To what extent do social support and coping strategies mediate the relation between childhood maltreatment and major depressive disorder : A longitudinal community-based cohort

This study aimed to articulate the roles of social support and coping strategies in the relation between childhood maltreatment (CM) and subsequent major depressive disorder (MDD) with a comprehensive exploration of potential factors in a longitudinal community-based cohort. Parallel and serial mediation analyses were applied to estimate the direct effect (DE) (from CM to MDD) and indirect effects (from CM to MDD through social support and coping strategies, simultaneously and sequentially). Sociodemographic characteristics and genetic predispositions of MDD were considered in the modeling process. A total of 902 participants were included in the analyses. CM was significantly associated with MDD (DE coefficient (β) = 0.015, 95% confidence interval (CI) = 0.002∼0.028). This relation was partially mediated by social support (indirect β = 0.004, 95% CI = 0.0001∼0.008) and negative coping (indirect β = 0.013, 95% CI = 0.008∼0.020), respectively. Social support, positive coping, and negative coping also influenced each other and collectively mediated the association between CM and MDD. This study provides robust evidence that although CM has a detrimental effect on later-on MDD, social support and coping strategies could be viable solutions to minimize the risk of MDD. Intervention and prevention programs should primarily focus on weakening negative coping strategies, then strengthening social support and positive coping strategies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Development and psychopathology - 36(2024), 1 vom: 26. Feb., Seite 50-61

Sprache:

Englisch

Beteiligte Personen:

Li, Muzi [VerfasserIn]
O'Donnell, Kieran J [VerfasserIn]
Caron, Jean [VerfasserIn]
Meaney, Michael J [VerfasserIn]
Kobor, Michael [VerfasserIn]
D'Arcy, Carl [VerfasserIn]
Su, Yingying [VerfasserIn]
Liu, Aihua [VerfasserIn]
Meng, Xiangfei [VerfasserIn]

Links:

Volltext

Themen:

Childhood maltreatment
Coping strategies
Depression
Journal Article
Resilience
Social support

Anmerkungen:

Date Completed 20.02.2024

Date Revised 20.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1017/S0954579422000918

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346190398