Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality

Background: Coronavirus-2019 (COVID-19) has been coexisting with humans for almost 2 years, consistently impacting people's daily life, medical environment, and mental health. This study aimed to test the series mediation model triggered by childhood trauma, in which perceived psychological impact of COVID-19 pandemic and sleep quality mediated the path sequentially and led to adverse mental health outcomes.Methods: A cross-sectional design involving 817 participants were enrolled via WeChat online survey. Participants completed questionnaires, including demographic features, the Childhood Trauma Questionnaire, Impact of Event Scale-Revised (IES-R) questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and Depression, Anxiety, and Stress Scale (DASS-21). Pearson correlations and hierarchical multiple linear regression were employed to examine the association of childhood trauma and psychological stress of COVID-19, sleep quality, and mental health status. In addition, a series mediate analysis was carried out to examine sequence mediating effects of psychological impact of COVID-19 and sleep quality between childhood trauma and mental health status.Results: The results showed that childhood trauma is positively and significantly related to psychological distress of COVID-19 pandemic, sleep quality, and mental health status (p < 0.05). Hierarchical multiple linear regression analysis shown that demographic features explained 4.4, 2.1, and 4.0% of the total variance in DASS-21, IES-R, and PSQI total scale scores, respectively. Adding childhood trauma significantly increased the model variance of DASS-21 (ΔR2 = 0.129, F = 126.092, p = 0.000), IES-R (ΔR2 = 0.062, F = 54.771, p = 0.000), and PSQI total scale scores (ΔR2 = 0.055, F = 48.733, p = 0.000), respectively. Moreover, the series mediation model showed that the perceived impact of the COVID-19 pandemic and sleep quality were sequential mediators between childhood trauma and mental health status (proportion explained: 49.17%, p < 0.05).Conclusion: Amid the ravages of COVID-19, childhood trauma predicts poor mental health status, in part because of greater psychological impact related to COVID-19 and poorer global sleep quality. In order to improve mental health, future researchers should pay more attention to individuals with childhood trauma, for its association with greater stress related to life events and poorer sleep quality.

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Cultural Predictors of Physical and Mental Health Status among Mexican American Women: A Mediation Model

American Journal of Community Psychology ◽

10.1007/s10464-008-9221-9 ◽

2009 ◽

Vol 43 (1-2) ◽

pp. 35-48 ◽

Cited By ~ 10

Author(s):

Khanh T. Dinh ◽

Felipe González Castro ◽

Jenn-Yun Tein ◽

Su Yeong Kim

Keyword(s):

Mental Health ◽

Health Status ◽

Mexican American ◽

Mental Health Status ◽

Mexican American Women ◽

Mediation Model ◽

Physical And Mental Health ◽

American Women ◽

Cultural Predictors

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Mothers of children and adolescents with intellectual disability: social and economic situation, mental health status, and the self-assessed social and psychological impact of the child's difficulties

Journal of Intellectual Disability Research ◽

10.1046/j.1365-2788.2003.00498.x ◽

2003 ◽

Vol 47 (4-5) ◽

pp. 385-399 ◽

Cited By ~ 243

Author(s):

E. Emerson

Keyword(s):

Mental Health ◽

Intellectual Disability ◽

Health Status ◽

Children And Adolescents ◽

Psychological Impact ◽

Mental Health Status ◽

Economic Situation ◽

The Self

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Sleep quality, fatigue and mental health status among mild to severe COPD patients

10.1183/13993003.congress-2016.pa3738 ◽

2016 ◽

Author(s):

Islam Mejri Ep Ajili ◽

Zied Moatemri ◽

Selsabil Daboussi ◽

Samira Mhamdi ◽

Chiraz Aichaouia ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Sleep Quality ◽

Mental Health Status ◽

Copd Patients ◽

Severe Copd

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Self-reported physical and mental health status and quality of life in adolescents: a latent variable mediation model

Health and Quality of Life Outcomes ◽

10.1186/1477-7525-8-17 ◽

2010 ◽

Vol 8 (1) ◽

pp. 17 ◽

Cited By ~ 21

Author(s):

Richard Sawatzky ◽

Pamela A Ratner ◽

Joy L Johnson ◽

Jacek A Kopec ◽

Bruno D Zumbo

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Status ◽

Latent Variable ◽

Mental Health Status ◽

Mediation Model ◽

Physical And Mental Health

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Gender Differences in the Prevalence of Mental Health, Psychological Distress and Psychotropic Medication Consumption in Spain: A Nationwide Population-Based Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126350 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6350

Author(s):

Clara Maestre-Miquel ◽

Ana López-de-Andrés ◽

Zichen Ji ◽

Javier de Miguel-Diez ◽

Arturo Brocate ◽

...

Keyword(s):

Mental Health ◽

Gender Differences ◽

Psychological Distress ◽

Health Status ◽

Mental Disorders ◽

Psychotropic Drug ◽

Smoking Habit ◽

Mental Health Status ◽

Drug Consumption ◽

Self Rated Health

Background: To assess gender differences in the prevalence of self-reported mental disorders, psychological distress and psychotropic drug consumption, and to identify sociodemographic and health-related variables associated with these conditions in the male and female population (aged ≥ 18 years). Methods: A cross-sectional study was carried on 22,141 subjects aged 18 and over, using data from the Spanish National Health Interview Survey 2017. Results: We found an overall prevalence of mental disorders, psychological distress and psychotropic drug consumption of 13.8%, 18.3% and 13.9%, respectively. After multivariable adjustment, women showed significantly increased probabilities of 1.74-fold for mental disorders, 1.26-fold for psychological distress and 1.26-fold for psychotropic drug consumption compared to men. Variables such as gender, age, nationality, marital status, educational level, self-rated health, the presence of different chronic disorders, alcohol consumption and smoking habit were independently associated with mental disorders, psychological distress and psychotropic drug consumption. Several variables showed a differential effect on mental health status and psychotropic drug consumption according to gender. Conclusions: Women suffer from mental disorders, experience psychological distress and consume psychotropic drugs significantly more than men in Spain. Possible explanations for these results may be related to differences in emotional processing, willingness to report diseases and even intrinsic biological traits. Screening for mental health status and psychotropic drug consumption should be considered, particularly in Spanish women, younger adults and individuals who are not married, are obese, have poor self-rated health, suffer from chronic diseases or have a smoking habit.

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Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress

BMC Psychiatry ◽

10.1186/s12888-021-03087-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Zhengyue Jing ◽

Jie Li ◽

Pei Pei Fu ◽

Yi Wang ◽

Yemin Yuan ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Psychological Distress ◽

Health Status ◽

Suicidal Ideation ◽

Rural Elderly ◽

Mental Health Status ◽

Mediating Role ◽

Effect Of Pd

Abstract Background Previous studies have revealed that single physical chronic condition was associated with suicidal ideation/plans, but few studies have examined the relationship between multimorbidity and suicidal ideation/plans, and no studies have explored the underlying potential mechanism on this relationship in China. This study aimed to explore association between physical multimorbidity and suicidal ideation as well as plans, and further examine the mediating role of psychological distress (PD) on this relationship. Methods This study was based on the data from a survey about the health service of rural elderly household in Shandong, China. A total of 3242 adults aged 60 years and older were included in this study. PD was measured by Kessler Psychological Distress Scale (K10). Ordinal and binary logistic regression analyses were employed to explore the association between physical multimorbidity, PD and suicide ideation/plans. Bootstrapping analysis was further used to examine the mediation effect of PD on the association of multimorbidity and suicidal ideations/plans. Results The prevalence of multimorbidity, lifetime suicidal ideation, and suicidal plan in rural older adults was 35.2, 10.6 and 2.2%, respectively. Older adults living in rural areas with two or more chronic physical conditions experienced significantly higher risk of suicidal ideation and suicidal plans. The association between multimorbidity and suicidal ideations/plans was partially mediated by PD, of which, the mediating effect of PD accounted for 31.7 and 25.5% of the total effect, respectively. Conclusion This study demonstrated the associations between physical multimorbidity and suicidal ideation/plans, and the mediating role of PD on this relationship among Chinese rural elderly. Healthcare providers in rural community should provide regular surveillance for the mental health status among the rural elderly with multimorbidity, and carry out various effective intervention measures to improve the mental health status, so as to reduce the risk of suicide.

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