Associations between childhood adversity, psychiatric symptoms, and self-esteem outcomes in adolescents and young adults: An experience sampling study.

childhood adversity experience sampling method psychiatric symptoms self-esteem self-esteem instability young adult

Journal

Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132

Informations de publication

Date de publication:
Jan 2024
Historique:
revised: 11 08 2023
received: 21 04 2023
accepted: 19 09 2023
medline: 6 12 2023
pubmed: 6 10 2023
entrez: 6 10 2023
Statut: ppublish

Résumé

Self-esteem and self-esteem stability are important factors during adolescence and young adulthood that can be negatively impacted by childhood adversity and psychiatric symptoms. We examined whether childhood adversity and psychiatric symptoms are associated with decreased global self-esteem as well as increased self-esteem instability as measured with experience sampling method. In addition, we examined if childhood adversity moderates the association between psychiatric symptoms and self-esteem outcomes. Our study consisted of 788 adolescents and young adults who were part of a twin pair. The twin structure was not of interest to the current study. Mean age was 16.8 (SD = 2.38, range: 14-25), 42% was male. We used a multilevel modeling approach to examine our hypotheses to account for the presence of twins in the data set. Childhood adversity and psychiatric symptoms were negatively associated with global self-esteem (respectively standardized β = -.18, SE = 0.04, p < .0001 and standardized β = -.45, SE = 0.04, p < .0001), with a larger effect for psychiatric symptoms. Similarly, both were associated with increased self-esteem instability (respectively standardized β = .076, SE = 0.025, p = .002 and standardized β = .11, SE = 0.021, p < .0001). In addition, interactions between childhood adversity and psychiatric symptoms on both global self-esteem (standardized β = .06, SE = 0.01, p < .0001) and self-esteem instability (standardized β = -.002, SE = 0.0006, p = .001) were found, showing that the negative association of psychiatric symptoms with self-esteem outcomes is less pronounced in young people with higher levels of childhood adversity, or formulated differently, is more pronounced in young people with little or no exposure to childhood adversity. Global self-esteem and self-esteem instability in young people are influenced by both current psychiatric symptomatology and exposure to childhood adversity. Those with more psychiatric symptoms show worse self-esteem and higher self-esteem instability, which is moderated by childhood adversity. For young people with high childhood adversity levels lower self-esteem and higher self-esteem instability are less influenced by reductions in psychiatric symptoms.

Identifiants

pubmed: 37800666
doi: 10.1002/jclp.23599
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

127-143

Subventions

Organisme : Fonds Wetenschappelijk Onderzoek
Organisme : Funds Julie Renson, Queen Fabiola and King Baudoin Foundation
Organisme : FP7 Ideas: European Research Council
Organisme : Twins

Informations de copyright

© 2023 Wiley Periodicals LLC.

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Auteurs

Victor Mazereel (V)

Department of Neurosciences, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.
University Psychiatric Center, KU Leuven, Leuven, Belgium.

Kristof Vansteelandt (K)

University Psychiatric Center, KU Leuven, Leuven, Belgium.

Claudia Menne-Lothmann (C)

Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.

Jeroen Decoster (J)

University Psychiatric Centre Sint-Kamillus, Bierbeek, Belgium.

Catherine Derom (C)

Centre of Human Genetics, University Hospital Leuven, KU Leuven, Leuven, Belgium.
Department of Obstetrics and Gynecology, Ghent University Hospital, Ghent University, Ghent, Belgium.

Evert Thiery (E)

Department of Neurology, Ghent University Hospital, Ghent University, Ghent, Belgium.

Bart P F Rutten (BPF)

Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.

Nele Jacobs (N)

Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
Faculty of Psychology, Open University of The Netherlands, Heerlen, The Netherlands.

Jim van Os (J)

Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
Department of Psychosis Studies, Institute of Psychiatry, King's Health Partners, King's College London, London, UK.
Department of Psychiatry, Brain Center Rudolf Magnus, Utrecht University Medical Centre, Utrecht, The Netherlands.

Marieke Wichers (M)

University Medical Center Groningen, University Center Psychiatry (UCP) Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, Groningen, The Netherlands.

Marc De Hert (M)

Department of Neurosciences, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.
University Psychiatric Center, KU Leuven, Leuven, Belgium.
Antwerp Health Law and Ethics Chair-AHLEC University Antwerpen, Antwerp, Belgium.

Davy Vancampfort (D)

University Psychiatric Center, KU Leuven, Leuven, Belgium.
Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.

Ruud van Winkel (R)

Department of Neurosciences, Center for Clinical Psychiatry, KU Leuven, Leuven, Belgium.
University Psychiatric Center, KU Leuven, Leuven, Belgium.

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