Skip to main content
Top

16-01-2024 | Mood Disorders | Original Paper

Pathway from childhood trauma to nonsuicidal self-injury in adolescents with major depressive disorder: the chain-mediated role of psychological resilience and depressive severity

Authors: Xiaojuan Weng, Ruru Tang, Lixian Chen, Xiaorong Weng, Dandan Wang, Zenan Wu, Lingfang Yu, Xinyu Fang, Chen Zhang

Published in: European Archives of Psychiatry and Clinical Neuroscience

Login to get access

Abstract

This study aimed to explore the pathway from childhood trauma to nonsuicidal self-injury (NSSI) in adolescents with major depressive disorder (MDD) and to examine the chain-mediating role of psychological resilience and depressive symptoms in this pathway. A total of 391 adolescents with MDD were recruited in the present study. The Chinese version of the Childhood Trauma Questionnaire—Short Form (CTQ-SF), the Chinese version of the Symptoms Check List-90 (SCL-90), the Chinese version of the Conner-Davidson Resilience Scale (CD-RISC), and the Ottawa Self-Injury Inventory Chinese Revised Edition (OSIC) were used to evaluate childhood trauma, depressive symptoms, psychological resilience and NSSI, respectively. Our results showed that 60.87% of adolescents with MDD had NSSI in the past month. Childhood trauma frequency was negatively correlated with psychological resilience but positively correlated with depressive symptoms and NSSI severity in adolescents with MDD. The stepwise logistic regression analysis identified that age, childhood trauma and depressive symptoms could independently predict the occurrence of NSSI, and the three-step hierarchical regression showed that childhood trauma, psychological resilience and depressive symptoms were all significantly associated with NSSI frequency in adolescents with MDD. Furthermore, the chain-mediation analysis revealed that psychological resilience and depression serially mediated the relationship between childhood trauma and NSSI in adolescents with MDD. Interventions targeted at improving resilience and depression may mitigate the impact of childhood trauma severity on NSSI risk in adolescents with MDD.
Literature
5.
go back to reference Qian H, Shu C, Feng L, Xiang J, Guo Y, Wang G (2022) Childhood maltreatment, stressful life events, cognitive emotion regulation strategies, and non-suicidal self-injury in adolescents and young adults with first-episode depressive disorder: direct and indirect pathways. Front Psych 13:838693. https://doi.org/10.3389/fpsyt.2022.838693CrossRef Qian H, Shu C, Feng L, Xiang J, Guo Y, Wang G (2022) Childhood maltreatment, stressful life events, cognitive emotion regulation strategies, and non-suicidal self-injury in adolescents and young adults with first-episode depressive disorder: direct and indirect pathways. Front Psych 13:838693. https://​doi.​org/​10.​3389/​fpsyt.​2022.​838693CrossRef
11.
25.
go back to reference Yu X, Zhang JJSB (2007) Factor analysis and psychometric evaluation of the Connor–Davidson Resilience Scale (CD-RISC) with Chinese people. Soc Behav Pers 35:19–30CrossRef Yu X, Zhang JJSB (2007) Factor analysis and psychometric evaluation of the Connor–Davidson Resilience Scale (CD-RISC) with Chinese people. Soc Behav Pers 35:19–30CrossRef
43.
go back to reference Kalisch R, Baker DG, Basten U, Boks MP, Bonanno GA, Brummelman E, Chmitorz A, Fernàndez G, Fiebach CJ, Galatzer-Levy I, Geuze E, Groppa S, Helmreich I, Hendler T, Hermans EJ, Jovanovic T, Kubiak T, Lieb K, Lutz B, Müller MB, Murray RJ, Nievergelt CM, Reif A, Roelofs K, Rutten BPF, Sander D, Schick A, Tüscher O, Diest IV, Harmelen AV, Veer IM, Vermetten E, Vinkers CH, Wager TD, Walter H, Wessa M, Wibral M, Kleim B (2017) The resilience framework as a strategy to combat stress-related disorders. Nat Hum Behav 1:784–790. https://doi.org/10.1038/s41562-017-0200-8CrossRefPubMed Kalisch R, Baker DG, Basten U, Boks MP, Bonanno GA, Brummelman E, Chmitorz A, Fernàndez G, Fiebach CJ, Galatzer-Levy I, Geuze E, Groppa S, Helmreich I, Hendler T, Hermans EJ, Jovanovic T, Kubiak T, Lieb K, Lutz B, Müller MB, Murray RJ, Nievergelt CM, Reif A, Roelofs K, Rutten BPF, Sander D, Schick A, Tüscher O, Diest IV, Harmelen AV, Veer IM, Vermetten E, Vinkers CH, Wager TD, Walter H, Wessa M, Wibral M, Kleim B (2017) The resilience framework as a strategy to combat stress-related disorders. Nat Hum Behav 1:784–790. https://​doi.​org/​10.​1038/​s41562-017-0200-8CrossRefPubMed
Metadata
Title
Pathway from childhood trauma to nonsuicidal self-injury in adolescents with major depressive disorder: the chain-mediated role of psychological resilience and depressive severity
Authors
Xiaojuan Weng
Ruru Tang
Lixian Chen
Xiaorong Weng
Dandan Wang
Zenan Wu
Lingfang Yu
Xinyu Fang
Chen Zhang
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Psychiatry and Clinical Neuroscience
Print ISSN: 0940-1334
Electronic ISSN: 1433-8491
DOI
https://doi.org/10.1007/s00406-023-01746-z