@article{ref1,
title="Co-occurring childhood maltreatment exposure and depressive symptoms in adulthood: testing differential effects of stress dysregulation and perceived stress",
journal="Aging and mental health",
year="2019",
author="Mishra, Aura Ankita and Marceau, Kristine",
volume="ePub",
number="ePub",
pages="1-10",
abstract="<b>Objectives:</b> Objectives were to explore: 1) the association between sub-groups with different multi-type childhood maltreatment exposures and depressive symptoms in late adulthood, and 2) the mediating effects of dysregulated physiological stress system function and perceived stress in midlife on the aforementioned associations. <b>Methods:</b> Data come from the Biomarker project (<i>n</i> = 1,053) of the Midlife Development in the United States study. Latent profile analysis was used to identify sub-groups with differing childhood maltreatment type and chronicity. We then test our mediation hypothesis using a product of coefficients method procedure. <b>Results:</b> Two vulnerable sub-groups were identified (Class 2: Emotional and physical maltreatment class, n = 52, and Class 3: Sexual abuse class, n = 79) along with a normative sub-group (Class 1: Normative class, n = 922) comprising of a majority of adults. Both vulnerable sub-groups had higher levels of perceived stress in late adulthood. Perceived stress mediated the association between both vulnerable sub-groups and depressive symptoms. Physiological stress dysregulation mediated the association only between the emotional and physical maltreatment class and depressive symptoms in late adulthood. <b>Conclusion:</b> Therapeutic approaches targeted at prevention of perceived stress for both vulnerable sub-groups identified in this study and those targeting physiological dysregulation in addition for the emotional and physical maltreatment class could be critical for depressive symptom recovery.<p /> <p>Language: en</p>",
language="en",
issn="1360-7863",
doi="10.1080/13607863.2019.1619166",
url="http://dx.doi.org/10.1080/13607863.2019.1619166"
}