Depressive Symptoms After Trauma Is Self-Esteem a Mediating Factor?

被引:15
作者
David, Melissa [1 ]
Ceschi, Grazia [1 ]
Billieux, Joel [1 ]
Van der Linden, Martial [1 ,2 ]
机构
[1] Univ Geneva, Cognit Psychopathol & Neuropsychol Unit, Geneva, Switzerland
[2] Univ Liege, Cognit Psychopathol Unit, Liege, Belgium
关键词
Trauma; self-esteem; depression; PTSD;
D O I
10.1097/NMD.0b013e3181879dd8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Traumatic events have predicted depressive symptoms. Despite this consensus, it remains unclear as to whether the relationship between trauma and depression is consistently mediated by a negative cognitive schema, such as low self-esteem, or whether trauma influences mood independently of low self-esteem. This study tested these relationships while considering depressive symptom types. One hundred thirty-two students reported the number of traumatic events experienced and self-esteem and depression levels. Results indicated 2 depressive symptom types: "cognitive-affective" and "somatic." Structural Equation Modeling tested an unmediated path from trauma to depressive symptoms and a path mediated by self-esteem. Results supported the unmediated relationship between trauma and "cognitive-affective" depressive symptoms, and did not support mediation by self-esteem. Findings are discussed in view of a dimensional rather than categorical approach to depression, and in consideration of alternative symptom clusters resulting from trauma in addition to those captured by posttraurnatic stress disorder.
引用
收藏
页码:735 / 742
页数:8
相关论文
共 56 条
[1]   A test of the integration of the hopelessness and self-esteem theories of depression in schoolchildren [J].
Abela, JRZ ;
Payne, AVL .
COGNITIVE THERAPY AND RESEARCH, 2003, 27 (05) :519-535
[3]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[4]  
Arbuckle J. L., 1996, Advanced structural equation modeling: Issues and techniques, P243, DOI [DOI 10.4324/9781315827414, 10.4324/9781315827414]
[5]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[6]   Is depression taxonic, dimensional, or both? [J].
Beach, SRH ;
Amir, N .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2003, 112 (02) :228-236
[7]  
Beck A. T., 1996, Manual for the Beck Depression Inventory. Psychological corporation
[8]  
Beck AT., 1979, Cognitive Therapy of Depression
[9]  
BECK AT, 1996, MANUEL INVENTAIRE DE
[10]  
Beck AT., 1967, DEPRESSION CLIN EXPT