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Yang M, Sheng X, Ge M, Zhang L, Huang C, Cui S, Yuan Q, Ye M, Zhou R, Cao P, Peng R, Zhou X, Zhang K. Childhood trauma and psychological sub-health among Chinese adolescents: the mediating effect of Internet addiction. BMC Psychiatry 2022; 22:762. [PMID: 36471293 PMCID: PMC9721004 DOI: 10.1186/s12888-022-04384-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 11/11/2022] [Indexed: 12/09/2022] Open
Abstract
BACKGROUND The factors related to psychological sub-health (PSH) have been widely described, but the research on the mechanism behind the complex relationship between childhood trauma and PSH is limited. This study investigated the current situation and risk factors of PSH among Chinese adolescents. And further, explore whether Internet addiction (IA) plays a potential mediating effect in childhood trauma and PSH. METHODS The study was conducted in October 2020 in Anhui Province, China. The PSH state of 866 adolescents was investigated, including demographic information such as gender, age, and grade. Childhood trauma, IA, and PSH were measured by the Childhood Trauma Questionnaire Short Form (CTQ-SF), Young's Internet Addiction Test (IAT), and the Multidimensional Sub-health Questionnaire of Adolescents (MSQA). The mediating effect is further verified by the structural equation model (SEM). RESULTS In this study, 866 adolescents were selected as subjects, and the proportion of male and female is roughly equal. The prevalence of PSH in adolescents was 25.8%, and left-behind children, boarding, or adolescents who have had non-suicidal self-injury (NSSI) are more likely to have PSH. Through the mediation test, the direct effect of childhood trauma on PSH was 0.23 (95% CI [4.91,9.00],p <0.001), and the mediating effect of IA on childhood trauma and PSH was 0.07 (95% CI [1.42, 3.32],p <0.001). and the proportion of them is 75.14% and 24.86% respectively. CONCLUSIONS Childhood trauma has direct and indirect effects on PSH, and IA plays a mediating effect in the indirect effect. Therefore, clarifying these relationships helps formulate and implement effective interventions to improve psychological health (PH) in Chinese adolescents.
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Affiliation(s)
- Meng Yang
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Xuanlian Sheng
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Menglin Ge
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Ling Zhang
- grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Cui Huang
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Shu Cui
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Qiuyu Yuan
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Mengting Ye
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Ruochen Zhou
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Panpan Cao
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Ran Peng
- grid.186775.a0000 0000 9490 772XSchool of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032 Anhui China ,grid.186775.a0000 0000 9490 772XDepartment of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China ,grid.186775.a0000 0000 9490 772XAnhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006 Anhui China
| | - Xiaoqin Zhou
- School of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, China. .,Department of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006, Anhui, China. .,Anhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006, Anhui, China.
| | - Kai Zhang
- School of Mental Health and Psychological Sciences, Anhui Medical University, No. 81 Meishan Road, Hefei, 230032, Anhui, China. .,Department of Psychiatry, Chaohu Hospital, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006, Anhui, China. .,Anhui Psychiatric Center, Anhui Medical University, No. 64 Chaohubei Road, Hefei, 238006, Anhui, China.
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Wang WL, Hung HY, Chung CH, Hsu JW, Huang KL, Chan YY, Chien WC, Chen MH. Risk of Personality disorders among childhood maltreatment victims: A nation-wide population-based study in Taiwan. J Affect Disord 2022; 305:28-36. [PMID: 34965397 DOI: 10.1016/j.jad.2021.12.109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 12/21/2021] [Accepted: 12/24/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND To date, numerous cohort studies and meta-analyses have shown that childhood maltreatment is associated with a wide range of adverse physiological and psychological symptoms. Although childhood maltreatment has been linked to an increased risk of personality disorders, the direction and magnitude of the association remain uncertain. Therefore, this cohort study aimed to evaluate whether children who have suffered childhood maltreatment have a higher incidence of subsequent personality disorders, using a nationwide database in Taiwan. METHODS We conducted a large retrospective cohort study using data drawn from Taiwan's National Health Insurance Research Database between 2000 and 2015. A total of 10,345 children who experienced childhood maltreatment were identified using International Classification of Disease codes. They were then compared with 41,380 children who never experienced childhood maltreatment in terms of the prevalence rates of personality disorders. RESULTS Childhood maltreatment was associated with an increased risk of personality disorders (considering the control as reference: adjusted hazard ratio, 2.12; 95% confidence interval, 1.90-2.36; p < 0.001). The Kaplan-Meier analysis revealed a significantly higher 15-year cumulative incidence of personality disorders among childhood maltreatment victims than among controls (log-rank test, p < 0.001). CONCLUSIONS The present population-based study showed a positive association between prior childhood maltreatment and subsequent personality disorders in the general Taiwanese population. In order to reduce the risk of personality disorders, interventions should be implemented, identifying and supporting economically disadvantaged families and vulnerable children as early as possible.
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Affiliation(s)
- Wei-Li Wang
- Department of Psychiatry, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan; Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei 11217, Taiwan; Master of Public Health Degree Program, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Hao-Yuan Hung
- Department of Pharmacology, National Defense Medical Center, Taipei, Taiwan; Department of Pharmacy Practice, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; National Defense Medical Center, Graduate Institute of Medical Sciences, Taipei, Taiwan
| | - Chi-Hsiang Chung
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, 325, Chung-Gung Rd, Sec 2, Nei-Hu District 114, Taipei, Taiwan; School of Public Health, National Defense Medical Center, Taipei, Taiwan
| | - Ju-Wei Hsu
- Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei 11217, Taiwan; Division of Psychiatry, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Kai-Lin Huang
- Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei 11217, Taiwan; Division of Psychiatry, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Yuan-Yu Chan
- Department of Psychiatry, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan; Department of Psychology, Chung Yuan Christian University, Taoyuan, Taiwan
| | - Wu-Chien Chien
- Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, 325, Chung-Gung Rd, Sec 2, Nei-Hu District 114, Taipei, Taiwan; School of Public Health, National Defense Medical Center, Taipei, Taiwan; National Defense Medical Center, Graduate Institute of Life Sciences, Taipei, Taiwan.
| | - Mu-Hong Chen
- Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei 11217, Taiwan; Division of Psychiatry, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
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Berenz EC, Amstadter AB, Aggen SH, Knudsen GP, Reichborn-Kjennerud T, Gardner CO, Kendler KS. Childhood trauma and personality disorder criterion counts: a co-twin control analysis. JOURNAL OF ABNORMAL PSYCHOLOGY 2014; 122:1070-6. [PMID: 24364608 DOI: 10.1037/a0034238] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Correlational studies consistently report relationships between childhood trauma (CT) and most personality disorder (PD) criteria and diagnoses. However, it is not clear whether CT is directly related to PDs or whether common familial factors (i.e., shared environment and/or genetic factors) better account for that relationship. The current study used a cotwin control design to examine support for a direct effect of CT on PD criterion counts. Participants were from the Norwegian Twin Registry (N = 2,780), including a subset (n = 898) of twin pairs (449 pairs, 45% monozygotic [MZ]) discordant for CT meeting DSM-IV Posttraumatic Stress Disorder Criterion A. All participants completed the Norwegian version of the Structured Interview for DSM-IV Personality. Significant associations between CT and all PD criterion counts were detected in the general sample; however, the magnitude of observed effects was small, with CT accounting for no more than approximately 1% of variance in PD criterion counts. A significant, yet modest, interactive effect was detected for sex and CT on Schizoid and Schizotypal PD criterion counts, with CT being related to these disorders among women but not men. After common familial factors were accounted for in the discordant twin sample, CT was significantly related to Borderline and Antisocial PD criterion counts, but no other disorders; however, the magnitude of observed effects was quite modest (r2 = .006 for both outcomes), indicating that the small effect observed in the full sample is likely better accounted for by common genetic and/or environmental factors. CT does not appear to be a key factor in PD etiology.
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Affiliation(s)
- Erin C Berenz
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics
| | - Ananda B Amstadter
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics
| | - Steven H Aggen
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics
| | | | | | - Charles O Gardner
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics
| | - Kenneth S Kendler
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics
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Zhang T, Chow A, Wang L, Dai Y, Xiao Z. Role of childhood traumatic experience in personality disorders in China. Compr Psychiatry 2012; 53:829-36. [PMID: 22172919 PMCID: PMC4159500 DOI: 10.1016/j.comppsych.2011.10.004] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2011] [Revised: 10/02/2011] [Accepted: 10/03/2011] [Indexed: 10/14/2022] Open
Abstract
BACKGROUND There has been no large-scale examination of the association between types of childhood abuse and personality disorders (PDs) in China using standardized assessment tools and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. Hence, this study aimed to explore the relationship between retrospective reports of various types of childhood maltreatments and current DSM-IV PDs in a clinical population in China, Shanghai. METHOD One thousand four hundred two subjects were randomly sampled from the Shanghai Psychological Counselling Centre. PDs were assessed using the Personality Diagnostic Questionnaire, Fourth Edition Plus. Participants were also interviewed using the Structured Clinical Interview for DSM-IV axis II. The Child Trauma Questionnaire (CTQ) was used to assess childhood maltreatment in 5 domains (emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect). RESULTS According to Pearson correlations, childhood maltreatment had a strong association with most PDs. Subsequently, using partial correlations, significant relationships were also demonstrated between cluster B PDs and all the traumatic factors except physical neglect. A strongest positive correlation was found between cluster B PD and CTQ total scores (r = .312, P < .01). Using the Kruskal-Wallis rank sum test, significant differences in 4 groups of subjects (clusters A, B, and C PD and non-PD) in terms of emotional abuse (χ(2) = 34.864, P < .01), physical abuse (χ(2) = 14.996, P < .05), sex abuse (χ(2) = 9.211, P < .05), and emotional neglect (χ(2) = 17.987, P < .01) were found. Stepwise regression analysis indicated that emotional abuse and emotional neglect were predictive for clusters A and B PD, and sexual abuse was highly predictive for cluster B PD; only emotional neglect was predictive for cluster C PD. CONCLUSION Early traumatic experiences are strongly related to the development of PDs. The effects of childhood maltreatment in the 3 clusters of PDs are different. Childhood trauma has the most significant impact on cluster B PD.
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Affiliation(s)
- TianHong Zhang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, PR China
| | - Annabelle Chow
- Deakin University, School of Psychology, Melbourne, Australia
| | - LanLan Wang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, PR China
| | - YunFei Dai
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, PR China
| | - ZePing Xiao
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, PR China,Corresponding author. ZePing Xiao, MD, PhD, Shanghai Mental Health Center, 600 South Wanping Road, Shanghai 200030, PR China. Tel: +86-21-34289888 Ext.3007, Fax: +86-21-64387986, ,
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