Mediating Effect of Resilience on the Association between Emotional Neglect and Depressive Symptoms
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Objective Previous studies have reported that childhood maltreatment experiences could induce biological and psychological vulnerability in depressive disorders. However, it is still unclear that type-specific effects of childhood maltreatment on psychological resilience, depressive symptoms and interactions among childhood maltreatment experiences, resilience, and depressive symptoms. Methods A total of 438 medical students were included in the study. The Childhood Trauma Questionnaire-Short Form, the Conner-Davidson Resilience Scale, and the Beck Depression Inventory were used for measuring childhood maltreatment experiences, psychological resilience, and depressive symptoms, respectively. We investigated the effects of childhood maltreatment experiences on resilience and depressive symptoms using correlation analysis. In addition, we analyzed the mediating effect of resilience on the association between childhood maltreatment and symptoms of depression. Results Among childhood maltreatment, emotional neglect was a significant predictor of the scores of low resilience and high depressive symptoms in both gender groups (all ps<0.05). Furthermore, resilience was found to be a mediator connecting emotional neglect experiences with depressive symptoms. Conclusion Our results suggest that emotional neglect has detrimental effects on mood and resilience, and clinicians need to focus on the recovery of resilience when they deal with depressive symptoms in victims of childhood maltreatment.
Abstract
Objective Previous studies have reported that childhood maltreatment experiences could induce biological and psychological vulnerability in depressive disorders. However, it is still unclear that type-specific effects of childhood maltreatment on psychological resilience, depressive symptoms and interactions among childhood maltreatment experiences, resilience, and depressive symptoms. Methods A total of 438 medical students were included in the study. The Childhood Trauma Questionnaire-Short Form, the Conner-Davidson Resilience Scale, and the Beck Depression Inventory were used for measuring childhood maltreatment experiences, psychological resilience, and depressive symptoms, respectively. We investigated the effects of childhood maltreatment experiences on resilience and depressive symptoms using correlation analysis. In addition, we analyzed the mediating effect of resilience on the association between childhood maltreatment and symptoms of depression. Results Among childhood maltreatment, emotional neglect was a significant predictor of the scores of low resilience and high depressive symptoms in both gender groups (all ps<0.05). Furthermore, resilience was found to be a mediator connecting emotional neglect experiences with depressive symptoms. Conclusion Our results suggest that emotional neglect has detrimental effects on mood and resilience, and clinicians need to focus on the recovery of resilience when they deal with depressive symptoms in victims of childhood maltreatment.
참고문헌 (67)
- Brewin CR, "Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults", J Consult Clin Psychol, 68, pp.748~766 (2000)[DOI]
- Kessler RC, "Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys", Br J Psychiatry, 197, pp.378~385 (2010)[DOI]
- Nanni V, "Childhood maltreatment predicts unfavorable course of illness and treatment outcome in depression: a metaanalysis", Am J Psychiatry, 169, pp.141~151 (2012)[DOI]
- Bernet CZ, "Relationship of childhood maltreatment to the onset and course of major depression in adulthood", Depress Anxiety, 9, pp.169~174 (1999)[DOI]
- Eluvathingal TJ, "Abnormal brain connectivity in children after early severe socioemotional deprivation: a diffusion tensor imaging study", Pediatrics, 117, pp.2093~2100 (2006)[DOI]
- Choi J, "Preliminary evidence for white matter tract abnormalities in young adults exposed to parental verbal abuse", Biol Psychiatry, 65, pp.227~234 (2009)[DOI]
- Tottenham N, "Elevated amygdala response to faces following early deprivation", Dev Sci, 14, pp.190~204 (2011)[DOI]
- Maheu FS, "A preliminary study of medial temporal lobe function in youths with a history of caregiver deprivation and emotional neglect", Cogn Affect Behav Neurosci, 10, pp.34~49 (2010)[DOI]
- Dannlowski U, "Limbic scars: long-term consequences of childhood maltreatment revealed by functional and structural magnetic resonance imaging", Biol Psychiatry, 71, pp.286~293 (2012)[DOI]
- Dannlowski U, "Childhood Maltreatment is Associated with an Automatic Negative Emotion Processing Bias in the Amygdala", Human Brain Mapp, 34, pp.2899~2909 (2013)[DOI]
- van Harmelen AL, "Enhanced amygdala reactivity to emotional faces in adults reporting childhood emotional maltreatment", Soc Cogn Affect Neurosci, 8, pp.362~369 (2013)[DOI]
- Lee SW, "Aberrant function of frontoamygdala circuits in adolescents with previous verbal abuse experiences", Neuropsychologia, 79, pp.76~85 (2015)[DOI]
- Burghy CA, "Developmental pathways to amygdala-prefrontal function and internalizing symptoms in adolescence", Nat Neurosci, 15, pp.1736~1741 (2012)[DOI]
- Al Odhayani A, "Behavioural consequences of child abuse", Can Fam Physician, 59, pp.831~836 (2013)
- Wingo AP, "Moderating effects of resilience on depression in individuals with a history of childhood abuse or trauma exposure", J Affect Disord, 126, pp.411~414 (2010)[DOI]
- Alim TN, "Trauma exposure, posttraumatic stress disorder and depression in an African-American primary care population", J Natl Med Assoc, 98, pp.1630~1636 (2006)
- Collishaw S, "Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample", Child Abuse Negl, 31, pp.211~229 (2007)[DOI]
- Campbell-Sills L, "Relationship of resilience to personality, coping, and psychiatric symptoms in young adults", Behav Res Ther, 44, pp.585~599 (2006)[DOI]
- Wrenn GL, "The effect of resilience on posttraumatic stress disorder in traumaexposed inner-city primary care patients", J Natl Med Assoc, 103, pp.560~566 (2011)[DOI]
- Roy A, "Resilience mitigates the suicide risk associated with childhood trauma", J Affect Disord, 133, pp.591~594 (2011)[DOI]
- Schulz A, "The impact of childhood trauma on depression: does resilience matter? Population-based results from the Study of Health in Pomerania", J Psychosom Res, 77, pp.97~103 (2014)[DOI]
- Sexton MB, "The roles of resilience and childhood trauma history: main and moderating effects on postpartum maternal mental health and functioning", J Affect Disord, 174, pp.562~568 (2015)[DOI]
- Negele A, "Childhood Trauma and Its Relation to Chronic Depression in Adulthood", Depress Res Treat, 2015, pp.650804~ (2015)
- Gibb BE, "Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients", Depress Anxiety, 24, pp.256~263 (2007)[DOI]
- Spertus IL, "Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice", Child Abuse Negl, 27, pp.1247~1258 (2003)[DOI]
- Kesebir S, "Impact of childhood trauma and affective temperament on resilience in bipolar disorder", Int J Bipolar Disord, 3, pp.3~ (2015)[DOI]
- Bernstein DP, "Development and validation of a brief screening version of the Childhood Trauma Questionnaire", Child Abuse Negl, 27, pp.169~190 (2003)[DOI]
- Scher CD, "The childhood trauma questionnaire in a community sample: psychometric properties and normative data", J Trauma Stress, 14, pp.843~857 (2001)[DOI]
- 김대호, "Reliability and Validity of the Korean Version of the Childhood Trauma Questionnaire-Short Form for Psychiatric Outpatients", PSYCHIATRY INVESTIGATION, 8(4), pp.305~311 (2011), 대한신경정신의학회
- Connor KM, "Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)", Depress Anxiety, 18, pp.76~82 (2003)[DOI]
- 백현숙, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale", PSYCHIATRY INVESTIGATION, 7(2), pp.109~115 (2010), 대한신경정신의학회
- Jung YE, "The Korean version of the Connor-Davidson Resilience Scale: an extended validation", Stress Health, 28, pp.319~326 (2012)[DOI]
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)[DOI]
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Bureau CS, "Child Maltreatmen 2004" (2006), Goverment Printing Office
- Stoltenborgh M, "The neglect of child neglect: a meta-analytic review of the prevalence of neglect", Soc Psychiatry Psychiatr Epidemiol, 48, pp.345~355 (2013)[DOI]
- Glaser D, "Emotional abuse and neglect (psychological maltreatment): a conceptual framework", Child Abuse Negl, 26, pp.697~714 (2002)[DOI]
- Norman RE, "The longterm health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis", PLoS Med, 9, pp.e1001349~ (2012)[DOI]
- Wright MO, "Childhood emotional maltreatment and later psychological distress among college students: the mediating role of maladaptive schemas", Child Abuse Negl, 33, pp.59~68 (2009)[DOI]
- Hanson JL, "Blunted ventral striatum development in adolescence reflects emotional neglect and predicts depressive symptoms", Biol Psychiatry, 78, pp.598~605 (2015)[DOI]
- O'Mahen HA, "The association between childhood maltreatment and emotion regulation: two different mechanisms contributing to depression?", J Affect Disord, 174, pp.287~295 (2015)[DOI]
- Wilson HW, "The role of youth problem behaviors in the path from child abuse and neglect to prostitution: a prospective examination", J Res Adolesc, 20, pp.210~236 (2010)[DOI]
- Currie J, "Long-term consequences of child abuse and neglect on adult economic well-being", Child Maltreat, 15, pp.111~120 (2010)[DOI]
- Bifulco A, "Adult attachment style. II: Its relationship to psychosocial depressive-vulnerability", Soc Psychiatry Psychiatr Epidemiol, 37, pp.60~67 (2002)[DOI]
- Van Dorn R, "Mental disorder and violence: is there a relationship beyond substance use?", Soc Psychiatry Psychiatr Epidemiol, 47, pp.487~503 (2012)[DOI]
- Slade EP, "The influence of childhood maltreatment on adolescents' academic performance", Econ Educ Rev, 26, pp.604~614 (2007)[DOI]
- Leiter J, "Child maltreatment and school performance declines: an event-history analysis", Am Educ Res J, 34, pp.563~589 (1997)[DOI]
- Kavanaugh B, "Brief report: neurocognitive functioning in adolescents following childhood maltreatment and evidence for underlying planning & organizational deficits", Child Neuropsychol, 21, pp.840~848 (2015)[DOI]
- Tanaka M, "Child maltreatment and educational attainment in young adulthood: results from the Ontario Child Health Study", J Interpers Violence, 30, pp.195~214 (2015)[DOI]
- Childhood Trauma Questionnaire. A Retrospective Self-Report. Manual, "Bernstein DP", The Psychological Corporation, Harcourt Brace & Company, ~ (1998)
- Jud A, "On the incidence and prevalence of child maltreatment: a research agenda", Child Adolesc Psychiatry Ment Health, 10, pp.17~ (2016)[DOI]
- Iffland B, "Frequency of child maltreatment in a representative sample of the German population", BMC Public Health, 13, pp.980~ (2013)[DOI]
- Heim C, "Early adverse experience and risk for chronic fatigue syndrome: results from a population-based study", Arch Gen Psychiatry, 63, pp.1258~1266 (2006)[DOI]
- Heim C, "Childhood trauma and risk for chronic fatigue syndrome: association with neuroendocrine dysfunction", Arch Gen Psychiatry, 66, pp.72~80 (2009)[DOI]
- Scher CD, "Prevalence and demographic correlates of childhood maltreatment in an adult community sample", Child Abuse Negl, 28, pp.167~180 (2004)[DOI]
- Stoltenborgh M, "A global perspective on child sexual abuse: meta-analysis of prevalence around the world", Child Maltreat, 16, pp.79~101 (2011)[DOI]
- Stoltenborgh M, "The universality of childhood emotional abuse: a meta-analysis of worldwide prevalence", J Aggress Maltreat Trauma, 21, pp.870~890 (2012)[DOI]
- Stoltenborgh M, "Cultural-geographical differences in the occurrence of child physical abuse? A meta-analysis of global prevalence", Int J Psychol, 48, pp.81~94 (2013)[DOI]
- Masten AS, "Resilience and development: Contributions from the study of children who overcome adversity", Dev Psychopathol, 2, pp.425~444 (1990)[DOI]
- Lee TY, "Resilience as a Positive Youth Development Construct: A Conceptual Review", Scientific World Journal, 2012, pp.390450~ (2012)
- Wu G, "Understanding resilience", Front Behav Neurosci, 7, pp.10~ (2013)
- Baldassin S, "The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study", BMC Med Educ, 8, pp.60~ (2008)[DOI]
- Roberts LW, "Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health", Compr Psychiatry, 42, pp.1~15 (2001)[DOI]
- Roberts LW, "Medical student illness and impairment: a vignette-based survey study involving 955 students at 9 medical schools", Compr Psychiatry, 46, pp.229~237 (2005)[DOI]
- Brewin CR, "Recovered memories of trauma: Phenomenology and cognitive mechanisms", Clin Psychol Rev, 18, pp.949~970 (1998)[DOI]
- Romero N, "Memory biases in remitted depression: the role of negative cognitions at explicit and automatic processing levels", J Behav Ther Exp Psychiatry, 45, pp.128~135 (2014)[DOI]
- Newby JM, "Negative intrusive memories in depression: the role of maladaptive appraisals and safety behaviours", J Affect Disord, 126, pp.147~154 (2010)[DOI]
