Heinonen , E , Knekt , P , Härkänen , T , Virtala , E & Lindfors , O 2018 , ' Associations of early childhood adversities with mental disorders, psychological functioning, and suitability for psychotherapy in adulthood ' , Psychiatry Research , vol. 264 , pp. 366-373 . https://doi.org/10.1016/j.psychres.2018.04.011
Title: | Associations of early childhood adversities with mental disorders, psychological functioning, and suitability for psychotherapy in adulthood |
Author: | Heinonen, Erkki; Knekt, Paul; Härkänen, Tommi; Virtala, Esa; Lindfors, Olavi |
Contributor organization: | University of Helsinki Medicum Department of Psychology and Logopedics |
Date: | 2018-06 |
Language: | eng |
Number of pages: | 8 |
Belongs to series: | Psychiatry Research |
ISSN: | 0165-1781 |
DOI: | https://doi.org/10.1016/j.psychres.2018.04.011 |
URI: | http://hdl.handle.net/10138/303667 |
Abstract: | Childhood adversities frequently precede adulthood depression and anxiety. Yet, how they impact needed treatment duration, type or focus in these common disorders, is unclear. For developing more individualized and precise interventions, we investigated whether specific early adversities associate with patients' distinct psychiatric problems, psychological vulnerabilities, and suitability for psychotherapy. A total of 221 depressed and anxious adult outpatients (excluding psychotic, severe personality, bipolar, and substance abuse disorders) referred from community, student, occupational, and private healthcare services filled the Childhood Family Atmosphere Questionnaire (CFAQ). They also filled self-reports on interpersonal behavior and problems, perceived competence, dispositional optimism, sense of coherence, defenses, and psychiatric history. Clinicians assessed the patients' symptomatology, personality, object relations, cognitive performance, and psychotherapy suitability. Regression analyses were conducted. Childhood adversities predicted both worse current psychological functioning (e.g., interpersonal problems), and better clinician-rated capacities for benefiting from psychotherapy (e.g. self-reflection, capacity for interaction). Parental problems had the most numerous negative associations to psychological functioning. Best capacities for psychotherapy were predicted by recollected family unhappiness. Associations with psychiatric criteria were, however, largely non-significant. In conclusion, for psychosocial treatment planning, patients' early adversities may indicate both vulnerability and resources. As childhood adversities are frequent among treatment-seekers, further studies examining how early adversities predict psychotherapy outcome are needed. |
Subject: |
Depression
Anxiety Childhood adversities Psychotherapy Personality Psychosocial function LONG-TERM PSYCHOTHERAPY PSYCHODYNAMIC PSYCHOTHERAPY ANXIETY DISORDER PERSONALITY ORGANIZATION EMOTIONAL MALTREATMENT OBJECT RELATIONS DEFENSE STYLE FOLLOW-UP PREDICTORS SCALE 515 Psychology |
Peer reviewed: | Yes |
Usage restriction: | openAccess |
Self-archived version: | publishedVersion |
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