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

Toyoshima, Kuniyoshi; Inoue, Takeshi; Masuya, Jiro et al.

PLoS ONE, 2020, 15(10), e0239820

Permalink : https://hdl.handle.net/2115/80161

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https://doi.org/10.1371/journal.pone.0239820     11

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アクセス権
open access
URI
https://hdl.handle.net/2115/80161
タイトル
Structural equation modeling approach to explore the influence of childhood maltreatment in adults
著者
Toyoshima, Kuniyoshi ; Inoue, Takeshi ; Masuya, Jiro ; Fujimura, Yota ; Higashi, Shinji ; Tanabe, Hajime ; Kusumi, Ichiro
e-Rad_Researcher
00802414
著者名
Toyoshima, Kuniyoshi
e-Rad_Researcher
70250438
著者名
Inoue, Takeshi
e-Rad_Researcher
70349504
著者名
Masuya, Jiro
著者名
Fujimura, Yota
e-Rad_Researcher
30365647
著者名
Higashi, Shinji
著者名
Tanabe, Hajime
e-Rad_Researcher
30250426
著者名
Kusumi, Ichiro
言語
英語
発行日
2020-10-01
出版者
PLOS
収録物名
PLoS ONE
巻(号)
15(10)
ページ
e0239820
抄録
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.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
権利情報
Creative Commons Attribution 4.0 International
PISSN
1932-6203
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1371/journal.pone.0239820