Cargando…

Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality

Background: Coronavirus-2019 (COVID-19) has been coexisting with humans for almost 2 years, consistently impacting people's daily life, medical environment, and mental health. This study aimed to test the series mediation model triggered by childhood trauma, in which perceived psychological imp...

Descripción completa

Detalles Bibliográficos
Autores principales: Xie, Min, Tang, Yiguo, Zhu, Ling, Dai, Minhan, Wu, Yulu, Huang, Yunqi, Liu, Yunjia, Xiao, Liling, Li, Tao, Wang, Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674436/
https://www.ncbi.nlm.nih.gov/pubmed/34925109
http://dx.doi.org/10.3389/fpsyt.2021.782913
_version_ 1784615648736837632
author Xie, Min
Tang, Yiguo
Zhu, Ling
Dai, Minhan
Wu, Yulu
Huang, Yunqi
Liu, Yunjia
Xiao, Liling
Li, Tao
Wang, Qiang
author_facet Xie, Min
Tang, Yiguo
Zhu, Ling
Dai, Minhan
Wu, Yulu
Huang, Yunqi
Liu, Yunjia
Xiao, Liling
Li, Tao
Wang, Qiang
author_sort Xie, Min
collection PubMed
description Background: Coronavirus-2019 (COVID-19) has been coexisting with humans for almost 2 years, consistently impacting people's daily life, medical environment, and mental health. This study aimed to test the series mediation model triggered by childhood trauma, in which perceived psychological impact of COVID-19 pandemic and sleep quality mediated the path sequentially and led to adverse mental health outcomes. Methods: A cross-sectional design involving 817 participants were enrolled via WeChat online survey. Participants completed questionnaires, including demographic features, the Childhood Trauma Questionnaire, Impact of Event Scale-Revised (IES-R) questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and Depression, Anxiety, and Stress Scale (DASS-21). Pearson correlations and hierarchical multiple linear regression were employed to examine the association of childhood trauma and psychological stress of COVID-19, sleep quality, and mental health status. In addition, a series mediate analysis was carried out to examine sequence mediating effects of psychological impact of COVID-19 and sleep quality between childhood trauma and mental health status. Results: The results showed that childhood trauma is positively and significantly related to psychological distress of COVID-19 pandemic, sleep quality, and mental health status (p < 0.05). Hierarchical multiple linear regression analysis shown that demographic features explained 4.4, 2.1, and 4.0% of the total variance in DASS-21, IES-R, and PSQI total scale scores, respectively. Adding childhood trauma significantly increased the model variance of DASS-21 (ΔR(2) = 0.129, F = 126.092, p = 0.000), IES-R (ΔR(2) = 0.062, F = 54.771, p = 0.000), and PSQI total scale scores (ΔR(2) = 0.055, F = 48.733, p = 0.000), respectively. Moreover, the series mediation model showed that the perceived impact of the COVID-19 pandemic and sleep quality were sequential mediators between childhood trauma and mental health status (proportion explained: 49.17%, p < 0.05). Conclusion: Amid the ravages of COVID-19, childhood trauma predicts poor mental health status, in part because of greater psychological impact related to COVID-19 and poorer global sleep quality. In order to improve mental health, future researchers should pay more attention to individuals with childhood trauma, for its association with greater stress related to life events and poorer sleep quality.
format Online
Article
Text
id pubmed-8674436
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-86744362021-12-17 Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality Xie, Min Tang, Yiguo Zhu, Ling Dai, Minhan Wu, Yulu Huang, Yunqi Liu, Yunjia Xiao, Liling Li, Tao Wang, Qiang Front Psychiatry Psychiatry Background: Coronavirus-2019 (COVID-19) has been coexisting with humans for almost 2 years, consistently impacting people's daily life, medical environment, and mental health. This study aimed to test the series mediation model triggered by childhood trauma, in which perceived psychological impact of COVID-19 pandemic and sleep quality mediated the path sequentially and led to adverse mental health outcomes. Methods: A cross-sectional design involving 817 participants were enrolled via WeChat online survey. Participants completed questionnaires, including demographic features, the Childhood Trauma Questionnaire, Impact of Event Scale-Revised (IES-R) questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and Depression, Anxiety, and Stress Scale (DASS-21). Pearson correlations and hierarchical multiple linear regression were employed to examine the association of childhood trauma and psychological stress of COVID-19, sleep quality, and mental health status. In addition, a series mediate analysis was carried out to examine sequence mediating effects of psychological impact of COVID-19 and sleep quality between childhood trauma and mental health status. Results: The results showed that childhood trauma is positively and significantly related to psychological distress of COVID-19 pandemic, sleep quality, and mental health status (p < 0.05). Hierarchical multiple linear regression analysis shown that demographic features explained 4.4, 2.1, and 4.0% of the total variance in DASS-21, IES-R, and PSQI total scale scores, respectively. Adding childhood trauma significantly increased the model variance of DASS-21 (ΔR(2) = 0.129, F = 126.092, p = 0.000), IES-R (ΔR(2) = 0.062, F = 54.771, p = 0.000), and PSQI total scale scores (ΔR(2) = 0.055, F = 48.733, p = 0.000), respectively. Moreover, the series mediation model showed that the perceived impact of the COVID-19 pandemic and sleep quality were sequential mediators between childhood trauma and mental health status (proportion explained: 49.17%, p < 0.05). Conclusion: Amid the ravages of COVID-19, childhood trauma predicts poor mental health status, in part because of greater psychological impact related to COVID-19 and poorer global sleep quality. In order to improve mental health, future researchers should pay more attention to individuals with childhood trauma, for its association with greater stress related to life events and poorer sleep quality. Frontiers Media S.A. 2021-12-02 /pmc/articles/PMC8674436/ /pubmed/34925109 http://dx.doi.org/10.3389/fpsyt.2021.782913 Text en Copyright © 2021 Xie, Tang, Zhu, Dai, Wu, Huang, Liu, Xiao, Li and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Xie, Min
Tang, Yiguo
Zhu, Ling
Dai, Minhan
Wu, Yulu
Huang, Yunqi
Liu, Yunjia
Xiao, Liling
Li, Tao
Wang, Qiang
Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title_full Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title_fullStr Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title_full_unstemmed Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title_short Childhood Trauma and Mental Health Status in General Population: A Series Mediation Examination of Psychological Distress in COVID-19 Pandemic and Global Sleep Quality
title_sort childhood trauma and mental health status in general population: a series mediation examination of psychological distress in covid-19 pandemic and global sleep quality
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674436/
https://www.ncbi.nlm.nih.gov/pubmed/34925109
http://dx.doi.org/10.3389/fpsyt.2021.782913
work_keys_str_mv AT xiemin childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT tangyiguo childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT zhuling childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT daiminhan childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT wuyulu childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT huangyunqi childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT liuyunjia childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT xiaoliling childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT litao childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality
AT wangqiang childhoodtraumaandmentalhealthstatusingeneralpopulationaseriesmediationexaminationofpsychologicaldistressincovid19pandemicandglobalsleepquality