Childhood trauma and self-stigma in mood disorders

Hofmann, Michel; Jermann, Françoise; Baggio, Stéphanie; Küng, Anne-Lise; Favre, Sophie; Dayer, Alexandre; Aubry, Jean‐Michel; Richard-Lepouriel, Hélène

doi:10.1016/j.psycom.2023.100129

Cited by 2 publications

(3 citation statements)

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“…Expanding upon this, our findings reveal that self-stigma acts as a mediator of the relationships between both childhood abuse and neglect experiences and these symptoms. Taken together, our findings underscore the significant role of self-stigma in the complex interplay between CM experiences and the manifestation of symptoms related to depression, PTSD, and anxiety (Hofmann et al, 2023 ; Lewis et al, 2022 ; Schröder et al, 2021 ). This is especially relevant, considering the high prevalence rates of stigma in these disorders (Lewis et al, 2022 ) and their low treatment effectiveness (Campbell et al, 2016 ; Ociskova et al, 2018 ).…”

Section: Discussionsupporting

confidence: 68%

“…Such childhood maltreatment-related self-stigma can persist long after the abuse or neglect has ended and may resurface or intensify later in adulthood (Briere & Jordan, 2009 ; Feiring & Taska, 2005 ) when developing new relationships or while forming parental identities (Wright et al, 2012 ). The link between self-stigma and psychopathology is well-established, implicating self-stigma as a significant factor in various psychiatric disorders (Dubreucq et al, 2021 ; Hofmann et al, 2023 ). Specifically, self-stigma is associated with symptom chronicity, severity, and limited remission across schizophrenia, alcohol dependence, psychosis (Outcalt & Lysaker, 2012 ; Van Zelst, 2009 ), mood disorders (Hofmann et al, 2023 ), and PTSD (Schröder et al, 2021 ).…”

mentioning

confidence: 99%

“…The link between self-stigma and psychopathology is well-established, implicating self-stigma as a significant factor in various psychiatric disorders (Dubreucq et al, 2021 ; Hofmann et al, 2023 ). Specifically, self-stigma is associated with symptom chronicity, severity, and limited remission across schizophrenia, alcohol dependence, psychosis (Outcalt & Lysaker, 2012 ; Van Zelst, 2009 ), mood disorders (Hofmann et al, 2023 ), and PTSD (Schröder et al, 2021 ).…”

mentioning

confidence: 99%

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Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety

Haim-Nachum,

Lazarov,

Zabag

et al. 2024

European Journal of Psychotraumatology

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Section: Discussionsupporting

confidence: 68%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety

Haim-Nachum,

Lazarov,

Zabag

et al. 2024

European Journal of Psychotraumatology

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Structural Equation Modeling of Childhood Trauma and Self-Stigma in Adult Inpatients with Borderline Personality Disorder

Ociskova,

Prasko,

Kantor

et al. 2024

PRBM

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Purpose Child abuse and trauma are significant risk factors in the etiology of borderline personality disorder (BPD). Apart from affecting the risk of developing BPD, adverse childhood experiences seem to increase its symptoms and related disability. Self-stigma presents another common issue with equally prominent consequences for mental health. Despite being theoretically linked, the connections among childhood trauma, self-stigma, and mental health have not been explored in patients with BPD. This study aimed to provide first insights into this understudied topic. Patients and Methods This cross-sectional study included 283 inpatients diagnosed with BPD participating in a residential transdiagnostic psychotherapeutic program. The patients completed several measurements – the Internalized Stigma of Mental Illness Scale, the Childhood Trauma Questionnaire – Short Form, the Clinical Global Impression – Severity, the Beck Depression Inventory-II, the Beck Anxiety Inventory, the Dissociative Experiences Scale, the Sheehan Disability Scale, and a demographic questionnaire. The data was statistically analyzed using IBM SPSS and AMOS 26 programs, and bivariate correlation tests and structural equation modeling explored the hypotheses. Results Retrospectively reported childhood trauma positively correlated with current self-stigma. Both childhood trauma and self-stigma were also positively related to several indicators of general psychopathology and disability. The significance of these connections was subsequently confirmed by structural equation modeling, where self-stigma acted as a partial mediator of childhood trauma, general psychopathology, and disability. Conclusion Self-stigma significantly mediates the relationship between childhood trauma and selected mental health symptoms among adult patients diagnosed with BPD. Longitudinal studies are necessary to explore the causality of the findings. Therapeutic and societal efforts to tackle childhood trauma or self-stigma might benefit from reflecting its broader psychosocial context.

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Childhood trauma and self-stigma in mood disorders

Cited by 2 publications

References 65 publications

Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety

Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety

Structural Equation Modeling of Childhood Trauma and Self-Stigma in Adult Inpatients with Borderline Personality Disorder

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