a SciTechnol journal Research Article
Kitta et al., J Trauma Stress Disor Treat 2016, 5:3
DOI: 10.4172/2324-8947.1000160
International Publisher of Science,
Technology and Medicine
Journal of Traumatic Stress
Disorders & Treatment
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Childhood Trauma and Adult
Distress Symptoms
Maria Kitta
1
, Mary Gouva
2
*, Georgios Hadjigeorgiou
3
, Krommidas
George
2
and Bonotis Konstantinos
4
Abstract
Childhood trauma is highly prevalent and consist a major public
health problem with severe adverse physical and mental effects
later in life. The purpose of the study was to investigate the
childhood trauma effects on adult psychopathology, as expressed
through their distress symptoms. One thousand two hundred
ninety-three (1293), healthy individuals (343 men and 894 women)
were enrolled in the study. They were divided into two groups on
the basis of their responses of experienced negative life events
(at least one childhood traumatic event vs. no event) and flled
out the SCL-90 questionnaire. Accidents (18%), fears (16%), loss
of house and pets (15%), educational queries and doubts (13%)
and parental divorce (11%), were the most frequent childhood
adversities. Participants who had at least one childhood stressor
differed statistically signifcantly in all SCL-90 subscales, when
compared with their counterparts without any childhood adversity
(p<0.001). PSDI score for the family violence group differed
statistically signifcantly when compared with the “death” and
“disease” group (p=0.002).This study underlines the associations of
common childhood adversities, especially domestic violence, with
distress symptoms in adulthood and demonstrate the importance of
a deeper understanding about the unique effects of some common
ELS subtypes.
Keywords
Childhood trauma; Mental health; Adulthood; Stressor
*Corresponding author: Mary Gouva, School of health, Department of Nursing,
Higher Technological Educational Institution of Epirus, Ioannina, Greece, Tel: +30
2651050762; E-mail: gouva@ioa.teiep.gr; gouvamary@gmail.com
Received: May 30, 2016 Accepted: June 14, 2016 Published: June 20, 2016
Introduction
Childhood trauma is highly prevalent and consist a major public
health problem resulting in adverse efects on physical and mental
health, which persist through late adulthood [1]. Te term is used
ofen alternatively to early life stress (ELS) that refers to a variety
of traumatic experiences that may occur during childhood and
adolescence and is a social problem that represents a substantial
public health burden. Childhood trauma has strong efects on neural
structure and function, rendering an individual susceptible to later
cognitive defcits and psychiatric morbidity, including schizophrenia,
major depression and bipolar disorder. Individuals who have
experienced abuse or neglect in childhood are 1.3 to 3.1 times more
likely to experience lifetime major depressive disorder or dysthymia,
depending on type, severity, and frequency of the trauma [2,3].
A wide range of psychiatric disorders in adulthood can be
attributed to ELS although many who had childhood trauma
exposure are quite resilient. In the present study, ELS refers to forms
of childhood adversities such as separation, family violence, death
in the family, resulting in the physical and emotional abuse of the
child. Te physical abuse of a child is defned as the intentional use
of physical force against a child and much of the physical violence
against children at home is inficted as a means of punishment. Te
emotional abuse and neglect involves isolated incidents and a pattern
of failure over time on the part of a model or caregiver to provide a
developmentally appropriate and supportive environment. Tis could
in a broader sense include an absence of supporting environment
due to physical loss. Indeed, some studies suggest that exposure to
some other stressors during childhood, such as the death of a parent
or substitute, deprivation, maternal or paternal abandonment,
separation or divorce, and parental psychiatric disorders, may also be
associated with psychiatric disorders in adulthood [4].
Although childhood adversities have a well-recognized impact
on adulthood psychopathology in clinical populations, there is
little information about adversity in wider populations. On the
other hand, research so far has focused mainly on well-defned and
critical stressors such as emotional abuse, sexual abuse, physical
abuse, emotional neglect, physical neglect and parental psychiatric
disorders. Other forms of childhood adversity such as parental loss
or separation, or a wide range of early stressful life events have drawn
less attention in regarding to their adulthood impact. Te purpose of
the present study was to investigate the childhood trauma efects on
adult psychopathology, as expressed through their distress symptoms.
Methods
Te total number of individuals was one thousand two hundred
ninety-three (1293), healthy individuals (343 men and 894 women)
that were a) either undergraduates or postgraduate students of Greek
Universities or administrative employees at the above Universities,
b) both public servants and/or employees in private sectors and c)
relatives and friends of the above individuals. Te average age of these
participants was 34.61 (12.58). All subjects had at least graduated
from Primary school and they had no history of mental disorders nor
did they require psychiatric medication. Tose 1293 individuals were
divided into two groups on the basis of their responses of experienced
negative life events. Te frst group (CT) consisted of 758 individuals
(179 males and 579 females) who reported being exposed to at least
one childhood traumatic event. Te second group (NCT) consisted of
479 individuals (164 males and 315 females) who reported not being
exposed to such experiences.
All the participants who fulflled the study’s requirements and
accepted to participate in it were informed about the procedure of
the study. A self-report questionnaire, asking for certain socio-
demographic information (e.g. gender, age, education, etc.), was
enriched with a closed question one regarding traumatic experience
during childhood: a) have you ever experienced a traumatic live event
as a child? -it was the answer to this question that determined the
formation of the two groups in the present study and an open question
one b) if the answer to the above closed question was yes, they then
had to describe the event and indicate when it occurred. According
to this, in this survey the authors selected some types of traumatic life