1
|
Zhang Z, Jiang C, Wang X, Qiu H, Li J, Wang Y, Luo Q, Ju Y. Childhood maltreatment and mental health: causal links to depression, anxiety, non-fatal self-harm, suicide attempts, and PTSD. Eur J Psychotraumatol 2025; 16:2480884. [PMID: 40367030 PMCID: PMC12082731 DOI: 10.1080/20008066.2025.2480884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 07/30/2024] [Accepted: 08/13/2024] [Indexed: 05/16/2025] Open
Abstract
Background: This study aims to elucidate the causal relationship between childhood maltreatment (CM) and subsequent mental health outcomes, including major depressive disorder (MDD), anxiety (ANX), post-traumatic stress disorder (PTSD), suicide attempts, and non-fatal self-harm. Utilising Mendelian Randomisation (MR) and genome-wide association studies (GWAS) data from individuals of European descent, this research applies a rigorous analytical methodology to large-scale datasets, overcoming the confounding variables inherent in previous observational studies.Methods: Genetic data were obtained from publicly available GWAS on individuals of European ancestry, focusing on Childhood Maltreatment (CM), Major Depressive Disorder (MDD), Anxiety (ANX), Post-Traumatic Stress Disorder (PTSD), Age at First Episode of Depression, Number of Depression Episodes, Non-fatal self-harm, and Suicide Attempts. Mendelian Randomisation (MR) analyses were conducted to investigate the causal impact of CM on these outcomes. Sensitivity analyses included IVW, MR Egger, WM, and MR-PRESSO. FDR corrections were applied to account for multiple testing. Results were presented as odds ratios (ORs) with confidence intervals (CIs).Results: Significant associations were identified between CM and the likelihood of developing MDD (IVW: OR = 2.28, 95% CI = 1.66-3.14, PFDR < .001), ANX (IVW: OR = 1.01, 95% CI = 1.00-1.02, PFDR =.032), and PTSD (IVW: OR = 2.29, 95% CI = 1.43-3.67, PFDR =.001). CM was also linked to increased non-fatal self-harm (IVW: OR = 1.06, 95% CI = 1.04-1.08, PFDR <.001), higher frequency of depressive episodes (IVW: β=0.31, 95% CI = 0.17-0.46, PFDR <.001), and earlier onset of depression (IVW: β=-0.17, 95% CI = -0.32 to - 0.02, PFDR =.033). No significant association was found between CM and suicide attempts (IVW: OR = 1.09, 95% CI = 0.81-1.45, PFDR =.573).Conclusion: This study provides robust evidence that CM is a significant causal factor for MDD, ANX, PTSD, and non-fatal self-harming behaviours. It is associated with a higher frequency of depressive episodes and earlier onset of depression. These findings highlight the need for early intervention and targeted prevention strategies to address the long-lasting psychological impacts of CM.
Collapse
Affiliation(s)
- Zheng Zhang
- Department of Psychiatry, Key Laboratory of Major Brain Disease and Aging Research (Ministry of Education), The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
- Department of Sleep and Psychology, Chongqing Health Center for Women and Children, Chongqing, People’s Republic of China
| | - Chenggang Jiang
- Department of Sleep and Psychology, Chongqing Health Center for Women and Children, Chongqing, People’s Republic of China
| | - Xinglian Wang
- Department of Psychiatry, Key Laboratory of Major Brain Disease and Aging Research (Ministry of Education), The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| | - Haitang Qiu
- Department of Psychiatry, Key Laboratory of Major Brain Disease and Aging Research (Ministry of Education), The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| | - Jiazheng Li
- The First Clinical College, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Yating Wang
- The First Clinical College, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Qinghua Luo
- Department of Psychiatry, Key Laboratory of Major Brain Disease and Aging Research (Ministry of Education), The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| | - Yuanzhi Ju
- Department of Psychiatry, Key Laboratory of Major Brain Disease and Aging Research (Ministry of Education), The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| |
Collapse
|
2
|
Zhang Z, Xiang Y, Li X. Effects of Parental Childhood Maltreatment on Children's School Adaptation: An Intergenerational Perspective Based on Envy. JOURNAL OF INTERPERSONAL VIOLENCE 2025; 40:1571-1596. [PMID: 39080974 DOI: 10.1177/08862605241262226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/03/2025]
Abstract
Previous studies have examined the impact of maternal childhood maltreatment (CM) on children's school adaptation (SA), neglecting the role of fathers, and the joint influence of both parents. Based on family systems theory, this study explored the intergenerational impact of parental CM on children's SA and the mediating role of benign envy (BE) and malicious envy (ME). A total of 334 elementary school students' BE, ME, and SA statuses and their parents' CM, BE, and ME statuses were collected to construct the intergenerational transmission models of BE and ME for fathers, mothers, and parents, respectively. The results revealed that maltreated fathers or mothers individually exerted negative impacts on their children's SA, but when parents acted jointly, only fathers' CM intergenerational influence was significant. Mediation effects demonstrated that, individually, maltreated fathers indirectly affected children's SA through children's BE; maltreated mothers impacted children's SA through the "mothers' BE→children's BE" mediating chain; however, when taking combined parental action, only mothers' intergenerational transmission chain was significantly present. Identifying different intergenerational influence mechanisms of maltreated parents on offspring's school adaptation broadens our understanding of the diverse parenting roles of parents. That is, fathers foster their offspring's environmental adaptability through encouraging external exploration, while mothers enhance socialization by nurturing internal emotional development. Formulating strategies to address the emotional issues of maltreated parents, especially mothers, is crucial for mitigating the intergenerational consequences of maltreatment and enhancing the offspring's adaptability.
Collapse
Affiliation(s)
- Ziruo Zhang
- Chinese Ethical Civilization Research Center, Key Research Base of the Humanities and Social Sciences of the Ministry of Education, Hunan Normal University, Changsha, China
- Research Center for Mental Health Education of Hunan Province, Changsha, China
| | - Yanhui Xiang
- Chinese Ethical Civilization Research Center, Key Research Base of the Humanities and Social Sciences of the Ministry of Education, Hunan Normal University, Changsha, China
- Research Center for Mental Health Education of Hunan Province, Changsha, China
| | - Xiaojun Li
- Tao Xingzhi Research Institute, Nanjing Xiaozhuang University, Nanjing, China
| |
Collapse
|
3
|
Peng J, Liu Y, Wang X, Yi Z, Xu L, Zhang F. Physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator. Sci Rep 2025; 15:2305. [DOI: 17 peng, j., liu, y., wang, x., yi, z., xu, l., & zhang, f.(2025).physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator.scientific reports, 15(1), 2305.https:/doi.org/10.1038/s41598-025-85943-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2024] [Accepted: 01/07/2025] [Indexed: 03/28/2025] Open
|
4
|
Peng J, Liu Y, Wang X, Yi Z, Xu L, Zhang F. Physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator. Sci Rep 2025; 15:2305. [PMID: 39824886 PMCID: PMC11742654 DOI: 10.1038/s41598-025-85943-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2024] [Accepted: 01/07/2025] [Indexed: 01/20/2025] Open
Abstract
This study aimed to explore the relationship between physical and emotional abuse (physical-emotional abuse) and Internet addiction in university students, as well as the mediating role of anxiety and the moderating role of physical activity. The data of physical-emotional abuse, anxiety and Internet addiction, and physical activity were measured by subjective questionnaire with convenience sampling in March 2024. A total of 1591 participants (806 males and 692 females) from Shanxi, Henan, Hunan and Hubei provinces in China were investigated. Subsequently, the relationships among the variables were explored using pearson correlation analysis. Finally, mediation and moderation models were assessed using the SPSS PROCESS macro plugin. After controlling for participants' gender, grade level, and place of residence, only-child status, the study findings revealed that physical-emotional abuse significantly and positively predicted internet addiction and anxiety among university students (β = 0.157, β = 0.271, p < 0.001). However, upon the inclusion of anxiety as a variable, the predictive effect of physical-emotional abuse on internet addiction among university students became non-significant (β = 0.035, p > 0.05). Anxiety was found to have a significant complete mediating effect between physical-emotional abuse and internet addiction among university students. Additionally, physical activity significantly and negatively predicted anxiety (β = -0.062, p < 0.05), and the interaction term between physical-emotional abuse and physical activity also significantly and negatively predicted anxiety (β = - 0.053, p < 0.05). Physical activity moderated the first half of the mediation pathway from "physical-emotional abuse to anxiety to internet addiction." Anxiety may be the internal mechanism of physical-emotional abuse affecting university students' Internet addiction, and physical activity plays a moderator role in the relationship between physical-emotional abuse and university students' Internet addiction. The study will provide new perspectives and strategies for the public health field to address physical-emotional abuse and Internet addiction among university students. It is also critical that future studies validate these findings on a large, multi-country basis.
Collapse
Affiliation(s)
- Jinyin Peng
- School of Sports Science, Jishou University, Jishou, China
| | - Yang Liu
- School of Sports Science, Jishou University, Jishou, China.
| | - Xubo Wang
- School of Sports Science, Jishou University, Jishou, China
| | - Zhenxiu Yi
- Chengdu Sport University, Chengdu, China
| | - Lei Xu
- School of Sports Science, Jishou University, Jishou, China
- Institute of Physical Education, Shanxi University of Finance and Economics, Taiyuan, China
| | - Fulan Zhang
- School of Sports Science, Jishou University, Jishou, China.
| |
Collapse
|
5
|
Liu S, Xiang Y, Li X. The circular effects between adolescent anxiety and benign/malicious envy: evidence from a longitudinal study and experience-sampling method. J Ment Health 2025:1-10. [PMID: 39760258 DOI: 10.1080/09638237.2024.2426996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 10/02/2024] [Indexed: 01/07/2025]
Abstract
BACKGROUND Prior research has shown a strong association between anxiety and envy (i.e. benign/malicious envy). However, empirical evidence is lacking regarding their predictive connection. AIMS To examine how benign/malicious envy impacts anxiety and how anxiety affects both types of envy respectively from a developmental viewpoint. METHODS In Study 1, a three-wave longitudinal survey of 998 teenagers was conducted to examine the link between trait anxiety and trait benign/malicious envy. Cross-lagged panel analyses were used. In Study 2, 117 adolescents engaged in an experience-sampling method study to track their state anxiety and state benign/malicious envy. Hierarchical linear models were used. RESULTS Study 1 showed a positive bidirectional relationship between trait malicious envy and trait anxiety, a negative reciprocity between trait benign envy and trait anxiety, constituting a circular effect across time respectively. Study 2 supported the results of Study 1. The relationship between variables at the state level was consistent with that at the trait level. CONCLUSION Benign envy may help alleviate anxiety, while malicious envy has the opposite effect. These findings offer a reliable framework for comprehending the connection between envy and anxiety, which extends current knowledge about the development of such relations across adolescent.
Collapse
Affiliation(s)
- Shuangqiang Liu
- Department of Psychology, Hunan Normal University, Changsha, China
| | - Yanhui Xiang
- Department of Psychology, Hunan Normal University, Changsha, China
| | - Xiaojun Li
- Tao Xingzhi Research Institute, Nanjing Xiaozhuang University, Nanjing, China
| |
Collapse
|
6
|
Ródenas‐Perea G, Pérez‐Esteban A, Pérez‐Albéniz A, Al‐Halabí S, Fonseca‐Pedrero E. Network Structure of Transdiagnostic Dimensions of Emotional Disorders in Adolescents With Subthreshold Anxiety and Depression: Links With Psychopathology and Socio-Emotional Adjustment. Early Interv Psychiatry 2025; 19:e13636. [PMID: 39698766 PMCID: PMC11729848 DOI: 10.1111/eip.13636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2024] [Revised: 11/03/2024] [Accepted: 12/04/2024] [Indexed: 12/20/2024]
Abstract
BACKGROUND The transdiagnostic and network model approaches to psychopathology have emerged as an alternative to taxonomic systems. The main goal was to examine the network structure of the transdiagnostic dimensions of emotional disorders in adolescents with subclinical emotional symptoms. In addition, cross-sectional network analyses were conducted to investigate the relationships between transdiagnostic dimensions, psychopathology, and socio-emotional adjustment. METHOD The sample consisted of a total of 476 adolescents from 85 schools from different provinces in Spain with subthreshold anxiety and depression. The mean age was 13.77 years (SD = 1.43, range: 10-18 years), 73.9% were female. Several questionnaires assessing transdiagnostic dimensions of emotional disorders, mental health difficulties, self-esteem, perceived social support, sense of belonging at school, and prosocial behaviour were used. RESULTS A strong interrelation was found between the transdiagnostic variables, except with the positive temperament dimension. The dimensions with the greatest weight were those of traumatic re-experiencing, intrusive cognitions, avoidance, neuroticism, and depressed mood. Negative relationships were found between the transdiagnostic dimensions of emotional disorders and the protective factors included in the study. Stability analyses indicated that the networks were accurately estimated. CONCLUSION The present paper points to the value of conceptualising emotional disorders from a transdiagnostic and network model perspective. In addition, the work provides new insights into the nature of the relationships between transdiagnostic dimensions of emotional disorders, and the role played by risk and protective factors.
Collapse
Affiliation(s)
- Gabriel Ródenas‐Perea
- Andalusian Health ServiceUniversity Hospital Virgen MacarenaSevillaSpain
- Department of PsychologyUniversity of OviedoOviedoSpain
| | | | | | | | | |
Collapse
|
7
|
Irshad M, Majeed M, Farid T, Basahal AS, Iqbal S, Yaqub MZ. Impact of psychological entitlement on engagement in learning activities and psychological anxiety: the mediating role of envy. BMC Psychol 2024; 12:477. [PMID: 39256861 PMCID: PMC11385132 DOI: 10.1186/s40359-024-01961-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Accepted: 08/21/2024] [Indexed: 09/12/2024] Open
Abstract
Psychological entitlement has appeared as a significant topic for research in the field of management and Psychology. From the perspective of social comparison theory, the present study aimed to investigate the impact of psychological entitlement on engagement in learning activities and psychological anxiety in the hotel industry. Furthermore, benign and malign envy were examined as an explanatory mechanism between psychological entitlement and its outcomes. Based on a three-wave time-lagged design, data were obtained from 242 employees working in the different hotels in Pakistan. We found that psychological entitlement's has no direct influence on hotel employees engagement in learning activities, and psychological anxiety. In addition, the indirect effect of psychological entitlement on both outcomes (engagement in learning activities and psychological anxiety) was found significant through the mediating effect of benign and malign envy. The implications for research theory and practice are discussed.
Collapse
Affiliation(s)
- Muhammad Irshad
- Department of Management Sciences, NUML, Islamabad, Pakistan
| | - Mehwish Majeed
- Faculty of Management Sciences, International Islamic University, Islamabad, Pakistan
| | - Tahir Farid
- Department of Psychology, Abdul Wali Khan University Mardan, Mardan, Pakistan.
| | - Abdulrahman S Basahal
- Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Sadaf Iqbal
- Department of Psychology, Abdul Wali Khan University Mardan, Mardan, Pakistan
| | - Muhammad Zafar Yaqub
- Faculty of Economics and Administration, King Abdulaziz University, Jeddah, Saudi Arabia
| |
Collapse
|
8
|
Trujillo-Llano C, Sainz-Ballesteros A, Suarez-Ardila F, Gonzalez-Gadea ML, Ibáñez A, Herrera E, Baez S. Neuroanatomical markers of social cognition in neglected adolescents. Neurobiol Stress 2024; 31:100642. [PMID: 38800539 PMCID: PMC11127280 DOI: 10.1016/j.ynstr.2024.100642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 05/07/2024] [Accepted: 05/12/2024] [Indexed: 05/29/2024] Open
Abstract
Growing up in neglectful households can impact multiple aspects of social cognition. However, research on neglect's effects on social cognition processes and their neuroanatomical correlates during adolescence is scarce. Here, we aimed to comprehensively assess social cognition processes (recognition of basic and contextual emotions, theory of mind, the experience of envy and Schadenfreude and empathy for pain) and their structural brain correlates in adolescents with legal neglect records within family-based care. First, we compared neglected adolescents (n = 27) with control participants (n = 25) on context-sensitive social cognition tasks while controlling for physical and emotional abuse and executive and intellectual functioning. Additionally, we explored the grey matter correlates of these domains through voxel-based morphometry. Compared to controls, neglected adolescents exhibited lower performance in contextual emotional recognition and theory of mind, higher levels of envy and Schadenfreude and diminished empathy. Physical and emotional abuse and executive or intellectual functioning did not explain these effects. Moreover, social cognition scores correlated with brain volumes in regions subserving social cognition and emotional processing. Our results underscore the potential impact of neglect on different aspects of social cognition during adolescence, emphasizing the necessity for preventive and intervention strategies to address these deficits in this population.
Collapse
Affiliation(s)
- Catalina Trujillo-Llano
- Department of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany
- Facultad de Psicología, Universidad Del Valle, Cali, Colombia
| | - Agustín Sainz-Ballesteros
- Department of Psychology, University of Tübingen, Tübingen, Germany
- Centre for Integrative Neuroscience, Tübingen, Germany
- Department for High-Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tübingen, Germany
| | | | - María Luz Gonzalez-Gadea
- Cognitive Neuroscience Center, Universidad de San Andres, Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
| | - Agustín Ibáñez
- Cognitive Neuroscience Center, Universidad de San Andres, Buenos Aires, Argentina
- Latin American Brain Health (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Global Brain Health Institute, University of California-San Francisco, San Francisco, CA, United States
- Trinity College Dublin, Dublin, Ireland
| | - Eduar Herrera
- Universidad Icesi, Departamento de Estudios Psicológicos, Cali, Colombia
| | - Sandra Baez
- Global Brain Health Institute, University of California-San Francisco, San Francisco, CA, United States
- Trinity College Dublin, Dublin, Ireland
- Universidad de Los Andes, Bogotá, Colombia
| |
Collapse
|
9
|
Bérubé A, Pétrin R, Blais C. Parental depression moderates the relationship between childhood maltreatment and the recognition of children expressions of emotions. Front Psychiatry 2024; 15:1374872. [PMID: 38903632 PMCID: PMC11188386 DOI: 10.3389/fpsyt.2024.1374872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Accepted: 03/05/2024] [Indexed: 06/22/2024] Open
Abstract
Background Sensitivity plays a crucial role in parenting as it involves the ability to perceive and respond appropriately to children's signals. Childhood maltreatment and depression can negatively impact adults' ability to recognize emotions, but it is unclear which of these factors has a greater impact or how they interact. This knowledge is central to developing efficient, targeted interventions. This paper examines the interaction between parents' depressive symptoms and childhood maltreatment and its influence on their ability to recognize the five basic emotions (happiness, anger, sadness, fear, and disgust) in children's faces. Method The sample consisted of 52 parents. Depressive symptoms were measured by the depression subscale of the Brief Symptom Inventory-18 (BSI-18), and maltreatment history was assessed by the Childhood Trauma Questionnaire (CTQ). Children's emotional stimuli were morphed images created using The Child Affective Facial Expression (CAFE) database. Results Our findings indicate that depressive symptoms moderate the relationship between parents' history of childhood maltreatment and emotion recognition skills. Parents with higher depressive symptoms had lower emotion recognition accuracy when they had not experienced maltreatment. When childhood maltreatment was severe, emotion recognition skills were more consistent across all levels of depression. The relationship between depression and emotion recognition was primarily linked to recognizing sadness in children's faces. Conclusion These findings highlight how different experiences can affect parental abilities in emotion recognition and emphasize the need for interventions tailored to individual profiles to improve their effectiveness.
Collapse
Affiliation(s)
- Annie Bérubé
- Ricochet, Department of Psychoeducation and Psychology, University of Quebec in Outaouais, Gatineau, QC, Canada
- Centre de Recherche Universitaire sur les Jeunes et les Familles (CRUJeF), Trois-Rivières, QC, Canada
| | - Rachel Pétrin
- Ricochet, Department of Psychoeducation and Psychology, University of Quebec in Outaouais, Gatineau, QC, Canada
| | - Caroline Blais
- Social and Visual Perception Laboratory, Department of Psychoeducation and Psychology, University of Quebec in Outaouais, Gatineau, QC, Canada
| |
Collapse
|
10
|
Zhang WB, Jia FF, Liu BP, Li Q, Jia CX. Explaining how childhood physical abuse and physical neglect influence adult depression: An analysis with multiple sequential mediators. CHILD ABUSE & NEGLECT 2024; 152:106771. [PMID: 38581769 DOI: 10.1016/j.chiabu.2024.106771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 03/11/2024] [Accepted: 03/20/2024] [Indexed: 04/08/2024]
Abstract
BACKGROUND Substantial evidence indicates that experiencing physical abuse and neglect during childhood significantly elevates the likelihood of developing depression in adulthood. Nevertheless, there remains a dearth of understanding regarding the mechanisms underpinning this correlation. OBJECTIVE In this study, we aimed to examine the associations of childhood physical abuse and physical neglect with depression using follow-up data from UK Biobank and quantified the contribution of smoking, insomnia, and BMI in these associations. PARTICIPANTS AND SETTINGS This study included 144,704 participants (64,168 men and 80,536 women) from UK Biobank, most of whom were white (97 %). METHODS Physical abuse and physical neglect were measured using two items of Childhood Trauma Screener (CTS). Data on the incidence of depression were obtained from primary care, hospital inpatient records, self-reported medical conditions, and death registries. We used a sequential mediation analysis based on the "g-formula" approach to explore the individual and joint effects of potential mediators. RESULTS The depression incidence rate was 1.85 per 1000 person-years for men and 2.83 per 1000 person-years for women, respectively. Results of Cox proportional risk regression showed that physical abuse (HRs: 1.39-1.53, P < 0.001) and physical neglect (HRs: 1.43-1.60, P < 0.001) are associated with depression. Smoking, insomnia, and BMI together mediated 3 %-26 % of the associations. CONCLUSIONS These findings contribute to our understanding of how physical abuse and physical neglect influence depression. Furthermore, a more effective reduction in the burden of depression can be achieved by managing modifiable mediators.
Collapse
Affiliation(s)
- Wei-Bo Zhang
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Fei-Fei Jia
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
| | - Bao-Peng Liu
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Qi Li
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
| | - Cun-Xian Jia
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
| |
Collapse
|
11
|
Dehghan Manshadi Z, Neshat-Doost HT, Jobson L. Cognitive factors as mediators of the relationship between childhood trauma and depression symptoms: the mediating roles of cognitive overgeneralisation, rumination, and social problem-solving. Eur J Psychotraumatol 2024; 15:2320041. [PMID: 38433724 PMCID: PMC10913708 DOI: 10.1080/20008066.2024.2320041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 02/08/2024] [Indexed: 03/05/2024] Open
Abstract
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.
Collapse
Affiliation(s)
| | | | - Laura Jobson
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Australia
| |
Collapse
|
12
|
Mihret AM, Heinrichs N. Intergenerational effects of child maltreatment on adolescents' anxiety and depression in Ethiopia: the important mediating and moderating roles of current psychological distress. BMC Psychiatry 2024; 24:126. [PMID: 38360563 PMCID: PMC10870629 DOI: 10.1186/s12888-024-05586-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 02/05/2024] [Indexed: 02/17/2024] Open
Abstract
BACKGROUND Child abuse is widespread around the world, and one continent with particularly high rates is Africa. Research in high- and middle-income countries shows the cascading effect of parental history of child abuse and neglect on adolescents' maltreatment and, in turn, on mental health problems. This cascade has been reported in young children but has rarely been studied in parent-adolescent dyads or in low-income countries (LICs). The goal of this study was to test intergenerational associations of child abuse and neglect and to examine how these experiences are in turn associated with youth anxiety and depression in an LIC. METHODS A total of 231 adolescents (age: 13-21 years) and 185 of their parents (n = 90 fathers and n = 95 mothers) were recruited from secondary schools in Addis Abeba, Ethiopia. Using a cross-sectional design, participants completed a set of questionnaires assessing child maltreatment (in adolescence and own past history in parents), parental psychological distress, youth depression and anxiety, and sociodemographic factors. RESULTS The frequencies of child maltreatment exposure were 68% for adolescents and 65% for their parents (when they were a child). Fifty-one percent and 42% of adolescents had borderline to clinical levels of anxiety and depression symptoms, respectively. Adolescents of parents with a history of child abuse and neglect also reported higher exposure to maltreatment themselves (p < 0.001). Current paternal, but not maternal, psychological distress mediated this intergenerational association of maltreatment experiences (95% CI [1.164, 9.467]). We further found parents' psychological distress to be a significant moderator of the indirect pathways of the intergenerational effect of child maltreatment on adolescents' anxiety and depression (95% CI [- 0.770, - 0.012]). CONCLUSIONS We found child maltreatment to be intergenerationally associated, and this effect subsequently affected adolescents' anxiety and depression through different pathways supporting the cascading effects across generations. Intervention plans may be effective through an array of possible indirect pathways and encourage the implementation of multiple access points to facilitate change in the lives of affected youth in Africa.
Collapse
Affiliation(s)
- Amare Misganaw Mihret
- Clinical Psychology and Psychotherapy, Universität Bremen, Grazer Straße 6, 28359, Bremen, Germany.
- Department of Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Bielefeld University Universität Bielefeld, Universität Straße 25, 33615, Bielefeld, Germany.
| | - Nina Heinrichs
- Clinical Psychology and Psychotherapy, Universität Bremen, Grazer Straße 6, 28359, Bremen, Germany
- Department of Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Bielefeld University Universität Bielefeld, Universität Straße 25, 33615, Bielefeld, Germany
| |
Collapse
|
13
|
Yu X, He T, Tan Y, Chi P, Lin X. Intergenerational effects of childhood maltreatment: The relationships among parental childhood emotional neglect, emotional expressiveness and children's problem behaviors. CHILD ABUSE & NEGLECT 2023; 140:106147. [PMID: 36965433 DOI: 10.1016/j.chiabu.2023.106147] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 03/07/2023] [Accepted: 03/15/2023] [Indexed: 05/06/2023]
Abstract
BACKGROUND Childhood maltreatment has a severe impact on both the health and parenting styles of abused individuals in adulthood, and it even has a negative impact on the offspring of abused individuals. Although studies have confirmed the intergenerational effects of childhood maltreatment, relatively few have emphasized emotional neglect and its mechanism of intergenerational effects. Additionally, few studies have examined the unique role of fathers and how mothers and fathers interact with one another. OBJECTIVE The current study aimed to employ the actor-partner interdependence mediation model to investigate the relationship between parental childhood emotional neglect and children's problem behaviors, as well as whether parents' positive and negative emotional expressiveness plays a mediating role. METHODS, PARTICIPANTS, AND SETTING In total, 397 dyads of mothers and fathers of children aged 6-9 were recruited and reported their childhood emotional neglect experience and emotional expressiveness, and mothers also rated their children's problem behaviors. RESULTS The findings revealed that (a) maternal childhood emotional neglect was associated solely with mothers' own negative emotional expressiveness, followed by their children's problem behavior and (b) paternal childhood emotional neglect showed no effect on children's problem behavior through fathers' own or their spouses' positive and negative emotional expressiveness. CONCLUSIONS The findings of this study suggest that childhood emotional neglect has intergenerational effects and that mothers' parenting behaviors are relatively important in preventing adverse effects on their children.
Collapse
Affiliation(s)
- Xinyi Yu
- School of Psychology, Beijing Normal University, Beijing 100875, China.
| | - Ting He
- Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing 100875, China.
| | - Yuxin Tan
- Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing 100875, China.
| | - Peilian Chi
- Department of Psychology, University of Macau, Taipa 999078, Macau.
| | - Xiuyun Lin
- Institute of Developmental Psychology, School of Psychology, Beijing Normal University, Beijing 100875, China; Beijing Key Laboratory of Applied Experimental Psychology, School of Psychology, Beijing Normal University, Beijing, China.
| |
Collapse
|