Main Article Content
Abstract
Hihglights:
1. This study reiterates the long-term negative impact of childhood trauma on young adults' mental health.
2. This study contributes to the prevention of mental disorders through the identification of risk factors associated with mental health problems.
Abstract
The prevalence of mental health problems is a global public health concern. Young adults, such as university students, are highly vulnerable to the onset of mental health problems due to biological, psychological, and social factors. In particular, abusive and traumatic experiences during childhood may increase the risk of developing mental health problems during adulthood. The prevalence of child abuse cases in Indonesia is concerning. This abuse includes physical, emotional, and sexual abuse, in addition to neglect. This study aimed to assess the relationship between the occurrence of mental disorder symptoms during young adulthood and the preceding child abuse. A total of 191 undergraduate students in Surakarta, Indonesia, participated in this study. The participants completed the Child Abuse and Trauma Scale (CATS) for the evaluation of maltreatment experienced during childhood and adolescence as well as the Self-Reporting Questionnaire-20 (SRQ-20) for the measurement of mental health problem symptoms. The association of the degree of child abuse and trauma with mental health problems was analyzed using a logistic regression test, which was selected because the dependent variable (mental health problems) had binary outcomes. The level of statistical significance was set at p<0.05. We found that 33% of the participants reported mental health problems. In addition, sexual abuse and neglect were found to be associated with mental health problems. The analysis of the sexual abuse variable revealed a statistically significant value of p=0.03, an odds ratio (OR) of 1.39, and a 95% confidence interval (CI) of 1.03-1.88. Additionally, the analysis of the neglect variable yielded comparable results with values of p=0.03, OR=1.26, and 95% CI=1.02-1.55. Our findings suggest that child abuse, particularly sexual abuse and neglect, may have a long-term deleterious impact on an individual’s mental health.
Keywords
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References
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- Dye HL (2020). Is emotional abuse as harmful as physical and/or sexual abuse? Journal of Child & Adolescent Trauma 13, 399–407. doi: 10.1007/s40 653-019-00292-y.
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- Sanders B, Becker-Lausen E (1995). The measurement of psychological maltreatment: Early data on the child abuse and trauma scale. Child Abuse & Neglect 19, 315–323. doi: 10.1016/S0145-2134(94)00131-6.
- Scott JG, Malacova E, Mathews B, et al (2023). The association between child maltreatment and mental disorders in the Australian Child Maltreatment Study. Medical Journal of Australia. doi: 10.5694/mja2.51870.
- Sedgwick P (2014). Cluster sampling. BMJ 348, 1215–1215. doi: 10.1136/bmj.g1215.
- Setyawan (2017). During 2016, KPAI recorded 1000 cases of violence against children. KPAI. Available at: http://www.kpai.go.id/berita/8194.
- Sheldon E, Simmonds-Buckley M, Bone C, et al (2021). Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis. Journal of Affective Disorders 287, 282–292. doi: 10.1016/j.jad.2021.03.054.
- Sperandei S (2014). Understanding logistic regression analysis. Biochemia Medica 12–18. doi: 10.11613/BM.2014.003.
- Stewart RC, Umar E, Tomenson B, et al (2013). Validation of screening tools for antenatal depression in Malawi—A comparison of the Edinburgh Postnatal Depression Scale and Self Reporting Questionnaire. Journal of Affective Disorders 150, 1041–1047. doi: 10.1016/j.jad.2013.05.036.
- Su Y, Meng X, Yang G, et al (2022). The relationship between childhood maltreatment and mental health problems: Coping strategies and social support act as mediators. BMC Psychiatry 22, 359. doi: 10.1186/s12888-022-04001-2.
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References
Auerbach RP, Alonso J, Axinn WG, et al (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine 46, 2955–2970. doi: 10.1017/S0033291716001665.
Auerbach RP, Mortier P, Bruffaerts R, et al (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology 127, 623–638. doi: 10.1037/abn0000362.
Baldwin JR, Wang B, Karwatowska L, et al (2023). Childhood maltreatment and mental health problems: A systematic review and meta-analysis of quasi-experimental studies. American Journal of Psychiatry 180, 117–126. doi: 10.1176/appi.ajp. 20220174.
Bruffaerts R, Mortier P, Kiekens G, et al (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders 225, 97–103. doi: 10.1016/j.jad.2017.07.044.
Cheong E Von, Sinnott C, Dahly D, et al (2017). Adverse childhood experiences (ACEs) and later-life depression: Perceived social support as a potential protective factor. BMJ Open 7, e013228. doi: 10.1136/bmjopen-2016-013228.
Chu T, Liu X, Takayanagi S, et al (2023). Association between mental health and academic performance among university undergraduates: The interacting role of lifestyle behaviors. International Journal of Methods in Psychiatric Research. doi: 10.1002/mpr.1938.
CNN Indonesia (2022). 14,517 cases of child violence occurred throughout 2021. CNN Indones. Available at: https://www.cnnindonesia.com/nasi onal/20220120030219-20-748827/14517-kasus-kekerasan-anak-terjadi-sepanjang-2021.
Dessauvagie AS, Dang H-M, Nguyen TAT, et al (2022). Mental health of university students in Southeastern Asia: A systematic review. Asia Pacific Journal of Public Health 34, 172–181. doi: 10.1177/10105395211055545.
Do TTH, Bui QTT, Ha BTT, et al (2023). Using the WHO self-reporting questionnaire-20 (SRQ-20) to detect symptoms of common mental disorders among pregnant women in Vietnam: A validation study. International Journal of Women's Health 15, 599–609. doi: 10.2147/IJWH.S404993.
Dye HL (2020). Is emotional abuse as harmful as physical and/or sexual abuse? Journal of Child & Adolescent Trauma 13, 399–407. doi: 10.1007/s40 653-019-00292-y.
Giang KB, Allebeck P, Kullgren G, et al (2006). The Vietnamese version of the self reporting questionnaire 20 (SRQ-20) in detecting mental disorders in rural Vietnam: A validation study. International Journal of Social Psychiatry 52, 175–184. doi: 10.1177/0020764006061251.
Gunnell D, Caul S, Appleby L, et al (2020). The incidence of suicide in University students in England and Wales 2000/2001–2016/2017: Record linkage study. Journal of Affective Disorders 261, 113–120. doi: 10.1016/j.jad.2019. 09.079.
Halpern SC, Schuch FB, Scherer JN, et al (2018). Child maltreatment and illicit substance abuse: A systematic review and meta‐analysis of longitudinal studies. Child Abuse Review 27, 344–360. doi: 10.1002/car.2534.
Hjorth CF, Bilgrav L, Frandsen LS, et al (2016). Mental health and school dropout across educational levels and genders: A 4.8-year follow-up study. BMC Public Health 16, 976. doi: 10.1186/s12889-016-3622-8.
IBM Corp. 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp. Available at: https://www.ibm.com/support/pages/download ing-ibm-spss-statistics-23.
Kang HK, Rhodes C, Rivers E, et al (2021). Prevalence of mental health disorders among undergraduate university students in the United States: A review. Journal of Psychosocial Nursing and Mental Health Services 59, 17–24. doi: 10.3928/02793695-20201104-03.
Madigan S, Cyr C, Eirich R, et al (2019). Testing the cycle of maltreatment hypothesis: Meta-analytic evidence of the intergenerational transmission of child maltreatment. Development and Psychopathology 31, 23–51. doi: 10.1017/S0954579418001700.
Mazzeo SE, Mitchell KS, Williams LJ (2008). Anxiety, alexithymia, and depression as mediators of the association between childhood abuse and eating disordered behavior in African American and European American women. Psychology of Women Quarterly 32, 267–280. doi: 10.1111/j.1471-6402.2008.00435.x.
Ministry of Health of the Republic of Indonesia (2013). Basic health research 2013. Minist Heal Repubublic Indonesia. Available at: https://repository.badankebijakan.kemkes.go.id/id/eprint/4467/.
Özbay A, Asagidag R, Eker E (2024). The effects of the child physical abuse on the children’s mental health. Journal of Experimental and Clinical Medicine 41, 192–200. doi: 10.52142/omujecm.41.1.32.
Pacheco JP, Giacomin HT, Tam WW, et al (2017). Mental health problems among medical students in Brazil: A systematic review and meta-analysis. Revista Brasileira de Psiquiatria 39, 369–378. doi: 10.1590/1516-4446-2017-2223.
Philip S, Molodynski A, Barklie L, et al (2021). Psychological well-being and burnout amongst medical students in India: A report from a nationally accessible survey. Middle East Current Psychiatry 28, 54. doi: 10.1186/s43045-021-00129-1.
Pitua I, Margaret Namiiro A, Raizudheen R, et al (2024). Prevalence of depression among medical students in Africa: A systematic review and meta-analysis. F1000Research 13, 523. doi: 10.12688/f1000research.149103.1.
Rost K, Gossmann E, Fegert JM, et al (2024). Long-term consequences of childhood emotional abuse in mothers on parental load and child mental health. Acta Psychologica 244, 104169. doi: 10.1016/j.actpsy.2024.104169.
Sanders B, Becker-Lausen E (1995). The measurement of psychological maltreatment: Early data on the child abuse and trauma scale. Child Abuse & Neglect 19, 315–323. doi: 10.1016/S0145-2134(94)00131-6.
Scott JG, Malacova E, Mathews B, et al (2023). The association between child maltreatment and mental disorders in the Australian Child Maltreatment Study. Medical Journal of Australia. doi: 10.5694/mja2.51870.
Sedgwick P (2014). Cluster sampling. BMJ 348, 1215–1215. doi: 10.1136/bmj.g1215.
Setyawan (2017). During 2016, KPAI recorded 1000 cases of violence against children. KPAI. Available at: http://www.kpai.go.id/berita/8194.
Sheldon E, Simmonds-Buckley M, Bone C, et al (2021). Prevalence and risk factors for mental health problems in university undergraduate students: A systematic review with meta-analysis. Journal of Affective Disorders 287, 282–292. doi: 10.1016/j.jad.2021.03.054.
Sperandei S (2014). Understanding logistic regression analysis. Biochemia Medica 12–18. doi: 10.11613/BM.2014.003.
Stewart RC, Umar E, Tomenson B, et al (2013). Validation of screening tools for antenatal depression in Malawi—A comparison of the Edinburgh Postnatal Depression Scale and Self Reporting Questionnaire. Journal of Affective Disorders 150, 1041–1047. doi: 10.1016/j.jad.2013.05.036.
Su Y, Meng X, Yang G, et al (2022). The relationship between childhood maltreatment and mental health problems: Coping strategies and social support act as mediators. BMC Psychiatry 22, 359. doi: 10.1186/s12888-022-04001-2.
The Hat. 2020. The hat for Windows, version 3.1.2.1. USA. Available at: https://the-hat.informer.com/download/.
Uhlhaas PJ, Davey CG, Mehta UM, et al (2023). Towards a youth mental health paradigm: A perspective and roadmap. Molecular Psychiatry 28, 3171–3181. doi: 10.1038/s41380-023-02202-z.
World Health Organization (2022). Mental disorders. WHO. Available at: https://www.who. int/news-room/fact-sheets/detail/mental-disor ders.
Zeng W, Chen R, Wang X, et al (2019). Prevalence of mental health problems among medical students in China. Medicine (Baltimore) 98, e15337. doi: 10.1097/MD.0000000000015337.