The mediating role of coping style between childhood trauma and depression severity in patients with depression
10.3760/cma.j.cn371468-20231220-00313
- VernacularTitle:应对方式在抑郁症患者童年创伤与抑郁严重程度间的中介作用
- Author:
Wenduo ZHAO
1
;
Qingqing DING
;
Shichang YANG
Author Information
1. 新乡医学院第二附属医院精神科，新乡 453002
- Keywords:
Childhood trauma;
Abuse;
Neglect;
Coping style;
Depression severity;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(9):838-843
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of childhood trauma and its subtypes on the severity of depression in patients with depression, and the mediating role of coping style.Methods:The self-administered general information questionnaire, Hamilton depression scale(HAMD), the Chinese version of childhood trauma questionnaire, and trait coping style questionnaire were used to survey 87 patients with depression from October 2020 to August 2022.SPSS 26.0 was used for descriptive and correlation analyses, AMOS 24.0 statistical software was used for structural equation modelling, PROCESS 4.1 macro program was used for mediating effect analysis, and Bootstrap method was used for mediating effect testing.Results:(1)The HAMD score of depressed patients was (33.32 ± 8.18), the total childhood trauma score was (40(34, 52)), with the subscale scores of emotional abuse(8(6, 12)), physical abuse(5(5, 6)), sexual abuse(5(5, 6)), emotional neglect(12(9, 17)), physical neglect(8(6, 10)), respectively.The score of positive coping style was (25(19, 31)), and negative coping style was (35(30, 37)).The HAMD score was positively correlated with emotional abuse, emotional neglect, physical neglect, total childhood trauma score, and negative coping style ( r=0.31-0.56, all P<0.01), and negatively correlated with positive coping style ( r=-0.35, P<0.01). (2) Positive coping style had no mediating effect between childhood trauma, emotional abuse, affective neglect subtypes and the severity of depression. The negative coping style played partial mediating roles between childhood trauma, emotional abuse, emotional neglect subtypes and the severity of depression, accounting for 23.24% (0.135/0.581), 33.94% (0.299/0.881) and 23.62% (0.227/0.961) of the total effect, respectively. Conclusion:Childhood trauma and its subtypes of emotional abuse and emotional neglect can not only directly but also indirectly through negative coping styles affect the severity of depression in depressed patients.
