title: Adverse childhood experiences and health anxiety in adulthood.
abstract: Childhood experiences are thought to predispose a person to the development of health anxiety later in life. However, there is a lack of research investigating the influence of specific adverse experiences (e.g., childhood abuse, household dysfunction) on this condition. The current study examined the cumulative influence of multiple types of childhood adversities on health anxiety in adulthood. Adults 18-59 years of age (N=264) completed a battery of measures to assess adverse childhood experiences, health anxiety, and associated constructs (i.e., negative affect and trait anxiety). Significant associations were observed between adverse childhood experiences, health anxiety, and associated constructs. Hierarchical multiple regression analysis indicted that adverse childhood experiences were predictive of health anxiety in adulthood; however, the unique contribution of these experience were no longer significant following the inclusion of the other variables of interest. Subsequently, mediation analyses indicated that both negative affect and trait anxiety independently mediated the relationship between adverse childhood experiences and health anxiety in adulthood. Increased exposure to adverse childhood experiences is associated with higher levels of health anxiety in adulthood; this relationship is mediated through negative affect and trait anxiety. Findings support the long-term negative impact of cumulative adverse childhood experiences and emphasize the importance of addressing negative affect and trait anxiety in efforts to prevent and treat health anxiety.
authors.affiliation: University of Regina, Department of Psychology, 3737 Wascana Parkway, Regina, SK, Canada S4S 0A2.
authors.forename: Sarah J
authors.initials: SJ
authors.lastname: Reiser
authors.affiliation: University of Regina, Department of Psychology, 3737 Wascana Parkway, Regina, SK, Canada S4S 0A2.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: McMillan
authors.affiliation: University of Regina, Department of Psychology, 3737 Wascana Parkway, Regina, SK, Canada S4S 0A2.
authors.forename: Kristi D
authors.initials: KD
authors.lastname: Wright
authors.affiliation: University of Regina, Department of Psychology, 3737 Wascana Parkway, Regina, SK, Canada S4S 0A2.
authors.forename: Gordon J G
authors.initials: GJ
authors.lastname: Asmundson
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D001007:Anxiety / Q000523:psychology*; D001294:Attitude to Health; D002649:Child Abuse / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Childhood abuse; Childhood adversity; Health anxiety