Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment
Abstract Background The prevalence and consequences of child maltreatment are alarming, but evidence from studies with long follow-up intervals are limited. This study examined the long-term consequences of child maltreatment in relation to age of onset and follow-up interval. Methods The exposed gr...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2022-11-01
|
Series: | Child and Adolescent Psychiatry and Mental Health |
Subjects: | |
Online Access: | https://doi.org/10.1186/s13034-022-00524-4 |
_version_ | 1811304616688615424 |
---|---|
author | Rosa S. Wong Keith T. S. Tung Ko Ling Chan Wilfred H. S. Wong Hing Wai Tsang Clare H. Y. Chow Gilbert T. Chua Winnie W. Y. Tso Jason C. Yam Ian C. K. Wong Patrick lp |
author_facet | Rosa S. Wong Keith T. S. Tung Ko Ling Chan Wilfred H. S. Wong Hing Wai Tsang Clare H. Y. Chow Gilbert T. Chua Winnie W. Y. Tso Jason C. Yam Ian C. K. Wong Patrick lp |
author_sort | Rosa S. Wong |
collection | DOAJ |
description | Abstract Background The prevalence and consequences of child maltreatment are alarming, but evidence from studies with long follow-up intervals are limited. This study examined the long-term consequences of child maltreatment in relation to age of onset and follow-up interval. Methods The exposed group comprised 63 individuals (aged 13–34 years) with a first-time diagnosis of child maltreatment between 2001 and 2010, whereas the unexposed group comprised 63 individuals who were matched upon gender, age of onset, follow-up period, and poverty status at the index hospital admission but had no medical records of maltreatment in Hong Kong. The participants completed a set of questionnaires on executive functions and mental health and provided blood samples for measurement of IL-6 and IL-10 levels during a health assessment session. Results Compared with the unexposed group, the exposed group reported poorer maternal care during childhood (β = −4.64, p < 0.001) and had lower family support (β = −2.97, p = 0.010) and higher inflammatory responses (IL-6: β = 0.15, p = 0.001; IL-10: β = 0.11, p = 0.011) at follow-up. Additionally, the associations of childhood maltreatment exposure with family support and maternal care differed by age of onset and the length of time since exposure. Conclusions This matched cohort study highlights childhood maltreatment as a risk factor for systemic inflammation and an indicator of suboptimal social environment, both of which could persist over a long period of time. |
first_indexed | 2024-04-13T08:10:37Z |
format | Article |
id | doaj.art-9e8d9c47dfbe4c16905978cf605b531a |
institution | Directory Open Access Journal |
issn | 1753-2000 |
language | English |
last_indexed | 2024-04-13T08:10:37Z |
publishDate | 2022-11-01 |
publisher | BMC |
record_format | Article |
series | Child and Adolescent Psychiatry and Mental Health |
spelling | doaj.art-9e8d9c47dfbe4c16905978cf605b531a2022-12-22T02:55:00ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002022-11-011611910.1186/s13034-022-00524-4Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatmentRosa S. Wong0Keith T. S. Tung1Ko Ling Chan2Wilfred H. S. Wong3Hing Wai Tsang4Clare H. Y. Chow5Gilbert T. Chua6Winnie W. Y. Tso7Jason C. Yam8Ian C. K. Wong9Patrick lp10Department of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Applied Social Sciences, The Hong Kong Polytechnic UniversityDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong KongDepartment of Pharmacology and Pharmacy, The University of Hong KongDepartment of Paediatrics and Adolescent Medicine, The University of Hong KongAbstract Background The prevalence and consequences of child maltreatment are alarming, but evidence from studies with long follow-up intervals are limited. This study examined the long-term consequences of child maltreatment in relation to age of onset and follow-up interval. Methods The exposed group comprised 63 individuals (aged 13–34 years) with a first-time diagnosis of child maltreatment between 2001 and 2010, whereas the unexposed group comprised 63 individuals who were matched upon gender, age of onset, follow-up period, and poverty status at the index hospital admission but had no medical records of maltreatment in Hong Kong. The participants completed a set of questionnaires on executive functions and mental health and provided blood samples for measurement of IL-6 and IL-10 levels during a health assessment session. Results Compared with the unexposed group, the exposed group reported poorer maternal care during childhood (β = −4.64, p < 0.001) and had lower family support (β = −2.97, p = 0.010) and higher inflammatory responses (IL-6: β = 0.15, p = 0.001; IL-10: β = 0.11, p = 0.011) at follow-up. Additionally, the associations of childhood maltreatment exposure with family support and maternal care differed by age of onset and the length of time since exposure. Conclusions This matched cohort study highlights childhood maltreatment as a risk factor for systemic inflammation and an indicator of suboptimal social environment, both of which could persist over a long period of time.https://doi.org/10.1186/s13034-022-00524-4Child maltreatmentCytokineInflammationFamily supportStressAdulthood |
spellingShingle | Rosa S. Wong Keith T. S. Tung Ko Ling Chan Wilfred H. S. Wong Hing Wai Tsang Clare H. Y. Chow Gilbert T. Chua Winnie W. Y. Tso Jason C. Yam Ian C. K. Wong Patrick lp Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment Child and Adolescent Psychiatry and Mental Health Child maltreatment Cytokine Inflammation Family support Stress Adulthood |
title | Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment |
title_full | Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment |
title_fullStr | Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment |
title_full_unstemmed | Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment |
title_short | Evidence of individual differences in the long-term social, psychological, and cognitive consequences of child maltreatment |
title_sort | evidence of individual differences in the long term social psychological and cognitive consequences of child maltreatment |
topic | Child maltreatment Cytokine Inflammation Family support Stress Adulthood |
url | https://doi.org/10.1186/s13034-022-00524-4 |
work_keys_str_mv | AT rosaswong evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT keithtstung evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT kolingchan evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT wilfredhswong evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT hingwaitsang evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT clarehychow evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT gilberttchua evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT winniewytso evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT jasoncyam evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT ianckwong evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment AT patricklp evidenceofindividualdifferencesinthelongtermsocialpsychologicalandcognitiveconsequencesofchildmaltreatment |