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. 2021 Sep;51(12):2063-2073.
doi: 10.1017/S0033291720000823. Epub 2020 Apr 20.

It is a family affair: individual experiences and sibling exposure to emotional, physical and sexual abuse and the impact on adult depressive symptoms

Marie-Louise Kullberg  1 , Charlotte van Schie  1   2   3 , Eleonore van Sprang  4 , Dominique Maciejewski  5 , Catharina A Hartman  6 , Bert van Hemert  7 , Brenda W J H Penninx  4 , Bernet M Elzinga  1   2
Affiliations

It is a family affair: individual experiences and sibling exposure to emotional, physical and sexual abuse and the impact on adult depressive symptoms

Marie-Louise Kullberg et al. Psychol Med. 2021 Sep.

Abstract

Background: Childhood abuse and neglect often occurs within families and can have a large influence on mental well-being across the lifespan. However, the sibling concordance of emotional abuse and neglect (i.e. together referred to as emotional maltreatment; EM), physical abuse (PA) and sexual abuse (SA) and the long-term impact on the context of siblings' maltreatment experiences are unclear. To examine the influence of EM, PA and SA on adult depressive symptoms within the family framework we differentiate between (a) the family-wide (mean level of all siblings) effects and (b) the individual deviation from the mean family level of maltreatment.

Methods: The sample (N = 636) consists of 256 families, including at least one lifetime depressed or anxious individual and their siblings. Multilevel modeling was used to examine the family-wide and relative individual effects of childhood maltreatment (CM).

Results: (a) Siblings showed most similarity in their reports of EM followed by PA. SA was mostly reported by one person within a family. In line with these observations, the mean family levels of EM and PA, but not SA, were associated with more depressive symptoms. In addition, (b) depression levels were more elevated in individuals reporting more EM than the family mean.

Conclusions: Particularly in the case of more visible forms of CM, siblings' experiences of EM and PA are associated with the elevated levels of adult depressive symptoms. Findings implicate that in addition to individual maltreatment experiences, the context of siblings' experiences is another crucial risk factor for an individuals' adult depressive symptomatology.

Keywords: Abuse; Family; childhood maltreatment; depression; multilevel; neglect; siblings.

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Conflict of interest statement

None.

Figures

Fig. 1.
Fig. 1.
Childhood maltreatment (bars) and adult depressive symptoms (lines): An example of six random families from the sample
See this image and copyright information in PMC

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References

    1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington DC: Author.
    1. Baldwin, J. A., & Oliver, J. E. (1975). Epidemiology and family characteristics of severely abused children. British Journal of Preventive and Social Medicine, 29(4), 205–221. 10.1136/jech.29.4.205 - DOI - PMC - PubMed
    1. Baldwin, J. R., Reuben, A., Newbury, J. B., & Danese, A. (2019). Agreement between prospective and retrospective measures of childhood maltreatment: A systematic review and meta-analysis. JAMA Psychiatry, 76, 584–593. 10.1001/jamapsychiatry.2019.0097 - DOI - PMC - PubMed
    1. Bates, D., Mächler, M., Bolker, B., & Walker, S. (2014). Fitting linear mixed-effects models using lme4. arXiv preprint. Available at https://arxiv.org/abs/1406.5823
    1. Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893. - PubMed

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