Childhood trauma and somatic symptoms among psychiatric outpatients: Investigating the role of shame and guilt.
Identifieur interne : 000F98 ( Main/Exploration ); précédent : 000F97; suivant : 000F99Childhood trauma and somatic symptoms among psychiatric outpatients: Investigating the role of shame and guilt.
Auteurs : David Kealy [Canada] ; Simon M. Rice [Australie] ; John S. Ogrodniczuk [Canada] ; Alicia Spidel [Canada]Source :
- Psychiatry research [ 1872-7123 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Adultes victimes de maltraitance dans l'enfance (psychologie), Autorapport (MeSH), Canada (épidémiologie), Culpabilité (MeSH), Enfant (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Honte (MeSH), Humains (MeSH), Jeune adulte (MeSH), Maltraitance des enfants (psychologie), Maltraitance des enfants (tendances), Mâle (MeSH), Patients en consultation externe (psychologie), Symptômes médicalement inexpliqués (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Adultes victimes de maltraitance dans l'enfance, Maltraitance des enfants, Patients en consultation externe.
- tendances : Maltraitance des enfants.
- épidémiologie : Canada.
- Adulte, Adulte d'âge moyen, Autorapport, Culpabilité, Enfant, Enquêtes et questionnaires, Femelle, Honte, Humains, Jeune adulte, Mâle, Symptômes médicalement inexpliqués, Études transversales.
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Adult (MeSH), Adult Survivors of Child Abuse (psychology), Canada (epidemiology), Child (MeSH), Child Abuse (psychology), Child Abuse (trends), Cross-Sectional Studies (MeSH), Female (MeSH), Guilt (MeSH), Humans (MeSH), Male (MeSH), Medically Unexplained Symptoms (MeSH), Middle Aged (MeSH), Outpatients (psychology), Self Report (MeSH), Shame (MeSH), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Canada.
- psychology : Adult Survivors of Child Abuse, Child Abuse, Outpatients.
- trends : Child Abuse.
- Adult, Child, Cross-Sectional Studies, Female, Guilt, Humans, Male, Medically Unexplained Symptoms, Middle Aged, Self Report, Shame, Surveys and Questionnaires, Young Adult.
Abstract
Previous research suggests a link between experiences of childhood maltreatment and adult somatic symptom distress. Contributing mechanisms, however, are not yet well understood. It is possible that shame and guilt may function as mediators in the relationship between childhood trauma and adult somatic distress. The present study was developed to investigate the relationship between childhood maltreatment and adult somatic distress, including the potential mediating role of shame and guilt, among psychiatric outpatients. Using data from a sample of 99 Canadian psychiatric outpatients, mediation models with shame and guilt as parallel mediators were evaluated for relationships between childhood emotional abuse, sexual abuse, emotional neglect, and somatic symptoms. Controlling for current depressive symptoms, a significant indirect effect was found for the relationship between emotional abuse and shame, but not guilt, in contributing to somatic symptoms. A similar result was obtained regarding the mediating role of shame in the relationship between emotional neglect and somatic symptoms. Mediation was non-significant regarding childhood sexual abuse, which was directly related to somatic distress after controlling for depressive symptoms. The findings provide further evidence of the link between childhood trauma and somatic symptom distress, with shame as a mechanism for the effects of emotional abuse and neglect.
DOI: 10.1016/j.psychres.2018.06.072
PubMed: 30029065
Affiliations:
- Australie, Canada
- Colombie-Britannique , Victoria (État)
- Melbourne, Vancouver
- Université de Melbourne, Université de la Colombie-Britannique
Links toward previous steps (curation, corpus...)
Le document en format XML
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Rice</name><affiliation wicri:level="4"><nlm:affiliation>Orygen, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd, Parkville, VIC 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd, Parkville, VIC 3052</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Ogrodniczuk, John S" sort="Ogrodniczuk, John S" uniqKey="Ogrodniczuk J" first="John S" last="Ogrodniczuk">John S. 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Ogrodniczuk</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry, University of British Columbia, #420-5950 University Blvd, Vancouver, BC V6T 1Z3, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, University of British Columbia, #420-5950 University Blvd, Vancouver, BC V6T 1Z3</wicri:regionArea><orgName type="university">Université de la Colombie-Britannique</orgName><placeName><settlement type="city">Vancouver</settlement><region type="state">Colombie-Britannique </region></placeName></affiliation></author><author><name sortKey="Spidel, Alicia" sort="Spidel, Alicia" uniqKey="Spidel A" first="Alicia" last="Spidel">Alicia Spidel</name><affiliation wicri:level="1"><nlm:affiliation>White Rock/South Surrey Mental Health and Substance Use Services, 15521 Russell Avenue, White Rock, BC, Canada V4B 2R4.</nlm:affiliation><country>Canada</country><wicri:regionArea>White Rock/South Surrey Mental Health and Substance Use Services, 15521 Russell Avenue, White Rock, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author></analytic><series><title level="j">Psychiatry research</title><idno type="eISSN">1872-7123</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Adult Survivors of Child Abuse (psychology)</term><term>Canada (epidemiology)</term><term>Child (MeSH)</term><term>Child Abuse (psychology)</term><term>Child Abuse (trends)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Guilt (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Medically Unexplained Symptoms (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outpatients (psychology)</term><term>Self Report (MeSH)</term><term>Shame (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Adultes victimes de maltraitance dans l'enfance (psychologie)</term><term>Autorapport (MeSH)</term><term>Canada (épidémiologie)</term><term>Culpabilité (MeSH)</term><term>Enfant (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Honte (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Maltraitance des enfants (psychologie)</term><term>Maltraitance des enfants (tendances)</term><term>Mâle (MeSH)</term><term>Patients en consultation externe (psychologie)</term><term>Symptômes médicalement inexpliqués (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Adultes victimes de maltraitance dans l'enfance</term><term>Maltraitance des enfants</term><term>Patients en consultation externe</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Adult Survivors of Child Abuse</term><term>Child Abuse</term><term>Outpatients</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Maltraitance des enfants</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Child Abuse</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Child</term><term>Cross-Sectional Studies</term><term>Female</term><term>Guilt</term><term>Humans</term><term>Male</term><term>Medically Unexplained Symptoms</term><term>Middle Aged</term><term>Self Report</term><term>Shame</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autorapport</term><term>Culpabilité</term><term>Enfant</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Honte</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Symptômes médicalement inexpliqués</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous research suggests a link between experiences of childhood maltreatment and adult somatic symptom distress. Contributing mechanisms, however, are not yet well understood. It is possible that shame and guilt may function as mediators in the relationship between childhood trauma and adult somatic distress. The present study was developed to investigate the relationship between childhood maltreatment and adult somatic distress, including the potential mediating role of shame and guilt, among psychiatric outpatients. Using data from a sample of 99 Canadian psychiatric outpatients, mediation models with shame and guilt as parallel mediators were evaluated for relationships between childhood emotional abuse, sexual abuse, emotional neglect, and somatic symptoms. Controlling for current depressive symptoms, a significant indirect effect was found for the relationship between emotional abuse and shame, but not guilt, in contributing to somatic symptoms. A similar result was obtained regarding the mediating role of shame in the relationship between emotional neglect and somatic symptoms. Mediation was non-significant regarding childhood sexual abuse, which was directly related to somatic distress after controlling for depressive symptoms. The findings provide further evidence of the link between childhood trauma and somatic symptom distress, with shame as a mechanism for the effects of emotional abuse and neglect.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30029065</PMID><DateCompleted><Year>2019</Year><Month>03</Month><Day>26</Day></DateCompleted><DateRevised><Year>2019</Year><Month>03</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-7123</ISSN><JournalIssue CitedMedium="Internet"><Volume>268</Volume><PubDate><Year>2018</Year><Month>10</Month></PubDate></JournalIssue><Title>Psychiatry research</Title><ISOAbbreviation>Psychiatry Res</ISOAbbreviation></Journal><ArticleTitle>Childhood trauma and somatic symptoms among psychiatric outpatients: Investigating the role of shame and guilt.</ArticleTitle><Pagination><MedlinePgn>169-174</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0165-1781(17)32228-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.psychres.2018.06.072</ELocationID><Abstract><AbstractText>Previous research suggests a link between experiences of childhood maltreatment and adult somatic symptom distress. Contributing mechanisms, however, are not yet well understood. It is possible that shame and guilt may function as mediators in the relationship between childhood trauma and adult somatic distress. The present study was developed to investigate the relationship between childhood maltreatment and adult somatic distress, including the potential mediating role of shame and guilt, among psychiatric outpatients. Using data from a sample of 99 Canadian psychiatric outpatients, mediation models with shame and guilt as parallel mediators were evaluated for relationships between childhood emotional abuse, sexual abuse, emotional neglect, and somatic symptoms. Controlling for current depressive symptoms, a significant indirect effect was found for the relationship between emotional abuse and shame, but not guilt, in contributing to somatic symptoms. A similar result was obtained regarding the mediating role of shame in the relationship between emotional neglect and somatic symptoms. Mediation was non-significant regarding childhood sexual abuse, which was directly related to somatic distress after controlling for depressive symptoms. The findings provide further evidence of the link between childhood trauma and somatic symptom distress, with shame as a mechanism for the effects of emotional abuse and neglect.</AbstractText><CopyrightInformation>Copyright © 2018 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kealy</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of British Columbia, #420-5950 University Blvd, Vancouver, BC V6T 1Z3, Canada. Electronic address: david.kealy@ubc.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rice</LastName><ForeName>Simon M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Orygen, Centre for Youth Mental Health, University of Melbourne, 35 Poplar Rd, Parkville, VIC 3052, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ogrodniczuk</LastName><ForeName>John S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of British Columbia, #420-5950 University Blvd, Vancouver, BC V6T 1Z3, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spidel</LastName><ForeName>Alicia</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>White Rock/South Surrey Mental Health and Substance Use Services, 15521 Russell Avenue, White Rock, BC, Canada V4B 2R4.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>07</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Psychiatry Res</MedlineTA><NlmUniqueID>7911385</NlmUniqueID><ISSNLinking>0165-1781</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054523" MajorTopicYN="N">Adult Survivors of Child Abuse</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002649" MajorTopicYN="N">Child Abuse</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006167" MajorTopicYN="Y">Guilt</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000071896" MajorTopicYN="Y">Medically Unexplained 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IdType="pubmed">30029065</ArticleId><ArticleId IdType="pii">S0165-1781(17)32228-X</ArticleId><ArticleId IdType="doi">10.1016/j.psychres.2018.06.072</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Canada</li></country><region><li>Colombie-Britannique </li><li>Victoria (État)</li></region><settlement><li>Melbourne</li><li>Vancouver</li></settlement><orgName><li>Université de Melbourne</li><li>Université de la Colombie-Britannique</li></orgName></list><tree><country name="Canada"><region name="Colombie-Britannique "><name sortKey="Kealy, David" sort="Kealy, David" uniqKey="Kealy D" first="David" last="Kealy">David Kealy</name></region><name sortKey="Ogrodniczuk, John S" sort="Ogrodniczuk, John S" uniqKey="Ogrodniczuk J" first="John S" last="Ogrodniczuk">John S. Ogrodniczuk</name><name sortKey="Spidel, Alicia" sort="Spidel, Alicia" uniqKey="Spidel A" first="Alicia" last="Spidel">Alicia Spidel</name></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Rice, Simon M" sort="Rice, Simon M" uniqKey="Rice S" first="Simon M" last="Rice">Simon M. Rice</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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