Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Psychiatr Res. 2018 Aug;103:150-155. doi: 10.1016/j.jpsychires.2018.05.019. Epub 2018 May 24.
Childhood trauma has been found to be a critical risk factor for depression in adolescents. Personality traits have been linked with mental health. However, the relationship between childhood trauma, personality traits, and depressive symptoms in adolescents is largely unclear. This study tried to examine the mediating effect of personality traits between childhood trauma and depressive symptoms among adolescents. Meanwhile, the possible bidirectional association between personality traits and depression was considered in the study. A group of community-based adolescents aged 10-17 years (N = 5793) were recruited from nine schools in Wuhan city, China. The participants completed self-report questionnaires, including the Center for Epidemiologic Studies Depression Scale (CES-D), the Childhood Trauma Questionnaire (CTQ) and the NEO-Five Factor Inventory (NEO-FFI). Results showed that childhood trauma experiences were positively related with depressive symptoms and neuroticism, and negatively related with extraversion and conscientiousness; depressive symptoms were related with high neuroticism, low extraversion, and conscientiousness. Neuroticism and extraversion partially mediated the relationship between childhood trauma and depressive symptoms. And 'childhood trauma-personality traits-depression' models showed better property than the alternative models of 'childhood trauma-depression-personality traits'. The current study provides preliminary evidence for mediation roles of neuroticism and extraversion in the effect of childhood trauma to depressive symptoms in adolescents. These findings may contribute to better prevention and interventions for depressive symptoms among adolescents with childhood trauma via personality traits improvement.
童年创伤已被发现是青少年抑郁的一个关键风险因素。人格特质与心理健康有关。然而,童年创伤、人格特质与青少年抑郁症状之间的关系在很大程度上尚不清楚。本研究试图检验人格特质在青少年童年创伤与抑郁症状之间的中介作用。同时,研究中还考虑了人格特质与抑郁之间可能存在的双向关联。一组 10-17 岁的社区青少年(N=5793)来自中国武汉市的九所学校。参与者完成了自我报告问卷,包括流行病学研究中心抑郁量表(CES-D)、童年创伤问卷(CTQ)和大五人格量表(NEO-FFI)。结果表明,童年创伤经历与抑郁症状和神经质呈正相关,与外向性和尽责性呈负相关;抑郁症状与高神经质、低外向性和尽责性有关。神经质和外向性部分中介了童年创伤与抑郁症状之间的关系。“童年创伤-人格特质-抑郁”模型比“童年创伤-抑郁-人格特质”的替代模型具有更好的性质。本研究为神经质和外向性在童年创伤对青少年抑郁症状的影响中的中介作用提供了初步证据。这些发现可能有助于通过改善人格特质,更好地预防和干预有童年创伤的青少年的抑郁症状。