TY - JOUR
PY - 2016//
TI - The variance shared across forms of childhood trauma is strongly associated with liability for psychiatric and substance use disorders
JO - Brain and behavior
A1 - Kristjansson, Sean
A1 - McCutcheon, Vivia V.
A1 - Agrawal, Arpana
A1 - Lynskey, Michael T.
A1 - Conroy, Elizabeth
A1 - Statham, Dixie J.
A1 - Madden, Pamela A. F.
A1 - Henders, Anjali K.
A1 - Todorov, Alexandre A.
A1 - Bucholz, Kathleen K.
A1 - Degenhardt, Louisa
A1 - Martin, Nicholas G.
A1 - Heath, Andrew C.
A1 - Nelson, Elliot C.
SP - e00432
EP - e00432
VL - 6
IS - 2
N2 - INTRODUCTION: Forms of childhood trauma tend to co-occur and are associated with increased risk for psychiatric and substance use disorders. Commonly used binary measures of trauma exposure have substantial limitations.
METHODS: We performed multigroup confirmatory factor analysis (CFA), separately by sex, using data from the Childhood Trauma (CT) Study's sample of twins and siblings (N = 2594) to derive three first-order factors (childhood physical abuse, childhood sexual abuse, and parental partner abuse) and, as hypothesized, one higher order, childhood trauma factor (CTF) representing a measure of their common variance.
RESULTS: CFA produced a good-fitting model in the CT Study; we replicated the model in the Comorbidity and Trauma (CAT) Study's sample (N = 1981) of opioid-dependent cases and controls. In both samples, first-order factors are moderately correlated (indicating they measure largely unique, but related constructs) and their loadings on the CTF suggest it provides a reasonable measure of their common variance. We examined the association of CTF score with risk for psychiatric and substance use disorders in these samples and the OZ-ALC GWAS sample (N = 1538) in which CT Study factor loadings were applied. We found that CTF scores are strongly associated with liability for psychiatric and substance use disorders in all three samples; estimates of risk are extremely consistent across samples.
CONCLUSIONS: The CTF is a continuous, robust measure that captures the common variance across forms of childhood trauma and provides a means to estimate shared liability while avoiding multicollinearity.
Language: en
LA - en SN - 2162-3279 UR - http://dx.doi.org/10.1002/brb3.432 ID - ref1 ER -