The Causal Impact of Childhood-Limited Maltreatment and Adolescent Maltreatment on Early Adult Adjustment
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Purpose We use full-matching propensity score models to test whether developmentally specific measures of maltreatment, in particular childhood-limited maltreatment versus adolescent maltreatment, are causally related to involvement in crime, substance use, health-risking sex behaviors, and internalizing problems during early adulthood.Methods Our design includes 907 participants (72% male) in the Rochester Youth Development Study, a community sample followed from age 14 to age 31 with 14 assessments, including complete maltreatment histories from Child Protective Services records.Results After balancing the data sets, childhood-limited maltreatment is significantly related to drug use, problem drug use, depressive symptoms, and suicidal thoughts. Maltreatment during adolescence has a significant effect on a broader range of outcomes: official arrest or incarceration, self-reported criminal offending, violent crime, alcohol use, problem alcohol use, drug use, problem drug use, risky sex behaviors, self-reported sexually transmitted disease diagnosis, and suicidal thoughts.Conclusions The causal effect of childhood-limited maltreatment is focused on internalizing problems, whereas adolescent maltreatment has a stronger and more pervasive effect on later adjustment. Increased vigilance by mandated reporters, especially for adolescent victims of maltreatment, along with provision of appropriate services, may prevent a wide range of subsequent adjustment problems.
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Youth exposed to trauma have higher risk of PTSD, depression, anxiety, and SUDs, even after accounting for individual and family factors.
“youth who experience trauma face particularly elevated risk of developing post-traumatic stress disorder (PTSD), as well as depression, anxiety, and substance use disorders (SUDs), even when adjusting for co-occurring individual and family characteristics [7, 8].”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [7]
The Results report higher drug use and drug problems after maltreatment, and higher depressive symptoms after childhood-limited maltreatment; the Methods describe matching and adjustment for individual and family characteristics. The paper studies substantiated maltreatment rather than trauma generally, does not report PTSD or anxiety outcomes, and finds no significant effect of adolescent maltreatment on depressive symptoms. Passages are labeled by section in our copy; page numbers are unavailable. (LLM, conf=0.88)
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- Authors
- Thornberry, T. P., Henry, K. L., Ireland, T. O., & Smith, C. A.
- Affiliations
- University of Maryland, College Park (US)
- Colorado State University (US)
- Niagara University (US)
- University at Albany, State University of New York (US)
- Corresponding author
- Thornberry, Terence P.
- ORCID
- Henry, Kimberly L.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2010-04
- Volume
- 46
- Issue
- 4
- Pages
- 359-365
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC2871696
- OpenAlex
- W2044559536
- Cited by
- 288
- References
- 42
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 9 · 2023: 19 · 2022: 13 · 2021: 19 · 2020: 19 · 2019: 19 · 2018: 21 · 2017: 32 · 2016: 24 · 2015: 23 · 2014: 15 · 2013: 17 · 2012: 22
- FWCI
- 18.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Office of Juvenile Justice and Delinquency Prevention (86-JN-CX-0007, 96-MU-FX-0014, 2004-MU-FX-0062, 2006-JW-BX-0074)
- National Institute on Drug Abuse (DA005512, DA017810, DA020344)
- National Science Foundation (SBR-9123299, SES-9123299)
- NICHD (P30-HD32041)
- NSF (SBR-9512290)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- adolescent maltreatment, child abuse, offending, substance use, sexual risk behavior, internalizing problems, suicidal ideation, depressive symptoms, alcohol consumption, drug use, sexually transmitted infections, incarceration, mandatory reporting, child protection services, Rochester Youth Development Study
- MeSH terms
- Adolescent, Adult, Age Factors, Antisocial Personality Disorder, Child Abuse, Child Behavior Disorders, Crime, Female, Follow-Up Studies, Humans, Internal-External Control, Juvenile Delinquency, Male, Risk Factors, United States, Comorbidity, Causality, Crime Victims, Substance-Related Disorders, Young Adult
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