Study on the impact of childhood traumatic experiences on maternal depression
Objective To explore the impact of childhood traumatic experiences on maternal depression and examine the potential mediating factors to provide new insights into the prevention and treatment of maternal depression.Methods This study adopted a three-stage sampling method from October 2021 to April 2022 to select 907 pregnant women from 8 cities in Gansu Province as research subjects.Data were collected through questionnaire surveys.Maternal depression was assessed by the Edinburgh Postnatal Depression Scale(EPDS).Rumination levels were evaluated by the Rumination Response Scale(RRS).Women's childhood trauma experiences was assessed by the Childhood Trauma Questionnaire(CTQ).Spearman correlation analysis was used to examine the correlation between childhood trauma and depressive symptoms in pregnant women and the SPSS 22.0 Process plugin was used to analyze the mediating effect of rumination levels in the relationship between childhood trauma experiences and maternal depression.Results The results of Spearman correlation analysis showed that maternal depression were positively correlated with childhood trauma and rumination levels(r values were 0.315 and 0.707,respectively,P<0.001),and the childhood trauma was positively correlated with rumination levels(r=0.379,P<0.001).Childhood trauma has a significant predictive effect on maternal depression and rumination levels(β values were 0.131 and 0.362,respectively,P<0.001).After including rumination levels as a mediating variable in the model,the direct predictive effect of childhood trauma on maternal depression became non-significant(β=0.005,P>0.05),while the predictive effect of rumination levels on maternal depression remained significant(β=0.347,P<0.001).Conclusion Female childhood traumatic experiences may increase the occurrence of maternal depression by elevating rumination levels.Therefore,pregnant women with a history of childhood trauma should be assessed for their rumination levels,and timely and comprehensive interventions should be provided to prevent the occurrence of perinatal depression,thereby improving the quality of life of maternal women.