The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.
Childhood Adversities and First Onset of Psychiatric Disorders in a National Sample of US Adolescents
Open accessAbstract
CONTEXT: Although childhood adversities (CAs) are known to be highly co-occurring, most research examines their associations with psychiatric disorders one at a time. However, recent evidence from adult studies suggests that the associations of multiple CAs with psychiatric disorders are nonadditive, arguing for the importance of multivariate analysis of multiple CAs. To our knowledge, no attempt has been made to perform a similar kind of analysis among children or adolescents. OBJECTIVE: To examine the multivariate associations of 12 CAs with first onset of psychiatric disorders in a national sample of US adolescents. DESIGN: A US national survey of adolescents (age range, 13-17 years) assessing DSM-IV anxiety, mood, behavior, and substance use disorders and CAs. The CAs include parental loss (death, divorce, and other separations), maltreatment (neglect and physical, sexual, and emotional abuse), and parental maladjustment (violence, criminality, substance abuse, and psychopathology), as well as economic adversity. SETTING: Dual-frame household-school samples. PARTICIPANTS: In total, 6483 adolescent-parent pairs. MAIN OUTCOME MEASURES: Lifetime DSM-IV disorders assessed using the World Health Organization Composite International Diagnostic Interview. RESULTS: Overall, exposure to at least 1 CA was reported by 58.3% of adolescents, among whom 59.7% reported multiple CAs. The CAs reflecting maladaptive family functioning were more strongly associated than other CAs with the onset of psychiatric disorders. The best-fitting model included terms for the type and number of CAs and distinguished between maladaptive family functioning and other CAs. The CAs predicted behavior disorders most strongly and fear disorders least strongly. The joint associations of multiple CAs were subadditive. The population-attributable risk proportions across DSM-IV disorder classes ranged from 15.7% for fear disorders to 40.7% for behavior disorders. The CAs were associated with 28.2% of all onsets of psychiatric disorders. CONCLUSIONS: Childhood adversities are common, highly co-occurring, and strongly associated with the onset of psychiatric disorders among US adolescents. The subadditive multivariate associations of CAs with the onset of psychiatric disorders have implications for targeting interventions to reduce exposure to CAs and to mitigate the harmful effects of CAs to improve population mental health.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Evidence from population-based epidemiological studies indicates that childhood adversity is common and associated strongly with the subsequent onset of psychopathology not only in childhood, but also in adolescence and adulthood (Cohen et al., 2001; Green et al., 2010; Kessler et al., 1997; McLaughlin et al., 2012).”
From Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience (2014) · cites this paper as McLaughlin et al., 2012
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“The exposures that give rise to experiences of deprivation and threat co-occur at high rates in children and adolescents”
From Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience (2014) · cites this paper as McLaughlin et al., 2012
The cited source says what the claim attributes to it.
In the citing paper
“Consistent with our hypotheses and prior studies on child trauma (Lansford et al. 2002; McLaughlin et al. 2012), we found strong associations between physical, sexual, and emotional abuse and both internalizing and externalizing symptoms in the sample of youths for whom maltreatment exposure was more prevalent.”
From Childhood maltreatment exposure and disruptions in emotion regulation: A transdiagnostic pathway to adolescent internalizing and externalizing psychopathology (2016) · cites this paper as McLaughlin et al. 2012
In the citing paper
“exposure to childhood adversity has been shown to explain more than 30% of mental disorders in the U.S. population (Green et al., 2010; McLaughlin et al., 2012)”
From Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience (2014) · cites this paper as McLaughlin et al., 2012
In the citing paper
“White matter changes have also been observed, consistent with evidence from animal models, including reduced volume of the posterior corpus callosum(129, 136), and reduced FA in white matter tracts linking the PFC with the temporal lobe (e.g., uncinate fasiculus, superior longitudinal fasciculus) and striatum (e.g., internal and external capsule).(136–138)”
From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [138]
In the citing paper
“Greater exposure to ELA is associated with elevated risk of a wide range of mental and physical health outcomes across the lifespan, including depression, anxiety, substance abuse, cardiovascular disease, cancer, type 2 diabetes, respiratory diseases, chronic pain, gastrointestinal and metabolic disorders, and neurological and musculoskeletal problems,4–14 as well as premature mortality.15,16”
From Early life adversity and health-risk behaviors: Proposed psychological and neural mechanisms (2018) · cites this paper as [4]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Model selection and multimodel inference: a practical information-theoretic approach.
Guthery, F. S., Burnham, K. P., & Anderson, D. R. (2003) · The Journal of Wildlife Management · doi:10.2307/3802723 · Cited by 41,495
KAUFMAN, J., BIRMAHER, B., BRENT, D., RAO, U., FLYNN, C., MORECI, P., WILLIAMSON, D., & RYAN, N. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199707000-00021 · Cited by 10,148
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., & Wang, P. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09091379 · Cited by 7,067 · cited 1×
“Although our finding that internalizing disorders are best represented by separate fear and distress dimensions is consistent with previous research,(25,26) it is unclear how these dimensions will map onto the domains recently proposed in the National Institute of Mental Health research domain criteria.(27) Parents pr…”
Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales
Straus, M. A. (1979) · Journal of Marriage and the Family · doi:10.2307/351733 · Cited by 6,187 · cited 2×
“Physical and emotional abuse of the respondent by parents or caregivers was assessed using a modified version of the Conflict Tactics Scales.(32) Sexual abuse was assessed with questions from the CIDI about sexual assault, attempted rape, and rape.”
Kessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771
Self-citationAge of onset of mental disorders: a review of recent literature
Kessler, R. C., Amminger, G. P., Aguilar-Gaxiola, S., Alonso, J., Lee, S., & ??st??n, T. B. (2007) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32816ebc8c · Cited by 3,457 · cited 2×
“To evaluate this possibility, we conducted a more detailed analysis examining the associations of CAs with individual disorders and found that the CAs considered herein generally have the strongest associations within DSM-IV disorder classes with the disorders that have early ages at onset.(53) For example, within the…”
Self-citationValidity of adult retrospective reports of adverse childhood experiences: review of the evidence
Hardt, J., & Rutter, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00218.x · Cited by 2,827 · cited 1×
“However, the use of retrospective reports of CAs in these studies could have introduced systematic recall bias into the results.(4,17,18) To our knowledge, no attempt has been made to perform a similar kind Author Affil of General P Children’s H McLaughlin) of Health Ca (Mr Gruber, Drs Zaslavsk Harvard Med School of E…”
Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys
Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., Aguilar-Gaxiola, S., Alhamzawi, A. O., Alonso, J., Angermeyer, M., et al. (2010) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.080499 · Cited by 2,640 · cited 1×
“Several multivariate models were estimated using the modeling approach developed in earlier work on this topic.(4,16) Each model included dummy predictor variables for CAs and controls.”
Self-citationDube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003) · Pediatrics · doi:10.1542/peds.111.3.564 · Cited by 2,333 · cited 1×
“However, despite this evidence of co-occurrence, most research has focused on single CAs(7-9,14) or on a count of the number of CAs as predictors of mental disorders.(1,3,15) This has led to an overestimation of the effects of individual CAs and to the neglect of potentially important multivariate CA profiles.”
Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.186 · Cited by 2,323 · cited 3×
“Several multivariate models were estimated using the modeling approach developed in earlier work on this topic.(4,16) Each model included dummy predictor variables for CAs and controls.”
Self-citation
Research works printed but not linked: 1
- [39]Rothman K Greenland S Modern Epidemiology, 2nd Edition 1998 Philadelphia, PA Lippincott Williams & Wilkins
Cited by
Sorted by citations
McLaughlin, K. A., Sheridan, M. A., & Lambert, H. K. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2014.10.012 · Cited by 1,389
“Evidence from opulation-based epidemiological studies indicates that childhood dversity is common and associated strongly with the subsequent nset of psychopathology not only in childhood, but also in adoescence and adulthood (Cohen et al., 2001; Green et al., 2010; essler et al., 1997; McLaughlin et al., 2012).”
BackgroundSelf-citationThe social determinants of mental health and disorder: evidence, prevention and recommendations
Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J. L., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., et al. (2024) · World Psychiatry · doi:10.1002/wps.21160 · Cited by 1,619
“Experience of childhood adversity is unfortunately common 89,92,93 .”
BackgroundInfluentialBeyond Cumulative Risk: A Dimensional Approach to Childhood Adversity
McLaughlin, K. A., & Sheridan, M. A. (2016) · Current Directions in Psychological Science · doi:10.1177/0963721416655883 · Cited by 906
“Children who have experienced adversity are more likely to develop psychopathology and chronic diseases, perform poorly at school, and have social and economic difficulties than children who have not encountered adversity (Felitti et al., 1998; Lansford et al., 2002; McLaughlin et al., 2012).”
BackgroundSelf-citationChildhood Adversity and Neural Development: A Systematic Review
McLaughlin, K. A., Weissman, D., & Bitrán, D. (2019) · Annual Review of Developmental Psychology · doi:10.1146/annurev-devpsych-121318-084950 · Cited by 892
“…for psychopathology among those who have experienced childhood adversity persists throughout adolescence and adulthood, and approximately one-third of all mental disorders worldwide are attributable to exposure to childhood adversity (Green et al. 2010, Kessler et al. 2010, McLaughlin et al. 2012).”
BackgroundSelf-citationGruber, J., Prinstein, M. J., Clark, L. A., Rottenberg, J., Abramowitz, J. S., Albano, A. M., Aldao, A., Borelli, J. L., Chung, T., Davila, J., et al. (2021) · American Psychologist · doi:10.1037/amp0000707 · Cited by 697
“…behaviors, unemployment and economic instability, and lack of social support), many of which are known risk factors for child abuse (Brown, Cohen, Johnson, & Salzinger, 1998; Stoltenborgh, Bakermans-Kranenburg, & Van Ijzendoorn, 2013) and the onset of psychopathology (McLaughlin et al., 2012).”
BackgroundSelf-citation
Metadata
- Authors
- McLaughlin, K. A., Greif Green, J., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C.
- Affiliations
- Boston Children's Hospital (US)
- Boston University (US)
- Corresponding author
- Kessler, Ronald C.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2012-11-01
- Volume
- 69
- Issue
- 11
- Pages
- 1151
- ISSN
- 0003-990X (ISSN-L)
- PMC
- PMC3490224
- OpenAlex
- W2001620133
- Cited by
- 992
- References
- 69
- Citations by year
- 2026: 86 · 2025: 106 · 2024: 102 · 2023: 93 · 2022: 105 · 2021: 90 · 2020: 82 · 2019: 68 · 2018: 65 · 2017: 63 · 2016: 45 · 2015: 39 · 2014: 29 · 2013: 15 · 2012: 2
- FWCI
- 30.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- Sanofi
- SRA International
- Kaiser Permanente
- Janssen Scientific Affairs
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- National Institute of Mental Health (R13-MH-066849, R01-MH66627, R01MH066627, R01‐MH070884, R01MH077883, K01MH085710, U01-MH-60220, K01MH092526, U01MH060220, R01‐MH069864)
- National Institute on Drug Abuse (R01DA016558)
- Fogarty International Center (R03TW006481)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Keywords
- childhood adversity, adolescents, subadditivity, parental loss, child abuse, economic adversity, behavior disorders, anxiety disorders, mood disorders, substance use disorders, population attributable risk
- MeSH terms
- Adolescent, Anxiety Disorders, Mental Disorders, Child, Child Behavior Disorders, Cross-Sectional Studies, Female, Health Surveys, Humans, Life Change Events, Male, Personality Assessment, Risk Factors, United States, Comorbidity, Multivariate Analysis, Odds Ratio, Age of Onset, Mood Disorders, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
