Stressful Childhood Experiences and Clinical Outcomes in People with Serious Mental Illness: a Gender Comparison in a Clinical Psychiatric Sample
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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.
KeywordsChildhood trauma Posttraumatic stress disorder Serious mental illness Gender Cumulative trauma
This research was funded by the New York State Office of Mental Health. The authors report no competing interests.
- 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
- 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
- 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
- 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
- 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
- Gartner, R. (1999). Betrayed as boys: psychodynamic treatment of sexually abused men. New York: Guilford Publications.Google Scholar
- 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
- 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
- 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.