TY - JOUR PY - 2010// TI - Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys JO - British journal of psychiatry A1 - Kessler, Ronald C. A1 - McLaughlin, Katie A. A1 - Green, Jennifer Greif A1 - Gruber, Michael J. A1 - Sampson, Nancy A. A1 - Zaslavsky, Alan M. A1 - Aguilar-Gaxiola, Sergio A1 - Alhamzawi, Ali Obaid A1 - Alonso, Jordi A1 - Angermeyer, Matthias A1 - Benjet, Corina A1 - Bromet, Evelyn A1 - Chatterji, Somnath A1 - de Girolamo, Giovanni A1 - Demyttenaere, Koen A1 - Fayyad, John A1 - Florescu, Silvia E. A1 - Gal, Gilad A1 - Gureje, Oye A1 - Haro, Josep Maria A1 - Hu, Chi-Yi A1 - Karam, Elie G. A1 - Kawakami, Norito A1 - Lee, Sing A1 - Lépine, Jean-Pierre A1 - Ormel, Johan A1 - Posada-Villa, Jose A1 - Sagar, Rajesh A1 - Tsang, Adley A1 - Üstün, Bedirhan T. A1 - Vassilev, Svetlozar A1 - Viana, Maria Carmen A1 - Williams, Daniel R. SP - 378 EP - 385 VL - 197 IS - 5 N2 - BACKGROUND: Although significant associations of childhood adversities with adult mental disorders are widely documented, most studies focus on single childhood adversities predicting single disorders. AIMS: To examine joint associations of 12 childhood adversities with first onset of 20 DSM-IV disorders in World Mental Health (WMH) Surveys in 21 countries. METHOD: Nationally or regionally representative surveys of 51 945 adults assessed childhood adversities and lifetime DSM-IV disorders with the WHO Composite International Diagnostic Interview (CIDI). RESULTS: Childhood adversities were highly prevalent and interrelated. Childhood adversities associated with maladaptive family functioning (e.g. parental mental illness, child abuse, neglect) were the strongest predictors of disorders. Co-occurring childhood adversities associated with maladaptive family functioning had significant subadditive predictive associations and little specificity across disorders. Childhood adversities account for 29.8% of all disorders across countries. CONCLUSIONS: Childhood adversities have strong associations with all classes of disorders at all life-course stages in all groups of WMH countries. Long-term associations imply the existence of as-yet undetermined mediators.

Language: en

LA - en SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.bp.110.080499 ID - ref1 ER -