The mediating role of post-traumatic stress disorder symptoms in the relationship between childhood adversities and depressive symptoms in two samples

被引:27
|
作者
Fung, Hong Wang [1 ,2 ]
Chien, Wai Tong [1 ]
Ling, Henry Wai-Hang [3 ]
Ross, Colin A. [4 ]
Lam, Stanley Kam Ki [1 ]
机构
[1] Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Hong Kong, Peoples R China
[2] Hong Kong Polytech Univ, Dept Appl Social Sci, Hung Hom, Hong Kong, Peoples R China
[3] Univ Hong Kong, Dept Social Work & Social Adm, Hong Kong, Peoples R China
[4] Colin A Ross Inst Psychol Trauma, Richardson, TX USA
关键词
Childhood adversities; Depression; Post-traumatic stress disorder (PTSD); Trauma-informed perspective; Child protection; HEALTH QUESTIONNAIRE PHQ-9; SEVERE MENTAL-ILLNESS; LIFE EVENTS; PSYCHOMETRIC PROPERTIES; ADULT DEPRESSION; TRAUMA; PTSD; EXPERIENCES; MALTREATMENT; COMORBIDITY;
D O I
10.1016/j.chiabu.2022.105707
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Background: Childhood adversities have been increasingly recognized as a significant risk factor for depression. However, the underlying mediating mechanism between childhood adversities and depression requires further investigation. The literature shows that childhood adversities are also closely associated with post-traumatic stress disorder (PTSD) symptoms and that PTSD symptoms can predict depressive symptoms. It remains unexplored whether PTSD symptoms can act as a mediator between childhood adversities and depression. Objectives: The primary goal of this study was to examine whether PTSD symptoms would mediate the relationship between childhood adversities and depressive symptoms. Participants and setting: We examined in a convenience sample of Hong Kong adults aged 18 or above (N = 418) whether PTSD symptoms would mediate the relationship between childhood adversities and depressive symptoms. We then examined and compared the results with those in another convenience sample of Chinese-speaking young adults (mainly from Taiwan and Hong Kong) aged between 18 and 24 (N = 205). Participants in both samples completed online surveys that included measures of childhood adversities, PTSD symptoms and depressive symptoms. Results: Childhood adversities were significantly associated with depressive symptoms; and this relationship was mediated by PTSD symptoms in both samples. Conclusion: This study is one of very few studies demonstrating that PTSD symptoms mediate the relationship between childhood adversities and depressive symptoms. Our findings suggest that addressing unresolved PTSD symptoms for adults with childhood adversities may help in preventing or treating depressive symptoms. Therefore, PTSD symptoms should be taken into account in the prevention and management of depression.
引用
收藏
页数:10
相关论文
共 50 条
  • [1] The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms
    Ramaghani, Nasrin Alsadat Hosseini
    Rezaei, Fateme
    Sepahvandi, Mohammad Ali
    Gholamrezaei, Simin
    Mirderikvand, Fazlolah
    [J]. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2019, 10 (01)
  • [2] Depressive symptoms and symptoms of post-traumatic stress disorder in women after childbirth
    Zaers, Stefanie
    Waschke, Melanie
    Ehlert, Ulrike
    [J]. JOURNAL OF PSYCHOSOMATIC OBSTETRICS AND GYNECOLOGY, 2008, 29 (01): : 61 - 71
  • [3] Sleep spindles and depressive symptoms in post-traumatic stress disorder
    Richard-Malenfant, C.
    Ray, L.
    Shlik, J.
    Downs, N.
    Gosselin, A.
    Fogel, S.
    De Koninck, J.
    Robillard, R.
    [J]. JOURNAL OF SLEEP RESEARCH, 2018, 27
  • [4] The relationship between exposure to family violence in childhood and post-traumatic stress symptoms in young adulthood: The mediating role of social support
    Haj-Yahia, Muhammad M.
    Sokar, Shireen
    Hassan-Abbas, Niveen
    Malka, Menny
    [J]. CHILD ABUSE & NEGLECT, 2019, 92 : 126 - 138
  • [5] An exploration of the relationship between voices, dissociation, and post-traumatic stress disorder symptoms
    Piesse, Emily
    Paulik, Georgie
    Mathersul, Danielle
    Valentine, Lee
    Kamitsis, Ilias
    Bendall, Sarah
    [J]. PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE, 2023, 96 (04) : 1015 - 1028
  • [6] Post-Traumatic Stress Disorder Symptoms and Their Relationship to Trauma Exposure
    Pitman, Roger K.
    Marin, Marie-France
    Vitek, Mary Ellen
    Orr, Scott P.
    Goldberg, Jack
    [J]. BIOLOGICAL PSYCHIATRY, 2013, 73 (09) : 62S - 62S
  • [7] Post-traumatic stress disorder and depressive symptoms following a Herdsmen attack: The role of life meaning in mediating trait mindfulness
    Aliche, Chinenye Joseph
    Ifeagwazi, Chuka Mike
    Yankouskaya, Ala
    Comoretto, Amanda
    Wezyk, Agata
    Ventouris, Annita
    Panourgia, Constantina
    [J]. STRESS AND HEALTH, 2021, 37 (03) : 528 - 537
  • [8] Dissociative symptoms in complex post-traumatic stress disorder and in post-traumatic stress disorder
    Longo, L.
    Cecora, V
    Rossi, R.
    Niolu, C.
    Siracusano, A.
    Di Lorenzo, G.
    [J]. JOURNAL OF PSYCHOPATHOLOGY, 2019, 25 (04): : 212 - 219
  • [9] The interaction of post-traumatic growth and post-traumatic stress symptoms in predicting depressive symptoms and quality of life
    Morrill, E. Forrest
    Brewer, Noel T.
    O'Neill, Suzanne C.
    Lillie, Sarah E.
    Dees, E. Claire
    Carey, Lisa A.
    Rimer, Barbara K.
    [J]. PSYCHO-ONCOLOGY, 2008, 17 (09) : 948 - 953
  • [10] Pseudoneurologic symptoms in post-traumatic stress disorder
    Hunt, SC
    Richardson, RD
    [J]. AMERICAN FAMILY PHYSICIAN, 1998, 58 (09) : 1970 - 1971