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Powerpoint Slides assembled by

Powerpoint Slides assembled by. Brooks Keeshin, MD. ACEs Pyramid. Felitti & Anda 1998. Childhood Experiences Underlie Chronic Depression. Felitti and Anda , 2011. Cross Sectional Studies. Cross Sectional Studies. Cross Sectional Studies. Meta-Analysis. Meta-Analysis.

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Powerpoint Slides assembled by

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  1. Powerpoint Slides assembled by Brooks Keeshin, MD

  2. ACEs Pyramid Felitti & Anda1998

  3. Childhood Experiences Underlie Chronic Depression Felittiand Anda, 2011

  4. Cross Sectional Studies

  5. Cross Sectional Studies

  6. Cross Sectional Studies

  7. Meta-Analysis

  8. Meta-Analysis

  9. Longitudinal Studies

  10. Longitudinal Studies

  11. The Impact of Sexual Abuse on Female Development: Lessons from a Multigenerational, Longitudinal Research Study Penelope K. Trickett, Jennie G. Knoll & Frank W. Putnam Development and Psychopathology 23 (2011), 453-476 • 23-year longitudinal study of impact of intrafamilial sexual abuse on female development • Cross-sequential design with six assessments from median age of 11 at first to 25 at sixth assessment • Mothers took part in early assessments and offspring took part in sixth assessment • Examined psychological and psychobiological factors

  12. Sexually abused females showed more: • Earlier onsets of puberty • Cognitive deficits • Depression • Dissociative symptoms • Maladaptive sexual development • Hypothalamic-pituitary-adrenal attenuation • Asymmetrical stress response • High rates of obesity, major illnesses and health care utilization • Dropping out of high school • Persistent PTSD and self mutilation

  13. Sexually abused females showed more: • DSM-IV diagnoses • Physical and sexual re-victimization • Premature deliveries • Teen motherhood • Drug and alcohol abuse • Domestic violence • Offspring at risk for child maltreatment and overall maldevelopment

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