The Impacts of Childhood Trauma on Psychosocial Features in a Chinese Sample of Young Adults
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Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311–5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061– -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211–0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273– -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.
Abstract
Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311–5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061– -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211–0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273– -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.
참고문헌 (50)
- Pechtel P, "Effects of early life stress on cognitive and affective function: an integrated review of human literature", Psychopharmacology (Berl), 214, pp.55~70 (2011)
- Gilbert R, "Burden and consequences of child maltreatment in high-income countries", Lancet, 373, pp.68~81 (2009)
- Fang X, "The burden of child maltreatment in China: a systematic review", Bull World Health Organ, 93, pp.176C~185C (2015)
- Buckingham ET, "Longitudinal outcomes for victims of child abuse", Curr Psychiatry Rep, 15, pp.342~ (2013)
- Takizawa R, "Adult health outcomes of childhood bullying victimization: evidence from a five-decade longitudinal British birth cohort", Am J Psychiatry, 171, pp.777~784 (2014)
- Ekinci S, "Childhood trauma in the lives of substance-dependent patients: the relationship between depression, anxiety and self-esteem", Nord J Psychiatry, 69, pp.249~253 (2015)
- Allen B, "Personality characteristics of adult survivors of childhood trauma", J Trauma Stress, 20, pp.587~595 (2007)
- Roy A., "Childhood trauma and neuroticism as an adult: possible implication for the development of the common psychiatric disorders and suicidal behaviour", Psychol Med, 32, pp.1471~1474 (2002)
- Akbaba Turkoglu S, "Relationship between dysfunctional attitudes and childhood traumas in women with depression", Int J Soc Psychiatry, 61, pp.796~801 (2015)
- Sperry DM, "Child abuse and neglect, social support, and psychopathology in adulthood: a prospective investigation", Child Abus Negl, 37, pp.415~425 (2013)
- Xie P, "Prevalence of childhood trauma and correlations between childhood trauma, suicidal ideation, and social support in patients with depression, bipolar disorder, and schizophrenia in southern China", J Affect Disord, 228, pp.41~48 (2018)
- Salazar AM, "Understanding social support’s role in the relationship between maltreatment and depression in youth with foster care experience", Child Maltreat, 16, pp.102~113 (2011)
- Logan-Greene P, "Distinct contributions of adverse childhood experiences and resilience resources: a cohort analysis of adult physical and mental health", Soc Work Health Care, 53, pp.776~797 (2014)
- Kim SS, "Association between childhood adversities and adulthood depressive symptoms in South Korea: results from a nationally representative longitudinal study", BMJ Open, 3 (2013)
- Takeuchi H, "Childhood parental separation experiences and depressive symptomatology in acute major depression", Psychiatry Clin Neurosci, 57, pp.215~219 (2003)
- Li X, "Effects of childhood trauma on personality in a sample of Chinese adolescents", Child Abus Negl, 38, pp.788~796 (2014)
- Zhao S, "The association between depression, suicidal ideation and psychological strains in college students: a cross-national study", Culture, medicine and psychiatry (2018)
- Childhood Trauma Questionnaire: A Retrospective Self-Report, "Bernstein D", The Psychological Corporation, ~ (1998)
- Zhao X, "Reliability and validity of the Chinese version of Childhood Trauma Questionnaire", Chin J Clin Rehabil, 9, pp.105~107 (2005)
- Zung WW, "Self-rating depression scale in an outpatient clinic. Further validation of the SDS", Arch Gen Psychiatry, 13, pp.508~515 (1965)
- Zung WW, "A rating instrument for anxiety disorders", Psychosomatics, 12, pp.371~379 (1971)
- Liu X, "The comparison between SDS and CES-D in evaluating depressive symptoms in university students", Chin Ment Health J, 9, pp.19~20 (1995)
- Gao J, "The reliability and validity of Chinese version of revised self-rating anxiety scale (SAS-CR)", Chin J Nerv Ment Dis, 20, pp.301~305 (1994)
- Weissman A, "Development and Validation of the Dysfunctional Attitude Scale: A Preliminary Investigation", Annual meeting of the American Educational Research Association (1978)
- Cai L, "Application of Chinese version of the dysfunctional attitude scale in a sample of Chinese adolescents", Chin J Clin Psychol, 18, pp.161~164 (2010)
- Eysenck H, "Manul of the Eysenck Personality Questionnaire" (1975), Hodder and Stoughton
- Qian M, "Eysenck personality questionnairerevised, short scale for Chinese, EPQ-RSC", Acta Psychologica Sinica, 32, pp.317~323 (2000)
- Xiao S., "Theoretical basis and application of social support rating scale", J Clin Psychiatry, 4, pp.98~100 (1994)
- Liu J, "Investigation of reliability and validity of the social support scale", J Xinjiang Med Univ, 31, pp.1~3 (2008)
- Shen L, "Investigation of child maltreatment: survey among junior school pupils in Henan province of China", Asia Pac Psychiatry, 7, pp.85~90 (2015)
- Chan KL, "Comparison of parent and child reports on child maltreatment in a representative household sample in Hong Kong", J Fam Viol, 27, pp.11~21 (2012)
- Begle AM, "Predicting child abuse potential: an empirical investigation of two theoretical frameworks", J Clin Child Adolesc Psychol, 39, pp.208~219 (2010)
- Tang CS, "Corporal punishment and physical maltreatment against children: a community study on Chinese parents in Hong Kong", Child Abuse Negl, 30, pp.893~907 (2006)
- Chu DA, "Early life trauma predicts self-reported levels of depressive and anxiety symptoms in nonclinical community adults: relative contributions of early life stressor types and adult trauma exposure", J Psychiatr Res, 47, pp.23~32 (2013)
- Lundqvist G, "Childhood sexual abuse. Women’s health when starting in group therapy", Nord J Psychiatry, 58, pp.25~32 (2004)
- Engert V, "Increased cortisol awakening response and afternoon", evening cortisol output in healthy young adults with low early life parental care, 2011, pp.214, 26126~26128
- Lindert J, "Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis", Int J Public Health, 59, pp.359~372 (2014)
- Beck AT, "Cognitive models of depression", J Cogn Psychother, 1, pp.5~37 (1987)
- Hankin BL, "Developmental origins of cognitive vulnerabilities to depression:review of processes contributing to stability and change across time", J Clin Psychol, 65, pp.1327~1338 (2009)
- Hankin BL., "Stability of cognitive vulnerabilities to depression: a shortterm prospective multiwave study", J Abnorm Psychol, 117, pp.324~333 (2008)
- Henderson D, "Autobiographical memory and emotion in a non-clinical sample of women with and without a reported history of childhood sexual abuse", Br J Clin Psychol, 41, pp.129~141 (2002)
- Lysaker PH, "Childhood sexual trauma and psychosocial functioning in adults with schizophrenia", Psychiatr Serv, 52, pp.1485~1488 (2001)
- Allen JG, "Trauma pervasively elevates brief symptom Inventory profiles in inpatient women", Psychol Rep, 83, pp.499~513 (1998)
- Magnus K, "Extraversion and neuroticism as predictors of objective life events: a longitudinal analysis", J Pers Soc Psychol, 65, pp.1046~1053 (1993)
- Talbot NL, "Personality traits of women with a history of childhood sexual abuse", Compr Psychiatry, 41, pp.130~136 (2000)
- Vlasveld MC, "The associations between personality characteristics and absenteeism: a crosssectional study in workers with and without depressive and anxiety disorders", J Occup Rehabil, 23, pp.309~317 (2013)
- Vranceanu AM, "Child multi-type maltreatment and associated depression and PTSD symptoms: the role of social support and stress", Child Abus Negl, 31, pp.71~84 (2007)
- Tough H, "Social relationships, mental health and wellbeing in physical disability: a systematic review", BMC Public Health, 17, pp.414~ (2017)
- Poudel-Tandukar K, "Social support and suicide in Japanese men and women - the Japan Public Health Center (JPHC)-based prospective study", J Psychiatr Res, 45, pp.1545~1550 (2011)
- Pjescic KD, "Ristic-Dimitrijevic R. Influence of psycho-social factors on the emergence of depression and suicidal risk in patients with schizophrenia", Psychiatr Danub, 26, pp.226~230 (2014)