@article{ref1,
title="The impact of child maltreatment on non-suicidal self-injury: data from a representative sample of the general population",
journal="BMC psychiatry",
year="2018",
author="Brown, Rebecca C. and Heines, Stefanie and Witt, Andreas and Braehler, Elmar and Fegert, Joerg M. and Harsch, Daniela and Plener, Paul L.",
volume="18",
number="1",
pages="e181-e181",
abstract="BACKGROUND: Child maltreatment is an identified risk factor for Non-Suicidal Self-Injury (NSSI). The aim of the current study was to investigate effects of different types of maltreatment, and mediating effects of depression and anxiety on NSSI in the general population. <br><br>METHODS: A representative sample of the German population, comprising N = 2498 participants (mean age = 48.4 years (SD = 18.2), 53.3% female) participated in this study. Child maltreatment was assessed using the Childhood Trauma Questionnaire (CTQ),NSSI was assessed with a question on lifetime engagement in NSSI, depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-2) and anxiety symptoms by the General Anxiety Disorder questionnaire (GAD-2). <br><br>RESULTS: Lifetime prevalence of NSSI in this sample was 3.3, and 30.8% reported at least one type of child maltreatment. Participants in the NSSI group reported significantly more experiences of child maltreatment. Emotional abuse was endorsed by 72% of all participants with NSSI. A path analytic model demonstrated an unmediated direct effect of emotional neglect, a partially mediated effect of emotional abuse, and a fully mediated effect of sexual abuse and physical neglect by depression and anxiety on NSSI. <br><br>CONCLUSIONS: Especially emotional neglect and abuse seem to play a role in the etiology of NSSI above and beyond depression and anxiety, while sexual and physical abuse seem to have a rather indirect effect.<p /> <p>Language: en</p>",
language="en",
issn="1471-244X",
doi="10.1186/s12888-018-1754-3",
url="http://dx.doi.org/10.1186/s12888-018-1754-3"
}