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Structural equation modeling approach to explore the influence of childhood maltreatment in adults

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Title: Structural equation modeling approach to explore the influence of childhood maltreatment in adults
Authors: Toyoshima, Kuniyoshi Browse this author →KAKEN DB
Inoue, Takeshi Browse this author →KAKEN DB
Masuya, Jiro Browse this author →KAKEN DB
Fujimura, Yota Browse this author
Higashi, Shinji Browse this author →KAKEN DB
Tanabe, Hajime Browse this author
Kusumi, Ichiro Browse this author →KAKEN DB
Issue Date: 1-Oct-2020
Publisher: PLOS
Journal Title: PLoS ONE
Volume: 15
Issue: 10
Start Page: e0239820
Publisher DOI: 10.1371/journal.pone.0239820
Abstract: Background Childhood maltreatment affects social functioning in the general adult population. However, how child abuse affects functional disability in adulthood remains unknown. Thus, we investigated the correlation between child abuse, depressive symptoms, cognitive complaints, and functional disability in adult community volunteers. Methods Participants (N = 556) completed the Child Abuse and Trauma Scale, Patient Health Questionnaire-9, Cognitive Complaints in Bipolar Disorder Rating Assessment, and Sheehan Disability Scale. Multiple regression analyses and structural equation modeling were performed to evaluate scale correlations. Results Structural equation modeling showed that the direct effect of childhood maltreatment on depressive symptoms, the indirect effect of childhood maltreatment on cognitive function via depressive symptoms, and the indirect effects of childhood maltreatment on functional disability via depressive symptoms and via cognitive function were all significant. The direct effects of childhood maltreatment on cognitive function and functional disability were not significant. There was no significant association between variables. Limitations Cross-sectional designs cannot identify causal relationships between parameters. Participants were adult volunteers from the community; therefore, results may not be generalizable to individuals with psychiatric disorders. Sociodemographic variability was a limitation because we used self-reported childhood maltreatment. Conclusions Childhood maltreatment indirectly affects functional disability via depressive symptoms and via cognitive function through depressive symptoms. We suggest that depressive symptoms and cognitive function play crucial roles in the influence of childhood maltreatment on functional disability in adult community volunteers.
Rights: http://creativecommons.org/licenses/by/4.0/
Type: article
URI: http://hdl.handle.net/2115/80161
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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