Rumination mediates the relationship between childhood trauma and depressive symptoms in schizophrenia patients

Fang, Xinyu; Wu, Zenan; Wen, Lu; Zhang, Yaoyao; Wang, Dandan; Li, Yu; Wang, Yewei; Chen, Yan; Chen, Lei; Li, Hongyang; Tang, Wei; Zhang, Xiangrong; Zhang, Chen

doi:10.1007/s00406-022-01525-2

Cited by 12 publications

(5 citation statements)

References 47 publications

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“…Our findings that rumination (reflection and brooding) mediated the relationship between childhood trauma and depression symptoms aligns with previous studies (Fang et al, 2023 ; Mansueto et al, 2021 ; Mao et al, 2023 ; Masuya et al, 2023 ). Childhood trauma is often challenging to openly talk about and tends to be repressed, so that it might resulting in the development of a ruminative pattern of thinking (Kim et al, 2017 ).…”

Section: Discussionsupporting

confidence: 93%

Cognitive factors as mediators of the relationship between childhood trauma and depression symptoms: the mediating roles of cognitive overgeneralisation, rumination, and social problem-solving

Dehghan Manshadi,

Neshat-Doost,

Jobson

2024

European Journal of Psychotraumatology

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Background: Childhood trauma has negative immediate and long-term impacts on depression. Questions remain, however, regarding the cognitive factors influencing this relationship. This study aimed to investigate the role of three cognitive factors – cognitive overgeneralisation, rumination and social problem-solving – as mediating factors in the relationship between childhood trauma and symptoms of depression. Methods: We conducted a cross-sectional study in Iran from March to July 2023. Participants ( N = 227; Mean age 32.44 ± 8.95 years) with depression completed measures of childhood trauma, depression, self-overgeneralisation, cognitive errors, memory specificity, rumination and social problem-solving. The conceptual model was assessed using structural equation modelling. Results: Structural equation modelling indicated that childhood trauma had a positive direct effect on depression symptoms. Childhood trauma had a positive indirect effect on depression symptoms through both self-overgeneralisation and rumination and a negative indirect effect on depression through effective social problem-solving strategies. Conclusions: The findings suggest increased exposure to childhood trauma may be associated with elevated depression and self-overgeneralisation, rumination, and effective social problem-solving strategies may play an important role in this relationship. These findings hold potential implications for those working with patients with depression and a history of childhood trauma.

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Section: Discussionsupporting

confidence: 93%

Cognitive factors as mediators of the relationship between childhood trauma and depression symptoms: the mediating roles of cognitive overgeneralisation, rumination, and social problem-solving

Dehghan Manshadi,

Neshat-Doost,

Jobson

2024

European Journal of Psychotraumatology

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“…Neglect (physical neglect and emotional neglect) emerged as the most prevalent forms of childhood maltreatment among our participants. The prevalence of childhood maltreatment aligned with previous research conducted among both Chinese patients with schizophrenia, 12 , 35 , 43 and patients from Western countries, 19 , 44 which ranged from 47.2 to 80%. It was also much higher than those found in non-clinical samples in the Chinese population.…”

Section: Discussionsupporting

confidence: 85%

“…This calculation yielded a required sample size of 252. In the case of childhood maltreatment, with an estimated prevalence of 81.5%, 27 the resulting necessary sample size was 236. In the case of insomnia, with an estimated prevalence of 18%, 28 the resulting necessary sample size was 246.…”

Section: Methodsmentioning

confidence: 99%

“… 34 CTQ-SF consists of 28 items and encompasses five subscales: childhood emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse. 35 The CTQ-SF has demonstrated excellent psychometric properties within the Chinese population and has been widely utilised among patients with schizophrenia. 35 The scores of each subscale of CTQ-SF ranged from 5 to 25, with higher scores indicating more severe childhood trauma.…”

Section: Methodsmentioning

confidence: 99%

“… 35 The CTQ-SF has demonstrated excellent psychometric properties within the Chinese population and has been widely utilised among patients with schizophrenia. 35 The scores of each subscale of CTQ-SF ranged from 5 to 25, with higher scores indicating more severe childhood trauma. Following previous psychometric evidence, 34 we utilised the following cut-off points for each CTQ-SF subscale to identify the presence of childhood trauma: emotional abuse ≥ 13, physical abuse ≥ 10, sexual abuse ≥ 8, emotional neglect ≥ 15 and physical neglect ≥ 10.…”

Section: Methodsmentioning

confidence: 99%

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Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia

Hao,

Peng,

Wang

et al. 2024

BJPsych open

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Background Childhood maltreatment is a well-established transdiagnostic risk factor for suicidal ideation; however, previous studies on their association in schizophrenia have produced highly varied results. Moreover, the mechanism linking childhood maltreatment and suicide ideation remains unclear in schizophrenia. Aims This cross-sectional study aimed to investigate the association between childhood maltreatment and suicide ideation in people with schizophrenia and tested whether insomnia mediated this relationship. Method Positive and Negative Syndrome Scale (PANSS), Insomnia Severity Index (ISI), Childhood Trauma Questionnaire – Short Form and Beck Suicidal Ideation Inventory were employed. Logistic regression and mediation analysis were performed. Results (a) The prevalence of suicide ideation, insomnia, sexual abuse, emotional neglect, emotional abuse, physical abuse and physical neglect was 10% (n = 61), 18% (n = 111), 11% (n = 68), 25% (n = 153), 6.3% (n = 39), 17% (n = 106) and 39% (n = 239), respectively. In all, 52% (n = 320) reported childhood maltreatment; (b) patients with suicide ideation demonstrated higher insomnia and childhood maltreatment. PANSS depression factor, ISI, lifetime suicidal attempts and emotional abuse were independently associated with suicide ideation; (c) insomnia partially mediated the effects of emotional abuse and emotional neglect on suicide ideation, and insomnia completely mediated the effects of physical neglect and physical abuse on suicide ideation. Conclusion Our study calls for formal assessments for childhood maltreatment and insomnia in schizophrenia, which might help identify suicide ideation early. In addition, interventions targeting insomnia might help reduce suicide ideation among people with schizophrenia who experience childhood maltreatment.

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Childhood Vulnerability: Trauma-Aware Approaches for Building Resilience in Traumatised Children

Strömpl,

Žarkovski

2024

Children’s Well-Being: Indicators and Research

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Rumination mediates the relationship between childhood trauma and depressive symptoms in schizophrenia patients

Cited by 12 publications

References 47 publications

Cognitive factors as mediators of the relationship between childhood trauma and depression symptoms: the mediating roles of cognitive overgeneralisation, rumination, and social problem-solving

Cognitive factors as mediators of the relationship between childhood trauma and depression symptoms: the mediating roles of cognitive overgeneralisation, rumination, and social problem-solving

Association between childhood maltreatment and suicidal ideation among Chinese patients with chronic schizophrenia: the mediating role of insomnia

Childhood Vulnerability: Trauma-Aware Approaches for Building Resilience in Traumatised Children

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