The health effects of childhood abuse: four pathways by which abuse can influence health.

OBJECTIVES

This article describes four possible pathways by which childhood abuse relates to health problems in adults.

METHOD

Literature on the long-term effects of childhood abuse is organized in a health psychology framework describing behavioral, social, cognitive, and emotional pathways. Key studies from the health psychology and behavioral medicine literature are included to demonstrate how these pathways relate to health.

RESULTS

Childhood abuse puts people at risk of depression and post-traumatic stress disorder, participating in harmful activities, having difficulties in relationships, and having negative beliefs and attitudes towards others. Each of these increases the likelihood of health problems, and they are highly related to each other.

CONCLUSIONS

Childhood abuse is related to health via a complex matrix of behavioral, emotional, social, and cognitive factors. Health outcomes for adult survivors are unlikely to improve until each of these factors is addressed.