Self-concept mediates the relationships between childhood traumatic experiences and adolescent depression in both clinical and community samples.

Journal: BMC psychiatry

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  School of Psychology, Shandong Normal University, , Jinan, China. Shandong Mental Health Center, , Jinan, China. School of Health and Wellbeing, University of Glasgow, G TB, Glasgow, UK. xingxing.zhu@glasgow.ac.uk. School of Psychology, Shandong Normal University, , Jinan, China. wangkangcheng@sdnu.edu.cn.

Abstract summary 

Childhood trauma is a pivotal risk factor for adolescent depression. While the association between childhood trauma and depression is well-established, the mediating role of self-concept has not been acknowledged. Specifically, limited attention has been paid to how childhood maltreatment impacts adolescent depression through physical and social self-concept, both in clinical and community samples. This study aims to investigate how distinct and cumulative childhood trauma affects adolescent depression, as well as the potential mediating role of self-concept in their relationships.We recruited 227 depressed adolescents (dataset 1, 45 males, age = 15.34 ± 1.96) and 574 community adolescents (dataset 2, 107 males, age = 16.79 ± 0.65). Each participant was assessed on five subtypes of childhood trauma severity, cumulative trauma index, physical and social self-concept, and depression. Mediation models were tested separately in the clinical and community samples.Clinically depressed adolescents experienced a higher level of trauma severity, a greater number of trauma subtypes, and had lower levels of physical and social self-concept compared to community adolescents. Analyses on childhood trauma severity and cumulative trauma index jointly indicated that physical and social self-concept played mediation roles in the relationships between childhood trauma experiences and depression. Moreover, the mediating effects of self-concept were stronger in depressed adolescents when compared to community samples.Our findings suggest that physical and social self-concept play mediating roles in the pathway linking childhood trauma and adolescent depression, particularly in clinically depressed individuals.

Authors & Co-authors:  Hu Yang He Wang Xu Zhu Wang

Study Outcome 

Source Link: Visit source

Statistics
Citations :  McGrath JJ, Al-Hamzawi A, Alonso J, Altwaijri Y, Andrade LH, Bromet EJ, Bruffaerts R, de Almeida JMC, Chardoul S, Chiu WT et al. Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries. Lancet Psychiatry 2023.
Authors :  7
Identifiers
Doi : 224
SSN : 1471-244X
Study Population
Male
Mesh Terms
Male
Other Terms
Adolescent depression;Chain mediation;Childhood trauma;Self-concept
Study Design
Study Approach
Country of Study
Publication Country
England