A tangled start: The link between childhood maltreatment, psychopathology, and relationships in adulthood.


Journal

Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702

Informations de publication

Date de publication:
11 2021
Historique:
received: 14 07 2020
revised: 16 06 2021
accepted: 22 07 2021
pubmed: 17 8 2021
medline: 19 3 2022
entrez: 16 8 2021
Statut: ppublish

Résumé

Adults with a history of childhood maltreatment are more likely to experience distrust, feel distant from others, and develop an insecure attachment style which may also affect relationship quality. Furthermore, childhood maltreatment has been linked to several mental health problems; including, depression, anxiety, and alcohol dependance severity, that are also known to relationship quality. The current study was designed to investigate to what extent childhood maltreatment is associated with adult insecure attachment and intimate relationships and whether this association is mediated by psychopathology. In a study comprised of 2035 adults aged 18-65, we investigated whether childhood maltreatment was associated with insecure adult attachment styles and the quality of intimate relationships and whether this was mediated by depression, anxiety, and alcohol dependence severity (based on repeated assessments of the Inventory of Depressive Symptomatology-Self Report, Beck Anxiety Index, and Alcohol Use Disorders Identification Test respectively). The path model showed an acceptable fit, RMSEA = 0.05, and suggested full mediation of the association of childhood maltreatment with quality of intimate relationships by depression severity and a) anxious attachment (β = -4.0 ∗ 10 Childhood maltreatment is associated with a lower quality of intimate relationships, which is fully mediated by depression severity and insecure attachment styles.

Sections du résumé

BACKGROUND
Adults with a history of childhood maltreatment are more likely to experience distrust, feel distant from others, and develop an insecure attachment style which may also affect relationship quality. Furthermore, childhood maltreatment has been linked to several mental health problems; including, depression, anxiety, and alcohol dependance severity, that are also known to relationship quality.
OBJECTIVE
The current study was designed to investigate to what extent childhood maltreatment is associated with adult insecure attachment and intimate relationships and whether this association is mediated by psychopathology.
PARTICIPANTS AND METHOD
In a study comprised of 2035 adults aged 18-65, we investigated whether childhood maltreatment was associated with insecure adult attachment styles and the quality of intimate relationships and whether this was mediated by depression, anxiety, and alcohol dependence severity (based on repeated assessments of the Inventory of Depressive Symptomatology-Self Report, Beck Anxiety Index, and Alcohol Use Disorders Identification Test respectively).
RESULTS
The path model showed an acceptable fit, RMSEA = 0.05, and suggested full mediation of the association of childhood maltreatment with quality of intimate relationships by depression severity and a) anxious attachment (β = -4.0 ∗ 10
CONCLUSIONS
Childhood maltreatment is associated with a lower quality of intimate relationships, which is fully mediated by depression severity and insecure attachment styles.

Identifiants

pubmed: 34399093
pii: S0145-2134(21)00301-X
doi: 10.1016/j.chiabu.2021.105228
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

105228

Informations de copyright

Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Auteurs

Mona K Shahab (MK)

Institute of Clinical Psychology, Leiden University, the Netherlands; Department of Clinical Epidemiology, Leiden University Medical Center, the Netherlands. Electronic address: m.k.shahab@fsw.leidenuniv.nl.

Josja A de Ridder (JA)

HSK Groep, Leiden, the Netherlands.

Philip Spinhoven (P)

Institute of Clinical Psychology, Leiden University, the Netherlands; Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands.

Brenda W J H Penninx (BWJH)

Department of Psychiatry, Leiden University Medical Center, Leiden, the Netherlands; Department of Psychiatry/EMGO Institute/Institute for Neurosciences, Amsterdam UMC, Vrije Universiteit, Amsterdam, the Netherlands; Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Dennis O Mook-Kanamori (DO)

Department of Clinical Epidemiology, Leiden University Medical Center, the Netherlands; Department of Primary Care and Public Health, Leiden University Medical Center, Leiden, the Netherlands.

Bernet M Elzinga (BM)

Institute of Clinical Psychology, Leiden University, the Netherlands.

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