The Association Between Patterns of Trauma Exposure, Family Dysfunction, and Psychopathology Among Adolescent Females With Depressive Symptoms From Low-Income Contexts

2022 ◽  
pp. 107755952110503
Author(s):  
Michelle E. Alto ◽  
Jennifer M. Warmingham ◽  
Elizabeth D. Handley ◽  
Jody Todd Manly ◽  
Dante Cicchetti ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Low Income ◽  
Family Relationships ◽  
Emotional Abuse ◽  
Latent Class ◽  
Trauma Exposure ◽  
Family Dysfunction ◽  
Adolescent Females ◽  
Physical Assault ◽  
Physical Neglect

Distinguishing profiles of trauma exposure among low-income adolescent females with depressive symptoms is important for understanding comorbidity, family relationships, and treatment. Specifically, child maltreatment is essential to examine in comparison to other traumas. Participants included 170 adolescent females (65.3% Black; 21.2% White; 13.5% other race; 14.1% Latina/x) with depressive symptoms and their primary caregiver from low-income families. Latent class analysis (LCA) identified three trauma classes. Probabilities of endorsing different subtypes of maltreatment (physical abuse, physical neglect, emotional abuse, emotional neglect, and sexual abuse), number of subtypes of maltreatment, and non-maltreatment traumas (accident, experiencing or witnessing physical assault, death or injury of loved one, medical trauma) varied among groups. Higher levels of family dysfunction and traumatic stress symptoms were reported in both classes with maltreatment exposure as compared to the class with only non-maltreatment trauma exposure. Findings have implications for family-focused interventions for maltreated adolescent females with depressive symptoms from low-income contexts.

Communal Coping Among Spanish-Speaking Mother–Child Dyads Engaging in Language Brokering: A Latent Class Analysis

2016 ◽  
Vol 44 (5) ◽  
pp. 743-769 ◽  
Author(s):  
Jennifer A. Kam ◽  
Erin D. Basinger ◽  
Lisa M. Guntzviller
Keyword(s):  
Depressive Symptoms ◽  
Latent Class Analysis ◽  
Low Income ◽  
Latent Class ◽  
Language Brokering ◽  
Class Membership ◽  
Communal Coping ◽  
Spanish Speaking ◽  
Class A ◽  
Different Types

Utilizing self-reported survey data from 120 low-income, Spanish-speaking mother–child dyads, this study examined different types of classes (i.e., subgroups) based on the ways in which mothers and adolescent children coped with language brokering, particularly when they found it stressful. Four classes emerged, listed from largest to smallest class: (a) communal coping mothers, (b) shared communal copers, (c) independent communal coping children, and (d) communal coping children. Mothers’ parent–child closeness predicted class membership, but adolescent children’s reported closeness was not a significant predictor. Nevertheless, adolescent children’s respect for family significantly predicted class membership, whereas mothers’ respect for family was not a significant predictor. Mothers who were members of the communal coping children class reported less frequent depressive symptoms, whereas children who were independent communal coping children reported more frequent depressive symptoms.

scholarly journals Early traumatic experiences and their relationship with the emergence of depressive symptoms in adulthood

2019 ◽  
Vol 12 (1) ◽  
pp. 30-40
Author(s):  
Eglantina Dervishi ◽  
Elisabeta Mujaj ◽  
Silva Ibrahimi
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Traumatic Experiences ◽  
Childhood Trauma Questionnaire ◽  
Minimum Age ◽  
Physical Neglect

The aim of this study was the exploration of early traumatic experiences related to emotional abuse, physical abuse, sexual abuse, emotional and physical neglect, as well as the connection of the dimensions of these early traumatic experiences with the experiencing of depressive symptoms in adulthood. A sample of 331 University students in Tirana, 60 males (N = 60) or 18.1% and 271 females (N = 271) or 81.9% completed the online Beck Inventory for Depression (BDI), and the Childhood Trauma Questionnaire-Short Form (CTQ-SF). The minimum age of the youth participating in the study was 18 years and the maximum age was 32 years, with an average of 20 years (M = 20.07) and the standard deviation (SD = 1.5). Descriptive, correlational and linear regression analysis were used for data processing through the SPSS 22. The study confirmed the connection between early traumatic experiences and the appearance of depressive symptoms in adulthood (r(329) = .333, p < .001). Among the dimensions of early traumatic experiences, it seems that a stronger connection with the occurrence of depressive symptoms relates to the size of emotional trauma. The size of child sexual trauma is connected to feelings of punishment and suicidal thoughts in adulthood. Early traumatic experiences seem to have a significant impact on how adults express themselves and choose to interact with their environment. Coping with problems of mental health and depression today can be closely related to the early traumatic experiences of juveniles and adults.

scholarly journals Associations Between Child Maltreatment and Depressive Symptoms Among Chinese College Students: An Analysis of Sex Differences

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaoliang Chen ◽  
Sheng Zhang ◽  
Guoliang Huang ◽  
Yan Xu ◽  
Qian Li ◽  
...  
Keyword(s):  
College Students ◽  
Sex Differences ◽  
Depressive Symptoms ◽  
Child Maltreatment ◽  
Emotional Abuse ◽  
Cumulative Effect ◽  
Emotional Neglect ◽  
Chinese College Students ◽  
Increased Risk ◽  
Physical Neglect

Background: Depressive symptoms and child maltreatment are both global public health problems among young adults. This study aimed to investigate the associations between five types of child maltreatment and depressive symptoms among Chinese college students, with a focus on potential sex differences.Methods: A cross-sectional study of a nationally representative sample of Chinese college students was conducted from March to June 2019 with a multistage, stratified cluster, random sampling method. In total, 30,179 college students from 60 colleges of 10 Chinese province-level regions completed standard questionnaires, including a history of child maltreatment and current depressive symptoms.Results: The prevalence of depressive symptoms among college students in China was 7.3%. After adjusting for control variables, physical abuse (adjusted odds ratio [aOR] = 1.20, 95% confidence interval [CI] = 1.17–1.23), emotional abuse (aOR = 1.21, 95% CI = 1.19–1.23), sexual abuse (aOR = 1.19, 95% CI = 1.16–1.22), physical neglect (aOR = 1.14, 95% CI = 1.12–1.16) and emotional neglect (aOR = 1.08, 95% CI = 1.07–1.09) were all positively associated with depressive symptoms. Notably, a cumulative effect of child maltreatment on depressive symptoms among Chinese college students was observed. Moreover, sex differences in the associations of emotional abuse, emotional neglect, and the number of maltreatment types with depressive symptoms were statistically significant (P &lt; 0.05). Further stratification analyses showed that female students who experienced emotional abuse and emotional neglect had a higher risk of depressive symptoms than male students, and the cumulative effect of maltreatment types was stronger for females than males.Conclusion: Five types of child maltreatment and their co-occurrence were associated with an increased risk of depressive symptoms among college students. Furthermore, the effects of emotional abuse, emotional neglect and the number of maltreatment types on depressive symptoms were stronger for females than for males. These findings can promote understanding of the effects of child maltreatment on depressive symptoms, and prevention and intervention strategies for depressive symptoms should consider the type of child maltreatment and sex differences.

scholarly journals Factors associated with adverse childhood experiences in Scottish children: a prospective cohort study

2019 ◽  
Vol 3 (1) ◽  
pp. e000340 ◽  
Author(s):  
Louise Marryat ◽  
John Frank
Keyword(s):  
Risk Factors ◽  
Birth Cohort ◽  
Low Income ◽  
Adverse Childhood Experiences ◽  
Emotional Abuse ◽  
Urban Areas ◽  
First Year ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Physical Neglect

Background and objectivesAdverse childhood experiences (ACEs) have been associated with a range of poorer health and social outcomes throughout the life course; however, to date they have primarily been conducted retrospectively in adulthood. This paper sets out to determine the prevalence of ACEs at age 8 in a recent prospective birth cohort and examine associations between risk factors in the first year and cumulative ACEs.DesignThis study uses the Growing Up in Scotland Birth Cohort 1, in which children born in Scotland in 2004/5 were identified using Child Benefit Records and followed up for 7 years (n.3119). ACE scores and sample characteristics were calculated and described. Logistic regression models were fitted to explore associations between risk factors (sex, mother’s age and education, household income, area level deprivation and urban/rural indicator) and ACE scores.ResultsSeven ACEs (or proxies) were assessed: physical abuse, domestic violence, substance abuse, mental illness, parental separation, parental incarceration and emotional neglect. Instances of sexual abuse were too few to be reported. Emotional abuse and physical neglect could not be gathered. Around two-thirds of children had experienced one or more ACE, with 10% experiencing three or more in their lifetime. Higher ACE scores were associated with being male, having a young mother, low income and urban areas.ConclusionsUsing prospective data, the majority of children born in 2004/2005 in Scotland experienced at least one ACE by age 8, although three ACEs could not be assessed in this cohort. ACEs were highly correlated with socioeconomic disadvantage in the first year of life.

scholarly journals Stressful Experiences, Connection, and Depressive Symptoms Among Taiwanese Han and Indigenous Youth

2021 ◽  
Vol 12 ◽  
Author(s):  
Pei-Jung Yang
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Indigenous People ◽  
Family Relationships ◽  
Latent Class ◽  
Stressful Events ◽  
Protective Function ◽  
Depressive Symptomology ◽  
School Connection ◽  
Stressful Experiences

This study examined Taiwanese Han and indigenous (Tayal) youth’s experiences of stressful life events, the association between stressful experiences and depressive symptomology, and also the indirect and interactive effects of connection on the relationship between stressful experiences and depressive symptomology. Taiwanese Han (97%) is the majority group, whereas indigenous people make up 2.3% of Taiwan’s population. Taiwanese indigenous people have experienced disparities across socio-historical, educational, and economic aspects of their lives. This study included 291 eighth-grade participants (40% from the Tayal tribe, 48.8% female, and Mage = 13.44). The Han sample in this study all lived in cities, and the Tayal sample all lived in the tribal areas of the Northern Taiwan mountain regions. Person-centered (latent class analyses) and cumulative (sum of items) approaches were used to investigate family and school stressful events, respectively. Hierarchical regression analyses were conducted separately for the Han and Tayal participants to examine the role of family and school connection in relation to family and school stressors and depressive symptomology. Our results showed that stressful experiences are clearly linked to depressive symptomology and family connection was important to both Tayal and Han youth in supporting their coping with depressive symptoms. However, Tayal youth might be particularly vulnerable to family stressful events because family stressors disrupted their connection with their parents and thereby minimized the protective function of family relationships. To decrease the likely onset of depression during early adolescence, our results suggest that it is important for parents and other family members to monitor adolescents’ daily experiences of stress and provide support when needed. Furthermore, mental health interventions need to be tailored specifically for youth in specific racial, social, and economic contexts. Tayal youth mental health might benefit particularly from increasing school connection and decreasing stresses experienced in family contexts. Implications, limitations, and recommendations for future research are discussed.

scholarly journals Adverse childhood experiences leads to perceived negative attitude of others and the effect of adverse childhood experiences on depression in adulthood is mediated via negative attitude of others

2018 ◽  
Vol 54 ◽  
pp. 27-34 ◽  
Author(s):  
Raimo K.R. Salokangas ◽  
Tiina From ◽  
Sinikka Luutonen ◽  
Jarmo Hietala
Keyword(s):  
Depressive Symptoms ◽  
Adverse Childhood Experiences ◽  
Emotional Abuse ◽  
Negative Attitude ◽  
Self Report ◽  
Mediation Effect ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Physical Neglect ◽  
Distress Scale

AbstractBackground:The attachment theory suggests that adverse childhood experiences (ACEs) can have an effect on how individuals perceive other people's attitude towards them. ACEs have also been associated with adult depression. We hypothesised that ACEs associate with perceived negative attitude of others (AoO) and depressive symptoms (DEPS), and that these associations differ between the genders.Methods:Altogether, 692 participants drawn from the general population completed the Trauma and Distress Scale, as a measurement of ACE and its domains: emotional abuse (EmoAb), physical abuse (PhyAb), sexual abuse (SexAb), emotional neglect (EmoNeg) and physical neglect (PhyNeg); a visual analog scale with the question: “What kind of attitude do other people take towards you?”, and the self-report scale DEPS on depressive symptoms.Results:ACEs, AoO and DEPS correlated strongly with each other. In path analyses, ACE total and all its domains associated directly and indirectly, via DEPS, to negative AoO in the whole sample, and in females separately. ACE total, EmoAb, PhyAb, EmoNeg and PhyNeg associated directly and indirectly, via AoO, to DEPS in the whole sample and in both genders separately. EmoNeg, in all, and EmoAB, in males, had specific associations both with negative AoO and DEPS. Mediation effect via AoO was greater than via DEPS.Conclusions:ACEs have a direct and indirect, via depression, negative effect on how adult individuals perceive other people's attitude towards themselves. Additionally, negative AoO mediates the effects of ACEs on depression. Childhood EmoNeg associates specifically with negative AoO and DEPS in adulthood.

Maternal adverse childhood experiences and postpartum depressive symptoms in young, low-income women

2021 ◽  
Vol 296 ◽  
pp. 113679
Author(s):  
Sunny H. Shin ◽  
Gabriela Ksinan Jiskrova ◽  
Tiffany Kimbrough ◽  
Karen Tabb Dina ◽  
Elizabeth Overall Lee ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Low Income ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Postpartum Depressive Symptoms ◽  
Adverse Childhood ◽  
Low Income Women

scholarly journals Profile Groups Based on Lifestyle and Differences in Mental Health and Cognition

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 404-404
Author(s):  
Joseph Kim ◽  
Kyuree Kim
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Latent Class ◽  
Mail Survey ◽  
Later Life ◽  
Self Rated Health ◽  
Final Sample ◽  
Group 2 ◽  
Mean Differences

Abstract The purpose of this study was to identify the profiles of older adults according to lifestyle. Data for the study were from the 2017 Consumption and Activities Mail Survey (CAMS). CAMS 2017 is a questionnaire mailed to a sub-sample of respondents from the Health and Retirement Study. Participants were limited to older adults 65 and older, and the final sample consisted of 1136 older adults. The sample included 443 men and 693 women. Caucasians comprised 82.0% of the participants. Lifestyle was measured through items assessing the amount of time spent on activities. Due to high skewness, the items were dichotomized, 0=no time spent on activity and 1=time spent on the activity. Latent class analysis (LCA) was performed to identify groups based on lifestyle. LCA is a person-centered approach for identifying unobserved subgroups based on similarity in responses to items. Three lifestyle groups were identified. Group 1 was “Outgoing” with 471 individuals. Group 2 was “Adequate” with 229 individuals. Group 3 was “Inactive” with 436 individuals. An ANOVA was then conducted to assess mean differences in self-rated health, cognition, depressive symptoms, and loneliness for the three lifestyle groups. The “Outgoing” and “Adequate” groups had significantly higher scores on self-rated health and cognition, and in addition, significantly lower scores on depressive symptoms and loneliness compared to the “Inactive” group. No significant differences were observed between the “Outgoing” and “Adequate” groups. An implication from this study is the importance of maintaining an active lifestyle in later life for better mental health and cognition.

scholarly journals Identifying classes of the pain, fatigue, and depression symptom cluster in long-term prostate cancer survivors—results from the multi-regional Prostate Cancer Survivorship Study in Switzerland (PROCAS)

2021 ◽  
Author(s):  
Salome Adam ◽  
Melissa S. Y. Thong ◽  
Eva Martin-Diener ◽  
Bertrand Camey ◽  
Céline Egger Hayoz ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Depressive Symptoms ◽  
Cancer Survivorship ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Symptom Cluster ◽  
Depression Symptom ◽  
Class 1 ◽  
Eortc Qlq

Abstract Purpose Aside from urological and sexual problems, long-term (≥5 years after initial diagnosis) prostate cancer (PC) survivors might suffer from pain, fatigue, and depression. These concurrent symptoms can form a cluster. In this study, we aimed to investigate classes of this symptom cluster in long-term PC survivors, to classify PC survivors accordingly, and to explore associations between classes of this cluster and health-related quality of life (HRQoL). Methods Six hundred fifty-three stage T1-T3N0M0 survivors were identified from the Prostate Cancer Survivorship in Switzerland (PROCAS) study. Fatigue was assessed with the EORTC QLQ-FA12, depressive symptoms with the MHI-5, and pain with the EORTC QLQ-C30 questionnaire. Latent class analysis was used to derive cluster classes. Factors associated with the derived classes were determined using multinomial logistic regression analysis. Results Three classes were identified: class 1 (61.4%) – “low pain, low physical and emotional fatigue, moderate depressive symptoms”; class 2 (15.1%) – “low physical fatigue and pain, moderate emotional fatigue, high depressive symptoms”; class 3 (23.5%) – high scores for all symptoms. Survivors in classes 2 and 3 were more likely to be physically inactive, report a history of depression or some other specific comorbidity, be treated with radiation therapy, and have worse HRQoL outcomes compared to class 1. Conclusion Three distinct classes of the pain, fatigue, and depression cluster were identified, which are associated with treatment, comorbidities, lifestyle factors, and HRQoL outcomes. Improving classification of PC survivors according to severity of multiple symptoms could assist in developing interventions tailored to survivors’ needs.

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