Childhood maltreatment is associated with psychopathology and revictimization in adulthood. Whether different types of childhood maltreatment have different long-term consequences, however, is largely unknown. The participants in this study included 42 female victims of intimate partner violence and 30 women with no history of serious trauma. These women completed measures of their trauma history, current psychological symptoms, and severity of current abuse. Regression-based techniques were used to assess the relationships among these constructs. Childhood maltreatment was associated with current distress and current conflict in relationships. There was a positive relationship between number of types of childhood traumatization and psychopathology. Symptoms of post-traumatic stress disorder (PTSD) and depression were negatively associated with current relationships involving physical assault. This work underscores the importance of assessing multiple types of childhood maltreatment and of considering the cumulative effects of such experiences.
Astin, M. C., Ogland-Hand, S. M., Coleman, E. M., & Foy, D. W. (1995). Post-traumatic stress disorder and childhood abuse in battered women: Comparisons with maritally distressed women. Journal of Consulting and Clinical Psychology, 63, 308-312.
2.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
3.
Beitchman, J. H., Zucker, K. J., Hood, J. E., daCosta, G. A., Akman, D., & Cassavia, E. (1992). A review of the long-term effects of child sexual abuse. Child Abuse and Neglect, 16, 101-118.
4.
Bernet, C. Z., & Stein, M. B. (1999). Relationship of childhood maltreatment to the onset and course of major depression in adulthood. Depression and Anxiety, 9, 169-174.
5.
Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report. San Antonio, TX: Psychological Corporation.
6.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Charney, D. S., & Keane, T. M. (1998). Clinician-administered PTSD Scale for DSM-IV. Boston: National Center for Post-traumatic Stress Disorder.
7.
Bremner, J. D., Southwick, S. M., Johnson, D. R., Yehuda, R., & Charney, D. S. (1993). Childhood physical abuse and combat-related post-traumatic stress disorder in Vietnam veterans. American Journal of Psychiatry, 150, 235-239.
8.
Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit Area Survey of Trauma. American Journal of Psychiatry, 156, 902-907.
9.
Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: Further specification of the sex difference in post-traumatic stress disorder. Psychological Medicine, 29, 813-821.
10.
Briere, J., & Runtz, M. (1987). Postsexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Violence, 2, 367-379.
11.
Bryer, J. B., Nelson, B. A., Miller, J. B., & Krol, P. A. (1987). Childhood sexual and physical abuse as factors in adult psychiatric illness. American Journal of Psychiatry, 144, 1426-1430.
12.
Carlson, E. B. (1996). Psychometric review of Dissociative Experiences Scale (DES). In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 152-157). Lutherville, MD: Sidran Press.
13.
Chu, J. A., & Dill, D. L. (1990). Dissociative symptoms in relation to childhood physical and sexual abuse. American Journal of Psychiatry, 147, 887-892.
14.
Cloitre, M., Cohen, L. R., & Scarvalone, P. (2002). Understanding revictimization among childhood sexual abuse survivors: An interpersonal schema approach. Journal of Cognitive Psychotherapy: An International Quarterly, 16, 91-111.
15.
Cloitre, M., Scarvalone, P., & Difede, J. (1997). Post-traumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women. Journal of Traumatic Stress, 10, 437-452.
16.
Coid, J., Petruckevitch, A., Feder, G., Chung, W.-S., Richardson, J., & Moorey, S. (2001). Relation between childhood sexual and physical abuse and risk of revictimization in women: A cross-sectional survey. Lancet, 358, 450-454.
17.
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the lifespan. Journal of the American Medical Association, 286, 3089-3096.
18.
Duncan, R. D., Saunders, B. E., Kilpatrick, D. G., Hanson, R. F., & Resnick, H. S. (1996). Childhood physical assault as a risk factor for PTSD, depression, and substance abuse. American Journal of Orthopsychiatry, 66, 437-448.
19.
Edwards, V. J., Holden, G. W., Felitti, V. J., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: Results from the Adverse Childhood Experiences Study. American Journal of Psychiatry, 160, 1453-1460.
20.
Engel, C. C., Engel, A. L., Campbell, S. J., McFall, M. E., Russo, J., & Katon, W. (1993). Post-traumatic stress disorder symptoms and precombat sexual and physical abuse in Desert Storm victims. Journal of Nervous and Mental Disease, 181, 683-688.
21.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV Axis I disorders, clinician version: Users guide. Washington, DC: American Psychiatric Association.
22.
Higgins, D. J., & McCabe, M. P. (2000a). Multi-type maltreatment and the long-term adjustment of adults. Child Abuse Review, 9, 6-18.
23.
Higgins, D. J., & McCabe, M. P. (2000b). Relationships between different types of maltreatment during childhood and adjustment in adulthood. Child Maltreatment, 5, 261-272.
24.
Hollingshead, A. B. (1975). Four factor index of social status. Unpublished manuscript.
25.
King, L. A. (1996). Psychometric review of the Los Angeles Symptom Checklist (LASC). In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 202-204). Luther-ville, MD: Sidran Press.
26.
King, L. A., King, D. W., Leskin, G., & Foy, D. W. (1995). The Los Angeles Symptom Checklist: A self-report measure of post-traumatic stress disorder. Assessment, 2, 1-17.
27.
Lang, A. J., Kennedy, C. M., & Stein, M. B. (2002). Anxiety sensitivity and PTSD among female victims of intimate partner violence. Depression and Anxiety, 16, 77-83.
28.
McCauley, J., Kern, D. E., Kolodner, K., Dill, L., Schroeder, A. F., DeChant H. K., et al. (1997). Clinical characteristics of women with a history of childhood abuse: Unhealed wounds. Journal of the American Medical Association, 277, 1362-1368.
29.
Merrill, L. L., Newell, C. E., Milner, J. S., Koss, M. P., Hervig, L. K., Gold, S. R., et al. (1998). Prevalence of premilitary adult sexual victimization and aggression in a navy recruit sample. Military Medicine, 163, 209-212.
30.
Molnar, B. E., Buka, S. L., & Kessler, R. C. (2001). Child sexual abuse and subsequent psycho-pathology: Results from the National Comorbidity Survey. American Journal of Public Health, 91, 753-760.
31.
Peterson, R. A., & Reiss, S. (1993). Anxiety Sensitivity Index revised test manual. Worthington, OH: IDS Publishing.
32.
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
33.
Rodriguez, N., Vande Kemp, H., & Foy, D. W. (1998). Post-traumatic stress disorder in survivors of childhood sexual and physical abuse: A critical review of the empirical research. Journal of Child Sexual Abuse, 7(2), 17-45.
34.
Rumstein-McKean, O., & Hunsley, J. (2001). Interpersonal and family functioning of female survivors of childhood sexual abuse. Clinical Psychology Review, 21, 471-490.
35.
Saxe, G., & Wolfe, J. (1999). Gender and post-traumatic stress disorder. In P. A. Saigh & J. D. Bremner(Eds.), Post-traumaticstress disorder: A comprehensive text (pp. 160-179). Boston: Allyn & Bacon.
36.
Schaaf, K. K., & McCanne, T. R. (1998). Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and post-traumatic stress disorder. Child Abuse and Neglect, 22, 1119-1133.
37.
Schmidt, N. B. (1999). Prospective evaluations of anxiety sensitivity. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 217-235). Mahwah, NJ: Lawrence Erlbaum.
38.
Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The Revised Conflict Tactics Scales (CTS-2): Development and preliminary psychometric data. Journal of Family Issues, 17, 283-316.
39.
Stein, M. B., Walker, J. R., & Forde, D. R. (2000). Gender differences in susceptibility to post-traumatic stress disorder. Behavior Research and Therapy, 38, 619-628.
40.
Waller, N. G., Putnam, F. W., & Carlson, E. B. (1996). Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychological Methods, 1, 300-321.
41.
Ware, J. E. (1993). SF-36 Health Survey manual and interpretation guide. Boston: Health Institute, New England Medical Center.
42.
Weathers, F. W., Keane, T. M., & Davidson, J. R. T. (2001). Clinician-administered PTSD Scale: A review of the first ten years of research. Depression and Anxiety, 13, 132-156.
43.
Weiss, E. L., Longhurst, J. G., & Mazure, C. M. (1999). Childhood sexual abuse as a risk factor for depression in women: Psychosocial and neurobiological correlates. American Journal of Psychiatry, 156, 816-828.
44.
Whitfield, C. L., Anda, R. F., Dube, S. R., & Felitti, V. J. (2003). Violent childhood experiences and the risk of intimate partner violence in adults. Journal of Interpersonal Violence, 18, 166-185.
