TY - JOUR
T1 - It is a family affair
T2 - Individual experiences and sibling exposure to emotional, physical and sexual abuse and the impact on adult depressive symptoms
AU - Kullberg, Marie Louise
AU - Van Schie, Charlotte
AU - Van Sprang, Eleonore
AU - Maciejewski, Dominique
AU - Hartman, Catharina A.
AU - Van Hemert, Bert
AU - Penninx, Brenda W.J.H.
AU - Elzinga, Bernet M.
N1 - Funding Information: Financial support. This work was supported by the Leiden University Research Profile ‘Health, prevention and the human life cycle’ as part of the research project ‘Family aggregation of mood and anxiety disorders’ (B.M.E. and A.v.H.) and by The Netherlands Organisation for Scientific Research (NWO) with a VICI-grant (B.M.E., 45314001). Funding Information: Acknowledgement. The infrastructure for the NESDA study (www.nesda. nl) is funded through the Geestkracht program of the Netherlands Organisation for Health Research and Development (ZonMw, grant number 10-000-1002) and financial contributions by participating universities and mental health care organizations (VU University Medical Center, GGZ inGeest, Leiden University Medical Center, Leiden University, GGZ Rivierduinen, University Medical Center Groningen, University of Groningen, Lentis, GGZ Friesland, GGZ Drenthe, and Rob Giel Onderzoekscentrum). Publisher Copyright: Copyright © The Author(s), 2020. Published by Cambridge University Press.
PY - 2021/9
Y1 - 2021/9
N2 - Background Childhood abuse and neglect often occurs within families and can have a large influence on mental well-being across the lifespan. However, the sibling concordance of emotional abuse and neglect (i.e. together referred to as emotional maltreatment; EM), physical abuse (PA) and sexual abuse (SA) and the long-term impact on the context of siblings' maltreatment experiences are unclear. To examine the influence of EM, PA and SA on adult depressive symptoms within the family framework we differentiate between (a) the family-wide (mean level of all siblings) effects and (b) the individual deviation from the mean family level of maltreatment. Methods The sample (N = 636) consists of 256 families, including at least one lifetime depressed or anxious individual and their siblings. Multilevel modeling was used to examine the family-wide and relative individual effects of childhood maltreatment (CM). Results (a) Siblings showed most similarity in their reports of EM followed by PA. SA was mostly reported by one person within a family. In line with these observations, the mean family levels of EM and PA, but not SA, were associated with more depressive symptoms. In addition, (b) depression levels were more elevated in individuals reporting more EM than the family mean. Conclusions Particularly in the case of more visible forms of CM, siblings' experiences of EM and PA are associated with the elevated levels of adult depressive symptoms. Findings implicate that in addition to individual maltreatment experiences, the context of siblings' experiences is another crucial risk factor for an individuals' adult depressive symptomatology.
AB - Background Childhood abuse and neglect often occurs within families and can have a large influence on mental well-being across the lifespan. However, the sibling concordance of emotional abuse and neglect (i.e. together referred to as emotional maltreatment; EM), physical abuse (PA) and sexual abuse (SA) and the long-term impact on the context of siblings' maltreatment experiences are unclear. To examine the influence of EM, PA and SA on adult depressive symptoms within the family framework we differentiate between (a) the family-wide (mean level of all siblings) effects and (b) the individual deviation from the mean family level of maltreatment. Methods The sample (N = 636) consists of 256 families, including at least one lifetime depressed or anxious individual and their siblings. Multilevel modeling was used to examine the family-wide and relative individual effects of childhood maltreatment (CM). Results (a) Siblings showed most similarity in their reports of EM followed by PA. SA was mostly reported by one person within a family. In line with these observations, the mean family levels of EM and PA, but not SA, were associated with more depressive symptoms. In addition, (b) depression levels were more elevated in individuals reporting more EM than the family mean. Conclusions Particularly in the case of more visible forms of CM, siblings' experiences of EM and PA are associated with the elevated levels of adult depressive symptoms. Findings implicate that in addition to individual maltreatment experiences, the context of siblings' experiences is another crucial risk factor for an individuals' adult depressive symptomatology.
KW - Abuse
KW - Family
KW - childhood maltreatment
KW - depression
KW - multilevel
KW - neglect
KW - siblings
UR - http://www.scopus.com/inward/record.url?scp=85083739598&partnerID=8YFLogxK
U2 - https://doi.org/10.1017/S0033291720000823
DO - https://doi.org/10.1017/S0033291720000823
M3 - Article
C2 - 32308166
SN - 0033-2917
VL - 51
SP - 2063
EP - 2073
JO - Psychological Medicine
JF - Psychological Medicine
IS - 12
ER -