A Comparative Study of Childhood Adverse Experiences, Parenting Bonding and Social Support between Patients with and without Common Mental Disorders
Keywords:
CMDs, ACEs, parental bonding, social supportAbstract
Introduction: Adverse childhood experiences (ACEs), perceived social support, and parental bonding were compared between treatment seeking patients with common mental disorders (CMD) and healthy controls.
Methods: 80 CMD patients were compared to 80 age- and gender-matched (41 males, 39 females, 34.45 years) healthy controls. Co-morbid mental disease and substance abuse/dependence excluded. Adverse Childhood Experiences Questionnaire, Multidimensional Social Support Scale and Parental Bonding Instrument were used.
Results: 55% of patients experienced depression and 28% had anxiety. Patients had a significantly higher number of ACEs, poor social support and parental bonding. 80% patients had ACEs. Both groups equally bonded with mother while CMD patients had poor bonding with their fathers. Other findings are discussed.
Conclusion: High prevalence of ACEs among CMD patients is common. Bonding with father is a key issue in CMD patients with ACEs. A routine screening of ACEs for CMD patients may be beneficial in planning focused psychological interventions. NO
References
Afifi TO, Salmon S, Garcés I, Struck S, Fortier J, Taillieu T, Stewart-Tufescu A, Asmundson GJG, Sareen J, MacMillan HL. Confirmatory factor analysis of adverse childhood experiences (ACEs) among a community-based sample of parents and adolescents. BMC Pediatr. 2020 Apr 21;20(1):178. doi: 10.1186/s12887-020-02063-3. PMID: 32316954; PMCID: PMC7171813.
Björkenstam E, Helgesson M, Mittendorfer-Rutz E. Childhood adversity and common mental disorders in young employees in Sweden: is the association affected by early adulthood occupational class? Social Psychiatry and Psychiatric Epidemiology 2021; 56:237–246
Campbell JA, Walker RJ, Egede LE. Associations between adverse childhood experiences, high-risk behaviors, and morbidity in adulthood. Am J Prev Med 2016;50:344-52.
Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord 2004;82(2):217–25
Chatterjee, S., Chowdhary, N., Pednekar, S., Cohen, A., Andrew, G., Araya, R., Patel, V. (2008) Integrating evidence-based treatments for common mental disorders in routine primary care: Feasibility and acceptability of the MANAS intervention in Goa, India. World Psychiatry 7: 45–53.
Cheong EV, Sinnott C, Dahly D, et al. Adverse childhood experiences (ACEs) and later-life depression: perceived social support as a potential protective factor. BMJ Open 2017 ;7.
Chiaying W and Philip K. (2014). Child Perceived Parenting Behavior: Childhood Anxiety and Related Symptoms. Child & family behavior therapy. 36. 1-18. 10.1080/07317107.2014.878175.
Clark C, Caldwell T, Power C, Stansfeld SA. Does the influence of childhood adversity on psychopathology persist across the lifecourse? A 45-year prospective epidemiologic study. Annals of epidemiology. 2010;20(5):385–94.
Colman I, Garad Y, Zeng Y, Naicker K, Weeks M, Patten SB, et al. Stress and development of depression and heavy drinking in adulthood: Moderating effects of childhood trauma. Soc Psychiatry Psychiatr Epidemiol 2013; 48:265-74.
Curran E, Adamson G, Stringer M, Rosato M, Leavey G. Severity of mental illness as a result of multiple childhood adversities: US National Epidemiologic Survey. Social psychiatry and psychiatric epidemiology. 2016 May;51(5):647-57.
Damodaran, D.K., Paul, V.K. (2018). The unveiled Indian picture of adverse childhood experiences: socio-demographic correlates among youth in Kerala. IAHRW International Journal of Social Sciences Review, 6(7), 1248-1257.
Devi, F., Shahwan, S., Teh, W.L. et al. The prevalence of childhood trauma in psychiatric outpatients. Ann Gen Psychiatry 18, 15 (2019). https://doi.org/10.1186/s12991-019-0239-1
Easterlin, M.C., Chung, P.J., Leng, M., Dudovitz, R. Association of team sports participation with long-term mental health outcomes among individuals exposed to adverse childhood experiences. JAMA Pediatr 2019; 173: 681–688.
Fagundes CP, Glaser R, Kiecolt-Glaser JK. Stressful early life experiences and immune dysregulation across the lifespan. Brain, Behavior, and Immunity. 2013;27:8–12.
Falissard, B., Barry, C., Hassler, C., Letrait, M., Macher, G., Marty, F., Ramos, E., RevahLévy, A., Robert, P., De Singly, F. When assessing intra-familial relationships, are sociologists, psychoanalysts and psychiatrists really considering different constructs? An empirical study. PLoS One 2015; 10.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8
Finnes A., Enebrink P., Ghaderi A., Dahl J., Nager A., Öst L.-G. Psychological treatments for return to work in individuals on sickness absence due to common mental disorders or musculoskeletal disorders: A systematic review and meta-analysis of randomized-controlled trials. Int. Arch. Occup. Environ. Health. 2019;92:273–293.
Gallagher E N., Vella-Brodrick DA. Social support and emotional intelligence as predictors of subjective well-being. Personality and Individual Differences 2008, 44 (7): 1551-1561. ISSN 0191-8869, https://doi.org/10.1016/j.paid.2008.01.011.
Gilbert, L. K., Breiding, M. J., Merrick, M. T., Thompson, W. W., Ford, D. C., Dhingra, S. S., & Parks, S. E. (2015). Childhood adversity and adult chronic disease: an update from ten states and the District of Columbia, 2010. American journal of preventive medicine, 48(3), 345–349. https://doi.org/10.1016/j.amepre.2014.09.006.
Goldberg D, Huxley P. Common mental disorders: a biosocial model. London, England: Tavistock/Routledge, 1992.
Green JG, McLaughlin KA, Berglund PA, Gruber MJ, Sampson NA, Zaslavsky AM, et al. Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders. Archives of general psychiatry. 2010;67(2):113–23.
GururajG,VargheseM,BenegalV,RaoGN,PathakK,SinghLK,etal. National Mental Health Survey of India, 2015-16: Prevalence, Patterns and Outcomes. Bengaluru: National Institute of Mental Health and Neuro Sciences; 2016.
Gustavson K., Knudsen A.K., Nesvåg R., Knudsen G.P., Vollset S.E., Reichborn-Kjennerud T. Prevalence and stability of mental disorders among young adults: Findings from a longitudinal study. BMC Psychiatry. 2018;18.
Harandi TF, Taghinasab MM, Nayeri TD. The correlation of social support with mental health: A meta-analysis. Electron Physician. 2017;9(9):5212-5222. Published 2017 Sep 25. doi:10.19082/5212
Harfush SAEAE-G and Gemeay EM. Perceived social support and medication compliance among patients with psychiatric disorders. International J of Novel Research in Healthcare and Nursing 2017. 4(3): 157-169.
Hughes K, Bellis MA, Hardcastle KA, Sethi D, Butchart A, Mikton C, et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health 2017;2(8):356–66
Ilter Bahadur E, Asena M, Yavuz Y, Karabulut E, Ozmert EN. The role of adverse childhood experience and social support type in postpartum depression in Turkey. J Obstet Gynaecol Res. 2021 Dec;47(12):4289-4297. doi: 10.1111/jog.15049. Epub 2021 Oct 4. PMID: 34608717.
India State-Level Disease Burden Initiative Neurological Disorders Collaborators. The burden of neurological disorders across the states of India: the Global Burden of Disease Study 1990-2019.
Jangam K, Muralidharan K, Tansa KA, Raj EA, Bhowmick P. Incidence of childhood abuse among women with psychiatric disorders compared with healthy women: Data from a tertiary care centre in India. Child Abuse & Neglect. 2015 Dec 1;50:67-75.
Joag, K., Kalha, J., Pandit, D., Chatterjee, S., Krishnamoorthy, S., Shields-Zeeman, L., & Pathare, S. (2020). Atmiyata, a community-led intervention to address common mental disorders: Study protocol for a stepped wedge cluster randomized controlled trial in rural Gujarat, India. Trials, 21(1), 1-13.
Kacker, L., Varadan, S. and Kumar, P. (2007) Study on child abuse: India 2007. Ministry of Women and Child Development, Government of India
Kaseke T, January J, Tadyanemhandu C, Chiwaridzo M and Dambi JM. A structural equation modelling of the buffering effect of social support on the report of common mental disorders in Zimbabwean women in the postnatal period. BMC Res Notes 2019; 12.
Kawachi I, Berkman LF. Social ties and mental health. J Urban Health. 2001; 78(3):458–67/
Kessler RC, Amminger GP, Aguilar‐Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Current opinion in psychiatry. 2007;20(4):359–64
Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, et al. Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British Journal of Psychiatry. 2010;197(5):378–85.
Lancet Glob Health. 2021 Aug;9(8):e1129-e1144. doi: 10.1016/S2214-109X(21)00164-9. Epub 2021 Jul 14. PMID: 34273302; PMCID: PMC8295043.
Liu RT. Childhood adversities and depression in adulthood: Current findings and future directions. Clin Psychol (New York) 2017;24:140-53.
Macalli M, Côtéa S, Tzourioa C. Perceived parental support in childhood and adolescence as a tool for mental health screening in students: A longitudinal study in the i-Share cohort. Journal of Affective Disorders 2020; 266: 512–519
Macalli, M., Tournier, M., Galéra, C., Montagni, I., Soumare, A., Côté, S.M., Tzourio, C. Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study. BMC Psychiatry 2018; 18.
Miller GE, Chen E, Parker KJ. Psychological stress in childhood and susceptibility to the chronic diseases of aging: moving toward a model of behavioral and biological mechanisms. Psychological Bulletin. 2011;137(6):959–97.
Ministry of Women and Child Development Government of India. Study on Child Abuse, 2007. Kriti Publications, New Delhi, India.
Nam EJ, Jong-Eun LE. Mediating effects of social support on depression and suicidal ideation in older Korean adults with hypertension who live alone. The Journal of Nursing Research. 2019 Jun;27(3):e20.
Naveed, S., Waqas, A., Chaudhary, A., Kumar, S., Abbas, N., Amin, R., Jamil, N., & Saleem, S. (2020). Prevalence of Common Mental Disorders in South Asia: A Systematic Review and Meta-Regression Analysis. Frontiers in psychiatry, 11, 573150. https://doi.org/10.3389/fpsyt.2020.573150
New York State Department of Health, Office of Alcoholism and Substance Abuse Services and Office of Mental Health. New York: Understanding and Responding to Adverse Childhood Experiences in New York State. Available from: https://www.health.ny.gov/statistics/ brfss/reports/. [Last accessed on 2018 May].
Parker, G. (1990). A Parental Bonding Instrument. Social Psychiatry and Psychiatric Epidemiology. 25. 281-282. 10.1007/BF00782881.
Peltzer K and Pengpid S. High prevalence of depressive symptoms in a national sample of adults in Indonesia: Childhood adversity, sociodemographic factors and health risk behavior. Asian J Psychiatr. 2018;33:52-59.
Pitkanen J, Remes H, Moustgaard H, Martikainen P. Parental socioeconomic resources and adverse childhood experiences as predictors of not in education, employment, or training: a Finnish register-based longitudinal study. J Youth Stud 2021;24(1):1–18
Poole JC, Dobson KS, Pusch D. Childhood adversity and adult depression: the protective role of psychological resilience. Child Abuse Negl 2017;64:89–100.
Poole, J. C., Dobson, K. S., & Pusch, D. (2017). Childhood adversity and adult depression: The protective role of psychological resilience. Child abuse & neglect, 64, 89–100. https://doi.org/10.1016/j.chiabu.2016.12.012
Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P, Gega L, et al. Mental Health Service Provision in Low- and Middle-Income Countries. Health Serv Insights (2017) 10:1178632917694350. doi: 10.1177/1178632917694350
Reblin M, Uchino BN. Social and emotional support and its implication for health. Curr Opin Psychiatry. 2008;21(2):201–5.
Riedl, David & Lampe, Astrid & Exenberger, Silvia & Nolte, Tobias & Trawöger, Iris & Beck, Thomas. (2020). Prevalence of adverse childhood experiences (ACEs) and associated physical and mental health problems amongst hospital patients: Results from a cross-sectional study. General Hospital Psychiatry. 10.1016/j.genhosppsych.2020.03.005.
Rikhye K, Tyrka AR, Kelly MM, Gagne Jr GG, Mello AF, Mello MF, Price LH, Carpenter LL. Interplay between childhood maltreatment, parental bonding, and gender effects: Impact on quality of life. Child abuse & neglect. 2008 Jan 1;32(1):19-34.
Shah Bhumika, Kedare Jahnavi, Mehta Fiona. Childhood adversity in patients suffering from depression with a focus on differences across gender. Annals of Indian Psychiatry Year : 2021 | Volume: 5 | Issue Number: 2 | Page: 169-172
Starr, L. R., Hammen, C., Connolly, N. P., and Brennan, P. A. Does relational dysfunction mediate the association between anxiety disorders and later depression? Testing an interpersonal model of comorbidity. Depress. Anxiety 2014;31: 77–86
Steel, Z, Marnane, C, Iranpour, C, Chey, T, Jackson, JW, Patel, V, et al. The Global Prevalence of Common Mental Disorders: a Systematic Review and Meta-Analysis 1980-2013. Int J Epidemiol 2014; 43:476–93.
Thoits PA. Mechanisms linking social ties and support to physical and mental health. J Health Soc Behav. 2011;52(2):145–61.
Thomas C, Hyppönen E, Power C. Obesity and type 2 diabetes risk in midadult life: the role of childhood adversity. Pediatrics. 2008;121(5):1240–9.
Thompson MP, Kingree JB, Lamis D. Associations of adverse childhood experiences and suicidal behaviors in adulthood in a US nationally representative sample. Child: care, health and development. 2019 Jan;45(1):121-8.
Turner, S., Harvey, C., Hayes, L., Castle, D., Galletly, C., Sweeney, S., ... & Spittal, M. J. (2020). Childhood adversity and clinical and psychosocial outcomes in psychosis. Epidemiology and psychiatric sciences, 29. Wedge cluster randomized controlled trial in rural Gujarat, India. Trials, 21(1), 1-13.
Vaingankar JA, Abdin E, Chong SA, Shafie S, Sambasivam R, Zhang YJ et al. The association of mental disorders with perceived social support, and the role of marital status: results from a national cross-sectional survey. Archives of Public Health 2020; 78:108
Vitriol V, Cancino A, Leiva-Bianchi M, Serrano C, Ballesteros S, Potthoff S, et al. Association between adverse childhood experiences with depression in adults consulting in primary care. Rev Med Chil 2017;145:1145-53.
Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S. Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry. 2018;18(1):156
World Health Organization. Disease, injury and causes of death regional estimates, 2004-2008. World Health Organization (2018).
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52(1):30–41.
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