Barros Paulina, Assar Rodrigo, Botto Alberto, Leighton Caroline, Quevedo Yamil, Jiménez Juan Pablo
Departamento de Psiquiatría y Salud Mental Oriente, Facultad de Medicina, Universidad de Chile, Santiago 7500922, Chile.
Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile.
Healthcare (Basel). 2022 Dec 6;10(12):2463. doi: 10.3390/healthcare10122463.
(1) Background: There is consistent evidence of the impact of early adverse experiences on mental health in adulthood, especially as a risk factor for depression. However, their influence on positive aspects of mental health such as well-being has been less extensively studied. Therefore, this study aims to investigate the effect of traumatic childhood experiences on the relationship between depression and psychological well-being in a sample of university students. (2) Methods: The Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Beck Depression Inventory (BDI-IA), and Ryff's psychological well-being scale were administered to 700 Chilean university students. Several regression models were used to analyze the interaction between variables, with multivariate SEM being applied to hierarchize the relationships found. (3) Results: Emotional Neglect and Abuse stand out as the types of maltreatment with the greatest impact on mental health, associated first with a decrease in the self-acceptance dimension of psychological well-being and then with depressive symptomatology in adulthood. (4) Conclusions: Results provide evidence that early trauma has an important impact on mental health, increasing the risk of depression, however, its impact is greater on positive aspects of health, such as self-acceptance, a fundamental element in the construction of psychological well-being.
(1) 背景：有一致的证据表明早期不良经历会对成年期心理健康产生影响，尤其是作为抑郁症的一个风险因素。然而，它们对心理健康积极方面（如幸福感）的影响研究较少。因此，本研究旨在调查童年创伤经历对大学生样本中抑郁症与心理健康幸福感之间关系的影响。(2) 方法：对700名智利大学生进行了儿童创伤问卷简表（CTQ-SF）、贝克抑郁量表（BDI-IA）和赖夫心理健康量表的施测。使用了几个回归模型来分析变量之间的相互作用，并应用多元结构方程模型来梳理所发现的关系。(3) 结果：情感忽视和虐待是对心理健康影响最大的虐待类型，首先与心理健康幸福感的自我接纳维度下降相关，然后与成年期的抑郁症状相关。(4) 结论：结果提供了证据表明早期创伤对心理健康有重要影响，增加了患抑郁症的风险，然而，其对健康积极方面（如自我接纳，这是构建心理健康的一个基本要素）的影响更大。
