自杀未遂患者童年期创伤经历病例对照研究

目的:探讨自杀未遂患者与童年期创伤经历的关系。方法:方便抽样选择自杀未遂患者87例作为观察组,同期选择医院后勤人员119例作为对照组,采用一般资料问卷、童年期创伤问卷对两组进行调查分析。结果:将年龄和性别做为控制变量,协方差分析发现,观察组情感虐待、性虐待及CTQ总分高于对照组(P<0.05)。Logistic回归分析显示情感虐待、性虐待能显著预测自杀行为的危险度(P<0.05)。结论:儿童期创伤可显著增加成年期自杀行为的危险度,对童年期创伤,特别是情感虐待和性虐待的干预对自杀的预防有积极作用。     

童年创伤和家庭功能对青少年心境障碍患者自伤行为的影响

目的：探讨童年创伤和家庭功能对心境障碍患者非自杀性自伤行为影响的具体机制。方法：入组心境障碍患者176例，其中伴自伤92例(伴自伤组)，无自伤84例(无自伤组)，记录所有入组患者临床基本信息和量表的评估。对2组间的临床基本信息及童年创伤、抑郁体验、家庭功能量表的评分进行比较。结果：伴自伤组在情感虐待(Z=3.330,P=0.001)、躯体虐待(Z=2.400,P=0.017)、情感忽视(Z=3.160,P=0.002)、情感依赖(Z=3.080,P=0.002)和自我批评维度(Z=3.410,P=0.001)得分均显著高于无自伤组。伴自伤组极端型家庭的比例显著高于无自伤组，在平衡型家庭的比例上显著低于无自伤组(χ²=3.400,P=0.046)。多因素Logistic回归分析显示，情感虐待(OR=1.113,95%CI 1.005～1.233)与青少年心境障碍患者自伤行为发生呈正相关(P<0.05)。结论：对比无自伤的心境障碍患者，伴自伤心境障碍患者抑郁体验更深；情感虐待可能是青少年心境障碍患者自伤行为的高风险因素；良好的家庭功能可能有助于减少童年创伤对青少...     

探究青少年抑郁障碍患者的童年创伤、父母教养方式及家庭功能

目的:探究青少年抑郁障碍患者的童年创伤、父母教养方式及家庭功能。方法:选择青少年抑郁障碍患者96例为研究组,另选择年龄、性别与研究组相匹配的健康青少年96例为对照组。采用儿童期创伤问卷简化版(CTQ-SF)、父母教养方式评价量表(EMBU)、家庭功能评定量表(FAD)对2组进行问卷评估。结果:研究组的情感虐待(t=4.6154,P=0.0000)、情感忽视(t=4.0670,P=0.0001)因子评分及CTQ-SF总分(t=5.2431,P=0.0000)明显高于对照组(P<0.05)。研究组母亲情感温暖与理解关心(t=-2.1265,P=0.0348)、父亲情感温暖与理解关心(t=-3.0984,P=0.0022)评分低于对照组(P<0.05),研究组母亲拒绝否认(t=2.7257,P=0.0070)、母亲惩罚严厉(t=2.7204,P=0.0071)、父亲惩罚严厉(t=3.2322,P=0.0014)和父亲拒绝与否认(t=3.7895,P=0.0002)评分高于对照组(P<0.05)。研究组的问题解决(t=3.0227,P=0.0029)、沟通(t=3.0006,P=0.0031)、角色(t=3.3780,P=0.0009)、情感反应(t=3.9031,P=0.0001)、情感介入(t=4.8471,P=0.0000)、行为控制(t=3.6788,P=0.0003)及总的功能(t=5.7201,P=0.0000)的因子评分高于对照组(P<0.05)。结论:青少年抑郁障碍患者存在更多的童年创伤,父母教养方式及家庭功能都存在一定问题。     

护理本科生自杀意念的影响因素分析

目的调查护理本科生自杀意念现状,探讨边缘型人格、儿童期虐待、社会支持、应对方式对自杀意念的影响。方法分层抽取护理本科生796名,应用Beck自杀意念量表中文版、人格诊断问卷、中文版儿童期虐待问卷、社会支持评定量表、特质应对方式问卷进行调查。结果有自杀意念的护理本科生为85名,占10.68%,男生高于女生(P<0.01)。有自杀意念组自杀意念评分为(3.58±0.44)分,无自杀意念组为(0.59±0.15)分。有自杀意念组护理本科生在边缘型人格、儿童期虐待总分、情感虐待、性虐待、情感忽视、躯体忽视、消极应对评分高于无自杀意念组(P<0.01或P<0.05),在社会支持总分、主观支持、客观支持、对支持的利用度、积极应对评分低于无自杀意念组(P<0.01或P<0.05)。边缘型人格、儿童期情感虐待、儿童期性虐待、消极应对是护理本科生自杀意念的影响因素。结论护理本科生中有自杀意念的发生,边缘型人格、儿童期情感虐待、儿童期性虐待、消极应对方式可作为预测因子。     

六年级学生童年期遭受虐待经历与创伤后应激障碍状况的关联性研究

目的了解童年期遭受虐待的六年级学生创伤后应激障碍(post-traumatic stress disorder,PTSD)的现状,并进一步探讨童年期遭受虐待与PTSD的关系,为青少年心理健康发展提供科学的指导意见。方法采用随机分层抽样方法,抽取哈尔滨市某个区的四所学校的991名在校六年级学生进行童年期遭受虐待经历与PTSD的问卷调查。结果本次调查的虐待、情感虐待、躯体虐待、性虐待、情感忽视、躯体忽视的发生率分别为48.05%、3.80%、5.53%、7.48%、16.27%、37.96%。除情感虐待维度外,男生的遭受虐待总分及其他维度的得分均高于女生(P<0.05)。PTSD阳性检出率为7.48%。PTSD平均得分及各维度得分在不同的人口学特征(性别、户籍、是否为独生子女)上的比较无统计学差异(P>0.05)。童年期遭受过虐待的学生的PTSD平均得分及各维度得分均高于未遭受过虐待的(P<0.05)。相关分析显示PTSD平均得分及各维度得分与遭受虐待总分及各维度得分均呈正相关关系(P<0.05);Logistic回归分析结果显示情感虐待(OR=1.303,P<0.001)、躯体忽视(OR=1.120,P<0.05)是PTSD的危险因素。结论哈尔滨市在校六年学生的童年期遭受虐待与PTSD状况不容忽视。男生虐待得分高于女生。遭受虐待的群体PTSD得分高于未遭受虐待的群体,同时虐待得分与PTSD呈正相关关系,情感虐待、躯体忽视是PTSD的危险因素。预防童年期遭受虐待对于提高青少年身心健康至关重要。     

妊娠期抑郁情绪与童年期创伤经历的相关研究

[目的]探讨妊娠期抑郁情绪与童年期创伤经历的关系。[方法]采用抑郁自评量表(SDS)、童年期创伤问卷(CTQ-SF)及自编的一般资料调查表对179例孕妇进行调查,根据SDS评分指数将孕妇分为抑郁组和非抑郁组。[结果]179例孕妇中抑郁筛查阳性者62例,占34.6%。抑郁组与非抑郁组孕妇的年龄、文化程度、居住环境、个人收入等一般资料比较差异无统计学意义(P>0.05);抑郁组CTQ-SF总分、情感虐待、躯体虐待、性虐待、情感忽视及躯体忽视得分均高于非抑郁组(P<0.0 5或P<0.01);CTQ-SF中躯体忽视、情感忽视两个因子进入回归方程,对妊娠期抑郁情绪具有显著预测作用。[结论]妊娠期抑郁发生率较高,且与童年期创伤经历有关。     

抑郁症患者儿童期受虐对5-羟色胺水平的影响

目的探讨抑郁症患者儿童期受虐对血清5-羟色胺水平的影响。方法对101例抑郁症患者采用儿童受虐问卷、汉密顿抑郁量表、自杀意念量表及Beck绝望量表评定儿童期受虐状况、抑郁严重程度、自杀意念强度和绝望严重程度;根据儿童受虐问卷评分将受试者分为受虐组（50例）,无受虐组（51例）。采用酶联免疫吸附法测定血清5-羟色胺水平。结果101例抑郁症患者中,49．5％在儿童期有过不同类型不同程度的受虐,其中情感虐待45．5％,情感忽视27．7％,躯体虐待24．8％,躯体忽视56．4％,性虐待18．8％。受虐组汉密顿抑郁量表总分显著高于无受虐组（P〈0．05）。受虐组的血清5羟色胺水平显著低于无受虐组（P〈0．05）,其中情感受虐组低于无受虐组（P〈0．05）。血清5羟色胺水平与汉密顿抑郁量表总分和情感虐待评分呈显著负相关（R=-0．25、-0．21,P〈0．05）。结论抑郁症患者儿童期受虐待对5-羟色胺水平有明显的影响,儿童期受虐可能是成年后罹患抑郁症的危险因素。     

社会支持、家庭功能对产后抑郁情绪的影响

[目的]探讨产妇的社会支持、家庭功能状况与产后抑郁的关系.[方法]调查住院产妇119例,采用Zung抑郁自评量表(SDS)、肖水源设计的社会支持评定量表、家庭APGAR问卷调查分析产妇社会支持、家庭功能与产后抑郁的关系.[结果]产妇的社会支持处于较好的水平,社会支持得分40.52分±7.63分;家庭功能得分7.62分±2.07分,整体处于较高的水平;产妇抑郁总的发生率15.13%, SDS总分(38.68分±10.70分)与国内常模(33.46分±8.55分)比较,差异有统计学意义(P＜0.001);家庭功能各组间抑郁发生率差异有统计学意义(P＜0.001),家庭功能与抑郁发生率呈负相关(r=-0.663,P＜0.001);主观支持和对支持的利用度与产后抑郁呈负相关(P＜0.05).[结论]产妇抑郁发生率高于普通人群,家庭功能对产妇抑郁情绪有影响.以产妇为中心,提供家庭、社会支持及有效的心理支持可减轻产妇的抑郁症状.     

社会支持对大学生述情障碍的影响

[目的]探讨社会支持对大学生情感表达能力的影响。[方法]采用社会支持评定量表、多伦多述情障碍量表对全国10个省的大学生1 031人进行调查。[结果]大学生社会支持总分为36.79分±6.09分,述情障碍总分为56.95分±9.81分;大学生非述情障碍、临界述情障碍、述情障碍检出率分别为25.41%、38.51%、36.08%。大学生社会支持与述情障碍呈显著正相关(P0.001);客观支持、主观支持、支持利用度对述情障碍有显著预测性(P0.001);随着年级的升高,述情障碍各因子得分也随之增加,各年级总分比较差异有显著统计学意义(P0.01)。[结论]36.08%的大学生存在不同程度的述情障碍,各部门应重点关注大学生心理健康,给予适当的社会支持,降低大学生述情障碍发生率,提高大学生情感表达能力。     

儿童期虐待与成年后抑郁症的研究

目的:探讨儿童期虐待对抑郁症患者的影响,为其心理干预和护理提供依据。方法:采用儿童期虐待问卷和自评抑郁量表对100例抑郁症患者(研究组)和102例正常对照组测评。结果:研究组有更严重的儿童期性虐待和情感虐待(P<0.01),按儿童期虐待严重程度分为两组,显示儿童期虐待高分组抑郁严重程度显著高于低分组(P<0.01)。结论:抑郁症患者儿童期经历较严重的儿童期虐待,且经历的儿童期虐待者的抑郁症患者有更高的抑郁严重度指数,需要进一步的心理干预。     

Hopelessness as Mediator of the Link Between Reports of a History of Child Maltreatment and Suicidality in African American Women

Findings from a study comparing reports of a history of child maltreatment and hopelessness in a sample of economically, socially, and educationally disadvantaged young urban African American women suicide attempters (n = 176) and demographically similar nonattempters (n = 185) revealed higher rates of child maltreatment and hopelessness among attempters than those among their nonsuicidal counterparts. Using a mediational model involving both linear and logistic regressions, results indicated that hopelessness partially mediated the link between reports of certain forms of child maltreatment (i.e., physical/emotional abuse and emotional neglect) and suicide attempts, and hopelessness fully mediated the link between child sexual abuse and suicide attempts. Of equal importance, reports of a history of childhood maltreatment significantly predicted the presence of hopelessness in those women who later attempted suicide. These results emphasize the clinical importance of screening for hopelessness in women who report a history of childhood maltreatment and/or current or previous suicidal behavior, as well as the need to target negative views of the future in clinical interventions with African American women abused as children.     

Childhood Maltreatment and Migraine (Part I). Prevalence and Adult Revictimization: A Multicenter Headache Clinic Survey

(Headache 2010;50:20‐31) Objectives.— To examine the prevalence of childhood maltreatment and adult revictimization in migraineurs and the association with sociodemographic factors, depression and anxiety. Background.— Population and practice‐based studies have demonstrated an association of childhood abuse and headache in adults, although further details on headache diagnoses, characteristics, and comorbid conditions are lacking. There are mounting data suggesting substantial impact of early maltreatment on adult physical and mental health. Methods.— Electronic surveys were completed by patients seeking treatment in 11 headache centers across the United States and Canada. Physicians determined the primary headache diagnoses based on the International Classification of Headache Disorders‐2 criteria and average monthly headache frequency. Self‐reported information on demographics (including body mass index), social history, and physician‐diagnosed depression and anxiety was collected. The survey also included validated screening measures for current depression (Patient Health Questionnaire‐9) and anxiety (The Beck Anxiety Inventory). History and severity of childhood (<18 years) abuse (sexual, emotional, and physical) and neglect (emotional and physical) was gathered using the Childhood Trauma Questionnaire. There were also queries regarding adult physical and sexual abuse, including age of occurrence. Analysis includes all persons with migraine with aura, and migraine without aura. Results.— A total of 1348 migraineurs (88% women) were included (mean age 41 years). Diagnosis of migraine with aura was recorded in 40% and chronic headache (≥15 days/month) was reported by 34%. The prevalence of childhood maltreatment types was as follows: physical abuse 21%, sexual abuse 25%, emotional abuse 38%, physical neglect 22%, and emotional neglect 38%. Nine percent reported all 3 categories of childhood abuse (physical, sexual, and emotional) and 17% reported both physical and emotional neglect. Overlap between maltreatment types ranged between 40% and 81%. Of those reporting childhood abuse, 43% reported abuse in adulthood, but infrequently (17%) over the age of 30 years. In logistic regression models adjusted for sociodemographic variables, current depression was associated with physical (P = .003), sexual (P = .007), and emotional abuse (P < .001), and physical and emotional neglect (P = .001 for both). Current anxiety was also associated with all childhood abuse and neglect categories (P < .001 for all). A graded relationship was observed between the number of childhood maltreatment types and remote or current depression and anxiety. In adjusted logistic regression analysis, migraineurs reporting 3 or more categories of childhood trauma were more likely to have received diagnoses of both depression and anxiety (odds ratios [OR] = 6.91, 95% confidence interval [CI]: 3.97‐12.03), or either depression or anxiety (OR = 3.66, 95% CI: 2.28‐5.88) as compared with those without childhood abuse or neglect. Conclusion.— Reports of childhood maltreatment, especially emotional abuse and neglect, are prevalent in outpatients with migraine. There is extensive overlap of maltreatment types and a high rate of revictimization in adulthood. All types of childhood abuse and neglect are strongly associated with remote and current depression and anxiety, and the relationship strengthens with an increasing number of maltreatment types.     

儿童期虐待问卷中文版的信度及效度评估

背景目前国际公认的儿童期虐待问卷为美国心理学家Bemstein 1998年的编制版.目的建立儿童期虐待问卷28个条目量表的中文版,并分析其信度和效度.设计团体调查.单位中南大学湘雅二医院精神卫生研究所.对象于2004-10在河南省某市一所乡村中学,随机抽取8个班级共441名学生.方法用儿童期虐待问卷对441名中小学生进行测评,2个月后对其中93名学生进行重测.儿童期虐待问卷共有28个条目,分为5个分量表情感虐待;躯体虐待;性虐待;情感忽视;躯体忽视.每个条目采用5级评分1分从不;2分偶尔;3分有时;4分经常;5分总是.每个虐待分量表在5～25分之间,总分在25～125分之间.分析问卷的内部一致性、重测信度、条目间平均相关系数和总分与各分量表间的相关系数,并进行验证性因素分析.主要观察指标儿童期虐待问卷的同质信度,重测信度,效度,绝对拟合指数,相对拟合指数,省俭指数.结果现场发放问卷441份,收回回答完整、规范的问卷435份.2个月后第二次评定发放问卷93份,收回回答规范的问卷93份,用于评测该量表的重测信度.①儿童期虐待问卷中文版的Cronbach α系数为0.64;重测信度为0.75.各分量表的Cronbach α系数为0.16～0.65,重测信度为0.27～0.73.条目间相关系数在-0.20～0.44之间.②总分与各分量表的相关系数为0.36～0.68,各分量表间的相关系数为-0.01～0.39.③验证性因素分析的指标躯体忽视的负荷系数为0.09～0.64,有2个条目小于0.20.复相关系数为-0.2l～0.82.X2/df(2.48);近似均方根误差(0.06);增指指数IFI(0.76),CFI(0.75),TLI(0.72);省俭指数PNFI(0.58),PCFI(0.67).结论儿童期虐待问卷中文版具有较好的信度和效度,根据验证性分析,各个指标除躯体忽视外,基本符合测量学标准,同时标准路径分析结果理想,说明该量表模型中文版分量表具有较好的匹配性,具有较好的构想效度.     

The role of drugs and alcohol in urban minority adolescent suicide attempts

This study examined psychopathology and substance use in 15 African American adolescents who attempted suicide and 15 African American adolescents who did not attempt suicide (control group). Both groups of adolescents and their parents completed questionnaires that addressed depression, behavior problems, family functioning, and drug and alcohol use. On the basis of group means of the Children's Depression Inventory (Kovacs & Beck, 1977), the Youth Self-Report (Achenbach & Edelbrock, 1987), and the Child Behavior Checklist (Achenbach & Edelbrock, 1983), the suicidal youth were found to have a significant level of depression in addition to a variety of internalizing and externalizing behavior disorders. Similarly, on the Multigating Substance Use Evaluation System (Jurkovic & Bruce, 1991), the suicidal youth were at a high risk for alcohol and drug abuse. The suicidal group reported more alcohol and drug abuse than the control group. The results indicated that suicidal African American adolescents used significant amounts of drugs and alcohol, which may be associated with suicide attempts.     

A comparative study among college students of sexual abuse in childhood.

A disproportionate random sample (200 women, 400 men) of students attending a major university was invited to participate in a mailed survey to study differences in self-efficacy, coping, and well-being between men and women who were sexually abused in childhood and those who were not. A total of 271 students (111 women, 160 men) responded by returning the completed survey. Fifty percent of the women and 22% of the men in the sample reported one or more unwanted sexual experiences in childhood. Multivariate analysis of variance (MANOVA) techniques to analyze differences in self-efficacy, coping (confrontive, emotive, palliative), and well-being between women and men who reported childhood sexual abuse and those who did not showed significant interaction effects by sex for abuse (F = 2.609, P = .025, df 5,263) and significant effects by sex (F = 3.356, P = .006), but no significant differences for abuse alone. Univariate F tests were significant (F = 5.386, P = .021) for palliative coping with abused men reporting the highest scores, abused and nonabused women having the highest scores on emotive coping (F = 9.049, P = .003), and nonabused men and women having highest scores on well-being (F = 7.276, P = .007). A second MANOVA was performed on data from 245 students (nonabused and those who reported contact sexual abuse). Significant interaction effects by sex for abuse (F = 2.259, P = 0.49, df 5,237) and main effects for abuse (F = 3.225, P = .008) were found. Although abused men scored lowest on well-being, both abused men and abused women scored higher on emotive coping and lower on well-being than nonabused subjects. These are new findings with implications for developing and testing nursing interventions for this vulnerable group of young adults.     

Childhood trauma as a predictor of eating psychopathology and its mediating variables in patients with eating disorders

Aim. The aims of this study were to determine whether specific forms of childhood trauma predict eating psychopathologies and to investigate the mediating effects of the psychological symptoms of depression and obsessive‐compulsion between childhood trauma and eating psychopathologies in patients with eating disorders. Background. The highest probability of poor treatment outcomes in patients with eating disorders has been observed in those who experienced childhood trauma. Therefore, researchers are now examining whether childhood trauma should be considered a risk factor for eating psychopathology, but childhood traumatic experiences as predictors of eating psychopathology and their mediating variables has not been investigated sufficiently with this clinical population. Design. Survey. Methods. The subjects were 73 Korean patients with eating disorders. The Childhood Trauma Questionnaire, Eating Disorder Inventory‐2, Beck Depression Inventory and Maudsley Obsessional‐Compulsive Inventory were used to assess self‐reported childhood trauma in five domains (emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect), eating psychopathology, depression and obsessive‐compulsion. Stepwise multiple regression analyses were used to explore whether these childhood traumatic experiences predict eating psychopathology and mediation analyses were conducted according to Baron and Kenny’s guidelines. Results. Emotional abuse, physical neglect and sexual abuse were found to be significant predictors of eating psychopathology. We also found that depression fully mediated the association between some forms of childhood trauma and eating psychopathology, while obsessive‐compulsion did not mediate this association. Conclusions. Future interventions for patients with eating disorders should focus on assessing the possibility of childhood trauma, especially in those patients with poor treatment outcomes. In addition, whether or not traumatised individuals exhibit depression is a more important predictor of eating psychopathology than the traumatic experience itself. Relevance to clinical practice. Early intervention for childhood trauma and depression might contribute to preventing eating disorders in traumatised individuals.     

以学校为基础的自杀高危青少年针对性预防研究

目的 对有自杀风险的高危青少年进行针对性干预,评估干预方案的效果.方法 选取上海市浦东新区2所初中的初一和初二年级、2所高中的高一和高二年级,以班级为单位随机分为干预班级和对照班级.通过问卷筛查出有自杀风险的高危青少年210人,研究组101人,对照组109人.研究设计为add-on.研究组高危青少年除接受学校常规心理课程以外,另外接受20节团体认知行为课程,其父母接受青少年自杀预防宣教;对照组只接受学校常规心理课程,其父母不干预.在干预前和干预结束后6个月进行问卷调查,评估自杀行为和相关因素的变化.结果 干预前除研究组的敢于自表因子分高于对照组外(P=0.012),两组其他评估指标无统计学差异(P>0.05).干预后,研究组的自杀行为(P值分别为0.000、0.000、0.006)、最近1周和最严重时的BSI-CV(Beck自杀意念量表中文版)得分(P值分别为0.000、0.003)、BDI(Beck抑郁量表)得分(P=0.000)、BHS(Beck绝望量表)总分及对未来感觉和动力丧失因子分(P值分别为0.015、0.040、0.020)均显著低于干预前,SSRS(社会支持评定量表)总分及主观和客观支持因子分(P值均为0.000)、ESAP(情绪智力技能问卷)的敢于自表(P=0.017)和压力管理因子分(P=0.042)均显著高于干预前;干预后对照组的自杀行为(P值分别为0.000、0.002、0.008)、BDI得分(P=0.000)均显著低于干预前,SSRS总分(P=0.042)及主观支持因子分(P=0.001)、SCSQ(简易应对方式问卷)的积极应对因子分(P=0.009)均显著高于干预前;除研究组的客观支持因子分(P=0.013)和敢于自表得分显著高于对照组(P=0.004),最近1周的自杀意念显著低于对照组(P=0.048)外,上述其他指标在两组间无统计学差异.结论 干预方案能够改善自杀高危青少年的部分自杀行为和相关因素.目前干预结果提示我们应延长随访时间以便能够观察到最大化的干预效果.     

Childhood Maltreatment and Migraine (Part II). Emotional Abuse as a Risk Factor for Headache Chronification

(Headache 2010;50:32‐41) Objectives.— To assess in a headache clinic population the relationship of childhood abuse and neglect with migraine characteristics, including type, frequency, disability, allodynia, and age of migraine onset. Background.— Childhood maltreatment is highly prevalent and has been associated with recurrent headache. Maltreatment is associated with many of the same risk factors for migraine chronification, including depression and anxiety, female sex, substance abuse, and obesity. Methods.— Electronic surveys were completed by patients seeking treatment in headache clinics at 11 centers across the United States and Canada. Physician‐determined data for all participants included the primary headache diagnoses based on the International Classification of Headache Disorders‐2 criteria, average monthly headache frequency, whether headaches transformed from episodic to chronic, and if headaches were continuous. Analysis includes all persons with migraine with aura, and migraine without aura. Questionnaire collected information on demographics, social history, age at onset of headaches, migraine‐associated allodynic symptoms, headache‐related disability (The Headache Impact Test‐6), current depression (The Patient Health Questionnaire‐9), and current anxiety (The Beck Anxiety Inventory). History and severity of childhood (<18 years) abuse (sexual, emotional, and physical) and neglect (emotional and physical) was gathered using the Childhood Trauma Questionnaire. Results.— A total of 1348 migraineurs (88% women) were included (mean age 41 years). Diagnosis of migraine with aura was recorded in 40% and chronic headache (≥15 days/month) was reported by 34%. Transformation from episodic to chronic was reported by 26%. Prevalence of current depression was 28% and anxiety was 56%. Childhood maltreatment was reported as follows: physical abuse 21%, sexual abuse 25%, emotional abuse 38%, physical neglect 22%, and emotional neglect 38%. In univariate analyses, physical abuse and emotional abuse and neglect were significantly associated with chronic migraine and transformed migraine. Emotional abuse was also associated with continuous daily headache, severe headache‐related disability, and migraine‐associated allodynia. After adjusting for sociodemographic factors and current depression and anxiety, there remained an association between emotional abuse in childhood and both chronic (odds ratio [OR] = 1.77, 95% confidence intervals [CI]: 1.19‐2.62) and transformed migraine (OR = 1.89, 95% CI: 1.25‐2.85). Childhood emotional abuse was also associated with younger median age of headache onset (16 years vs 19 years, P = .0002). Conclusion.— Our findings suggest that physical abuse, emotional abuse, and emotional neglect may be risk factors for development of chronic headache, including transformed migraine. The association of maltreatment and headache frequency appears to be independent of depression and anxiety, which are related to both childhood abuse and chronic daily headache. The finding that emotional abuse was associated with an earlier age of migraine onset may have implications for the role of stress responses in migraine pathophysiology.