Child abuse and neglect have repeatedly been shown to be risks for psychiatric and personality disorders. However, much of this evidence is based on retrospective reports of adults. In addition, little is known about the developmental course of psychopathology among those exposed to child maltreatment. In this study, we report mental disorders assessed from early childhood to adulthood in those later identified as victims of abuse or neglect by official or self-report. Findings show elevated rates of mental disorders and symptoms in each of four groups relative to the normative sample. Groups included those who had been victims of physical abuse or neglect according to official report and those who had been victims of physical or sexual abuse by self-report. As expected, the maltreated groups were quite different demographically from the community comparison sample, especially those with official reports. The group with retrospective self-reports of physical abuse differed only modestly from the comparison group on the symptom and disorder measures, while the sexually abused group showed the most consistently elevated patterns, even after controls for demographic differences were taken into account. The disorder and symptom patterns differed both by group and by age: neglect cases showed a partial remission in adulthood, while official physical abuse cases showed an increasingly consolidated pattern of antisocial and impulsive behavior.
[1]
B. Egolf,et al.
Preschool antecedents of adolescent assaultive behavior: a longitudinal study.
,
1997,
The American journal of orthopsychiatry.
[2]
S. Salzinger,et al.
Adolescent physical abuse and suicide attempts.
,
1997,
Journal of the American Academy of Child and Adolescent Psychiatry.
[3]
S. Bruce,et al.
Impact of exposure to community violence on violent behavior and emotional distress among urban adolescents.
,
1997,
Journal of clinical child psychology.
[4]
M. Maxfield,et al.
The cycle of violence. Revisited 6 years later.
,
1996,
Archives of pediatrics & adolescent medicine.
[5]
D. Finkelhor,et al.
Children as victims of violence: a national survey.
,
1994,
Pediatrics.
[6]
G. Strom,et al.
Behavioral comparisons of young sexually abused, neglected, and nonreferred children.
,
1988
.
[7]
J. Paris,et al.
Childhood trauma as an etiological factor in the personality disorders.
,
1997,
Journal of personality disorders.
[8]
D Finkelhor,et al.
Impact of sexual abuse on children: a review and synthesis of recent empirical studies.
,
1993,
Psychological bulletin.
[9]
D. Muram.
Child sexual abuse.
,
1992,
Obstetrics and gynecology clinics of North America.