The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes
Background: Insomnia is a common problem among patients with major depressive disorder (MDD). According to previous studies, the development and severity of Insomnia are influenced by childhood trauma experience. Furthermore, negative life events and dysfunctional attitudes may also mediate the impa...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-04-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X23000056 |
| _version_ | 1811161886495866880 |
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| author | Ting Sun Lili Zhang Yan Liu Shuqin Wu Bing Xiang Yang Jing Fang Liu Ting Fang Xuan Gong Si Chen Zhou Dan Luo Zhongchun Liu Zhongxiang Cai |
| author_facet | Ting Sun Lili Zhang Yan Liu Shuqin Wu Bing Xiang Yang Jing Fang Liu Ting Fang Xuan Gong Si Chen Zhou Dan Luo Zhongchun Liu Zhongxiang Cai |
| author_sort | Ting Sun |
| collection | DOAJ |
| description | Background: Insomnia is a common problem among patients with major depressive disorder (MDD). According to previous studies, the development and severity of Insomnia are influenced by childhood trauma experience. Furthermore, negative life events and dysfunctional attitudes may also mediate the impact. So, this study aimed to examine the association between childhood trauma, negative life events, dysfunctional attitudes and insomnia and investigate how negative life events and dysfunctional attitudes mediate the relationship between childhood trauma and insomnia in MDD. Method: This cross-sectional study recruited 621 college students with MDD. The Childhood Trauma Questionnaire (CTQ), Life Event Scale (LES), Dysfunctional Attitude Scale (DAS), Insomnia Severity Index (ISI), and Hamilton Depression Scale-17 (HAMD-17) were used to assess participants' psychosocial factors. Descriptive analysis, Chi-square test, t-test, Pearson correlations, and serial mediation analyses were used in data analysis. In order to eliminate the influence of the severity of depression symptoms, severity of depression symptoms was used as a control variable in this study. Results: There were 166 (26.7%) participants having clinical insomnia (ISI score > 14). After controlling for the effect of severity of depression symptoms, results of serial mediation analyses determined that childhood trauma has a direct (Estimate = 0.109, 95%CI: 0.023,0.190) and indirect (Estimate = 0.090, 95%CI: 0.054,0.137) impact to insomnia. The indirect impact of childhood trauma on insomnia through the pathways of negative life events alone (Estimate = 0.050, 95%CI: 0.024,0.093), dysfunctional attitudes alone (Estimate = 0.027, 95%CI: 0.008,0.050), and negative life events to dysfunctional attitudes (Estimate = 0.013, 95%CI: 0.006,0.024) were significant. Conclusions: This study demonstrates that screening for childhood trauma should be considered when treating insomnia in college students with MDD. Managing negative life events and dysfunctional attitudes may mitigate the negative impact of childhood trauma on insomnia in college students with MDD. |
| first_indexed | 2024-04-10T06:21:15Z |
| format | Article |
| id | doaj.art-04b9f2fe8b2e4852ba50bf5cab20182c |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-04-10T06:21:15Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-04b9f2fe8b2e4852ba50bf5cab20182c2023-03-02T04:58:39ZengElsevierComprehensive Psychiatry0010-440X2023-04-01122152368The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudesTing Sun0Lili Zhang1Yan Liu2Shuqin Wu3Bing Xiang Yang4Jing Fang Liu5Ting Fang6Xuan Gong7Si Chen Zhou8Dan Luo9Zhongchun Liu10Zhongxiang Cai11Renmin Hospital of Wuhan University, Wuhan, Hubei, China; Health Science Center, Yangtze University, Jingzhou, Hubei, ChinaDepartment of Nursing, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Nursing, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaThe Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, China; School of Nursing, Wuhan University, Wuhan, Hubei, China; Population and Health Research Center, Wuhan University, Wuhan, Hubei, ChinaDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDept. of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaSchool of Nursing, Wuhan University, Wuhan, Hubei, ChinaDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, China; School of Nursing, Wuhan University, Wuhan, Hubei, China; Population and Health Research Center, Wuhan University, Wuhan, Hubei, China; Correspondance to: D. Luo, School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang, Wuhan 430071, China.Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, Hubei, China; Correspondance to: Z. Liu, Department of Psychiatry, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, Wuchang, Wuhan 430060, China.Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, Hubei, China; Correspondance to: Z. Cai, Department of Nursing, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, Wuchang, Wuhan 430060, China.Background: Insomnia is a common problem among patients with major depressive disorder (MDD). According to previous studies, the development and severity of Insomnia are influenced by childhood trauma experience. Furthermore, negative life events and dysfunctional attitudes may also mediate the impact. So, this study aimed to examine the association between childhood trauma, negative life events, dysfunctional attitudes and insomnia and investigate how negative life events and dysfunctional attitudes mediate the relationship between childhood trauma and insomnia in MDD. Method: This cross-sectional study recruited 621 college students with MDD. The Childhood Trauma Questionnaire (CTQ), Life Event Scale (LES), Dysfunctional Attitude Scale (DAS), Insomnia Severity Index (ISI), and Hamilton Depression Scale-17 (HAMD-17) were used to assess participants' psychosocial factors. Descriptive analysis, Chi-square test, t-test, Pearson correlations, and serial mediation analyses were used in data analysis. In order to eliminate the influence of the severity of depression symptoms, severity of depression symptoms was used as a control variable in this study. Results: There were 166 (26.7%) participants having clinical insomnia (ISI score > 14). After controlling for the effect of severity of depression symptoms, results of serial mediation analyses determined that childhood trauma has a direct (Estimate = 0.109, 95%CI: 0.023,0.190) and indirect (Estimate = 0.090, 95%CI: 0.054,0.137) impact to insomnia. The indirect impact of childhood trauma on insomnia through the pathways of negative life events alone (Estimate = 0.050, 95%CI: 0.024,0.093), dysfunctional attitudes alone (Estimate = 0.027, 95%CI: 0.008,0.050), and negative life events to dysfunctional attitudes (Estimate = 0.013, 95%CI: 0.006,0.024) were significant. Conclusions: This study demonstrates that screening for childhood trauma should be considered when treating insomnia in college students with MDD. Managing negative life events and dysfunctional attitudes may mitigate the negative impact of childhood trauma on insomnia in college students with MDD.http://www.sciencedirect.com/science/article/pii/S0010440X23000056Childhood traumaInsomniaDysfunctional attitudeNegative life eventMajor depressive disorder |
| spellingShingle | Ting Sun Lili Zhang Yan Liu Shuqin Wu Bing Xiang Yang Jing Fang Liu Ting Fang Xuan Gong Si Chen Zhou Dan Luo Zhongchun Liu Zhongxiang Cai The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes Comprehensive Psychiatry Childhood trauma Insomnia Dysfunctional attitude Negative life event Major depressive disorder |
| title | The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes |
| title_full | The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes |
| title_fullStr | The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes |
| title_full_unstemmed | The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes |
| title_short | The relationship between childhood trauma and insomnia among college students with major depressive disorder: Mediation by the role of negative life events and dysfunctional attitudes |
| title_sort | relationship between childhood trauma and insomnia among college students with major depressive disorder mediation by the role of negative life events and dysfunctional attitudes |
| topic | Childhood trauma Insomnia Dysfunctional attitude Negative life event Major depressive disorder |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X23000056 |
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