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Chunk #29 — 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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The current report found that the first‐order CPA and PPA factors had somewhat higher loadings on the CTF than were seen for the CSA factor. The examination (Green et al. 2010) of NCS‐R data which included a broader range of childhood adversities operationalized as binary measures found a similar pattern of loadings for CPA, family violence, and CSA. The indirect hierarchical model of CTQ‐SF data also found the CSA factor had the lowest loading on their general childhood trauma factor (Spinhoven et al. 2014). Interestingly, the highest loadings were for physical neglect, emotional abuse, and emotional neglect, three forms of childhood trauma not included in the CTF. The moderate correlations we observed between our first‐order trauma factors suggest each represents a largely distinct form of adversity. A somewhat lower correlation of the CSA factor with the other forms of trauma in males was particularly apparently in the CAT Study (in which the loading of the CSA factor on the CTF was also lower in males) and the OZ‐ALC GWAS sample. The ascertainment of these samples on the basis of substance