Childhood maltreatment and DSM-IV adult mental disorders: Comparison of prospective and retrospective findings
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Background: Prior research reports stronger associations between childhood maltreatment and adult psychopathology when maltreatment is assessed retrospectively compared with prospectively, casting doubt on the mental health risk conferred by maltreatment and on the validity of retrospective reports. Aims: To investigate associations of psychopathology with prospective v.retrospective maltreatment ascertainment. Method: A nationally representative sample of respondents aged 16–27 years (n= 1413) in New Zealand completed a retrospective assessment of maltreatment and DSM-IV mental disorders. Survey data were linked with a national child protection database to identify respondents with maltreatment records (prospective ascertainment). Results: Childhood maltreatment was associated with elevated odds of mood, anxiety and drug disorders (odds ratios = 2.1–4.1), with no difference in association strength between prospective and retrospective groups. Prospectively ascertained maltreatment predicted unfavourable depression course involving early onset, chronicity and impairment. Conclusions: Prospectively and retrospectively assessed maltreatment elevated the risk of psychopathology to a similar degree. Prospectively ascertained maltreatment predicted a more unfavourable depression course.
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Depression is not a homogeneous disorder; depression severity, symptom patterns and age at onset vary considerably between individuals.
“depression is not a homogeneous disorder; instead, depression severity, symptom patterns and age at onset vary considerably between individuals. 3-5”
From Childhood maltreatment and characteristics of adult depression: Meta-analysis (2017) · cites this paper as [4]
The ‘Associations of maltreatment with major depressive disorder onset and course’ section reports different ages at onset across maltreatment groups. It also reports differences in depression-related functional impairment, but does not establish variation in depression symptom severity or symptom patterns between individuals. The source therefore supports only part of the cited sentence. (LLM, conf=0.85)
Experimental — accuracy not yet measuredProspective and retrospective measures of abuse predict similar rates of mental illness.
“prospective and retrospective measures of abuse predict similar rates of mental illness”
From The effects of psychosocial stress on dopaminergic function and the acute stress response (2019) · cites this paper as Scott et al., 2012
By including brain function, the findings complement prior adolescent longitudinal studies that could not prospectively resolve the childhood trauma-excessive drinking relationship.
“By including brain function, our findings further complement prior longitudinal studies in adolescent samples that have not been able to prospectively resolve the relationship between CT and excessive drinking (58,59).”
From Impact of Childhood Trauma on Executive Function in Adolescence—Mediating Functional Brain Networks and Prediction of High-Risk Drinking (2020) · cites this paper as [59]
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References 32 · Cited by 317
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- Authors
- Scott, K. M., McLaughlin, K. A., Smith, D. A. R., & Ellis, P. M.
- Affiliations
- University of Otago (NZ)
- Boston Children's Hospital (US)
- Corresponding author
- Scott, Kate M.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2012-06
- Volume
- 200
- Issue
- 6
- Pages
- 469-475
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- PMC
- PMC3365274
- OpenAlex
- W2155422242
- Cited by
- 317
- References
- 32
- Citations by year
- 2026: 13 · 2025: 21 · 2024: 31 · 2023: 23 · 2022: 21 · 2021: 22 · 2020: 30 · 2019: 32 · 2018: 19 · 2017: 22 · 2016: 17 · 2015: 21 · 2014: 22 · 2013: 17 · 2012: 6
- FWCI
- 24.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation (R01 DA016558, R13-MH066849)
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- GlaxoSmithKline
- World Health Organization
- Alcohol Advisory Council of New Zealand
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- Pfizer Foundation (R01‐MH069864, R01-DA016558, R13-MH066849)
- Pan American Health Organization
- Health Research Council of New Zealand
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, MH069864, MH066849, K01MH092526, R01‐MH069864)
- National Institute on Drug Abuse (R01DA016558)
- Fogarty International Center (FIRCA R01-TW006481, R01-TW006481, R03TW006481)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- child abuse, adult psychopathology, mood disorders, anxiety disorders, substance use disorders, course of depression, child protection records, early-onset depression, chronic depression
- MeSH terms
- Adolescent, Adult, Mental Disorders, Child, Child Abuse, Depressive Disorder, Female, Humans, Male, New Zealand, Prospective Studies, Retrospective Studies, Age of Onset, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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