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Published online by Cambridge University Press: 14 January 2002
Child abuse and neglect have repeatedly been shown to be risks for psychiatric and personalitydisorders. However, much of this evidence is based on retrospective reports of adults. In addition,little is known about the developmental course of psychopathology among those exposed to childmaltreatment. In this study, we report mental disorders assessed from early childhood toadulthood in those later identified as victims of abuse or neglect by official or self-report. Findingsshow elevated rates of mental disorders and symptoms in each of four groups relative to thenormative sample. Groups included those who had been victims of physical abuse or neglectaccording to official report and those who had been victims of physical or sexual abuse byself-report. As expected, the maltreated groups were quite different demographically from thecommunity comparison sample, especially those with official reports. The group withretrospective self-reports of physical abuse differed only modestly from the comparison group onthe symptom and disorder measures, while the sexually abused group showed the mostconsistently elevated patterns, even after controls for demographic differences were taken intoaccount. The disorder and symptom patterns differed both by group and by age: neglect casesshowed a partial remission in adulthood, while official physical abuse cases showed anincreasingly consolidated pattern of antisocial and impulsive behavior.