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Journal Article

Citation

Clark DB, Thatcher DL, Martin CS. J. Pediatr. Psychol. 2010; 35(5): 499-510.

Affiliation

Pittsburgh Adolescent Alcohol Research Center, University of Pittsburgh.

Copyright

(Copyright © 2010, Oxford University Press)

DOI

10.1093/jpepsy/jsp117

PMID

19966317

PMCID

PMC2874673

Abstract

OBJECTIVE: We prospectively examined the health effects of child abuse and other traumatic events, with objective health indicators and consideration of alcohol use disorders (AUD). METHODS: Adolescents (n = 668) were recruited from clinical and community sources. At baseline, we examined child abuse and other traumas, AUD, health-related symptoms, physical findings, and blood assays. Subjects were assigned to Trauma Classes (TC), including witnessing violence, physical abuse, and sexual abuse. Health outcomes were again determined at 1-year and young adult follow-up. RESULTS: In adolescence, higher TC severity was associated with more health-related symptoms, increased age-adjusted body mass index, and stress-response immune system indices. In adolescence and young adulthood, the relationships between TC and health-related symptoms were mediated by anxiety. AUD was associated with liver injury, and cigarette smoking with heart/lung symptoms. CONCLUSIONS: Child abuse predicted persistently elevated health-related symptoms primarily attributable to anxiety, and early signs of liver disease were attributable to AUD.


Language: en

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