ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018
Child maltreatment as a social determinant of midlife health-related quality of life in women: do psychosocial factors explain this association?
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- Latent profiles of childhood trauma in bipolar disorder: associations with objective and subjective cognitive functioning and quality of life.Frontiers in psychology · 2026Article
- Multidimensional Quality of Life Across the Spectrum of Alcohol Use Behavior.Psychiatric research and clinical practice · 2022Article
- Childhood Maltreatment and Its Interaction with Hypothalamic-Pituitary-Adrenal Axis Activity and the Remission Status of Major Depression: Effects on Functionality and Quality of Life.Brain sciences · 2021Article
- Experiences of family violence and parental unavailability in childhood in relation to parental socioeconomic position and psychological problems: a cohort study of young Swedish women 1990-2013.BMC women's health · 2021Article
- Time-varying Effects of Screen Media Exposure in the Relationship Between Socioeconomic Background and Childhood Obesity.Epidemiology (Cambridge, Mass.) · 2020Article
- Life-course impact of child maltreatment on midlife health-related quality of life in women: longitudinal mediation analysis for potential pathways.Annals of epidemiology · 2020Article
- Structural equation modeling approach to explore the influence of childhood maltreatment in adults.PloS one · 2020Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
purposeWe examined if child maltreatment (CM) is associated with worse health-related quality of life (HRQoL) in midlife women and if the association is mediated by psychosocial factors.
methodsA total of 443 women were enrolled in the Pittsburgh site of the longitudinal Study of Women's Health Across the Nation-Mental Health Study. The analytic sample included 338 women who completed the SF-36 and the Childhood Trauma Questionnaire. Generalized linear regression was used to assess the association between CM and two HRQoL component scores. Structural nested mean models were used to evaluate the contribution of each psychosocial mediator (lifetime psychiatric history, depressive symptoms, sleep problems, very upsetting life events, low social support) to the association.
resultsThirty-eight percent of women reported CM. The mean mental (MCS) and physical (PCS) SF-36 component scores were 2.3 points (95% CI - 4.3, - 0.3) and 2.5 points (95% CI - 4.5, - 0.6) lower, respectively, in women with any CM than in those without. When number of CM types increased (0, 1, 2, 3+ types), group mean scores decreased in MCS (52, 51, 48, 47, respectively; p < .01) and PCS (52, 52, 49, 49, respectively; p = .03). In separate mediation analyses, depressive symptoms, very upsetting life events, or low social support, reduced these differences in MCS, but not PCS.
conclusionsCM is a social determinant of midlife HRQoL in women. The relationship between CM and MCS was partially explained by psychosocial mediators. It is important to increase awareness among health professionals that a woman's midlife well-being may be influenced by early-life adversity.
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