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Chunk #35 — Discussion

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The variance shared across forms of childhood trauma is strongly associated with liability for psychiatric and substance use disorders.
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It is important to note that although the CTF is created from items assessing three important types of childhood trauma, it does not include other types of trauma, particularly neglect (i.e., physical, emotional, and supervisory) (Straus et al. 1995) and emotional abuse, which are also important. The substantial differences in the assessments of neglect and EA across our three samples (in particular, the small number of items in the CAT Study) precluded their inclusion as components of the CTF. Nonetheless, we performed a post hoc examination of their correlation with CTF scores (see Table 5) which found consistent, highly significant (P < 0.0001) moderate correlations ranging from 0.37 to 0.55. Post hoc regression analyses that included sample‐specific measures of neglect and EA as covariates found that, in all cases, CTF‐associated risks remained significant (see Table S3), generally with only modest reductions in magnitude. Thus, despite the lack of inclusion of either neglect or EA in the CTF, this measure is significantly correlated with both of these constructs and its associated liability is largely retained with their inclusion in regression models. Future investigations should explore their inclusion in a revised measure.