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Cited by 43Child Abuse and TraumaPosttraumatic Stress Disorder ResearchChild Welfare and Adoption

Relationships among childhood maltreatment, PTSD, and health in female veterans in primary care

Lang, Ariel J., Laffaye, Charlene, Satz, Leslie E., McQuaid, John R., Malcarne, Vanessa L., Dresselhaus, Timothy R., Stein, Murray B.·2006·Child Abuse & Neglect
DOI 10.1016/j.chiabu.2006.06.005
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Abstract

Objective Women with histories of childhood maltreatment (CM) have higher rates of physical health problems and greater medical utilization compared to women without abuse histories. This study examined whether current post-traumatic stress disorder (PTSD) symptoms mediate the relationship between CM and indicators of physical health and medical utilization in female veterans.Method Respondents were 221 female veterans (56% of the potential sample), who received medical care from the San Diego VA Healthcare System during a 12-month period. Respondents provided self-report information about CM, PTSD symptoms, use of pain medication, and physical symptoms and functioning. Additional information about medical utilization was extracted from respondents' medical charts. Regression-based models were conducted to test whether PTSD symptoms mediate the relationships between CM and physical symptoms and between CM and medical utilization.Results Emotional abuse was associated with poorer role-physical functioning, increased bodily pain and greater odds of using pain medication in the past 6 months. Physical abuse was associated with poorer general health. Contrary to prediction, emotional neglect was associated with better role-physical functioning, and CM was not associated with increased healthcare utilization. PTSD was shown to mediate the relationship between emotional and physical abuse and health outcomes.Conclusions PTSD, or psychopathology more generally, appears to be an important factor in the negative health impact of CM. Given that several empirically supported interventions are available for PTSD, there may be physical health benefits in early identification and treatment of psychopathology related to CM.

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  • Depression is highly comorbid with pain and is more prevalent in women than in men.

    “Depression, which is highly comorbid with pain, is also more prevalent in women than men; among individuals with depression, women are more likely to report pain complaints than men 213, 214”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [213]

  • Among people with depression, women are more likely than men to report pain complaints.

    “among individuals with depression, women are more likely to report pain complaints than men 213, 214”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [213]

  • Women with chronic pain are more likely to experience depression.

    “and women with chronic pain are more likely to experience depression.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [213]

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Authors
Lang, A. J., Laffaye, C., Satz, L. E., McQuaid, J. R., Malcarne, V. L., Dresselhaus, T. R., & Stein, M. B.
Affiliations
  • University of California San Diego (US)
  • San Diego State University (US)
  • VA San Diego Healthcare System (US)
Corresponding author
Lang, Ariel J.
ORCID
Venue
Child Abuse & Neglect
Publisher
Elsevier BV
Published
2006-11
Volume
30
Issue
11
Pages
1281-1292
ISSN
0145-2134 (ISSN-L)
DOI
10.1016/j.chiabu.2006.06.005
OpenAlex
W2138371369
Cited by
43
References
56
Citations by year
2024: 1 · 2022: 1 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 2
FWCI
2.58
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Child Abuse & Neglect (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Safety Research › Child Welfare and Adoption
Keywords
child abuse, post-traumatic stress disorder, women veterans, physical health, medical utilization, emotional abuse, physical abuse, emotional neglect, analgesic use, bodily pain, physical function, mediation, primary care
MeSH terms
California, Child, Child Abuse, Female, Health Status, Humans, Middle Aged, Primary Health Care, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Veterans

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