Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure
Abstract Background Childhood trauma exposures (CTEs) are frequent, well-established risk factor for the development of psychopathology. However, knowledge of the effects of CTEs in healthy individuals in a real life context, which is crucial for early detection and prevention of mental disorders, i...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Borderline Personality Disorder and Emotion Dysregulation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40479-023-00220-5 |
| _version_ | 1797841131287871488 |
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| author | Oksana Berhe Carolin Moessnang Markus Reichert Ren Ma Anna Höflich Jonas Tesarz Christine M. Heim Ulrich Ebner-Priemer Andreas Meyer-Lindenberg Heike Tost |
| author_facet | Oksana Berhe Carolin Moessnang Markus Reichert Ren Ma Anna Höflich Jonas Tesarz Christine M. Heim Ulrich Ebner-Priemer Andreas Meyer-Lindenberg Heike Tost |
| author_sort | Oksana Berhe |
| collection | DOAJ |
| description | Abstract Background Childhood trauma exposures (CTEs) are frequent, well-established risk factor for the development of psychopathology. However, knowledge of the effects of CTEs in healthy individuals in a real life context, which is crucial for early detection and prevention of mental disorders, is incomplete. Here, we use ecological momentary assessment (EMA) to investigate CTE load-dependent changes in daily-life affective well-being and psychosocial risk profile in n = 351 healthy, clinically asymptomatic, adults from the community with mild to moderate CTE. Findings EMA revealed significant CTE dose-dependent decreases in real-life affective valence (p = 0.007), energetic arousal (p = 0.032) and calmness (p = 0.044). Psychosocial questionnaires revealed a broad CTE-related psychosocial risk profile with dose-dependent increases in mental health risk-associated features (e.g., trait anxiety, maladaptive coping, loneliness, daily hassles; p values < 0.003) and a corresponding decrease in factors protective for mental health (e.g., life satisfaction, adaptive coping, optimism, social support; p values < 0.021). These results were not influenced by age, sex, socioeconomic status or education. Conclusions Healthy community-based adults with mild to moderate CTE exhibit dose-dependent changes in well-being manifesting in decreases in affective valence, calmness and energy in real life settings, as well as a range of established psychosocial risk features associated with mental health risk. This indicates an approach to early detection, early intervention, and prevention of CTE-associated psychiatric disorders in this at-risk population, using ecological momentary interventions (EMI) in real life, which enhance established protective factors for mental health, such as green space exposure, or social support. |
| first_indexed | 2024-04-09T16:26:04Z |
| format | Article |
| id | doaj.art-2dd04b37a37a49898da32f2107c032ce |
| institution | Directory Open Access Journal |
| issn | 2051-6673 |
| language | English |
| last_indexed | 2024-04-09T16:26:04Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Borderline Personality Disorder and Emotion Dysregulation |
| spelling | doaj.art-2dd04b37a37a49898da32f2107c032ce2023-04-23T11:09:54ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732023-04-011011710.1186/s40479-023-00220-5Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposureOksana Berhe0Carolin Moessnang1Markus Reichert2Ren Ma3Anna Höflich4Jonas Tesarz5Christine M. Heim6Ulrich Ebner-Priemer7Andreas Meyer-Lindenberg8Heike Tost9Department of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of General Internal Medicine and Psychosomatics, University Hospital HeidelbergInstitute of Medical Psychology, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu BerlinDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergDepartment of Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of HeidelbergAbstract Background Childhood trauma exposures (CTEs) are frequent, well-established risk factor for the development of psychopathology. However, knowledge of the effects of CTEs in healthy individuals in a real life context, which is crucial for early detection and prevention of mental disorders, is incomplete. Here, we use ecological momentary assessment (EMA) to investigate CTE load-dependent changes in daily-life affective well-being and psychosocial risk profile in n = 351 healthy, clinically asymptomatic, adults from the community with mild to moderate CTE. Findings EMA revealed significant CTE dose-dependent decreases in real-life affective valence (p = 0.007), energetic arousal (p = 0.032) and calmness (p = 0.044). Psychosocial questionnaires revealed a broad CTE-related psychosocial risk profile with dose-dependent increases in mental health risk-associated features (e.g., trait anxiety, maladaptive coping, loneliness, daily hassles; p values < 0.003) and a corresponding decrease in factors protective for mental health (e.g., life satisfaction, adaptive coping, optimism, social support; p values < 0.021). These results were not influenced by age, sex, socioeconomic status or education. Conclusions Healthy community-based adults with mild to moderate CTE exhibit dose-dependent changes in well-being manifesting in decreases in affective valence, calmness and energy in real life settings, as well as a range of established psychosocial risk features associated with mental health risk. This indicates an approach to early detection, early intervention, and prevention of CTE-associated psychiatric disorders in this at-risk population, using ecological momentary interventions (EMI) in real life, which enhance established protective factors for mental health, such as green space exposure, or social support.https://doi.org/10.1186/s40479-023-00220-5Community sampleEcological momentary assessmentChildhood trauma exposureMental health risk |
| spellingShingle | Oksana Berhe Carolin Moessnang Markus Reichert Ren Ma Anna Höflich Jonas Tesarz Christine M. Heim Ulrich Ebner-Priemer Andreas Meyer-Lindenberg Heike Tost Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure Borderline Personality Disorder and Emotion Dysregulation Community sample Ecological momentary assessment Childhood trauma exposure Mental health risk |
| title | Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure |
| title_full | Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure |
| title_fullStr | Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure |
| title_full_unstemmed | Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure |
| title_short | Dose-dependent changes in real-life affective well-being in healthy community-based individuals with mild to moderate childhood trauma exposure |
| title_sort | dose dependent changes in real life affective well being in healthy community based individuals with mild to moderate childhood trauma exposure |
| topic | Community sample Ecological momentary assessment Childhood trauma exposure Mental health risk |
| url | https://doi.org/10.1186/s40479-023-00220-5 |
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