Identifying potential mechanisms between childhood trauma and the psychological response to the COVID-19 pandemic in Germany: a longitudinal study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
28 07 2022
Historique:
received: 22 07 2021
accepted: 23 05 2022
entrez: 28 7 2022
pubmed: 29 7 2022
medline: 2 8 2022
Statut: epublish

Résumé

Childhood maltreatment (CM) has been associated with adverse psychosocial outcomes during the pandemic, but the underlying mechanisms are unclear. In a prospective online study using baseline and 10-week follow-up data of 391 German participants, we applied multiple mediation analyses to test to what extent COVID-19 perceived stressors mediate the association between CM and later adverse psychosocial outcomes compared to established mediators of rumination and insecure attachment. We also explored the relative importance of different COVID-19 related stressors in predicting adverse psychological trajectories using elastic net regression. Results showed that CM was longitudinally associated with all adverse psychosocial outcome. COVID-19 perceived stressors, rumination, and insecure attachment mediated this relationship and full mediation was observed for the outcomes anxiety, stress and psychological well-being. COVID-19-related concerns about the future was most strongly and consistently associated with adverse psychosocial functioning. These findings provide preliminary evidence that COVID-19 perceived stressors, in particular concerns about the future, may be a key mechanism underlying the development of adverse psychosocial outcomes in individuals with a CM history. Thus, COVID-19 perceived stressors may require a higher priority for prevention and treatment efforts in vulnerable groups. Our results warrant replication in more representative cross-cultural samples.

Identifiants

pubmed: 35902702
doi: 10.1038/s41598-022-13205-1
pii: 10.1038/s41598-022-13205-1
pmc: PMC9333057
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

12964

Informations de copyright

© 2022. The Author(s).

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Auteurs

Stephanie V Rek (SV)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians University of Munich, Nussbaumstraße 7, Munich, Germany. s.rek@med.uni-muenchen.de.
International Max Planck Research School for Translational Psychiatry (IMPRS-TP), Munich, Germany. s.rek@med.uni-muenchen.de.

Matthias A Reinhard (MA)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians University of Munich, Nussbaumstraße 7, Munich, Germany.

Markus Bühner (M)

Department of Psychology, LMU Munich, Munich, Germany.

Daniel Freeman (D)

Department of Psychiatry, University of Oxford, Oxford, UK.

Kristina Adorjan (K)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians University of Munich, Nussbaumstraße 7, Munich, Germany.

Peter Falkai (P)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians University of Munich, Nussbaumstraße 7, Munich, Germany.

Frank Padberg (F)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians University of Munich, Nussbaumstraße 7, Munich, Germany.

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