Lee Sang Won, Bae Geum Ye, Rim Hyo-Deog, Lee Seung Jae, Chang Sung Man, Kim Byung-Soo, Won Seunghee
Department of Psychiatry, Kyungpook National University Hospital, Daegu, Republic of Korea.
Psychiatry Investig. 2018 Jan;15(1):62-69. doi: 10.4306/pi.2018.15.1.62. Epub 2018 Jan 16.
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.
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.
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.
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.
以往研究报道童年期虐待经历可导致抑郁症患者出现生物学和心理易损性。然而，童年期虐待对心理复原力、抑郁症状的特定类型影响，以及童年期虐待经历、复原力和抑郁症状之间的相互作用仍不清楚。
本研究共纳入438名医学生。分别使用儿童期创伤问卷简表、康纳-戴维森复原力量表和贝克抑郁量表来测量童年期虐待经历、心理复原力和抑郁症状。我们采用相关分析研究童年期虐待经历对复原力和抑郁症状的影响。此外，我们分析了复原力在童年期虐待与抑郁症状关联中的中介作用。
在童年期虐待中，情感忽视是两个性别组低复原力得分和高抑郁症状得分的显著预测因素（所有p<0.05）。此外，发现复原力是连接情感忽视经历与抑郁症状的中介因素。
我们的结果表明，情感忽视对情绪和复原力有不利影响，临床医生在处理童年期虐待受害者的抑郁症状时需要关注复原力的恢复。
