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...

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Main Authors: 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
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
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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.
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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
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