Self-stigma mediates the relationships between childhood maltreatment and symptom levels of PTSD, depression, and anxiety.

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-07-10 DOI:10.1080/20008066.2024.2370174
Shilat Haim-Nachum, Amit Lazarov, Reut Zabag, Andrés Martin, Maja Bergman, Yuval Neria, Doron Amsalem
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Abstract

Background: Childhood maltreatment is a risk factor for developing multiple forms of psychopathology, including depression, posttraumatic stress disorder (PTSD), and anxiety. Yet, the mechanisms linking childhood maltreatment and these psychopathologies remain less clear.Objective: Here we examined whether self-stigma, the internalization of negative stereotypes about one's experiences, mediates the relationship between childhood maltreatment and symptom severity of depression, PTSD, and anxiety.Methods: Childhood trauma survivors (N = 685, Mage = 36.8) were assessed for childhood maltreatment, self-stigma, and symptoms of depression, PTSD, and anxiety. We used mediation analyses with childhood maltreatment as the independent variable. We then repeated these mediation models separately for childhood abuse and neglect, as well as the different subtypes of childhood maltreatment.Results: Self-stigma significantly mediated the relationship between childhood maltreatment and depression, PTSD, and anxiety symptoms. For sexual abuse - but not physical or emotional abuse - a significant mediation effect of self-stigma emerged on all symptom types. For childhood neglect, self-stigma significantly mediated the relationship between both emotional and physical neglect and all symptom types.Conclusion: Our cross-sectional study suggests that different types of childhood maltreatment experiences may relate to distinct mental health problems, potentially linked to increased self-stigma. Self-stigma may serve as an important treatment target for survivors of childhood abuse and neglect.

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自我烙印是童年虐待与创伤后应激障碍、抑郁和焦虑症状水平之间关系的中介。
背景:童年虐待是导致多种心理病态的风险因素,包括抑郁症、创伤后应激障碍(PTSD)和焦虑症。然而,童年虐待与这些精神病理学之间的关联机制仍不太清楚。目的:在此,我们研究了自我污名(对个人经历的负面刻板印象的内化)是否会介导童年虐待与抑郁症、创伤后应激障碍和焦虑症症状严重程度之间的关系:对童年创伤幸存者(N = 685,Mage = 36.8)进行了童年虐待、自我污名以及抑郁、创伤后应激障碍和焦虑症状的评估。我们使用了以童年虐待为自变量的中介分析。然后,我们针对儿童虐待和忽视以及儿童虐待的不同亚型分别重复了这些中介模型:结果:自我污名对童年虐待与抑郁、创伤后应激障碍和焦虑症状之间的关系有明显的中介作用。对于性虐待(而非身体或情感虐待),自我污名对所有症状类型都有显著的调节作用。在儿童被忽视方面,自我污名对情感和身体忽视与所有症状类型之间的关系都有显著的中介作用:我们的横断面研究表明,不同类型的童年虐待经历可能会导致不同的心理健康问题,这可能与自我污名的增加有关。对于童年遭受虐待和忽视的幸存者来说,自我污名可能是一个重要的治疗目标。
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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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