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 relati...
| Publicado en: | Counselling & Psychotherapy Research Vol. 25; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183991348&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183991348 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14733145 TFX jtl: Counselling & Psychotherapy Research issn: 14733145 maglogo: Y pubinfo: dt: Mar2025 vid: 25 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 183991348 183991348 183991348 10.1002/capr.12866 183991348 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Childhood maltreatment and depression in adult patients: The mediator role of personality functioning. aug: au: Vaccarezza, Stephanie Opazo, Sebastián Mundt, Adrian P. Cortázar, Alejandra Errázuriz, Paula affil: Doctoral Program in Psychotherapy, Pontificia Universidad Católica de Chile and Universidad de Chile, Santiago, Chile sug: subj: Child Abuse Psychosocial Factors Depression Anxiety Comorbidity Personality Assessment Personality Disorders Risk Factors Risk Assessment Human Male Female Adult Chile Ambulatory Care Facilities Chile Cross Sectional Studies Multicenter Studies Self Report Questionnaires Emotional Abuse Sex Factors Interpersonal Relations Evaluation Personality Funding Source Adult: 19-44 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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