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Journal of Family Violence

, Volume 29, Issue 4, pp 419–429 | Cite as

Stressful Childhood Experiences and Clinical Outcomes in People with Serious Mental Illness: a Gender Comparison in a Clinical Psychiatric Sample

  • Kristina MuenzenmaierEmail author
  • Andres R. Schneeberger
  • Dorothy M. Castille
  • Joseph Battaglia
  • Azizi A. Seixas
  • Bruce Link
RESEARCH ON OUTCOMES OF ADVERSE CHILDHOOD EXPERIENCES

Abstract

Objective: This study examines stressful childhood experiences (SCE) including childhood abuse and family context in a cohort of 183 people diagnosed with serious mental illness (SMI) and compares gender specific rates of SCE and clinical outcome variables. Methods: 111 men and 72 women with SMI were interviewed regarding SCE and posttraumatic stress disorder (PTSD) symptoms, dissociative symptoms, risk for self-harm, and adult re-victimization. Results: Both genders endorse high rates of SCE. Cumulative SCE (the sum of seven SCE) are linked to increased levels of all four outcome variables after adjusting for demographic factors. Conclusions: The study addresses the need to assess cumulative SCE in a population with SMI and its effects on clinical outcomes in both genders.

Keywords

Childhood trauma Posttraumatic stress disorder Serious mental illness Gender Cumulative trauma 

Notes

This research was funded by the New York State Office of Mental Health. The authors report no competing interests.

References

  1. Anda, R. F., Felitti, V. J., Brown, D. W., Chapman, D., Dong, M., Dube, S. R., & Edwards, V. J. (2006). Insights into intimate partner violence from the adverse childhood experiences (ACE) study. In W. H. Giles, P. R. Salber, & E. Taliaferro (Eds.), Volcano. CA: Volcano Press.Google Scholar
  2. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician-administered PTSD scale. Journal of Traumatic Stress, 8, 75–90.PubMedCrossRefGoogle Scholar
  3. Blanchard, E. B., Jones Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Behaviour Research and Therapy, 34, 669–673.PubMedCrossRefGoogle Scholar
  4. Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disorders, 174, 727–35.CrossRefGoogle Scholar
  5. Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community: the 1996 Detroit area survey of trauma. Archives of General Psychiatry, 55, 626–632.PubMedCrossRefGoogle Scholar
  6. Briere, J., & Zaidi, L. (1989). Sexual abuse histories and sequelae in female psychiatric emergency room patients. American Journal of Psychiatry, 146, 1602–1606.PubMedGoogle Scholar
  7. Briere, J., & Elliott, D. M. (2003). Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse & Neglect, 27, 1205–1222.CrossRefGoogle Scholar
  8. Carlson, E. B., Dalenberg, C., Armstrong, J., Walker Daniels, J., Loewenstein, R., & Roth, D. (2001). Multivariate prediction of posttraumatic symptoms in psychiatric inpatients. Journal of Traumatic Stress, 14, 549–567.PubMedCrossRefGoogle Scholar
  9. Dhaliwal, G. K., Gauzas, L., Antonowicz, D. H., & Ross, R. R. (1996). Adult male survivors of childhood sexual abuse: prevalence, sexual abuse characteristics, and long-term effects. Clinical Psychology Review, 16, 619–639.CrossRefGoogle Scholar
  10. Dill, D., Chu, J., Grob, M., & Eisen, S. (1991). The reliability of abuse history reports. Comprehensive Psychiatry, 32, 166–169.PubMedCrossRefGoogle Scholar
  11. Dimock, P. (1988). Male sexual abuse: an underreported problem. Journal of Interpersonal Violence, 3, 203–221.CrossRefGoogle Scholar
  12. Dong, M., Anda, R. F., Felitti, V. J., Dube, S. R., Williamson, D. F., Thompson, T. J., Loo, C. M., & Giles, W. H. (2004). The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse and Neglect, 28, 771–784.PubMedCrossRefGoogle Scholar
  13. Drake, C. E. (1969). Trauma and mental illness. Journal of the National Medical Association, 61(2), 132–135.PubMedCentralPubMedGoogle Scholar
  14. Everret, B., & Gallop, R. (2001). The link between childhood trauma and mental illness: effective interventions for mental health professionals. California: Sage Publications, Thousand Oaks.Google Scholar
  15. Fehon, D., Grilo, C., & Lipschitz, D. (2001). Gender differences in violence exposure and violence risk among adolescent inpatients. Journal of Nervous and Mental Disease, 189, 532–540.PubMedCrossRefGoogle Scholar
  16. Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) stdy. American Journal of Preventive Medicine, 14, 245–58.PubMedCrossRefGoogle Scholar
  17. First, M.B., & Gibbon, M. (2004). The structured clinical interview for DSM-IV Axis I disorders (SCID-I) and the structured clinical interview for DSM-IV Axis II disorders (SCID-II). In M.J. Hilsenroth, & D.L. Segal (Eds.), comprehensive handbook of psychological assessment, (pp. 671).Google Scholar
  18. Fisher, H., & Craig, T. (2008). Childhood adversity and psychosis. In C. Morgan, K. McKenzie, & P. Fearon (Eds.), Society and psychosis (pp. 95–111). Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  19. Ford, J., & Courtois, C. A. (2009). Defining and understanding complex trauma and complex traumatic stress disorders. In C. A. Courtois & J. D. Ford (Eds.), Treating complex traumatic stress disorders: an evidence-based guide (pp. 13–30). New York: Guilford Press.Google Scholar
  20. Gartner, R. (1999). Betrayed as boys: psychodynamic treatment of sexually abused men. New York: Guilford Publications.Google Scholar
  21. Harrington, T., & Newman, E. (2007). The psychometric utility of two self-report measures of PTSD among women substance users. Addictive Behaviors, 32, 2788–2798.PubMedCrossRefGoogle Scholar
  22. Hasin, D., Trautman, K., Meile, G., Samet, S., Smith, M., & Endicott, J. (1996). Psychiatric research interview for substance and mental disorders (PRISM): reliability in substance abusers. American Journal of Psychiatry, 153, 1195–1201.PubMedGoogle Scholar
  23. Holowka, D., King, S., Saheb, D., Pukall, M., & Brunet, A. (2003). Childhood abuse and dissociative symptoms in adult schizophrenia. Schizophrenia Research, 60, 87–90.PubMedCrossRefGoogle Scholar
  24. IBM© SPSS© Statistics Version 19.0 (2010) was used in order to analyze descriptive statistics, such as prevalence rates. Differences in outcome variables measured on nominal or ordinal scales were tested using Correlations, Odds Ratio, and Student’s t-test. Regression analysis was employed to control for the potential confounding effects of age, sex, ethnicity/race, place of origin, religion, sexual orientation, socio-economic status and involuntary outpatient commitment.Google Scholar
  25. Kessler, R., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. (1995). PTSD in the national comorbidity survey. Archives of General Psychiatry, 52, 1048–1060.PubMedCrossRefGoogle Scholar
  26. Lab, D. D., & Moore, E. (2005). Prevalence and denial of sexual abuse of a male psychiatric inpatient population. Journal of Traumatic Stress, 18, 323–330.PubMedCrossRefGoogle Scholar
  27. Link, B., Epperson, M. W., Perron, B. E., Castille, D. M., & Yang, L. H. (2011). Arrest outcomes associated with outpatient commitment in New York State. Psychiatric Services, 62, 504–508.PubMedCrossRefGoogle Scholar
  28. Mendel, M. P. (1995). The male survivor: the impact of sexual abuse. Thousand Oaks: Sage Publication.CrossRefGoogle Scholar
  29. Meyer, I., Muenzenmaier, K., Cancienne, J., & Struening, E. (1996). Reliability and validity of a measure of sexual and physical abuse histories among women with serious mental illness. Child Abuse & Neglect, 20, 213–219.CrossRefGoogle Scholar
  30. Messman-Moore, T. L., & Long, P. J. (2000). Childhood sexual abuse and revictimization in the form of adult sexual abuse, adult physical abuse, and adult psychological maltreatment. Journal of Interpersonal Violence, 15, 489–502.CrossRefGoogle Scholar
  31. Muenzenmaier, K., Meyer, I., Struening, E., & Ferber, J. (1993). Childhood abuse and neglect among women outpatients with chronic mental illness. Hospital and Community Psychiatry, 44, 666–670.PubMedGoogle Scholar
  32. Muenzenmaier, K., Spei, E., & Gross, D. (2010). Complex posttraumatic stress disorder in men with serious mental illness: a reconceptualization. American Journal of Psychotherapy, 63, 257–268.Google Scholar
  33. Mueser, K. T., Goodman, L. B., Trumbetta, S. L., Rosenberg, S. D., Osher, F. C., Vidaver, R., Auciello, P., & Foy, D. W. (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 66, 493–499.PubMedCrossRefGoogle Scholar
  34. Mueser, K. T., Salyers, M. P., Rosenberg, S. D., Ford, J. D., Fox, L., & Auciello, P. (2001). A psychometric evaluation of trauma and PTSD assessments in persons with severe mental illness. Psychological Assessment, 13, 110–117.PubMedCrossRefGoogle Scholar
  35. Najavits, L. M., Sonn, J., Walsh, M., & Weiss, R. D. (2004). Domestic violence in women with PTSD and substance abuse. Addictive Behaviors, 29, 707–715.PubMedCrossRefGoogle Scholar
  36. O’Connor, C., Finkbiner, C., & Watson, L. (2012). Adverse childhood experiences in wisconsin: findings from the 2010 behavioral risk factor survey. Madison, WI: wisconsin children’s trust fund and child abuse prevention fund of children’s hospital & health system. Retrieved 02/16/2013, from http://wichildrenstrustfund.org/index.php?section=adverse-childhood.
  37. Read, J., Goodman, L., Morrison, A. P., Ross, C. A., & Alderhold, V. (2004). Childhood trauma, loss and stress. In J. Read, L. Mosher, & R. Bentall (Eds.), Models of madness: psychological, social and biological approaches to schizophrenia. New York: Brunner-Routledge.CrossRefGoogle Scholar
  38. Read, J., Hammersley, P., & Rudegeair, T. (2007). Why, when and how to ask about childhood abuse. Advances in Psychiatric Treatment, 13, 101–110.CrossRefGoogle Scholar
  39. Read, J., Fink, P. J., Rudegeair, T., Felitti, V., & Whitfield, C. L. (2008). Child maltreatment and psychosis: a return to a genuinely integrated Bio-psycho-social model. Clinical Schizophrenia & Related Psychoses, 2, 235–254.CrossRefGoogle Scholar
  40. Rosenberg, S. D., Lu, W., Mueser, K. T., Jankowski, M. K., & Cournos, F. (2007). Correlates of adverse childhood events among adults with schizophrenia spectrum disorders. Psychiatric Services, 58, 245–253.PubMedCrossRefGoogle Scholar
  41. Schneeberger, A. R., Muenzenmaier, K. H., Castille, D., Battaglia, J., & Link, B. G. (2012). Childhood abuse, head injuries and use of medical emergency services in people with severe mental illness. Journal of Aggression Maltreatment and Trauma, 21(5), 570–582.CrossRefGoogle Scholar
  42. Tolin, D. F., & Foa, E. B. (2006). Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychological Bulletin, 132, 959–992.PubMedCrossRefGoogle Scholar
  43. van Ijzendoorn, M. H., & Schuengel, C. (1996). The measurement of dissociation in normal and clinical populations: meta-analytic validation of the dissociative experience scale (DES). Clinical Psychology Review, 16, 365–382.CrossRefGoogle Scholar
  44. Waller, N. G., Putnam, F. W., & Carlson, E. B. (1996). Types of dissociation and dissociative types: a taxometric analysis of dissociative experiences. Psychological Methods, 1, 300–321.CrossRefGoogle Scholar
  45. Zubin, J., & Spring, B. (1977). Vulnerability. A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Kristina Muenzenmaier
    • 1
    Email author
  • Andres R. Schneeberger
    • 2
  • Dorothy M. Castille
    • 3
  • Joseph Battaglia
    • 1
  • Azizi A. Seixas
    • 4
  • Bruce Link
    • 5
  1. 1.Bronx Psychiatric CenterAlbert Einstein College of MedicineNew YorkUSA
  2. 2.Albert Einstein College of MedicinePsychiatrische Dienste Graubuenden and Department of Psychiatry, University HospitalBaselSwitzerland
  3. 3.New York State Psychiatric Institute, Columbia UniversityNew YorkUSA
  4. 4.Fordham University, City University of New YorkNew YorkUSA
  5. 5.New York State Psychiatric InstituteColumbia UniversityNew YorkUSA

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