title: Does age of onset of risk behaviors mediate the relationship between child abuse and neglect and outcomes in middle adulthood?
abstract: Child maltreatment has been linked with a number of risk behaviors that are associated with long-lasting maladaptive outcomes across multiple domains of functioning. This study examines whether the ages of onset of four risk behaviors-sexual intercourse, alcohol use, drug use, and criminal behavior-mediate the relationship between child maltreatment and outcomes in middle adulthood among a sample of court-documented victims of child abuse/neglect and matched controls (N = 1,196; 51.7% female; 66.2% White, 32.6% Black). Adult outcomes included employment status, welfare receipt, internalizing symptoms of anxiety and depressive symptoms, substance use problems, and criminal arrests. The results indicated gender differences in these relationships. For females, age of onset of sexual intercourse mediated the relationship between child abuse/neglect and both internalizing symptoms and substance use problems in middle adulthood. For males, age at first criminal arrest mediated the relationship between child abuse/neglect and extensive involvement in the justice system in middle adulthood. Age of onset of alcohol use and drug use did not mediate the relationship between child abuse/neglect and middle adult outcomes. This study expands current knowledge by identifying associations between early initiation of risk behavior in one domain and later, continuing problems in different domains. Thus, early initiation of specific risk behaviors may have more wide-ranging negative consequences than are typically considered during intervention or treatment and strategies may need to target multiple domains of functioning.
authors.affiliation: Psychology Department, John Jay College of Criminal Justice, 524 W. 59th Street, Room 10.63.05, New York, NY, 10019, USA, jahoran@jjay.cuny.edu.
authors.forename: Jacqueline M
authors.initials: JM
authors.lastname: Horan
authors.forename: Cathy Spatz
authors.initials: CS
authors.lastname: Widom
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D017668:Age of Onset; D000428:Alcohol Drinking / Q000523:psychology*; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D002675:Child, Preschool; D003415:Crime / Q000523:psychology; D004651:Employment; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology*
references.citation: J Nerv Ment Dis. 1972 Jul;155(1):42-54
references.pmid: 5035733
references.citation: J Am Acad Child Adolesc Psychiatry. 2003 Jun;42(6):710-9
references.pmid: 12921479
references.citation: Am J Psychiatry. 1999 Aug;156(8):1223-9
references.pmid: 10450264
references.citation: Clin Psychol Rev. 2011 Feb;31(1):104-12
references.pmid: 20817371
references.citation: Child Maltreat. 2010 May;15(2):190-4
references.pmid: 20019026
references.citation: Psychol Methods. 2002 Mar;7(1):19-40
references.pmid: 11928888
references.citation: Clin Child Fam Psychol Rev. 2002 Mar;5(1):21-55
references.pmid: 11993544
references.citation: Lancet. 2009 Jan 3;373(9657):68-81
references.pmid: 19056114
references.citation: Am J Orthopsychiatry. 1989 Jul;59(3):355-67
references.pmid: 2764070
references.citation: Addiction. 2005 May;100(5):652-61
references.pmid: 15847623
references.citation: J Pers Disord. 2000 Summer;14(2):171-87
references.pmid: 10897467
references.citation: Child Dev. 2008 Sep-Oct;79(5):1395-414
references.pmid: 18826532
references.citation: J Child Psychol Psychiatry. 2005 Aug;46(8):837-49
references.pmid: 16033632
references.citation: Psychol Rev. 1993 Oct;100(4):674-701
references.pmid: 8255953
references.citation: Sociol Educ. 2013 Jan 1;88(1):36-62
references.pmid: 25309003
references.citation: Am J Psychiatry. 1998 Jul;155(7):862-70
references.pmid: 9659848
references.citation: J Sch Health. 1994 Nov;64(9):372-7
references.pmid: 7877279
references.citation: Health Serv Res. 2001 Dec;36(6 Pt 1):987-1007
references.pmid: 11775672
references.citation: J Trauma Stress. 2009 Feb;22(1):65-8
references.pmid: 19145642
references.citation: Child Abuse Negl. 1994 Aug;18(8):617-33
references.pmid: 7953902
references.citation: Psychol Addict Behav. 2006 Dec;20(4):394-403
references.pmid: 17176174
references.citation: J Stud Alcohol. 1995 Mar;56(2):207-17
references.pmid: 7760568
references.citation: Child Abuse Negl. 1982;6(2):113-23
references.pmid: 6892291
references.citation: Dev Psychopathol. 2001 Fall;13(4):873-90
references.pmid: 11771912
references.citation: Child Maltreat. 2010 May;15(2):111-20
references.pmid: 20425881
references.citation: Psychol Methods. 2001 Dec;6(4):352-70
references.pmid: 11778677
references.citation: J Dev Behav Pediatr. 2004 Apr;25(2):77-82
references.pmid: 15083128
references.citation: J Sch Health. 1999 Nov;69(9):369-75
references.pmid: 10633322
references.citation: Am J Drug Alcohol Abuse. 2006;32(4):655-64
references.pmid: 17127554
references.citation: Arch Gen Psychiatry. 2007 Jul;64(7):820-9
references.pmid: 17606816
references.citation: Psychiatr Clin North Am. 1999 Jun;22(2):241-52
references.pmid: 10385931
references.citation: Fam Plann Perspect. 1998 May-Jun;30(3):121-7
references.pmid: 9635260
references.citation: Am J Public Health. 1996 Nov;86(11):1607-12
references.pmid: 8916528
references.citation: J Adolesc Health. 2000 Dec;27(6):425-33
references.pmid: 11090745
references.citation: Soc Work. 1997 Jul;42(4):334-46
references.pmid: 9228830
references.citation: NIDA Res Monogr. 1985;56:178-92
references.pmid: 3929100
references.citation: Arch Pediatr Adolesc Med. 1996 Apr;150(4):390-5
references.pmid: 8634734
references.citation: J Subst Abuse. 1998;10(2):163-73
references.pmid: 9854701