The mediating effect of depressive symptoms on the relationship between traumatic childhood experiences and drug use initiation

Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.

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Food Insecurity Partially Mediates the Association Between Drug Use and Depressive Symptoms among Men who have Sex with Men in Los Angeles, California

Public Health Nutrition ◽

10.1017/s1368980021002494 ◽

2021 ◽

pp. 1-26

Author(s):

David A. Wiss ◽

Marjan Javanbakht ◽

Michael J. Li ◽

Michael Prelip ◽

Robert Bolan ◽

...

Keyword(s):

Food Security ◽

Depressive Symptoms ◽

High Risk ◽

Los Angeles ◽

Drug Use ◽

Food Insecurity ◽

Hiv Positive ◽

Sex With Men ◽

The Relationship ◽

Hiv Negative

Abstract Objective: To understand the relationship between drug use, food insecurity (FI), and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modeling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV negative MSM in Los Angeles, CA (n=431; 1,192 visits). Results: At baseline, FI was reported by 50.8% of participants, depressive symptoms in 36.7%, and 52.7% of urine screening tests were positive for drugs (i.e., marijuana, opioids, methamphetamine, cocaine, ecstasy). A positive drug test was associated with a 96% increase in the odds of being food insecure (95% CI: 1.26-3.07). Compared to those with high food security, individuals with very low food security have a nearly 7-fold increase in the odds of reporting depressive symptoms (95% CI: 3.71-11.92). Findings showed 14.9% of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV-transmission.

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The relationship between Childhood Emotional Maltreatment and Adult Depressive Symptoms: Mediating Effect of Negative Past Time Perspective

sychological Type and Human Development ◽

10.52745/katp.2020.2.1.53 ◽

2020 ◽

Vol 21 (2) ◽

pp. 53-64

Author(s):

Jisoo Shin

Keyword(s):

Depressive Symptoms ◽

Time Perspective ◽

Mediating Effect ◽

Emotional Maltreatment ◽

Past Time ◽

The Relationship

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The Transactional Relationship between Parental and Adolescent Depressive Symptoms: The Mediating Effect of Nurturant–Involved Parenting

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218240 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8240

Author(s):

Jinqin Hou ◽

Zhiyan Chen ◽

Fei Guo

Keyword(s):

Depressive Symptoms ◽

Reciprocal Relationship ◽

Mediating Effect ◽

Reciprocal Relationships ◽

Mothers And Fathers ◽

Transactional Theory ◽

Adolescent Depressive Symptoms ◽

Paternal Depressive Symptoms ◽

The Relationship ◽

Shed Light

Sameroff’s transactional theory emphasizes a bidirectional process between parents and offspring. The present study explored the reciprocal relationships between parental and adolescent depressive symptoms using a cross-lagged model and examined the mediating effect of nurturant–involved parenting on the relationship between them. Data for the present study were collected from a longitudinal study, and a total of 1644 adolescents and their mothers and fathers participated in the present study. The results revealed a reciprocal relationship between maternal and adolescent depressive symptoms, and the child-driven effect was more robust than the mother-driven effect. Adolescent depressive symptoms significantly predicted paternal depressive symptoms, but not vice versa. In addition, adolescent depressive symptoms indirectly predicted maternal and paternal depressive symptoms by deteriorating nurturant-involved parenting. These findings highlight a child-driven effect on parents’ psychopathology, which may shed light on the mechanism underlying depression transmission between parents and adolescents.

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