The long-term health outcomes of childhood abuse: An overview and a call to action
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While the association between abuse in childhood and adverse adult health outcomes is well established, this link is infrequently acknowledged in the general medical literature. This paper has 2 purposes: (1) to provide a broad overview of the research on the long-term effects of child abuse on mental and physical health including some of the potential pathways, and (2) to call for collaborative action among clinicians, psychosocial and biomedical researchers, social service agencies, criminal justice systems, insurance companies, and public policy makers to take a comprehensive approach to both preventing and dealing with the sequelae of childhood abuse.
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Physiological alterations associated with ELAb may contribute to the development of stress-related functional pain syndromes and affective impairment in adulthood, both of which predominately affect women.
“As such, physiological alterations associated with ELAb may contribute to the development of stress-related functional pain syndromes,(17) and affective impairment in adulthood,(20,21) both of which predominately affect women.(22,23)”
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Child abuse: Adolescent records vs. adult recall
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Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2007) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2007.01.003 · Cited by 964 · see citing works
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Lippard, E. T. C., & Nemeroff, C. B. (2020) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2019.19010020 · Cited by 527 · see citing works
Long-term physical health consequences of childhood sexual abuse: a meta-analytic review
Irish, L., Kobayashi, I., & Delahanty, D. L. (2010) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp118 · Cited by 495 · see citing works
Vollhardt, J. R. (2009) · Social Justice Research · doi:10.1007/s11211-009-0088-1 · Cited by 354 · see citing works
Women's Health and Women's Leadership in Academic Medicine: Hitting the Same Glass Ceiling?
Carnes, M. L., Morrissey, C. S., & GELLER, S. E. (2008) · Journal of Women s Health · doi:10.1089/jwh.2007.0688 · Cited by 335 · see citing works
Self-citationSchumm, J. A., Briggs‐Phillips, M., & Hobfoll, S. E. (2006) · Journal of Traumatic Stress · doi:10.1002/jts.20159 · Cited by 330 · see citing works
Draper, B., Pfaff, J. J., Pirkis, J., Snowdon, J., Lautenschlager, N. T., Wilson, I., Almeida, O. P., & for the Depression and Early Prevention of Suicide in General Practice Study Group (2008) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01537.x · Cited by 275 · see citing works
“The models of the effects of childhood abuse take into account hypothesized pathways that link childhood abuse and adult health outcomes through health-related behaviors such as smoking and hazardous alcohol consumption and psychosocial pathways that link health outcomes with difficulties in establishing intimate rela…”
BackgroundInfluentialChildhood Determinants of Adult Psychiatric Disorder
Fryers, T., & Brugha, T. S. (2013) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901309010001 · Cited by 274 · see citing works
Cohort Profile: Wisconsin longitudinal study (WLS)
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Risk and Protective Factors for Physical and Sexual Abuse of Children and Adolescents in Africa
Meinck, F., Cluver, L. D., Boyes, M. E., & Mhlongo, E. L. (2014) · Trauma Violence & Abuse · doi:10.1177/1524838014523336 · Cited by 244 · see citing works
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Mental Health of Refugee Children and Youth: Epidemiology, Interventions, and Future Directions
Frounfelker, R. L., Miconi, D., Farrar, J., Brooks, M. A., Rousseau, C., & Betancourt, T. S. (2020) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040119-094230 · Cited by 160 · see citing works
Aphramor, L. (2005) · Social Theory & Health · doi:10.1057/palgrave.sth.8700059 · Cited by 147 · see citing works
“Other authors bring to our attention the long-term health, general health outcomes of sexual harassment and childhood abuse and construct pathways linking violence with eating distress, adiposity and non-communicable comorbidities (Springer et al., 2003; Dahinten, 1999; Wiederman et al., 1999; Zlotnick et al., 1996; H…”
BackgroundBetrayal Trauma: Associations With Psychological and Physical Symptoms in Young Adults
Goldsmith, R. E., Freyd, J. J., & DePrince, A. P. (2012) · Journal of Interpersonal Violence · doi:10.1177/0886260511421672 · Cited by 182 · see citing works
Greenfield, E. A., & Marks, N. F. (2010) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2009.08.012 · Cited by 122 · see citing works
Spirituality and coping with life stress among adult survivors of childhood sexual abuse
Gall, T. L. (2006) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2006.01.003 · Cited by 114 · see citing works
Raphael, K. G., & Widom, C. S. (2010) · Pain · doi:10.1016/j.pain.2010.10.014 · Cited by 108 · see citing works
Mock, S. E., & Arai, S. M. (2011) · Frontiers in Psychology · doi:10.3389/fpsyg.2010.00246 · Cited by 109 · see citing works
“…and family instability such as parental unemployment or substance abuse have been linked to chronic illness in adulthood stemming from poor immune functioning or poor cardiovascular health (Springer et al., 2003; Mulvihill, 2005; O’Rand and Hamil-Luker, 2005; Wickrama et al., 2005).”
BackgroundAbrams, E. M., Greenhawt, M., Shaker, M. S., Pinto, A. D., Sinha, I. P., & Singer, A. G. (2021) · Annals of Allergy Asthma & Immunology · doi:10.1016/j.anai.2021.10.022 · Cited by 102 · see citing works
“Child maltreatment and abuse have been associated with a variety of long-term adverse health outcomes, including psychological disorders (eg, depression, anxiety disorder, eating disorders, posttraumatic stress disorder), high-risk behaviors (eg, smoking, alcohol abuse, unsafe sexual practices), and overall lower heal…”
Child abuse as a life-course social determinant of adult health
Greenfield, E. A. (2010) · Maturitas · doi:10.1016/j.maturitas.2010.02.002 · Cited by 100 · see citing works
Spirituality and the Current Adjustment of Adult Survivors of Childhood Sexual Abuse
Gall, T. L., BASQUE, V., Damasceno, M. G., & VARDY, G. (2007) · Journal for the Scientific Study of Religion · doi:10.1111/j.1468-5906.2007.00343.x · Cited by 99 · see citing works
Childhood physical abuse and midlife physical health: Testing a multi-pathway life course model
Springer, K. W. (2009) · Social Science & Medicine · doi:10.1016/j.socscimed.2009.04.011 · Cited by 98 · see citing works
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“Experiences of various types of abuse are even higher in clinical populations presenting tomental health services (Springer et al., 2003; Chapman et al., 2007), although exact levels of prevalence are not easy to establish.”
BackgroundVictimization in Early Life and Mental Health in Adulthood
Hill, T. D., Kaplan, L. M., French, M. T., & Johnson, R. J. (2010) · Journal of Health and Social Behavior · doi:10.1177/0022146509361194 · Cited by 94 · see citing works
Child Maltreatment and Adult Cigarette Smoking: A Long-term Developmental Model
Topitzes, J., Mersky, J. P., & Reynolds, A. J. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp119 · Cited by 93 · see citing works
“Although knowledge of the link between CAN and health has motivated collaboration across disciplines such as medicine, public health, psychology, and social work, CAN continues to receive insufficient attention in health care settings (Springer et al., 2003).”
BackgroundScreening for Childhood Trauma in Adult Primary Care Patients
Weinreb, L., Savageau, J. A., Candib, L. M., Reed, G. W., Fletcher, K. E., & Hargraves, J. L. (2010) · The Primary Care Companion to The Journal of Clinical Psychiatry · doi:10.4088/pcc.10m00950blu · Cited by 90 · see citing works
Reports of Abusive Experiences During Childhood and Adult Health Ratings
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Childhood Abuse and Fear of Childbirth—A Population‐based Study
Lukasse, M., Vangen, S., Øian, P., Kumle, M. H., Ryding, E. L., Schei, B., & on behalf of the Bidens Study Group (2010) · Birth · doi:10.1111/j.1523-536x.2010.00420.x · Cited by 84 · see citing works
Comparison of Brazilian spiritist mediumship and dissociative identity disorder
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“We found childhood abuse rates with the 24 selected mediums comparable with those found in the general population from several countries (5%– 40%) ( Springer et al., 2003 ) and lower than among DID patients (Ross et al., 1990b).”
BackgroundResultAdult adjustment of survivors of institutional child abuse in Ireland
Carr, A., Dooley, B. A., Fitzpatrick, M., Flanagan, E., Flanagan‐Howard, R., Tierney, K. J., White, M. D., Daly, M., & Egan, J. (2010) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2009.11.003 · Cited by 79 · see citing works
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“[69] argue that “many of the criteria for a causal relationship are met” in retrospective Wiehn et al.”
Is childhood abuse a risk factor for chronic pain in adulthood?
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Case-Control Study of Medical Comorbidities in Women With Interstitial Cystitis
Clemens, J. Q., Meenan, R. T., Rosetti, M. C. O., Kimes, T. A., & Calhoun, E. A. (2008) · The Journal of Urology · doi:10.1016/j.juro.2008.01.172 · Cited by 69 · see citing works
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Patients, Families, and Communities COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
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“Similar results were found from the studies conducted among Kenya university students and the USA [39, 73].”
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The role of child sexual abuse in the etiology of substance-related disorders
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Profiles of adult survivors of severe sexual, physical and emotional institutional abuse in Ireland
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Identifying Risk Factors for Child Maltreatment in Alaska
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An Evaluation of Screening Questions for Childhood Abuse in 2 Community Samples
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Identifying perinatal risk factors for infant maltreatment: an ecological approach.
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Childhood Abuse and Common Complaints in Pregnancy
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Traumatic Stress and Resilience Among Transgender and Gender Diverse Youth
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A brief two-item screener for detecting a history of physical or sexual abuse in childhood
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“Inquiries that use broad labeling questions, however, have been shown to be generally ineffective in screening for a history of abuse in childhood [16,35].”
BackgroundJoukamaa, M. I., Luutonen, S. H., von Reventlow, H. G., Patterson, P. H., Karlsson, H., & Salokangas, R. K. R. (2008) · Psychosomatics · doi:10.1176/appi.psy.49.4.317 · Cited by 45 · see citing works
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“Although global metaanalyses estimate the prevalence of physical and sexual abuse to be minimal to moderate severity (22), childhood physical and sexual abuse in childhood are both public health concerns given their association with negative outcomes across the life course (23).”
BackgroundThe prevalence of early life trauma in premenstrual dysphoric disorder (PMDD)
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Childhood Abuse and Pain in Adulthood
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Violence Affects Physical and Mental Health Differently: The General Population Based Tromsø Study
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Poverty, Cortical Structure, and Psychopathologic Characteristics in Adolescence
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“It’s Going to Make the Whole Tower Crooked”: Victimization Trajectories in IPV
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“For example, studies have shown that adult survivors of childhood maltreatment report an array of physical and mental health problems, with the most severely maltreated individuals being the worst affected (Kwong et al. 2003; Springer et al. 2003).”
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“On the other hand, many studies have also shown that maltreatment increases the risk of physical and mental illness at different stages of life (Afifi et al., 2006; Gilbert et al., 2009; Lanier et al., 2010; Springer et al., 2003).”
Background‘Distant socializing,’ not ‘social distancing’ as a public health strategy for COVID-19
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Effects of child abuse and neglect on adult survivors
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The separation distress hypothesis of depression – an update and systematic review
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Farrow, V. A., Bosch, J. O., Crawford, J. N., Snead, C. M., & Schulkin, J. A. (2018) · Women s Health Issues · doi:10.1016/j.whi.2018.09.001 · Cited by 24 · see citing works
- Authors
- Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Carnes, Molly
- Venue
- Journal of General Internal Medicine
- Published
- 2003-10
- Volume
- 18
- Issue
- 10
- Pages
- 864-870
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC1494926
- OpenAlex
- W1722369907
- Cited by
- 299
- References
- 101
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 17 · 2023: 18 · 2022: 19 · 2021: 35 · 2020: 23 · 2019: 12 · 2018: 15 · 2017: 17 · 2016: 13 · 2015: 13 · 2014: 8 · 2013: 6 · 2012: 11
- FWCI
- 6.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (0123666)
- U.S. Department of Health and Human Services
- National Institute on Aging (K07 AG0074, T32AG000129)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child Abuse and Related Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- childhood abuse, long-term health effects, mental health, physical health, child abuse prevention, interdisciplinary collaboration, public policy
- MeSH terms
- Adult, Mental Disorders, Child, Child Abuse, Health Status, Humans, Mass Screening, Prospective Studies, Risk Factors, Comorbidity, Somatosensory 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.
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