000			02868nab a22003137a 4500
999			_c6009 _d6009
005			20250625151457.0
008			181016s2019 -nz||||| |||| 00| 0 eng d
040			_aAFVC
100			_96595 _aRapsey, Charlene
245			_aChildhood sexual abuse, poly-victimization and internalizing disorders across adulthood and older age : _bfindings from a 25-year longitudinal study _cCharlene Rapsey, Kate M. Scott and Tess Patterson
260			_bElsevier, _c2019
500			_aJournal of Affective Disorders, 2019, 244: 171-179
520			_aBackground We aimed to investigate associations between childhood sexual abuse and maltreatment and internalizing disorders (anxiety, depression, PTSD) across adulthood. Methods Following a postal survey of 2,220 women, a subsample was selected to participate in an interview. The subsample included 276 women reporting childhood sexual abuse and 221 women with no reported history of childhood sexual abuse. Interviews were repeated six and 25 years following the first interview. Internalizing disorders were assessed using ICD-8 and DSM-III criteria. Results There was a lower probability of having an internalizing disorder at older ages than younger ages for all women, regardless of maltreatment history. Latent class analysis was used to define three classes (no/low maltreatment, sexual abuse, poly-victimisation). Compared with no/low maltreatment, a history of childhood sexual abuse was associated with almost double the risk of an internalizing disorder and a history of poly-victimisation was associated with over four times the risk of an internalizing disorder. Childhood sexual abuse and poly-victimisation remained associated with an elevated risk of a disorder in older age. Limitations Findings are limited by attrition (39% participated at Time 3), low prevalence of severe physical abuse, and changes in assessment practice of childhood maltreatment and mental disorder in the past 30 years. Conclusions Screening and treatment for internalizing disorders in women with histories of childhood maltreatment remains important in older aged populations. (Authors' abstract). Data comes from the Qtago Women’s Health Survey Abuse Study. Record #6009
650		5	_946 _aADULT SURVIVORS OF SEXUAL ABUSE
650		5	_aADVERSE CHILDHOOD EXPERIENCES _94089
650		0	_aCHILD SEXUAL ABUSE _9121
650		0	_aLONGITUDINAL STUDIES _9351
650		0	_aMENTAL HEALTH _9377
650		0	_96157 _aOLDER WOMEN
650		0	_aOtago Women's Health Study _910515
650		0	_aWOMEN _9645
651		4	_aNEW ZEALAND _92588
700			_aScott, Kate M. _97882
700			_aPatterson, Tess _96597
773	0		_tJournal of Affective Disorders, 2019, 244: 171-179
830			_aJournal of Affective Disorders _96770
856			_uhttps://doi.org/10.1016/j.jad.2018.10.095 _yRead abstract
942			_2ddc _cARTICLE