry (39%), surgery (5.5%) and 22% respondents cited other specialties. In future curricula, the competence areas in which such training is proposed to be imparted are: legal and forensic dentistry (80.9%), psychology and medical ethics (57.1%), paediatric dentistry (38.1%), surgery (14.2%) and in 23.8% also in other specialties. Significant differences were found between public and private universities only in the number of hours that would be dedicated to interpersonal violence learning outcomes in the future. Conclusions: Interpersonal violence encompasses situations of abuse and neglect inflicted to different patients (women, children, elderly) that are perceived both by Oral Health students and practitioners to require a comprehensive training. Most of the respondent deans consider that in the future curricula both the hours and areas that teach interpersonal violence learning outcomes must be increased. To respond to victim's need for help and care, the future requirements for the Oral health workforce education must encompass interprofessional undergraduate as well as postgraduate training in interpersonal violence. [ABSTRACT FROM AUTHOR]

We present 3 male patients with genital bruising due to physical abuse to improve recognition of genital trauma as a sentinel injury. In the absence of an underlying medical condition or a clear acceptable accidental mechanism for the genital injury, an evaluation for child abuse is recommended. [ABSTRACT FROM AUTHOR]

Objective: Disordered eating is one of the most prevalent mental health concerns (Galmiche et al., 2019, Quick & Byrd‐Bredbenner, 2013, Neumark‐Sztainer et al., 2006). Studies show that child maltreatment increases the likelihood of disordered eating symptoms in adulthood (Caslini et al., 2016, Hazzard et al., 2019). However, these studies overlook abuse experiences later in life, such as intimate partner violence which may also be a significant contributing factor (Bundock et al., 2013). The proposed study will help identify whether childhood maltreatment and IPV are independent predictors and/or if the combination of the two are synergistic risk factors for adult disordered eating. Method: We use data from 14,332 people from Wave III of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Participants completed questionnaires assessing child maltreatment, intimate partner violence, and disordered eating symptoms. We will perform a series of logistic regression models to examine a) whether child maltreatment and intimate partner violence are independently associated with disordered eating and b) whether exposure to the combination of both child maltreatment and intimate partner violence is associated with worse outcomes for adult disordered eating compared to exposure to only one or none at all. We also propose a supplemental analysis to establish the robustness of these effects when accounting for the highest parental education, federal poverty percentage level, race/ethnicity, gender, and age. Public Significance: Disordered eating is a serious mental health concern, especially in an emerging adult population. Child maltreatment is consistently associated with disordered eating in adulthood. However, the independent or synergistic role of more recent abuse experiences, such as intimate partner violence, remains largely unknown. The proposed study provides insight into how both childhood abuse and intimate partner violence may be associated with disordered eating independently or in combination. [ABSTRACT FROM AUTHOR]

Background: Crimes of passion, characterized as unpremeditated impulsive aggression, have garnered increasing attention in recent years. Impulsivity, a major factor in crimes of passion, is also a common feature of various health conditions, including Borderline Personality Disorder (BPD). Childhood maltreatment is considered a significant precursor to BPD and is closely related to impulsivity. Although prior research has affirmed the relationship between impulsivity, childhood maltreatment, BPD, and criminal behavior, few studies have examined these variables' interconnections within the context of crimes of passion. This study seeks to explore the relationship between childhood maltreatment, BPD, and impulsivity in crimes of passion, assessing the former's impact on the latter. Method: Our research examined 133 crimes of passion offenders and 149 other offenders from the Shenzhen male prison in China. All 282 participants completed The Abbreviated Version of The Barratt Impulsiveness Scale (ABIS), The UPPS Impulsivity Scale (Urgency, Premeditation, Perseverance, Sensation Seeking), The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD), and The Childhood Trauma Questionnaire (CTQ). Results: Our findings indicated that (1) crimes of passion offenders scored significantly higher in emotional neglect, physical neglect, and overall childhood maltreatment than did other offenders, and childhood maltreatment scores were notably higher in the high BPD trait group. (2) Crimes of passion offenders demonstrated significantly elevated impulsivity in attention and nonplanning scales compared to other offenders. Impulsivity scores across all scales were also significantly higher in the high BPD trait group. (3) Emotional neglect was found to significantly influence the urgency scale in crimes of passion offenders. An interaction effect was noted between physical abuse and high BPD traits, leading to increased impulsivity in crimes of passion offenders. Conclusion: This study underscores the predictive roles of childhood maltreatment and BPD in determining impulsivity within the context of crimes of passion. [ABSTRACT FROM AUTHOR]

Training child investigative interviewing skills is a specialized task. Those being trained need opportunities to practice their skills in realistic settings and receive immediate feedback. A key step in ensuring the availability of such opportunities is to develop a dynamic, conversational avatar, using artificial intelligence (AI) technology that can provide implicit and explicit feedback to trainees. In the iterative process, use of a chatbot avatar to test the language and conversation model is crucial. The model is fine-tuned with interview data and realistic scenarios. This study used a pre-post training design to assess the learning effects on questioning skills across four child interview sessions that involved training with a child avatar chatbot fine-tuned with interview data and realistic scenarios. Thirty university students from the areas of child welfare, social work, and psychology were divided into two groups; one group received direct feedback (n = 12), whereas the other received no feedback (n = 18). An automatic coding function in the language model identified the question types. Information on question types was provided as feedback in the direct feedback group only. The scenario included a 6-year-old girl being interviewed about alleged physical abuse. After the first interview session (baseline), all participants watched a video lecture on memory, witness psychology, and questioning before they conducted two additional interview sessions and completed a post-experience survey. One week later, they conducted a fourth interview and completed another postexperience survey. All chatbot transcripts were coded for interview quality. The language model's automatic feedback function was found to be highly reliable in classifying question types, reflecting the substantial agreement among the raters [Cohen's kappa (κ) = 0.80] in coding open-ended, cued recall, and closed questions. Participants who received direct feedback showed a significantly higher improvement in open-ended questioning than those in the non-feedback group, with a significant increase in the number of open-ended questions used between the baseline and each of the other three chat sessions. This study demonstrates that child avatar chatbot training improves interview quality with regard to recommended questioning, especially when combined with direct feedback on questioning. [ABSTRACT FROM AUTHOR]

A pilot study conducted at the University of Eastern Finland found metabolites related to oxidative stress and the transsulfuration pathway of one-carbon metabolism to be associated with a history of sexual or physical abuse in depressed adolescent outpatients. Oxidative stress and transsulfuration are closely connected and regulate each other's functions, and they play a role in inflammation, which is also recognized as a possible mechanism of trauma. [Extracted from the article]

Maltreatment is a significant predictive factor for self-harm in adolescents. Internalizing and externalizing problems are both common psychopathological issues in adolescents. This study aimed to look into the link between maltreatment and self-harm in a large sample of adolescents in the UK, as well as the mediating effects that internalizing and externalizing problems play in this link. Data were pulled from the UK Millennium Cohort Study, and a total of 8894 adolescents were included in this analysis. All variables were assessed by Questionnaires. Path analysis was performed to assess the mediating effects of internalizing and externalizing problems in the link between maltreatment and self-harm. 23.4 % of samples reported self-harm incidents during the preceding 12 months. Emotional abuse and physical abuse were significantly related to self-harm, and adolescents who had experienced multiple forms of maltreatment were more prone to self-harm. Mediation analysis revealed that internalizing problems were the primary mediator in the link between emotional abuse and self-harm, with the mediation effect size being 0.29. Internalizing and externalizing problems performed similarly in the link between physical abuse and self-harm, with mediation effect sizes of 0.23 and 0.19, respectively. The majority of the data was gathered through self-reporting. Emotional abuse and physical abuse were significant predictors of self-harm, and their links with self-harm were partially mediated via internalizing and externalizing problems. Better supervision of maltreatment, and timely intervention for both internalizing and externalizing problems, are critical in preventing self-harm among adolescents. • Emotional abuse had the highest incidence among UK adolescents. • Emotional abuse and physical abuse were significantly linked with self-harm. • Adolescents with multiple forms of maltreatment being more prone to self-harm • Internalizing/externalizing problems partially mediated the links between emotional/physical abuse and self-harm. [ABSTRACT FROM AUTHOR]

Internet addiction (IA) among adolescents has become a major problem nowadays. Previous studies have found the association between childhood trauma and Internet addiction. There is evidence that coping styles may play a mediating role in this association, but related studies are still limited. This study aims to investigate the association between childhood trauma and Internet addiction among Chinese adolescents and whether coping styles mediate this association. A cross-sectional study design was adopted. Data were drawn from the Longitudinal Study of Adolescents' Mental and Behavioral Well-being Research (Registration No. ChiCTR1900022032). A multi-stage random cluster sampling was adopted to recruit a total of 1, 956 first-grade middle school students from ten high schools in Guangzhou. Demographic characteristics, childhood trauma, Internet addiction, and coping styles were measured. After controlling for sex, grade, household socioeconomic status, one child or not, living arrangement, family relation, smoking and drinking, multivariable linear regression models showed that physical abuse (unstandardized β estimate = 0.846, 95% CI = 0.615 ~ 1.076), emotional abuse (unstandardized β estimate = 0.997, 95% CI = 0.843 ~ 1.151), emotional neglect (unstandardized β estimate = 0.218, 95% CI = 0.099 ~ 0.338) and sexual abuse (unstandardized β estimate = 1.454, 95% CI = 1.065 ~ 1.844) were positively associated with IA. Further analyses showed that negative coping styles partially mediated the association between physical abuse, emotional abuse, sexual abuse, and IA among all the participants. Adolescents with childhood traumatic experiences may have a higher risk for Internet addiction, and negative coping styles may play a mediating role. Attention should be paid to adolescents with childhood traumatic experiences, especially those possessing negative coping styles. [ABSTRACT FROM AUTHOR]

Introduction: The paper examines the psychological facet of innocent suffering. One can find a description of this phenomenon in social psychology as a factor that affects the belief in a just world, but there is a lack of qualitative scientific data about related psychological features, processes, copings, and consequences on the personality level. Methods: To study innocent suffering, semi-structured in-depth interview was conducted (31 respondents, ~223 minutes per respondent, 6,924 min in total) aimed to gather data about the experiences of innocent sufferings happened to participants. For the analysis of texts, a narrative and content analysis are used within the framework of grounded theory. The reliability of the results is based on expert assessment. Results and discussion: As a result, six essential properties of innocent sufferings were identified: complexity, stability, distress, injustice, casual incoherence, and breaks of integrity of a life story. The most “popular” life domains, in which participants reported about innocent sufferings, are violence, abuse (physical and psychological), and quitting romantic relationships. It is proposed a scientific definition of innocent suffering and the prototype of the phenomenon. [ABSTRACT FROM AUTHOR]

While studies have focused on identifying potential school shooters, little is known about the mental health and other characteristics of students who make threats. This study aimed to describe these students and factors prompting psychiatric interventions and treatment recommendations. Child and adolescent psychiatry threat assessment evaluations of 157 consecutive school-referred youths in grades K-12 between 1998 and 2019 were reviewed for demographics, reasons for referral, nature of threat, psychiatric diagnosis, and psychiatric and educational recommendations. Predictors of recommendations for psychiatric interventions were modeled using multivariable logistic regression as a function of above-mentioned covariates. Mean (SD) age of referred students was 13.37 (2.79) years; 88.5% were male; 79.7%, White; 11.6%, Hispanic; 10.1%, Black; 2.5%, Asian. Of students, 51.6% were receiving special education services. Verbal threat was made by 80%, and 29.3% brought a weapon to school. History included being bullied in 43.4%, traumatic family events in 52.2%, physical abuse in 5.1%, sexual abuse in 5.7%, and verbal abuse in 36.3%. Frequently encountered psychiatric diagnoses were attention-deficit/hyperactivity, learning, depressive, anxiety, and autism spectrum disorders, usually in combinations. History of medication treatment was reported in 79 (50.3%) and psychotherapeutic interventions in 57 (36.3%). Recommendations to return the student to their prior schools were made for 63.1%. Recommendations for psychotherapy were made for 79.9%, medication for 88.5%, and both for 70.1%. Therapeutic school setting or psychiatric hospitalization was more likely recommended (with statistical significance) with a prior threat history (odds ratio [OR] 5.47, 95% CI 1.91-15.70), paranoid symptoms (OR 5.72, 95% CI 1.55-21.14, p =.009), autism spectrum disorders (OR 3.45, 95% CI 1.32-9.00), mood disorder (OR 5.71, 95% CI 1.36-23.96), personality disorder (OR 9.47, 95% CI 1.78-50.55), or with psychotherapy recommendation (OR 4.84, 95% CI 1.08-21.75). Students who make threats have diverse psychiatric profiles and warrant treatments. A trauma and/or abuse history is common. Evaluations of youths who make threats need to go beyond simply assessing the threat itself and should include identifying underlying psychiatric problems. Psychiatric evaluation of students who issue threats of any type can lead to revelations about psychiatric diagnoses and crucial treatment and educational recommendations. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work. [ABSTRACT FROM AUTHOR]

Recognising and meeting the social and emotional wellbeing needs of LGBTQIA+ students is an essential education policy issue globally. Yet, research suggests that this vulnerable group continues to face challenges to their ability to feel culturally safe at school. Negative experiences include verbal and physical abuse, and this often results in poor outcomes for students. Certain European countries such as Malta and The Netherlands have demonstrated positive progress towards enacting inclusive policy, while others, including Poland, are known to have made little or no development in this area. This paper provides a policy issue analysis on the current situation in Polish schools while considering the added threat of LGBT+ free zones that have plagued the political landscape and exist as a further barrier to tolerance and empowerment. Following this discourse, recommendations for school communities have been provided for the purpose of establishing safe learning environments for LGBTQIA+ students. [ABSTRACT FROM AUTHOR]

The persuasive effects of narratives have been studied in different areas. One of the most studied mechanisms is the counterargument based on cognitive or meta-cognitive approaches. This study aims to analyze the resistance to persuasion in an interpersonal context to know how young people generate their arguments when they are exposed to narrative persuasion directed at preventing cannabis abuse. Two focus groups of six students aged 16-20 years for each gender were organized (n=24) who participated in a discussion after viewing a storytelling video in which a character showed a transitional behavior from the beginning to the cessation of cannabis use. The qualitative analysis allowed to find a central category "responding to narrative persuasion", connected to four styles of responses: a) elaboration; b) counterarguing; c) reelaboration; and d) refutation. To support these responses, participants introduced narrative elements referring to personal experiences or those of other people, as well as inferential elements by introducing new issues into the discussion; argumentative schemes that were used to justify the positions adopted were also identified. The study has theoretical-practical implications for those researches and interventions which use narrative persuasion as a tool to prevent cannabis use in young people. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to provide proof of concept and evaluate the project for the development of a forensic service in safeguarding adults at risk of harm who may have suffered a non-accidental injury as a result of physical abuse or neglect. Design/methodology/approach: This pilot project arising from a Safeguarding Adults Review was designed using an iterative process. Opinion from all partners of the Safeguarding Adults' Boards in two adjacent areas as well as using expert forensic advice from the Faculty of Forensic and Legal Medicine was sought. Findings: All professionals recognised the need for a forensic service because at present decision-making around potential non-accidental injuries (NAI) may not be evidence based. The main barriers were seen as lack of knowledge and education combined with the area of work not being recognised as being needed and hence not commissioned. No similar service existed in England to aid the project being developed either academically or practically, other than reflecting what happens in children's safeguarding. Practical implications: The knowledge and skills as well as the resources developed for this project will aid safeguarding professionals to make more informed decisions when working with adults at risk of harm who have sustained a potential NAI. Originality/value: This project has high originality with no other area in England offering a similar service or in the process of developing a service at present. [ABSTRACT FROM AUTHOR]

Technology-facilitated abuse (TFA) is a growing problem with serious harms and implications, yet laws and legal responses often fail to keep pace. The policing of TFA poses unique operational challenges, such as resourcing and cross-jurisdictional difficulties. But it is further challenged by a fixed belief that physical abuse is more harmful than digital forms of abuse, with reports that police do not treat TFA seriously. This article explores problems with the policing of TFA drawing on a three-stage study examining the extent, forms and impacts of TFA in Australia. The study findings are informed by a survey of workers from support and service sectors (n = 242), including domestic violence, sexual assault, health, behaviour change, legal and specialist diversity services; qualitative interviews with adult victim/survivors (n = 20) and perpetrators (n = 10) of TFA; and a subset of respondents (n = 2,325) from a nationally representative general population survey of victimisation and perpetration (n = 4,562). The study found a reluctance to report TFA to police, or in circumstances where a report was made, overwhelmingly negative experiences from doing so. It also found low levels of confidence in the policing of TFA. We argue that additional police training and resources are needed on how to recognise and understand the harms of TFA, which laws apply to TFA, and importantly, how to respond to disclosures and provide a supportive environment for the diversity of victim/survivors who experience TFA. [ABSTRACT FROM AUTHOR]

Mahadevi Varma made the conscious decision to lead a nun's existence in her private life, yet she showed bravery in revealing female sexuality in her poetry. By exposing the physical and psychological abuse perpetrated on women, she rejected her society. Her delicate and outstanding use of language and imagery lovingly covered her risky issues. This essay focuses on how Varma overcame the challenges that women faced in her society by abstaining from sexual activity, engaging in resistance to colonialism, and providing for the underprivileged. She was an accomplished painter and translator. Despite having liberal beliefs, she was respected in her conservative community due to the self-made career she had achieved. [ABSTRACT FROM AUTHOR]

Background/Aim: Young people in care may show significant mental health difficulties because of previous adverse experiences, such as maltreatment or violence. However, no meta-analyses have been conducted on this topic. We aim to identify the role of previous maltreatment in current symptoms of children and adolescents in out-of-home care. Method: A search in Academic Search Complete, PsycArticles, PsycInfo, Psychology and Behavioral Sciences Collection, ERIC, Medline, Web of Science and Scopus databases was conducted. Studies were included if they were empirical and quantitative, involved school-aged children and adolescents, assessed maltreatment before placement in care and current internalizing and externalizing symptoms. Multiple effect sizes were extracted from each primary study, and a three-level meta-analysis for each type of maltreatment associated with internalizing and externalizing symptoms was conducted. Results: The search yielded 122 effects sizes from 28 studies. Results indicated significant overall effects of general maltreatment (r = .260), abuse (emotional/physical) (r = .135) and sexual abuse (r = .247) on internalizing symptoms. In relation to externalizing symptoms, overall effects of abuse (emotional/physical) (r = .097) and sexual abuse (r = .187) were identified. The overall effect sizes of neglect were neither significant for internalizing or externalizing symptoms. A set of moderators was tested, and significant effects were found for the type of maltreatment measure on internalizing symptoms and for gender on externalizing symptoms. Conclusions: This study provides new insights beyond previous systematic reviews, as we were able to disentangle the associations between maltreatment and internalizing and externalizing symptoms in out-of-home care. [ABSTRACT FROM AUTHOR]

Background: Despite programs to address housing for Veterans, they continue to be at high risk of unstable housing. Interpersonal violence is also highly prevalent among Veterans and may contribute to unstable housing. Our study aimed to determine whether interpersonal violence was associated with unstable housing among Veterans, and how this association was influenced by common co-occurring conditions such as substance use and mental illness. Methods: Veterans in the Mind Your Heart Study (N = 741) completed survey data on history of interpersonal violence and access to housing in the prior year. Interpersonal violence was defined as experiencing sexual violence, physical violence, or mugging/physical attack using the Brief Trauma Questionnaire. Multivariable models examined associations between interpersonal violence and unstable housing. Primary models were adjusted for age and sex. Potential explanatory factors were added in subsequent models, including marital status, education, income, substance use disorder, PTSD, and other mental illness. Results: Veterans who had experienced interpersonal violence had almost twice the odds of unstable housing after adjustment for age and sex (AOR 1.9, 95% CI 1.2–3.0). This association was attenuated in the fully adjusted model including substance use, PTSD, and other mental illness, illustrating the interdependence of these factors (AOR 1.5, 95% CI 0.91–2.5). Subtypes of interpersonal violence were individually associated with increased odds of unstable housing after adjustment for age and sex (physical abuse AOR 1.7, 95% CI 1.2–2.5; mugging/physical attack AOR 1.8, 95% CI 1.2–2.7; sexual violence AOR 1.4, 95% CI 0.89–2.2), but were no longer significant in the fully adjusted model. Conclusions: Previous experiences of interpersonal violence were associated with unstable housing among Veterans. Substance use, PTSD, and other mental illness played an important role in this relationship—highlighting the potential to improve health outcomes through trauma informed approaches that address mental health, substance use, and housing concurrently. [ABSTRACT FROM AUTHOR]

Background: Mental health concerns are common among university students and maybe elevated among those with specific risk exposures. The study examined the association between childhood adversities and mental health outcomes among undergraduate university students and assessed whether psychosocial and behavioral factors mediate those associations. Methods: The Queen's University Student Well-Being and Academic Success Survey identified two large cohorts of first-year undergraduate students entering university in Fall 2018 and 2019 (n = 5,943). At baseline, students reported sociodemographic information, family-related mental health history, childhood physical abuse, sexual abuse, peer bullying, and parental separation or divorce. Baseline and follow-up surveys in Spring 2019, Fall 2019, and Spring 2020 included validated measures of anxiety (7-item Generalized Anxiety Disorder) and depressive symptoms (9-item Patient Health Questionnaire), non-suicidal self-harm, and suicidality, along with psychological processes and lifestyle variables. Repeated measures logistic regression using Generalized Estimating Equations was used to characterize the associations between childhood adversities and mental health outcomes and examine potential mediation. Results: Adjusting for age, gender, ethnicity, familial mental illness, and parental education, any childhood abuse (odds ratio: 2.89; 95% confidence interval, 2.58 to 3.23) and parental separation or divorce (odds ratio: 1.29; 95% confidence interval, 1.12 to 1.50) were significantly associated with a composite indicator of mental health outcomes (either 9-item Patient Health Questionnaire score ≥10 or 7-item Generalized Anxiety Disorderscore ≥10 or suicidality or self-harm). The association with childhood abuse weakened when adjusted for perceived stress, self-esteem, and insomnia (odds ratio: 2.05; 95% confidence interval, 1.80 to 2.34), and that with parental divorce weakened when adjusted for self-esteem (odds ratio: 1.17; 95% confidence interval, 1.00 to 1.36). Conclusion: Childhood abuse and parental separation or divorce were associated with mental health concerns among university students. Childhood adversities may impact later mental health through an association with stress sensitivity, self-esteem, and sleep problems. The findings suggest that prevention and early intervention focusing on improving sleep, self-esteem, and coping with stress while considering the individual risk profile of help-seeking students may help support student mental health. [ABSTRACT FROM AUTHOR]

Batterer intervention programs (BIPs) are some of the most relevant strategies to reduce intimate partner violence (IPV). However, the rate of dropout is significantly high, which may impact the effectiveness of such strategies. Literature has identified several factors associated with BIPs' dropout; nonetheless findings remain inconsistent. Thus, the aims of this study were to analyse the differences between perpetrators who completed the program and those who droped out, in terms of sociodemographic, violence-related and intrapersonal variables, as well as identify the predictors of dropout. Eighty-three IPV perpetrators completed a set of measures that assessed attitudes toward domestic violence, physical and psychological abuse of a partner, aggression, coping skills, and readiness to change. Variables related to past criminal history and sociodemographics were also colletected. 42.2% of IPV perpetrators failed to complete the intervention program. The results revealed that age and previous convictions by other crimes than IPV discriminated perpetrators who completed the program from those who droped out, such that, being young and having a previous conviction predicted dropout. These findings reveal a need to further analyse the impact of these factors so BIPs can be tailored to meet the specificities of IPV perpetrators and prevent treatment dropout. [ABSTRACT FROM AUTHOR]

Background: Childhood maltreatment (CM) is associated with both dietary fat intake and obesity in later life. There is less information on associations with metabolic risk factors and specific types of CM such as physical, sexual and emotional abuse, as well as neglect. Aims: To assess the association between five types of self‐reported CM and a range of obesity and metabolic indicators in a subsample of a birth cohort. Methods: This was a study of 1689 adults born in a major metropolitan maternity hospital in Australia and followed up 30 years later. Body mass index, bioimpedance and fasting lipid levels/insulin resistance were measured. Details on self‐reported CM were collected using the Child Trauma Questionnaire. We adjusted for birth weight, parental income and relationship at participants' birth, as well as maternal age and alcohol or tobacco use. We also adjusted for participants' smoking, depression, educational level, marital and employment status at follow up. Results: One‐fifth reported maltreatment (n = 362), most commonly emotional neglect (n = 175), followed by emotional abuse (n = 128), physical neglect (n = 123), sexual (n = 121) and physical abuse (n = 116). On adjusted analyses, there were significant associations for CM, particularly neglect or emotional abuse, and one or more of the following outcomes: obesity, the total cholesterol/high‐density lipoprotein cholesterol (TC/HDL‐C) ratio and HDL levels. Results for other outcomes were more equivocal. Conclusions: Of child maltreatment types, emotional abuse and neglect show the strongest associations with obesity and several cardiometabolic risk factors, therefore highlighting the public health importance of early intervention to reduce childhood adversity. [ABSTRACT FROM AUTHOR]

A growing body of work estimates the prevalence of childhood victimization among incarcerated people. The present study seeks to descriptively and quantitatively summarize this abundant literature by reviewing studies that report childhood victimization prevalence among people incarcerated in the United States. The review includes any study of childhood victimization that uses a sample of incarcerated adults (age eighteen or older) and that reports the proportion of the sample that experienced child abuse and/or neglect. Sixty-seven studies met these criteria and were analyzed, encompassing 1,187,044 incarcerated individuals. The studies vary in sample characteristics, methodological features, and employ an exceedingly wide range of victimization measures. Meta-analyses for pooled prevalence rates revealed that the inter-study heterogeneity was too great to draw conclusive summary estimates of childhood victimization from this literature, even when disaggregating by victimization type. Exploratory t-tests and correlation analyses suggest that a study's sample size, racial, ethnic, and gender composition, and variation in victimization measurement can influence reported child abuse and neglect, but more research is needed to fully assess how study characteristics influence reported victimization prevalence. Understanding the extensiveness of childhood victimization histories among incarcerated people emphasizes the need for robust screening and treatment for people within correctional facilities, as well as improved community prevention and intervention efforts. [ABSTRACT FROM AUTHOR]

Background: Child abuse and neglect is an issue of concern for public health professionals. The impact of abuse may lead to poor physical and mental health conditions. Family environment may impact coping and recovery among victims of abuse. The association between child abuse, mental health, happiness, and family environment is complex. The study examines the association and pathways between child abuse exposure, mental health and happiness, while exploring the potentially mediating effect of the family environment. Methods: Data were collected from 571 high school students from Kerala, India, by using various tools, including a semi-structured questionnaire, Depression and Anxiety Youth Scale, and happiness scale. A mediation analysis using structural equation modeling (SEM) was carried out to test the objectives of the study. Results: The analysis shows that mental health, happiness, and family environment are correlated with abuse experience. The mediation analysis further shows that the indirect effect of abuse on mental health via the family environment was significant (β = 0.013, 95% CI [0.002, 0.033]). The indirect effect of abuse on happiness via the family environment was significant (β = –0.019, 95% CI [–0.044, –0.003]). Furthermore, the total effect of abuse on mental health (β = 0.266, 95% CI [0.164, 0.354]) and abuse on happiness (β = –0.152, 95% CI [–0.259, –0.050]) was significant. Conclusion: The study reveals that abuse experiences impact happiness and mental health outcomes among students. The family environment mediates the relationship between child abuse and mental health, and between child abuse and happiness. [ABSTRACT FROM AUTHOR]

While psychological violence is often studied as a form of violence that leads to physical abuse, little research exists on the daily social manifestations of this violence. This study examines what I have called complicit denial, social discourses that protect male entitlement while trivializing women's experiences and perpetuating machismo in Puerto Rico. Discourses of complicit denial carry underlying patriarchal values that serve to create a form of psychological violence that supports women's acceptance of male authority. I explore how complicit denial reinforces patriarchal gender norms and gender-based violence. The study employs a feminist-grounded theoretical approach using mixed methods, including a theoretical framework and a data collection of 355 participant responses to a questionnaire designed for this investigation. Research analysis provides evidence that discourses of complicit denial reproduce patriarchal gender norms that devalue women and shape the conditions that lead to gender-based violence and feminicides. [ABSTRACT FROM AUTHOR]

Background: There is a lack of attention to how borderline personality disorder (BPD) is conceptualised and understood in relation to men. In this study a sample of men diagnosed with BPD talk about the nature of their childhood experiences allowing the reader to compassionately understand the background of these individuals. Giving voice to what could be described as a marginalised group in society underlines the need to appreciate how men may adapt to and express corresponding vulnerability in distinctive ways as dictated by gender role expectations. Methodology: Six men diagnosed with BPD were interviewed about their childhood experiences. Data were analysed using IPA to explore the ways they had made sense of their early family lives. Findings: The study is part of a larger research project. One superordinate theme is presented in this paper: ’You can’t live like I did and grow up normal’, along with two subordinate themes: ‘It certainly wasn’t the Walton’s house’ and ‘I thought I was going to die’. These themes reflect men’s experiences of living in chaotic households where physical and sexual abuse were common. Men’s attempts to adapt to these circumstances centre around the need to stay in control while experiencing out of control family circumstances. Conclusion: Women are much more likely to be diagnosed with BPD than men. A greater appreciation of how men cope with early trauma and corresponding emotional dysregulation is needed to broaden diagnostic criteria to more accurately capture men’s experiences. This is likely to give men greater access to long term psychotherapeutic interventions that counselling psychologists are well placed to inform and deliver. [ABSTRACT FROM AUTHOR]

Although it has become axiomatic to quote an African proverb in discussions of child well-being, attempts to draw concrete and positive lessons from how African communities respond to and mitigate child maltreatment are comparatively few. This study tested the hypothesis that the collective value of Abiriwatia in Ghana, which supports legitimate norms of community obligations to care for children, could be protective against physical abuse. It also examined the claim that knowledge of the familial situation of community members, generated through Abiriwatia, may help them to act to mitigate the risk of caregiver's borderline personality disorder (BPD) features. We obtained a nationally representative sample of 1,100 female caregivers from 22 Ghanaian settlements and tested the hypotheses using multilevel models. Controlling for community-level physical abuse, living in a community with high levels of Abiriwatia childcare and community authority values is associated with lower levels of very severe physical abuse, and Abiriwatia childcare may mitigate risk from the caregiver's BPD features. Within Ghana, encouraging positive and protective aspects of traditional Ghanaian values and working to reinstate respect for these values may have positive outcomes for children. Interventions to reduce child maltreatment should be developed with reference to Abiriwatia childcare values. [ABSTRACT FROM AUTHOR]

The self-esteem construct has failed to demonstrate a consistent association with externalizing behaviors in children, leading to a basic question in the field: What is healthy self-esteem? From this has emerged evidence that self-esteem is represented at both explicit (Explicit Self Esteem; ESE) and implicit levels (Implicit Self Esteem; ISE). Studies with adults have found that discrepancies between ESE and ISE (e.g., high ESE, low ISE) are associated with narcissism and anger management difficulties. However, ISE is rarely studied in children and adolescents. This study explores whether ESE, ISE, and maltreatment (physical abuse yes/no) are associated with externalizing behaviors in a sample of children in foster care. A total of 161 children between the ages of 8 and 13 participated; 64.1% were African American and 53.9% were female. Children reported on ESE (Self-Perception Profile for Children; SPPC) and ISE (Name Letter Task; NLT). Foster parents completed the Child Behavior Checklist (CBCL) and caseworkers completed the Child and Adolescent Needs and Strengths (CANS) to assess children's externalizing behaviors. The two consistent results across both analyses were that ESE alone and the three-way interaction between ESE, ISE, and physical abuse were associated with fewer externalizing behaviors. Probing the interaction revealed that children who had not experienced physical abuse and had discrepant self-esteem (low ESE, high ISE) experienced the highest levels of externalizing behaviors. These results indicate that both conscious and non-conscious aspects of self-esteem, notably their discrepancies, should be considered in mental health interventions, assessment, and research. Highlights: This study examined self-esteem (implicit [ISE] and explicit [ESE]) and externalizing behaviors in children who have experienced maltreated children. Testing the three-way interaction between ISE, ESE and physical abuse was the primary aim. Children without physical abuse but with discrepant self-esteem (high ISE, low ESE) had higher externalizing behaviors. These results may shed light on the inconclusive relationship between ESE and externalizing behaviors found in the literature. High ISE and low ESE may confer risk for externalizing behaviors in some youth, with implications for treatment tailoring. [ABSTRACT FROM AUTHOR]

Abuse experienced during childhood, whether it is emotional, physical, sexual, or economic, has an impact on an individual's mental well-being. Those who experience these abuses may develop multiple psychopathologies simultaneously, with the most common psychopathology observed being Post-Traumatic Stress Disorder (PTSD). Particularly, children who experience physical and sexual abuse are at a higher risk of developing this disorder. The aim of this study is to explore effective, evidence-based, and up-to-date psychological treatments for individuals who develop PTSD due to the abuse endured during childhood. Proven intervention techniques for individuals developing PTSD as a result of sexual abuse are Trauma-Focused Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Skills Training in Affect and Interpersonal Regulation (STAIR), Emotion-Focused Therapy for Trauma (EFT), Eye Movement Desensitization and Reprocessing (EMDR), and Imagery Rescripting (IR). [ABSTRACT FROM AUTHOR]

Background: Nowadays, illicit drug abuse is becoming a serious public health problem worldwide specifically in Iraq, affecting the entire community. Objectives: This study aimed to determine the secondary school students' perception in Duhok City about drug abuse and its association with their demographic characteristics. Methodology: A descriptive (cross-sectional) study which is conducted from September 2022 to January 2023 utilizes an assessment approach in order to determine the secondary school perception of drug abuse at nine boy secondary schools in Duhok City. A probability sample was adapted to select students from each secondary school to reach (135) students. Data were collected through the direct interview technique using the questionnaire as a tool for data collection, which is constructed through the extensive review of the related literature that consisted of two assessment parts. The first one is concerned with the assessment of the secondary school student's demographic characteristics and the second part of the assessment tool is concerned with assessing the student's perception of drug abuse. Data were analyzed through the application of frequency, percentage, cut-off points, and Fisher Exact test. Such analyses are computed by using the SPSS, IBM program version 23. Results: The findings indicate that approximately half of the students who participated in the present study have good perceptions about each of the general perceptions of drug abuse and perception of physical, behavioral, and Psychological warning signs of such abuse. While they have an average perception of the factors that increase vulnerability and alteration of brain function due to drug abuse. Conclusion: According to the study results and discussion, more than fifty percent of secondary school students had a high perception of drug abuse. [ABSTRACT FROM AUTHOR]

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Traumatic life events are associated with the development of psychiatric and chronic medical illnesses. This exploratory study examined the relationship between traumatic life events and the gut microbiota among adult psychiatric inpatients. 105 adult psychiatric inpatients provided clinical data and a single fecal sample shortly after admission. A modified version of the Stressful Life Events Screening Questionnaire was used to quantify history of traumatic life events. 16S rRNA gene sequencing was used to analyze the gut microbial community. Gut microbiota diversity was not associated with overall trauma score or any of the three trauma factor scores. Upon item-level analysis, history of childhood physical abuse was uniquely associated with beta diversity. Linear Discriminant Analysis Effect Size (LefSe) analyses revealed that childhood physical abuse was associated with abundance of distinct bacterial taxa associated with inflammation. This study did not account for dietary differences, though diet was highly restricted as all participants were psychiatric inpatients. Absolute variance accounted for by the taxa was small though practically meaningful. The study was not powered for full subgroup analysis based on race and ethnicity. This study is among the first to demonstrate a relationship between childhood physical abuse and gut microbiota composition among adult psychiatric patients. These findings suggest that early childhood adverse events may have long-conferred systemic consequences. Future efforts may target the gut microbiota for the prevention and/or treatment of psychiatric and medical risk associated with traumatic life events. • Traumatic events were examined as variables of interest in the prediction of gut biodiversity in psychiatric inpatients. • A composite trauma score was not a significant predictor of gut biodiversity in psychiatric inpatients. • When trauma types were examined separately, only childhood physical abuse was uniquely associated with gut diversity. • It is theorized that chronic inflammation secondary to physical abuse may lead to gut microbiota differences in adulthood. • This study is the first to suggest that childhood physical abuse may have long-term impact on the gut microbiota. [ABSTRACT FROM AUTHOR]

One of the most crucial determinants of early-life development is the experience of childhood adversities. However, limited evidence is available for how these experiences shape later-life reproductive outcomes in women. Here we test the association between early-life adversities and reproductive parameters in women. Post-reproductive women (N = 105; mean age = 59.7; SD = 10.09) were recruited at the Mogielica Human Ecology Study Site in Poland within a traditional population with a low prevalence of birth control usage and fully traced reproductive histories. Reproductive parameters, as well as exposure to early-life abuse and neglect, were assessed using questionnaires. Childhood adversity was associated negatively with age at menarche (p = 0.009). Analyses on specific subtypes revealed that compared to women who did not experience any kind of early-life adversities in childhood, those who were exposed to emotional (p = 0.007) and physical (p = 0.023) neglect had an earlier age at menarche, those who experienced emotional abuse reported an earlier age at first birth (p = 0.035), and those who were exposed to physical abuse gave birth to fewer number of sons (p = 0.010). Our results suggest that women exposed to childhood adversities experience earlier physiological reproductive readiness and timing of the first birth, but their overall biological condition might be impaired as they bear fewer sons. [ABSTRACT FROM AUTHOR]

Collective traumas have a notable impact on adolescent well-being. While some youth face increased risk for mental health problems (e.g., those with maltreatment histories), many demonstrate resilience following traumatic events. One contributing factor to well-being following trauma is the degree to which one isolates from others. Accordingly, we examined the association between maltreatment and internalizing problems during the COVID-19 pandemic as moderated by social isolation. Among adolescents reporting pre-pandemic emotional abuse, those experiencing less isolation reported the lowest levels of anxiety symptoms. Among adolescents reporting pre-pandemic physical abuse, those experiencing less isolation reported the greatest levels of anxiety and depressive symptoms. The findings highlight a public health-oriented approach to youth well-being during collective trauma that extends beyond mitigating disease transmission. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to explore links between child maltreatment (CM) and experiences of interpersonal violence (IV) in sport among adolescent sport participants. To our knowledge, no studies have yet considered this association. This is surprising given that the literature outside of sport clearly shows that CM is related to revictimization in adolescence and adulthood. Methods: The sample consists of 983 adolescents aged 14 to 18 years old participating in an organized sport. They completed a self-report survey in class at six Canadian schools assessing CM and IV in sport. Logistic regressions were performed to examine the associations between CM and IV in sport. Results: Child physical abuse, emotional abuse, and exposure to domestic violence were significantly associated with psychological violence and neglect in sport. Exposure to domestic violence was the only form of CM significantly associated with physical violence in sport. Child sexual abuse and neglect were significantly associated with sexual violence in sport, while child emotional abuse and exposure to domestic violence were significantly associated with peer violence in sport. Physical abuse was the only form of CM significantly associated with coach violence. Child physical abuse, emotional abuse, neglect, and exposure to domestic violence were positively associated with violence from parents in sport. Conclusions: Considering the associations between CM and IV in sport, further investigations are necessary on how to prevent revictimization. It also highlights the importance of athlete-centered and trauma-informed practices in sport. Implications and Contribution: This study was the first, to our knowledge, to show the relationship between CM and the experience of IV in organized sport, as reported by 983 Canadian adolescents. Our findings reveal different associations depending on the type of IV (physical, sexual, psychological, or neglect) and the perpetrators (peers, coaches, or parents). [ABSTRACT FROM AUTHOR]

Elder abuse is evil in human society. The present paper unveils this social issue from two major factors psychological and physical abuse. The study sensitizes the subject matter of study by examining the effects of demographic variables like gender and age on elders. For achieving the purpose of the study the research is a design by exploring and validating the factors of measuring elder abuse through the mix method approach, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). To test the established hypotheses of the effects of the demographic variable on elders the two-way ANOVA was applied. The present study verdicts the development of a sound measurement scale with two influence factors. The separate and composite effect of aging and gender type on elder abuse was evidenced. These findings are crucial especially when the prevalence of elder abuse is higher during COVID-19. The limited novel understudied variable opens an avenue for further research in behavioral and demographic variables like marital status. The present study has practical insinuation for caring the elders in any human society like physical and psychological treatment of elders to avoid abusive situations. In addition, the study attempts to validate the novel issues like psychological and physical abuse of elders in the dimensions of demographic variables. Some rare studies in the Indian continent established the motivation of conducting the research on this dimension. [ABSTRACT FROM AUTHOR]

Through symbolic and make-believe play, children can give meaning to their emotional experiences. For children who have experienced trauma, play provides the means to transform their past and tame the intrusive images and feelings associated with it. The quality of parent–child interactions plays a vital role in the development of mental representational capacity, which is essential for children's ability to engage in symbolic play. However, in child maltreatment situations, the unpredictability and insecurity of the parent–child relationship can have a profound impact on children's ability to play. This article aims to explore how the post-traumatic play of children who have suffered from episodic experiences of physical abuse differs from that of children who have experienced early relational traumas (ERT) resulting from chronic exposure to maltreatment and neglect. A theoretical and clinical analysis of the first play therapy session of a child who lived episodic experiences of physical abuse and that of a child who was exposed to ERT is presented. This analysis is informed by the Children's Play Therapy Instrument and the theories proposed by Chazan and Cohen in Journal of Child Psychotherapy, 36(2), 133–151 (2010), and Romano in Le Journal Des Psychologues,279, 57–61 (2010). The nature of the relationship between children and their primary caregivers and the child-therapist relationship are also discussed. ERT appear to compromise the development of diverse abilities in children. Among them, access to the world of mental representations, which depends to a large extent on the presence of mindful and attentive parents, and their ability to capture and respond contingently to the playful proposals of children. [ABSTRACT FROM AUTHOR]

Exposure to traumas early in life has been found to have a range of negative health effects later in adulthood, including a higher risk for suicidal behavior. Using data from the Waves I (1994/95) and IV (2008) of the National Longitudinal Study of Adolescent to Adult Health (N = 14,385; 49.35% female; Mage in Wave IV = 29), this study examines the effects of exposure to three different types of early life traumas—emotional abuse, physical abuse, and sexual abuse before the age of 18—on adult suicidal ideation. Guided by the stress process model incorporated with a life-course perspective, potential mediating roles of psychological distress, subjective powerlessness, and perceived social rejection were also investigated. A series of regression and Karlson-Holm-Breen (KHB) mediation analyses were performed using Stata 14 to assess the total, direct, and indirect effects. All three early life trauma measures were found to be significantly and independently associated with a higher risk of suicidal ideation in adulthood. A substantive portion (between 30 and 50%) of the effects was mediated by psychological distress (i.e., depression and anxiety), subjective powerlessness, and perceived social rejection. The general policy implications of this study include evaluating suicidal individuals for prior childhood abuse experiences and assessing abuse survivors for suicidality. [ABSTRACT FROM AUTHOR]

Introduction: Major depressive disorder (MDD) has been found to be nearly twice as prevalent in females as in males. One hypothesis proposed that abused females were particularly prone to MDD. We aim to examine the sex‐specific associations between various types of childhood trauma and MDD. Methods: In this study, 290 outpatients diagnosed with MDD were recruited from Beijing Anding Hospital, and 290 healthy volunteers were recruited from neighborhoods nearby the hospital, with sex, age, and family history matched. Childhood Trauma Questionnaire‐Short Form (CTQ‐SF) developed by Bernstein et al. was used to assess the severity of five different types of childhood abuse and neglect. McNemar's test and conditional logistic regression models with potential confounders (i.e., marital status, educational level, and body mass index) controlled were used to explore the sex‐specific associations between different types of childhood maltreatment and MDD. Results: In the full sample, patients with MDD showed a significant higher rate of any childhood maltreatment (i.e., emotional abuse, sexual abuse, physical abuse, emotional neglect, and physical neglect). Among females, all types of childhood abuse were statistically significant. For males, significant differences were only found in emotional abuse and in emotional neglect. Conclusion: It would appear that MDD in the outpatients is associated with any type of childhood trauma in women and emotional abuse or neglect in men. [ABSTRACT FROM AUTHOR]

Emotional abuse is a prevalent type of child maltreatment and is associated with various adverse outcomes. Although it rarely occurs in isolation, emotional abuse has been linked to unique outcomes that differ from physical and sexual abuse. This study aimed to explore unique outcomes of emotional abuse and to determine which outcomes are the most prevalent. A systematic review and content analysis of peer-reviewed articles were conducted. Results indicated that emotional abuse is positively associated with mental health, behavioral health, and all health problems. These findings suggest that psychopathology is the most prevalent outcome of child emotional abuse. Implications of this work highlight the importance of prevention for at risk caregivers and the need for legal interventions in severe cases. [ABSTRACT FROM AUTHOR]

The global prevalence of Child Sexual Abuse (CSA) is alarming, and it constitutes a significant economic and security burden on people and communities around the world. In Africa, the situation is exacerbated by the prevalence of physical abuse, with far-reaching security and educational impacts on the children and society. An analysis of CSA studies in Nigeria presents vast evidence of CSA prevalence, with clear indications of their negative impacts on a child's wellbeing and development into adulthood. Most CSA studies have focussed on the frequency and the psychological impact of CSA on children, without tracing the pathway to the perpetration of the abuse from child security and educational perspectives. This study aimed at establishing child's (in) security provisions in different environmental settings (home and school) as an important factor in CSA in Nigeria. The study relied on secondary data collected online from four newspapers in Nigeria. Narrative data collected were transformed to values and analysed using frequencies, percentages, and subsequently presented in tables and figures. In all, fifty-three cases reported in four national daily newspapers were purposively selected and analysed. Results indicated that twenty-five (47.2%) children were victims of forced intercourse perpetrated by co-tenants and street neighbours, while 15 (28.3%) were victimized by their fathers. Based on the findings, it was concluded that the child, family, school, local communities, and the government should be involved in the prevention and control of CSA. Thus, for the effective prevention and control of child sexual abuse, both security and educational efforts should focus on the totality of the child's ecology and the factors that enable the perpetration of CSA. [ABSTRACT FROM AUTHOR]

Background: Child abuse represents an important issue in the medico-legal and social context. In the last few decades, various aspects and mechanisms have been identified in child abuse case studies; however, constant research is needed in the field. With this paper, the authors will present a case of a new entity of Abusive Head Trauma that has come to the attention of medico-legal experts. Discussion: The trauma analysis performed on the cranio-encephalic district of the baby revealed quite peculiar lesions that led the authors to exclude that the injuries had been solely caused by violent shaking of the baby's head, as suggested by Shaken Baby Syndrome. Instead, the authors hypothesised that another lesion mechanism had been added to this one, namely latero-lateral cranial compression. The comprehensive and exhaustive analysis of the case led the authors to present a new possible entity in child abuse trauma, namely 'Compressed Baby Head'. Conclusions: To the best of our knowledge, in the current literature, no similar clinical cases have ever been described. Thus, the case's uniqueness deserves to be brought to the attention of experts and the entire scientific community, as well as medical personnel, paediatricians, and reanimators. These professional figures are the first individuals who may encounter complex clinical cases such as the one presented in this paper; thus, they need to know how to properly manage the case and ensure protection for the abused infants and children. [ABSTRACT FROM AUTHOR]

Financial strain is one hardship faced by female survivors of intimate partner violence (IPV) that is often overlooked. This paper examined the relationships between multiple forms of abuse—with a focus on economic abuse—and financial strain. Guided by stress process model, this study tested two hypotheses: (1) economic abuse is associated with financial strain more than other types of IPV; and (2) decreased economic abuse relates to financial strain over time. The study sample consists of 229 female IPV survivors who participated in a longitudinal, randomized controlled study evaluating an economic empowerment curriculum. Results from regression models suggest that physical abuse and economic abuse were significantly and positively associated with the magnitude of financial strain. Oaxaca–Blinder decomposition was used to partition the mean differences of financial strain over time that was mainly attributed to the decrease in economic and physical abuse (78%). Particularly, the decrease of economic abuse contributed to over half (58%) of the decrease in financial strain over time. Advocates should assess survivors' risk of economic abuse, evaluate financial strain, and utilize financial safety planning skills to help survivors build economic security and independence. In addition, policy makers should address issues concerning economic security among female IPV survivors. [ABSTRACT FROM AUTHOR]

Studies examining the etiology of problematic sexual behavior (PSB) among pre-teen children often rely on identifying correlational relationships without examining potential causal mechanisms. This study describes an exploratory analysis of a potential mediational model where child sexual abuse (CSA) and child physical abuse (CPA) predict the onset of PSB through their impact on the emergence of posttraumatic stress (PTS) symptoms and self-dysregulation. The caregivers of 189 children between the ages of 3 and 11 years presenting for mental health treatment in the United States completed a battery of measures designed to assess each of the variables in the model. Cross-sectional, regression-based mediational analyses showed that the overall model performed adequately (R = 0.33, R 2 = 0.11, F = 3.07, p =.004). CSA exerted a direct effect on PSB that was not mediated through either PTS or self-dysregulation. However, no direct effect for CPA was found. Rather, CPA exerted a significant effect on the display of self-dysregulation, which in turn was associated with PSB. These results are discussed in light of clinical implications and directions for further research. [ABSTRACT FROM AUTHOR]

There is substantial evidence linking early-life stress (ELS) to negative health outcomes in adulthood, including addiction. However, the neurocognitive and behavioral mechanisms through which ELS increases these risks remain unclear. To address this gap in knowledge, we developed a novel instrumental learning paradigm to explore the effects of ELS on the balance of habitual versus goal-directed learning. Habits efficiently reproduce repetitive behaviors but are inflexible whenreward contingencies related to those behaviors change. Persisting in performing a response after its outcome has been devalued is the hallmark of habitual behavior in instrumental learning. Participants with a history of higher ELS were significantly more likely to make habitual responses in this instrumental avoidance learning paradigm than individuals with a history of lower ELS. Logistic regression analysis showed that ELS is significantly related to habitual responding over and above the effects of retrospective socioeconomic status, trait and state anxiety, depression and recent levels of stress. Analysis of the differential impacts of the type of ELS suggested that these effects are largely driven by experiences of physical neglect.

BACKGROUND: Exposure to severe Traumatic Events (TEs) has been associated with poor course and outcomes among individuals with Bipolar Disorder (BD). However, there is limited research on TEs among youth with BD, and few studies are longitudinal. This study prospectively followed a large sample of BD youth, examining the associations of lifetime TEs with their mood and functioning. METHODS: BD participants (n=375; mean age=17; range 8-25y) were assessed, on average, every 7 months for a median 8.7 years. Psychopathology and lifetime trauma history were prospectively evaluated using the Longitudinal Interval Follow-Up Evaluation, and a traumatic events screening. RESULTS: Accounting for covariates, participants with one or more lifetime TEs (84%) showed earlier BD onset, poorer psychosocial functioning, worse mood symptoms, and more suicidal ideation, comorbidities, and family psychopathology than those without TEs. TEs during recovery periods increased recurrence risk (p