@article{ref1,
title="Childhood maltreatment and lung function: findings from the general population",
journal="European respiratory journal, The",
year="2020",
author="Spitzer, Carsten and Ewert, Ralf and Völzke, Henry and Frenzel, Stefan and Felix, Stephan B. and Lübke, Laura and Grabe, Hans J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Cumulative evidence indicates that childhood maltreatment (CM) is linked  to self-reported asthma and chronic obstructive pulmonary disease. However, the  relation between CM and objective measures of lung function as determined by  spirometry has not yet been assessed. <br><br>METHODS: Medical histories and spirometric  lung function were taken in 1386 adults from the general population. Participants  also completed the Childhood Trauma Questionnaire for the assessment of emotional,  physical and sexual abuse as well as emotional and physical neglect. <br><br>RESULTS: 25.3%  of the participants reported at least one type of CM. Among them, use of medication  for obstructive airway diseases as well as typical signs and symptoms of airflow  limitation were significantly more frequent than in the group without exposure to  CM. Although participants with CM had numerically lower values for FEV1, FVC and PEF  than those without, these differences were non-significant when accounting for  relevant covariates like age, sex, height and smoking. Likewise, there were no  differences in the FEV1/FVC ratio nor in the frequency of airflow limitation  regardless of its definition. No specific type of CM was related to spirometrically  determined parameters of lung function. <br><br>CONCLUSIONS: Our findings call into question  the association of CM with obstructive lung diseases as indicated by prior research  relying on self-reported diagnoses. We consider several explanations for these  discrepancies.<p /> <p>Language: en</p>",
language="en",
issn="0903-1936",
doi="10.1183/13993003.02882-2020",
url="http://dx.doi.org/10.1183/13993003.02882-2020"
}