Childhood Sexual Abuse among Adults with First-Episode Depression and Generalized Anxiety Disorder: Comparison with Healthy Controls
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https://doi.org/10.54169/ijocp.v5i02.02Keywords:
Prevalence, child and adolescent, socio-demographic, clinical profile., Anxiety, Depression, Psychological Distress, ResilienceDimensions Badge
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Copyright (c) 2025 Shradha Khatri, Sunil Goyal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Background: Childhood Sexual Abuse (CSA) has been identified as a serious public health concern and has been a global challenge. The severe, chronic and frequent the abuse, more likely the abused adults are to show symptoms of Psychiatric disorders.Abstract
Aim: To study the prevalence of CSA among adults presenting first time with a depressive episode or Generalized Anxiety Disorder.
Methods: 64 consecutive consenting adults among Armed Forces personnel and their families, diagnosed as first depressive episode or Generalized Anxiety Disorder as per International Classification of Diseases, 10th edition (ICD-10) checklist and a control group of gender and age-group matched adults were assessed for CSA using a 28-item retrospective, self-report Childhood Trauma Questionnaire (CTQ-28) at an Armed Forces hospital.
Results: Majority of cases reported no CSA, whereas majority of the control group reported moderate severity of CSA. Among the cases, statistically significant co-relation was neither observed between the diagnosis and severity of CSA nor the severity of illness with severity of CSA.
Conclusion: Absence of any signs of psychopathology could perhaps be due to psychological endurance, resilience and higher stress tolerance developed in the aftermath of early age traumatic incidents.
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1. Mathews B, Collin-Vézina D. Child sexual abuse: Toward a conceptual model and definition. Trauma, Violence, & Abuse. 2019 Apr; 20(2):131-48. 2. Shenk CE, Noll JG, Putnam FW, Trickett PK. A prospective examination of the role of childhood sexual abuse and physiological asymmetry in the development of psychopathology. Child Abuse Negl [Internet]. 2010 Oct;34(10):752–61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20850183 3. Rowan EL. Understanding child sexual abuse. Univ. Press of Mississippi; 2006. 4. Barth J, Bermetz L, Heim E, Trelle S, Tonia T. The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis. International journal of public health. 2013 Jun; 58(3):469-83 5. Danese A, Pariante CM, Caspi A, Taylor A, Poulton R. Childhood maltreatment predicts adult inflammation in a life-course study. Proc Natl Acad Sci [Internet]. 2007 Jan 23;104(4):1319–24. Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.0610362104 6. Hill J. Developmental perspectives on adult depression. Psychoanal Psychother [Internet]. 2009 Sep 4;23(3):200–12. 7. Leuzinger‐Bohleber M. Working with severely traumatized, chronically depressed analysands. Int J Psychoanal [Internet]. 2015 Jun 1;96(3):611–36. Available from: https://www.tandfonline.com/doi/full/10.1111/1745-8315.12238 8. Chen LP, Murad MH, Paras ML, Colbenson KM, Sattler AL, Goranson EN, Elamin MB, Seime RJ, Shinozaki G, Prokop LJ, Zirakzadeh A. Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. In Mayo clinic proceedings 2010 Jul 1 (Vol. 85, No. 7, pp. 618-629). Elsevier. 9. Zepf S, Zepf FD. Trauma and traumatic neurosis: Freud’s concepts revisited. The International Journal of Psychoanalysis. 2008 Apr 1; 89(2):331-53. 10. Cooper AM. Chapter 3: Toward a Limited Definition of Psychic Trauma. In The reconstruction of trauma: Its significance in clinical work 1986 (pp. 41-56). 11. Negele A, Kaufhold J, Kallenbach L, Leuzinger-Bohleber M. Childhood Trauma and Its Relation to Chronic Depression in Adulthood. Depress Res Treat [Internet]. 12. Baru R, Acharya A, Acharya S, Kumar AS, Nagaraj K. Inequities in access to health services in India: caste, class and region. Economic and political Weekly. 2010 Sep 18:49-58. 13. Choudhary V, Satapathy S, Sagar R. Qualitative study on the impact of child sexual abuse: perspectives of children, caregivers, and professionals in Indian context. Journal of child sexual abuse. 2019 May 19; 28(4):489-510. 14. Flaherty EG, Jones R, Sege R, Child Abuse Recognition Experience Study Research Group. Telling their stories: primary care practitioners’ experience evaluating and reporting injuries caused by child abuse. Child abuse & neglect. 2004 Sep 1; 28(9):939-45. 15. Blanchard EB, Keefer L, Lackner JM, Galovski TE, Krasner S, Sykes MA. The role of childhood abuse in Axis I and Axis II psychiatric disorders and medical disorders of unknown origin among irritable bowel syndrome patients. Journal of psychosomatic research. 2004 Apr 1; 56(4):431-6. 16. Teicher MH, Samson JA, Polcari A, McGreenery CE. Sticks, Stones, and Hurtful Words: Relative Effects of Various Forms of Childhood Maltreatment. Am J Psychiatry [Internet]. 2006 Jun;163(6):993–1000. 17. Hovens JG, Giltay EJ, Wiersma JE, Spinhoven P, Penninx BW, Zitman FG. Impact of childhood life events and trauma on the course of depressive and anxiety disorders. Acta psychiatrica scandinavica. 2012 Sep; 126(3):198-207. 18. Springer KW, Sheridan J, Kuo D, Carnes M. The long-term health outcomes of childhood abuse. Journal of general internal medicine. 2003 Oct; 18(10):864-70. 19. Beck AT (1972). Depression: Causes and Treatment. Philadelphia: University of Pennsylvania Press. 20. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50–55. 21. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Zule W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect, 27(2), 169-190.17 22. GNU Project. GNU PSPP Statistical Analysis Software, version 1.2.0. 201 23. Cicchetti D, Rogosch FA. Adaptive coping under conditions of extreme stress: Multilevel influences on the determinants of resilience in maltreated children. New directions for child and adolescent development. 2009 Jun; 2009(124):47-59. 24. Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, Aguilar-Gaxiola S, Alhamzawi AO, Alonso J, Angermeyer M, Benjet C. Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British journal of psychiatry. 2010 Nov; 197(5):378-85. 25. Huh HJ, Kim SY, Yu JJ, Chae JH. Childhood trauma and adult interpersonal relationship problems in patients with depression and anxiety disorders. Annals of general psychiatry. 2014 Dec; 13(1):1-3. 26. Khan A, McCormack HC, Bolger EA, McGreenery CE, Vitaliano G, Polcari A, Teicher MH. Childhood maltreatment, depression, and suicidal ideation: critical importance of parental and peer emotional abuse during developmental sensitive 198 periods in males and females. Frontiers in psychiatry. 2015 Mar 30; 6:42 27. Green JG, McLaughlin KA, Berglund PA, Gruber MJ, Sampson NA, Zaslavsky AM, Kessler RC. Childhood adversities and adult psychiatric disorders in the national co morbidity survey replication I: associations with first onset of DSM-IV disorders. Archives of general psychiatry. 2010 Feb 1; 67(2):113-23. 28. Blanco C, Rubio J, Wall M, Wang S, Jiu CJ, Kendler KS. Risk factors for anxiety disorders: common and specific effects in a national sample. Depression and anxiety. 2014 Sep; 31(9):756-64. 29. Rehan W, Antfolk J, Johansson A, Jern P, Santtila P. Experiences of severe childhood maltreatment, depression, anxiety and alcohol abuse among adults in Finland. PLoS one. 2017 May 8; 12(5): e0177252.
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