The mediating role of coping style between childhood trauma and depression severity in patients with depression
Objective To explore the effects of childhood trauma and its subtypes on the severity of depression in patients with depression,and the mediating role of coping style.Methods The self-adminis-tered general information questionnaire,Hamilton depression scale(HAMD),the Chinese version of child-hood trauma questionnaire,and trait coping style questionnaire were used to survey 87 patients with depres-sion from October 2020 to August 2022.SPSS 26.0 was used for descriptive and correlation analyses,AMOS 24.0 statistical software was used for structural equation modelling,PROCESS 4.1 macro program was used for mediating effect analysis,and Bootstrap method was used for mediating effect testing.Results(1)The HAMD score of depressed patients was(33.32±8.18),the total childhood trauma score was(40(34,52)),with the subscale scores of emotional abuse(8(6,12)),physical abuse(5(5,6)),sexual abuse(5(5,6)),emotional neglect(12(9,17)),physical neglect(8(6,10)),respectively.The score of positive coping style was(25(19,31)),and negative coping style was(35(30,37)).The HAMD score was positively cor-related with emotional abuse,emotional neglect,physical neglect,total childhood trauma score,and negative coping style(r=0.31-0.56,all P＜0.01),and negatively correlated with positive coping style(r=-0.35,P＜0.01).(2)Positive coping style had no mediating effect between childhood trauma,emotional abuse,affec-tive neglect subtypes and the severity of depression.The negative coping style played partial mediating roles between childhood trauma,emotional abuse,emotional neglect subtypes and the severity of depression,ac-counting for 23.24％(0.135/0.581),33.94％(0.299/0.881)and 23.62％(0.227/0.961)of the total effect,respectively.Conclusion Childhood trauma and its subtypes of emotional abuse and emotional neg-lect can not only directly but also indirectly through negative coping styles affect the severity of depression in depressed patients.
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