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The long-term health outcomes of childhood abuse: An overview and a call to action
Open accessAbstract
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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“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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Cited by
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“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…”
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“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…”
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“…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).”
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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.”
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BackgroundResultAdult adjustment of survivors of institutional child abuse in Ireland
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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).”
BackgroundSeppälä, P., Vornanen, R., & Toikko, T. (2020) · Journal of Interpersonal Violence · doi:10.1177/0886260519898440 · Cited by 27
“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
Pandi-Perumal, S. R., Vaccarino, S. R., Chattu, V. K., Zaki, N. F. W., BaHammam, A. S., Manzar, M. D., Maestroni, G. J. M., Suchecki, D., Moscovitch, A., Zizi, F., et al. (2021) · Pathogens and Global Health · doi:10.1080/20477724.2021.1930713 · Cited by 26
Lippard, E., & Nemeroff, C. B. (2022) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2022.173361 · Cited by 26
Dalal, K., Lawoko, S., & Jansson, B. (2010) · Journal of Injury and Violence Research · doi:10.5249/jivr.v2i1.17 · Cited by 27
Effects of child abuse and neglect on adult survivors
Johnson, E. J., & James, C. (2016) · Early Child Development and Care · doi:10.1080/03004430.2015.1134522 · Cited by 26
The separation distress hypothesis of depression – an update and systematic review
Watt, D. F. (2023) · Neuropsychoanalysis · doi:10.1080/15294145.2023.2240340 · Cited by 25
Mejía, A., Haslam, D. M., Sanders, M. R., & Penman, N. (2017) · European Journal of Development Research · doi:10.1057/s41287-017-0105-4 · Cited by 26
Ainamani, H., Weierstall‐Pust, R., Bahati, R., Otwine, A. T., Tumwesigire, S., & Rukundo, G. Z. (2022) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.2007730 · Cited by 26
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 28
Metadata
- 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 › Sociology and Political Science › 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
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