Psychological resilience and daily stress mediate the effect of childhood trauma on depression

Zheng, Kaili; Chu, Jun; Zhang, Xiaocui; Ding, Zixia; Song, Qian; Liu, Zhaoxia; Peng, Wanrong; Cao, Wanyi; Zou, Tao; Yi, Jinyao

doi:10.1016/j.chiabu.2022.105485

Cited by 24 publications

(14 citation statements)

References 49 publications

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“…The potential reason for this maybe that high sensitivity to stress was functional adaptation to childhood trauma, constituting a potential mechanism by which childhood trauma would induce some mental illness, including anxiety and depression disorders [ 65 , 67 ]. These findings could be explained by the theory of diathesis-stress, proposing that psychological or social stress could act on a vulnerability to trigger depressive symptoms [ 26 ]. In other words, childhood trauma hindered the development of children’s self-structuring and enhanced their psychological susceptibility to future stressors, which would lead to more depressive symptoms [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Childhood Trauma and Depressive Level Among Chinese College Students in Guangzhou: The Roles of Rumination and Perceived Stress

Wang,

Liang,

Yang

et al. 2024

Psychiatry Investig

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Objective Although previous studies have validated the effect of childhood trauma on depressive level, few studies have utilized the diathesis-stress theory to investigate the specific roles of perceived stress and rumination in the pathway between childhood trauma and depression in Chinese college students. This study aims to demonstrate the mediation effect of perceived stress and the moderation effect of rumination in the pathway between childhood trauma and depressive level in Chinese college students.Methods A total of 995 Chinese college students in Guangzhou were included in this study by recruitment advertisement from October to December 2021. And they were asked to finish four self-report questionnaires, including Childhood Trauma Questionnaire-Short Form, Perceived Stress Scale, the 22-item Ruminative Response Scale, and Beck Depression Scale-II. Then the data were analyzed with Mplus 8.3.Results Results revealed significant correlations among childhood trauma, perceived stress, rumination and depressive level. Further analyses revealed that perceived stress played a mediation role between childhood trauma and depressive level (estimate=0.09, standard error [SE]=0.02, t=5.93, 95% confidence interval [CI]=0.06–0.12), and rumination played a moderation role between childhood trauma and perceived stress (estimate=-0.17, SE=0.06, t=-2.86, 95% CI=-0.28– -0.05]) as well as between childhood trauma and depressive level (estimate=0.10, SE=0.04, t=2.74, 95% CI=0.03–0.16).Conclusion These results revealed the mediation effect of perceived stress and the moderation effect of rumination in the pathway between childhood trauma and depressive level in Chinese college students, which helped us to understand how the childhood trauma influenced the depressive level and gave us multi-dimensional indications for reducing the effect of childhood trauma on depressive level.

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Section: Discussionmentioning

confidence: 99%

Childhood Trauma and Depressive Level Among Chinese College Students in Guangzhou: The Roles of Rumination and Perceived Stress

Wang,

Liang,

Yang

et al. 2024

Psychiatry Investig

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“…The average total score of CD-RISC was 65.28 ± 9.44, a little higher than Han’s result 64.89 ± 10.36 [ 25 ], but not as high as general population. There were some studies revealed that resilience can be viewed as a major mental defense mechanism and a promotable protective factor [ 50 , 51 ], it can buffer the negative influence of adversity and be conductive to preventing individuals from high stress and psychological disturbance [ 52 ]. However, when individuals become ill and require anesthesia for surgery, the uncertainty surrounding both the anesthesia and the surgical procedure (such as potential accidents and risks during surgery, as well as side effects and adverse reactions to anesthesia) becomes a significant source of stress.…”

Section: Discussionmentioning

confidence: 99%

The relationship between uncertainty and acute procedure anxiety among surgical patients in Chinese mainland: the mediating role of resilience

Wu,

Dai,

Wang

et al. 2023

BMC Psychiatry

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Background Surgery, as one of the main diagnostic and treatment methods, is a routine work in medical settings. Patients undergoing surgery often experience acute procedure anxiety due to uncertainty. There is ample evidence showing that uncertainty is a risk factor for the acute procedure anxiety in surgical patients. However, little is known about the psychological processes mediating this relationship. Therefore, this study aims to evaluate resilience as a mediator of the association between uncertainty and anxiety. Methods A population-based cross-sectional survey with a convenience sampling method was conducted, involving 243 surgical patients in Jiaxing, Zhejiang province of China was carried out. Relevant data were collected by self-reporting questionnaires, including demographic characteristics questionnaire, Amsterdam Preoperative Anxiety and Information Scale (APAIS-C), Mishel’s Illness Uncertainty Scale (MUIS), Connor-Davidson Resilience Scale (CD-RISC). Pearson correlation analysis was employed to examine correlations between various variables. A path model was used to assess the mediation effect of resilience with respect to uncertainty and acute procedure anxiety. Results In the path model, uncertainty have an indirect effect on acute procedure anxiety through resilience. The results suggest that resilience has a mediating role in uncertainty and acute procedure anxiety among surgical patients. Conclusions These findings call for the development of interventions targeting the role of resilience in effectively predicting and preventing acute procedure anxiety and uncertainty among surgical patients.

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“…Previous studies conducted in China focused on testing the mediating roles of resilience on the relationship between childhood maltreatment and depression [ 31 – 33 ], mainly among youth [ 34 ] and adolescents [ 35 ]. Our study focused on the relationship between childhood maltreat and resilience among patients with MDD and HCs in adulthood by using baseline data of a longitudinal study.…”

Section: Discussionmentioning

confidence: 99%

Impact of childhood maltreatment on adult resilience

Li,

Lv,

Liu

et al. 2023

BMC Psychiatry

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Background Previous studies suggested that childhood maltreatment is associated with poor health outcomes. While not everyone who experiences abuse as a child goes on to experience poor mental health, some traumatized people are grown to be more resilient than others. Few studies have examined the association between childhood maltreatment and adult resilience. This study aimed to determine different relationships between specific types and features of childhood maltreatment with adult resilience among Chinese with Major Depressive Disorder (MDD) and healthy controls (HCs). Methods A total of 101 patients with MDD and 116 participants in the healthy control (HC) group from Zhumadian Psychiatric Hospital and its nearby communities were included in this analysis. Childhood maltreatment was assessed retrospectively using Childhood Trauma Questionnaire (CTQ). Adults’ resilience was assessed by the Connor-Davidson Resilience Scale (CD-RISC). Generalized linear models were applied between childhood maltreatment (specific types and features) and resilience adjusting for covariates. Results The total score of CD-RISC and factor scores of strength, optimism, and tenacity in the HC group were higher than those in the MDD group. CTQ total score had a negative association with optimism score among participants in MDD (β=-0.087, P < 0.001) and HC (β=-0.074, P = 0.023) groups. Higher emotional neglect (EN) score (β=-0.169, P = 0.001) and physical neglect (PN) score (β=-0.153, P = 0.043) were related to a worse optimism score in MDD group. Emotional abuse (EA) score was associated with a worse tenacity score (β=-0.674, P = 0.031) in MDD group. For participants in HC group, higher EN and PN scores were related to worse resilience scores (tenacity, strength, and optimism). Conclusions Patients with MDD showed lower optimism than HCs. Childhood maltreatment, especially childhood negect, independently contributed to optimism, with more severe childhood maltreatment predictive of worse performance of optimism. EA in childhood was also linked to worse tenacity in adult patients with MDD.

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Psychological resilience and daily stress mediate the effect of childhood trauma on depression

Cited by 24 publications

References 49 publications

Childhood Trauma and Depressive Level Among Chinese College Students in Guangzhou: The Roles of Rumination and Perceived Stress

Childhood Trauma and Depressive Level Among Chinese College Students in Guangzhou: The Roles of Rumination and Perceived Stress

The relationship between uncertainty and acute procedure anxiety among surgical patients in Chinese mainland: the mediating role of resilience

Impact of childhood maltreatment on adult resilience

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