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Journal Article

Citation

Schierholz A, Krüger A, Barenbrügge J, Ehring T. Eur. J. Psychotraumatol. 2016; 7: 32652.

Affiliation

Department of Psychology, LMU Munich, Munich, Germany; thomas.ehring@lmu.de.

Copyright

(Copyright © 2016, The Author(s), Publisher Co-action Publishing)

DOI

unavailable

PMID

27790969

Abstract

BACKGROUND: Childhood maltreatment (CM) has been shown to be related to a severe and/or chronic course of depression. This study investigated which psychological processes mediate this relationship.

METHOD: A large sample of acute or recovered depressed individuals (N=340) participated in an online survey assessing characteristics of depression, trauma exposure, and potential mediators (emotion regulation difficulties, attributional style, and attachment).

RESULTS: The experience of CM was related to more severe depression and more depressive episodes. In multiple mediation models, emotion dysregulation, a depressogenic attributional style, and avoidance in close relationships conjointly mediated the relationship between CM and depression severity as well as number of depressive episodes. However, a significant direct path between CM and depression characteristics remained. Exploratory analyses suggested that posttraumatic stress disorder symptom severity was an important additional mediator in our sample.

CONCLUSIONS: Our findings provide preliminary evidence for psychological mediators between CM and depression that may be promising targets for interventions tailored for the treatment of depression in this subgroup.


Language: en

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