title: Child maltreatment and adult psychopathology in an Irish context.
abstract: One-hundred-ninety-nine adult mental health service users were interviewed with a protocol that included the Childhood Trauma Questionnaire, the Structured Clinical Interviews for Axis I and II DSM-IV disorders, the Global Assessment of Functioning scale, the SCORE family assessment measure, the Camberwell Assessment of Need Short Appraisal Schedule, and the Readiness for Psychotherapy Index. Compared to a U.S. normative sample, Irish clinical cases had higher levels of maltreatment. Cases with comorbid axis I and II disorders reported more child maltreatment than those with axis I disorders only. There was no association between types of CM and types of psychopathology. Current family adjustment and service needs (but not global functioning and motivation for psychotherapy) were correlated with a CM history. It was concluded that child maltreatment may contribute to the development of adult psychopathology, and higher levels of trauma are associated with co-morbid personality disorder, greater service needs and poorer family adjustment. A history of child maltreatment should routinely be determined when assessing adult mental health service users, especially those with personality disorders and where appropriate evidence-based psychotherapy which addresses childhood trauma should be offered.
authors.affiliation: School of Psychology, University College Dublin, Ireland; Health Service Executive, Ireland.
authors.forename: Mark
authors.initials: M
authors.lastname: Fitzhenry
authors.affiliation: School of Psychology, University College Dublin, Ireland; Health Service Executive, Ireland.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Harte
authors.affiliation: School of Psychology, University College Dublin, Ireland; Clanwilliam Institute, Dublin, Ireland.
authors.forename: Alan
authors.initials: A
authors.lastname: Carr
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Mairi
authors.initials: M
authors.lastname: Keenleyside
authors.affiliation: School of Psychology, University College Dublin, Ireland; Health Service Executive, Ireland.
authors.forename: Kevin
authors.initials: K
authors.lastname: O'Hanrahan
authors.affiliation: School of Psychology, University College Dublin, Ireland; Health Service Executive, Ireland.
authors.forename: Megan Daly
authors.initials: MD
authors.lastname: White
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hayes
authors.affiliation: School of Psychology, University College Dublin, Ireland; Health Service Executive, Ireland.
authors.forename: Paul
authors.initials: P
authors.lastname: Cahill
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Hester
authors.initials: H
authors.lastname: Noonan
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Helen
authors.initials: H
authors.lastname: O'Shea
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Avril
authors.initials: A
authors.lastname: McCullagh
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Shaun
authors.initials: S
authors.lastname: McGuinness
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Catherine
authors.initials: C
authors.lastname: Rodgers
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Neal
authors.initials: N
authors.lastname: Whelan
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Noel
authors.initials: N
authors.lastname: Sheppard
authors.affiliation: Health Service Executive, Ireland.
authors.forename: Stephen
authors.initials: S
authors.lastname: Browne
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data*; D000368:Aged; D000704:Analysis of Variance; D016022:Case-Control Studies; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D007494:Ireland / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D011599:Psychopathology; D014481:United States; D055815:Young Adult
keywords: CANSAS; CTQ; Child abuse; Child maltreatment; SCID; SCORE