Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression

Article

Bifulco, A., Moran, P., Baines, R., Bunn, A. and Stanford, K. 2002. Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression. Bulletin of the Menninger Clinic. 66 (3), pp. 241-258.
TypeArticle
TitleExploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression
AuthorsBifulco, A., Moran, P., Baines, R., Bunn, A. and Stanford, K.
Abstract

A new retrospective interview assessment of childhood psychological abuse, an extension to the Childhood Experience of Care and Abuse (CECA) instrument, is described in a companion article (Moran, Bifulco, Ball, Jacobs, & Benaim, 2002). The purpose of the present article is to examine the relationship of childhood psychological abuse to other adverse childhood experiences and to major depression and suicidal behavior in adult life. Childhood experience and lifetime disorder were assessed retrospectively in a high-risk, community series of London women (n = 204). Psychological abuse from parents was examined in relation to seven other parental behaviors (neglect, antipathy, role reversal, discipline, supervision, physical abuse, and sexual abuse). Psychological abuse was significantly related to all seven behaviors. The highest associations found were to antipathy (gamma = .76), neglect (.73), and sexual abuse (.72). Factor analysis showed the existence of two factors reflecting care and control, with psychological abuse associated with both factors. Childhood psychological abuse was highly related to chronic or recurrent adult depression, with a "dose-response" evident for severity of abuse. The rates ranged from 83% for "marked" to 55% for "mild" abuse and 37% for "little/no" psychological abuse (p < .002). Psychological abuse was also related to lifetime suicidal behavior but here any level of abuse from marked to mild had similar rates (36% overall vs. 18% with no psychological abuse, p < .04). There was no evidence of specificity of childhood experience to adult depression; nearly all types of childhood adversity examined were significantly related. An analysis using an index of multiple abuse, including psychological abuse, showed a clear dose-response relationship to disorder. Somewhat fewer forms of maltreatment were related to suicidal behavior, but again multiples showed a clear dose-response effect.

Research GroupCentre for Abuse and Trauma Studies (CATS)
PublisherGuilford Press
JournalBulletin of the Menninger Clinic
ISSN0025-9284
Publication process dates
Deposited05 Dec 2013
Output statusPublished
LanguageEnglish
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Davidson, J., Bifulco, A., Thomas, G. and Ramsay, M. 2006. Child victims of sexual abuse: children's experience of the investigative process in the criminal justice system. Practice: Social Work in Action. 18 (4), pp. 247-263. https://doi.org/10.1080/09503150601025253
Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety
Bifulco, A., Kwon, J., Jacobs, C., Moran, P., Bunn, A. and Beer, N. 2006. Adult attachment style as mediator between childhood neglect/abuse and adult depression and anxiety. Social Psychiatry and Psychiatric Epidemiology. 41 (10), pp. 796-805. https://doi.org/10.1007/s00127-006-0101-z
Adult Attachment Style. II: Its relationship to psychosocial depressive-vulnerability
Bifulco, A., Moran, P., Ball, C. and Lillie, A. 2002. Adult Attachment Style. II: Its relationship to psychosocial depressive-vulnerability. Social Psychiatry and Psychiatric Epidemiology. 37 (2), pp. 60-67. https://doi.org/10.1007/s127-002-8216-x
Adult attachment style. I: Its relationship to clinical depression
Bifulco, A., Moran, P., Ball, C. and Bernazzani, O. 2002. Adult attachment style. I: Its relationship to clinical depression. Social Psychiatry and Psychiatric Epidemiology. 37 (2), pp. 50-59. https://doi.org/10.1007/s127-002-8215-0
Assessing psychosocial risk in pregnant/postpartum women using the Contextual Assessment of Maternity Experience (CAME)
Bernazzani, O., Marks, M., Bifulco, A., Siddle, K., Asten, P. and Conroy, S. 2005. Assessing psychosocial risk in pregnant/postpartum women using the Contextual Assessment of Maternity Experience (CAME). Social Psychiatry and Psychiatric Epidemiology. 40 (6), pp. 497-508. https://doi.org/10.1007/s00127-005-0917-y
Problem partners and parenting: exploring linkages with maternal insecure attachment style and adolescent offspring internalizing disorder
Bifulco, A., Moran, P., Jacobs, C. and Bunn, A. 2009. Problem partners and parenting: exploring linkages with maternal insecure attachment style and adolescent offspring internalizing disorder. Attachment & Human Development. 11 (1), pp. 69-85. https://doi.org/10.1080/14616730802500826
Concordance between mother and offspring retrospective reports of childhood adversity
Fisher, H., Bunn, A., Jacobs, C., Moran, P. and Bifulco, A. 2011. Concordance between mother and offspring retrospective reports of childhood adversity. Child Abuse and Neglect. 35 (2), pp. 117-122. https://doi.org/10.1016/j.chiabu.2010.10.003
Understanding adult attachment in family relationships: assessment and intervention
Bifulco, A. and Thomas, G. 2012. Understanding adult attachment in family relationships: assessment and intervention. Routledge.
The Attachment Style Interview (ASI): a support-based adult assessment tool for adoption and fostering practice
Bifulco, A., Jacobs, C., Bunn, A., Thomas, G. and Irving, K. 2008. The Attachment Style Interview (ASI): a support-based adult assessment tool for adoption and fostering practice. Adoption and Fostering. 32 (3), pp. 33-45. https://doi.org/10.1177/030857590803200306
The childhood experience of care and abuse questionnaire (CECA.Q): validation in a community series
Bifulco, A., Bernazzani, O., Moran, P. and Jacobs, C. 2005. The childhood experience of care and abuse questionnaire (CECA.Q): validation in a community series. British Journal of Clinical Psychology. 44 (4), pp. 563-581. https://doi.org/10.1348/014466505X35344
Childhood adversity, parental vulnerability and disorder: examining intergenerational transmission of risk
Bifulco, A., Moran, P., Ball, C., Jacobs, C., Baines, R., Bunn, A. and Cavagin, J. 2002. Childhood adversity, parental vulnerability and disorder: examining intergenerational transmission of risk. Journal of Child Psychology and Psychiatry. 43 (8), pp. 1075-1086. https://doi.org/10.1111/1469-7610.00234
Predicting onset of depression: the vulnerability to depression questionnaire
Moran, P., Bifulco, A., Ball, C. and Campbell, C. 2001. Predicting onset of depression: the vulnerability to depression questionnaire. British Journal of Clinical Psychology. 40 (4), pp. 411-427. https://doi.org/10.1348/014466501163896