Stephanie Vaccarezza, Sebastián Opazo, Adrian P. Mundt, Alejandra Cortázar, Paula Errázuriz
{"title":"儿童虐待与成人抑郁症：人格功能的中介作用","authors":"Stephanie Vaccarezza, Sebastián Opazo, Adrian P. Mundt, Alejandra Cortázar, Paula Errázuriz","doi":"10.1002/capr.12866","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Childhood maltreatment and depression in adult patients: The mediator role of personality functioning\",\"authors\":\"Stephanie Vaccarezza, Sebastián Opazo, Adrian P. Mundt, Alejandra Cortázar, Paula Errázuriz\",\"doi\":\"10.1002/capr.12866\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.</p>\\n </section>\\n </div>\",\"PeriodicalId\":46997,\"journal\":{\"name\":\"Counselling & Psychotherapy Research\",\"volume\":\"25 1\",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-12-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Counselling & Psychotherapy Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/capr.12866\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.12866","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Childhood maltreatment and depression in adult patients: The mediator role of personality functioning
Background
Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.
Methods
This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.
Results
Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.
Conclusions
Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.
期刊介绍：
Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.
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