Kim Ji S, Jin Min J, Jung Wookyoung, Hahn Sang W, Lee Seung-Hwan
Clinical Emotion and Cognition Research Laboratory, Inje UniversityGoyang, South Korea.
Department of Psychiatry, Soonchunhyang University of College of MedicineChunan, South Korea.
Front Psychol. 2017 Sep 25;8:1597. doi: 10.3389/fpsyg.2017.01597. eCollection 2017.
Although there is strong evidence that childhood trauma is associated with the development of depression and anxiety, relatively few studies have explored potential mediating factors for this relationship. The present study aimed to evaluate the mediating role of rumination in the link between childhood trauma and mood status such as depression, anxiety and affective lability. Two hundred and seven non-clinical participants completed the Childhood Trauma Questionnaire, the Ruminative Response Scale, the Beck Depression Inventory, the State Anxiety Inventory, and the Affective Lability Scale. Structural equation modeling was used to evaluate the results. Our results supported that rumination is a meaningful mediator between childhood trauma and depression/anxiety in non-clinical participants. The mediation model indicated that childhood trauma and its subtypes are linked to depression and anxiety through three subtypes of rumination, thereby supporting a significant indirect relationship (Standardized coefficient [SC] = 0.56, < 0.001 for the path from trauma to rumination; SC = 0.67, < 0.001, from rumination to mood). The direct relationship between childhood trauma and mood symptoms was also significant in a model including rumination (SC = 0.68, < 0.001). The mediation effect of rumination in the relationship between childhood trauma and mood was more predominant in female participants. The present study found that rumination mediates the influence of childhood trauma on the development of mood symptoms in non-clinical participants. Childhood trauma appears to be a critical determinant for developing symptoms of depression and anxiety.
尽管有强有力的证据表明童年创伤与抑郁和焦虑的发展有关，但相对较少的研究探讨了这种关系的潜在中介因素。本研究旨在评估沉思在童年创伤与抑郁、焦虑和情感不稳定等情绪状态之间的联系中所起的中介作用。207名非临床参与者完成了童年创伤问卷、沉思反应量表、贝克抑郁量表、状态焦虑量表和情感不稳定量表。采用结构方程模型对结果进行评估。我们的结果支持沉思在非临床参与者中是童年创伤与抑郁/焦虑之间有意义的中介。中介模型表明，童年创伤及其亚型通过三种沉思亚型与抑郁和焦虑相关，从而支持了显著的间接关系（标准化系数[SC]=0.56，创伤到沉思的路径p<0.001；SC=0.67，沉思到情绪的路径p<0.001）。在包含沉思的模型中，童年创伤与情绪症状之间的直接关系也很显著（SC=0.68，p<0.001）。沉思在童年创伤与情绪关系中的中介作用在女性参与者中更为显著。本研究发现，沉思介导了童年创伤对非临床参与者情绪症状发展的影响。童年创伤似乎是抑郁和焦虑症状发展的关键决定因素。
