Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism

Abstract Background Childhood trauma (CT) is considered as a highly risk factor for depression. Although the pathway of CT to depression, especially the mediating or moderating effects of cognitive emotion regulation strategies (CERS) or neuroticism, have investigated by several studies, the results...

Full description

Bibliographic Details
Main Authors: Qianqian Chu, Xiang Wang, Rui Yao, Jie Fan, Ya Li, Fei Nie, Lifeng Wang, Qiuping Tang
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-021-03673-6
_version_ 1819274884589551616
author Qianqian Chu
Xiang Wang
Rui Yao
Jie Fan
Ya Li
Fei Nie
Lifeng Wang
Qiuping Tang
author_facet Qianqian Chu
Xiang Wang
Rui Yao
Jie Fan
Ya Li
Fei Nie
Lifeng Wang
Qiuping Tang
author_sort Qianqian Chu
collection DOAJ
description Abstract Background Childhood trauma (CT) is considered as a highly risk factor for depression. Although the pathway of CT to depression, especially the mediating or moderating effects of cognitive emotion regulation strategies (CERS) or neuroticism, have investigated by several studies, the results were inconsistent and there is a paucity of full models among these interactive factors. This study aims to examine the relationships among CT, adaptive / maladaptive CERS, neuroticism, and current depression symptoms in university students. Methods We recruited 3009 freshman of 2019, aged averagely 18.00 (SD = 0.772) years, from universities in Hunan province in 2019. A moderated mediation model was built to examine the relationships among CT, CERS, neuroticism, and current depression using the SPSS PROCESS 3.5 macro. We conducted bootstrapping of regression estimates with 5000 samples and 95% confidence interval. Results Results revealed that the significant mediating effects of adaptive CERS (β = 0.012; 95% CI: 0.006 to 0.018) and maladaptive CERS (β = 0.028; 95% CI: 0.016 to 0.040) between CT and depression were observed, accounting for 5.69% and 13.52% of the total effect respectively. Then, moderated mediation analyses results showed that neuroticism simultaneously moderated the direct effect of CT on current depression (β = 0.035; 95% CI: 0.001 to 0.009), and the indirect effects of CT on current depression through adaptive CERS (adaptive CERS – current depression: β = − 0.034; 95% CI: − 0.007 to − 0.001) and maladaptive CERS (maladaptive CERS – current depression: β = 0.157; 95% CI: 0.017 to 0.025). However, the moderating effects of neuroticism in the indirect paths from CT to adaptive CERS (β = 0.037; 95% CI: 0.000 to 0.014) and maladaptive CERS (β = − 0.001; 95% CI: − 0.006 to 0.005) were not significant. Conclusions This study provides powerful evidences through a large university students sample for the mediating role of adaptive / maladaptive CERS and the moderating role of neuroticism between CT and current depression. This manifests that cognitive emotion regulation may be a vital factor for people who suffered from CT and current depression. Furthermore, the influence of neuroticism in this process cannot be ignored.
first_indexed 2024-12-23T23:15:31Z
format Article
id doaj.art-eaea571cf2664007981b1975b21ddc33
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-23T23:15:31Z
publishDate 2022-02-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-eaea571cf2664007981b1975b21ddc332022-12-21T17:26:31ZengBMCBMC Psychiatry1471-244X2022-02-0122111310.1186/s12888-021-03673-6Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticismQianqian Chu0Xiang Wang1Rui Yao2Jie Fan3Ya Li4Fei Nie5Lifeng Wang6Qiuping Tang7Department of Clinical Psychology, The Third Xiangya Hospital of Central South UniversityMedical Psychological Center, The Second Xiangya Hospital of Central South UniversityCenter for Psychological Development and Service, Hunan University of Chinese MedicineMedical Psychological Center, The Second Xiangya Hospital of Central South UniversitySchool of Nursing, Hunan University of Chinese MedicineDepartment of Clinical Psychology, The Third Xiangya Hospital of Central South UniversityDepartment of Clinical Psychology, The Third Xiangya Hospital of Central South UniversityDepartment of Clinical Psychology, The Third Xiangya Hospital of Central South UniversityAbstract Background Childhood trauma (CT) is considered as a highly risk factor for depression. Although the pathway of CT to depression, especially the mediating or moderating effects of cognitive emotion regulation strategies (CERS) or neuroticism, have investigated by several studies, the results were inconsistent and there is a paucity of full models among these interactive factors. This study aims to examine the relationships among CT, adaptive / maladaptive CERS, neuroticism, and current depression symptoms in university students. Methods We recruited 3009 freshman of 2019, aged averagely 18.00 (SD = 0.772) years, from universities in Hunan province in 2019. A moderated mediation model was built to examine the relationships among CT, CERS, neuroticism, and current depression using the SPSS PROCESS 3.5 macro. We conducted bootstrapping of regression estimates with 5000 samples and 95% confidence interval. Results Results revealed that the significant mediating effects of adaptive CERS (β = 0.012; 95% CI: 0.006 to 0.018) and maladaptive CERS (β = 0.028; 95% CI: 0.016 to 0.040) between CT and depression were observed, accounting for 5.69% and 13.52% of the total effect respectively. Then, moderated mediation analyses results showed that neuroticism simultaneously moderated the direct effect of CT on current depression (β = 0.035; 95% CI: 0.001 to 0.009), and the indirect effects of CT on current depression through adaptive CERS (adaptive CERS – current depression: β = − 0.034; 95% CI: − 0.007 to − 0.001) and maladaptive CERS (maladaptive CERS – current depression: β = 0.157; 95% CI: 0.017 to 0.025). However, the moderating effects of neuroticism in the indirect paths from CT to adaptive CERS (β = 0.037; 95% CI: 0.000 to 0.014) and maladaptive CERS (β = − 0.001; 95% CI: − 0.006 to 0.005) were not significant. Conclusions This study provides powerful evidences through a large university students sample for the mediating role of adaptive / maladaptive CERS and the moderating role of neuroticism between CT and current depression. This manifests that cognitive emotion regulation may be a vital factor for people who suffered from CT and current depression. Furthermore, the influence of neuroticism in this process cannot be ignored.https://doi.org/10.1186/s12888-021-03673-6Childhood trauma (CT)Adaptive / maladaptive cognitive emotion regulation strategiesNeuroticismDepressionModerated mediation model
spellingShingle Qianqian Chu
Xiang Wang
Rui Yao
Jie Fan
Ya Li
Fei Nie
Lifeng Wang
Qiuping Tang
Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
BMC Psychiatry
Childhood trauma (CT)
Adaptive / maladaptive cognitive emotion regulation strategies
Neuroticism
Depression
Moderated mediation model
title Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
title_full Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
title_fullStr Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
title_full_unstemmed Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
title_short Childhood trauma and current depression among Chinese university students: a moderated mediation model of cognitive emotion regulation strategies and neuroticism
title_sort childhood trauma and current depression among chinese university students a moderated mediation model of cognitive emotion regulation strategies and neuroticism
topic Childhood trauma (CT)
Adaptive / maladaptive cognitive emotion regulation strategies
Neuroticism
Depression
Moderated mediation model
url https://doi.org/10.1186/s12888-021-03673-6
work_keys_str_mv AT qianqianchu childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT xiangwang childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT ruiyao childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT jiefan childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT yali childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT feinie childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT lifengwang childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism
AT qiupingtang childhoodtraumaandcurrentdepressionamongchineseuniversitystudentsamoderatedmediationmodelofcognitiveemotionregulationstrategiesandneuroticism