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Biomedical subjects

C S Widom

Publications and source records attributed to C S Widom.

At least 19 recordsLinked to original sources
PubMed2001

Childhood victimization and alcohol symptoms in females: causal inferences and hypothesized mediators.

OBJECTIVE: Previous research has reported a relationship between childhood victimization experiences and alcohol problems in females. This paper has two distinct goals: (1) to determine whether it is appropriate to make a causal inference regarding the association between early child abuse and neglect and alcohol symptoms in females; and (2) to examine five potential mechanisms (depression, worthlessness, social isolation/loneliness, low self esteem, and using alcohol and/or drugs to cope) that may mediate the relationship between child abuse and neglect and alcohol symptomatology. METHOD: Substantiated cases of child abuse and neglect from 1967 to 1971 were matched on sex, age, race, and approximate social class with nonabused and non-neglected children and followed prospectively into young adulthood. Subjects were administered a 2-h in-person interview, including the NIMH Diagnostic Interview Schedule (DIS-III-R) to assess alcohol use and abuse. Analyses are restricted to females in the sample (N = 582). RESULTS: Structural equation modeling provides support for the inference that childhood victimization plays a causal role in the development of alcohol symptoms in women. There also is support for the hypothesized mediating role of two mechanisms (depression and using alcohol/drugs to cope), but not for the other mediators. CONCLUSIONS: Evidence from this prospective study suggests that childhood victimization may be one of the causal factors in the development of alcohol problems in females. Interventions should bedirected at abused and neglected females of all ages to help them to deal with depression and to develop coping strategies to prevent the development of serious alcohol problems.

Adaptation, Psychological↗
PubMed2001

Childhood victimization and pain in adulthood: a prospective investigation.

Evidence of the relationship between childhood abuse and pain problems in adulthood has been based on cross-sectional studies using retrospective self-reports of childhood victimization. The objective of the current study was to determine whether childhood victimization increases risk for adult pain complaints, using prospective information from documented cases of child abuse and neglect. Using a prospective cohort design, cases of early childhood abuse or neglect documented between 1967 and 1971 (n = 676) and demographically matched controls (n = 520) were followed into young adulthood. The number of medically explained and unexplained pain complaints reported at follow-up (1989-1995) was examined. Assessed prospectively, physically and sexually abused and neglected individuals were not at risk for increased pain symptoms. The odds of reporting one or more unexplained pain symptoms was not associated with any childhood victimization or specific types (i.e. sexual abuse, physical abuse, or neglect). In contrast, the odds of one or more unexplained pain symptoms was significantly associated with retrospective self-reports of all specific types of childhood victimization. These findings indicate that the relationship between childhood victimization and pain symptoms in adulthood is more complex than previously thought. The common assumption that medically unexplained pain is of psychological origin should be questioned. Additional research conducting comprehensive physical examinations with victims of childhood abuse and neglect is recommended.

Adult↗
PubMed2001

Resilience among abused and neglected children grown up.

Although an extensive literature has accumulated documenting the maladaptive outcomes associated with childhood victimization, a limited body of knowledge addresses resilience. This paper sought to operationalize the construct of resilience across a number of domains of functioning and time periods and to determine the extent to which abused and neglected children grown up demonstrate resilience. Substantiated cases of child abuse and neglect from 1967 to 1971 were matched on gender, age, race, and approximate family social class with nonabused and nonneglected children and followed prospectively into young adulthood. Between 1989 and 1995. 1,196 participants (676 abused and neglected and 520 controls) were administered a 2-hr in-person interview, including a psychiatric assessment. Resilience requires meeting the criteria for success across six of eight domains of functioning: employment, homelessness, education, social activity, psychiatric disorder, substance abuse, and two domains assessing criminal behavior (official arrest and self-reports of violence). Results indicate that 22% of abused and neglected individuals meet the criteria for resilience. More females met the criteria for resilience and females were successful across a greater number of domains than males. We speculate on the meaning of these findings and discuss implications for the child maltreatment field. Limitations of the study are also acknowledged.

Adaptation, Psychological↗
PubMed2001

The impact of childhood abuse and neglect on adult mental health: a prospective study.

This paper examines the impact of three types of victimization in childhood--sexual abuse, physical abuse, and neglect--on lifetime measures of mental health among adults. In contrast to research that relies on retrospective recall of childhood victimization, this work uses a prospective sample gathered from records of documented court cases of childhood abuse and neglect in a midwestern city around 1970. These subjects were interviewed about twenty years later. In addition, this research compares outcomes of the 641 members of the abuse and neglect group with a matched control group of 510 persons who did not have documented cases of abuse or neglect. The results indicate that men who were abused and neglected as children have more dysthymia and antisocial personality disorder as adults than matched controls, but they did not have more alcohol problems. Abused and neglected women report more symptoms of dysthymia, antisocial personality disorder, and alcohol problems than controls. After controlling for stressful life events, however, childhood victimization had little direct impact on any lifetime mental health outcome. This research indicates the importance of adopting an approach that places childhood victimization in the context of other life stressors and of prospective changes over the life course.

Adult↗
PubMed2001

Alcohol abuse as a risk factor for and consequence of child abuse.

The relationship between child abuse and the use or abuse of alcohol has two aspects. First, some findings have indicated that parental alcohol abuse may be associated with the physical or sexual abuse of children. Research findings in this area remain inconsistent, however. Second, the experience of being abused as a child may increase a person's risk for alcohol-related problems as an adult. This relationship has best been demonstrated in women who had been victims of childhood abuse. Several factors most likely contribute to or influence this relationship, including coping skills; antisocial behavior; and psychological problems, such as posttraumatic stress disorder.

Adaptation, Psychological↗
PubMed1999

Childhood victimization and drug abuse: a comparison of prospective and retrospective findings.

This study examined whether childhood victimization increases risk for drug abuse using prospective and retrospective victimization information. Substantiated cases of child abuse/neglect from 1967 to 1971 were matched on gender, age, race, and approximate social class with nonabused/nonneglected children and followed prospectively into young adulthood. Between 1989 and 1995, 1,196 participants (676 abused/neglected and 520 control) were administered a 2-hr interview, including measures of self-reported childhood victimization and drug use/abuse (the National Institute of Mental Health Diagnostic Interview Schedule--Version III--Revised). Prospectively, abused/neglected individuals were not at increased risk for drug abuse. In contrast, retrospective self-reports of childhood victimization were associated with robust and significant increases in risk for drug abuse. The relationship between childhood victimization and subsequent drug problems is more complex than originally anticipated.

Child↗
PubMed1999

Posttraumatic stress disorder in abused and neglected children grown up.

OBJECTIVE: The purpose of this study was to describe the extent to which childhood abuse and neglect increase a person's risk for subsequent posttraumatic stress disorder (PTSD) and to determine whether the relationship to PTSD persists despite controls for family, individual, and lifestyle characteristics associated with both childhood victimization and PTSD. METHOD: Victims of substantiated child abuse and neglect from 1967 to 1971 in a Midwestern metropolitan county area were matched on the basis of age, race, sex, and approximate family socioeconomic class with a group of nonabused and nonneglected children and followed prospectively into young adulthood. Subjects (N = 1,196) were located and administered a 2-hour interview that included the National Institute of Mental Health Diagnostic Interview Schedule to assess PTSD. RESULTS: Childhood victimization was associated with increased risk for lifetime and current PTSD. Slightly more than a third of the childhood victims of sexual abuse (37.5%), 32.7% of those physically abused, and 30.6% of victims of childhood neglect met DSM-III-R criteria for lifetime PTSD. The relationship between childhood victimization and number of PTSD symptoms persisted despite the introduction of covariates associated with risk for both. CONCLUSIONS: Victims of child abuse (sexual and physical) and neglect are at increased risk for developing PTSD, but childhood victimization is not a sufficient condition. Family, individual, and lifestyle variables also place individuals at risk and contribute to the symptoms of PTSD.

Adult↗
PubMed1996

The cycle of violence. Revisited 6 years later.

OBJECTIVE: To assess the long-term effects of child abuse and neglect on delinquency, adult criminality, and violent criminal behavior. DESIGN: Prospective cohorts design that matched cases of abuse and neglect with those of controls. Follow-up data collection at 22 to 26 years following abuse or neglect. SETTING: A metropolitan area in the Midwest. PARTICIPANTS: Substantiated cases of child abuse or neglect identified from court records that were obtained from 1967 through 1971 (n=908). Comparison group matched on the date of birth, race, sex, and approximate social class (n=667). The current mean age was 32.5 years. MAIN OUTCOME MEASURES: Official arrest records for nontraffic and violent crimes collected from local, state, and federal law enforcement agencies through mid-1994. RESULTS: Childhood victims of abuse or neglect were more likely than controls to have a juvenile or adult arrest for any nontraffic offense (49% vs 38%) and for a violent crime (18% vs 14%). Victims of physical abuse and neglected children were more likely to be arrested for violence (odds ratios: 1.9 and 1.6, respectively), after controlling for age, race, and sex. CONCLUSIONS: Childhood abuse and neglect have a significant impact on the likelihood of arrest for delinquency, adult criminality, and violence. By the age of 32 years, almost half of the victims of abuse and neglect were arrested for a nontraffic offense. By responding to incidents of child abuse and neglect, health care professionals can play an important role in preventing future violence. More attention must be paid to childhood victims of neglect and to differences in the consequences of abuse and neglect by gender and race or ethnicity.

Adolescent↗
PubMed1996

Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: a prospective study.

OBJECTIVES: This study examined the extent to which being abused and/or neglected in childhood increases a person's risk for promiscuity, prostitution, and teenage pregnancy. METHODS: A prospective cohorts design was used to match, on the basis of age, race, sex, and social class, cases of abused and/or neglected children from 1967 to 1971 with nonabused and nonneglected children; subjects were followed into young adulthood. From 1989 to 1995 1196 subjects (676 abused and/or neglected and 520 control subjects were located and interviewed. RESULTS: Early childhood abuse and/or neglect was a significant predictor of prostitution for females (odds ratio [OR] = 2.96). For females, sexual abuse (OR = 2.54) and neglect (OR = 2.58) were associated with prostitution, whereas physical abuse was only marginally associated. Childhood abuse and neglect were not associated with increased risk for promiscuity or teenage pregnancy. CONCLUSIONS: These findings strongly support a relationship between childhood victimization and subsequent prostitution. The presumed causal sequence between childhood victimization and teenage pregnancy may need to be reevaluated.

Adolescent↗
PubMed1995

Alcohol abuse in abused and neglected children followed-up: are they at increased risk?

OBJECTIVE: To examine whether childhood victimization leads to increased risk of alcohol abuse in young adulthood and whether there are differential responses by gender and type of abuse. METHOD: Substantiated cases of child abuse and/or neglect from 1967 to 1971 in a midwestern metropolitan county area were matched on the basis of age, race, sex and approximate family social class with a group of nonabused and nonneglected children and followed prospectively into young adulthood. Subjects were located and administered a 2-hour interview consisting of a series of structured and semistructured questions, rating scales and a psychiatric assessment using the NIMH Diagnostic Interview Schedule. Findings are based on completed interviews with 1,068 subjects (611 abused and/or neglected and 457 controls). RESULTS: No relationship between childhood victimization and subsequent alcohol abuse in men. A significant bivariate relationship for women was found, and the relationship persists when controlling for parental alcohol and/or drug problems, childhood poverty, race and age. CONCLUSIONS: The connection between early childhood victimization and subsequent alcohol abuse seems less robust and more complex than hypothesized.

Adolescent↗
PubMed1994

Childhood victimization and long-term intellectual and academic outcomes.

Long-term intellectual and academic outcomes associated with early childhood victimization were studied using a sample of previously abused and neglected individuals (n = 413) and a matched control group (n = 286). IQ (Quick Test) and reading ability (WRAT-R) were assessed at approximately age 28 and differences between the groups were compared via multivariate analyses. Abused and neglected and control group individuals differed significantly in IQ and reading ability, even when controlling for age, sex, race, and social class. Types of maltreatment were associated with differences in IQ and reading ability in young adulthood. The limitations of this study are discussed as well as the role of IQ and/or reading ability as potential mediating variables for other outcomes.

Adolescent↗
PubMed1994

Antisocial personality disorder in abused and neglected children grown up.

OBJECTIVE: the authors' goal in this study was to examine the extent to which having been abused and/or neglected in childhood raises a person's risk for having an adult DSM-III-R diagnosis of antisocial personality disorder. METHOD: Children who had experienced substantiated child abuse and/or neglect from 1967 to 1971 in a Midwestern metropolitan county area were matched on the basis of age, race, sex, and approximate family social class with a group of nonabused and nonneglected children and followed prospectively into young adulthood. Subjects were located and participated in a 2-hour interview consisting of a series of structured and semistructured questions, rating scales, and a psychiatric assessment using the National Institute of Mental Health Diagnostic Interview Schedule. Interviews were completed with 699 young adult subjects (416 abused and/or neglected and 283 comparison subjects). RESULTS: Childhood victimization was a significant predictor of the number of lifetime symptoms of antisocial personality disorder and of a diagnosis of antisocial personality disorder, despite the fact that controls for demographic characteristics and arrest history were introduced. CONCLUSIONS: These findings suggest the importance of inquiring about a patient's childhood history of abuse and/or neglect when antisocial symptoms are evident. In addition to speculation about a possible saturation model for the consequences of childhood victimization, these findings also reinforce a multiple causation model of antisocial personality disorder.

Adolescent↗
PubMed1994

The relation between socialization and antisocial behavior, substance use, and family conflict in college students.

Gough's (1960) Socialization (So) scale has been widely used as a measure of the extent to which societal values are internalized. It is well documented that antisocial individuals evidence low So scores but less clear that low So scores predict antisocial behavior in nonclinical samples. Two studies conducted at different universities in different geographical regions and different decades provided evidence consistent with this hypothesis. Results from Study 1 revealed that self-reports of several types of antisocial behavior and substance use were significantly more common among Low-So than High-So undergraduate men and women. Study 2 replicated principal findings for both men and women using correlational analyses. In addition, Study 2 yielded a significant relation between low So scores and greater family conflict as well as several gender differences reflecting stronger correlations in men than in women. These findings indicate substantial generality for the relations between socialization and antisocial behavior, especially in men, and are consistent with the use of the So scale to identify subjects who share important characteristics with criminal or psychopathic groups.

Adult↗
PubMed1994

Childhood victimization and risk for alcohol and drug arrests.

Using data from a prospective cohorts design study, this paper examines the relationship between early childhood victimization and subsequent arrest for alcohol- and/or drug-related offenses. Complete official criminal histories are compared for cases of childhood physical and sexual abuse and neglect (n = 908) and a control sample (n = 667). After controlling for relevant demographic characteristics, logistic regression analyses indicate that childhood maltreatment is a significant predictor of adult, but not juvenile, arrests for alcohol- and/or drug-related offenses. Differential responses to maltreatment by race and gender are discussed as well as limitations of the findings and future directions for research.

Adolescent↗
PubMed1991

The role of placement experiences in mediating the criminal consequences of early childhood victimization.

The disposition of a large sample of early childhood abuse and neglect cases was followed up via criminal records. The majority of the children were placed outside the home, primarily in foster care. Kinds of placement and factors affecting placement decisions were examined. Differences in arrest rates were found between children placed solely because of abuse or neglect and those placed for abuse or neglect in conjunction with delinquency. Similar results were found for foster care placement. Placement alone did not appear to increase risk of criminal behavior.

Adaptation, Psychological↗