Disentangling the associations between past childhood adversity and psychopathology during the COVID-19 pandemic: The mediating roles of specific pandemic stressors and coping strategies
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Disentangling the associations between past childhood adversity and psychopathology during the COVID-19 pandemic: The mediating roles of specific pandemic stressors and coping strategies. / Jernslett, Maria; Anastassiou-Hadjicharalambous, Xenia; Lioupi, Chrysanthi; Syros, Ioannis; Kapatais, Alexandros; Karamanoli, Vassia; Evgeniou, Eleftheria; Messas, Kostas; Palaiokosta, Triada; Papathanasiou, Eleni; Lotzin, Annett.
In: CHILD ABUSE NEGLECT, Vol. 129, 105673, 07.2022.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Disentangling the associations between past childhood adversity and psychopathology during the COVID-19 pandemic: The mediating roles of specific pandemic stressors and coping strategies
AU - Jernslett, Maria
AU - Anastassiou-Hadjicharalambous, Xenia
AU - Lioupi, Chrysanthi
AU - Syros, Ioannis
AU - Kapatais, Alexandros
AU - Karamanoli, Vassia
AU - Evgeniou, Eleftheria
AU - Messas, Kostas
AU - Palaiokosta, Triada
AU - Papathanasiou, Eleni
AU - Lotzin, Annett
N1 - Copyright © 2022 Elsevier Ltd. All rights reserved.
PY - 2022/7
Y1 - 2022/7
N2 - BACKGROUND: Individuals with a history of adverse childhood experiences (ACEs) display heightened symptoms of psychopathology during the COVID-19 pandemic. Yet, no study has investigated what aspects of the pandemic are of particular concern for this population and ways in which strategies to coping with pandemic stressors may exacerbate their clinical symptomatology.OBJECTIVE: This study explores what pandemic stressors and coping strategies are associated with ACEs, depression, and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic, before investigating whether the identified chief stressors and coping styles mediate the effects of ACEs on depression and PTSD.PARTICIPANTS AND SETTING: 1107 Greek adults were sampled from the general population.METHODS: Participants completed the Adverse Childhood Experiences Questionnaire, Patient Health Questionnaire, Primary Care PTSD Screen for DSM-5, Pandemic Stressor Scale, and Brief Cope Scale.RESULTS: ACEs and depression were both predominantly associated with difficult housing conditions as a stressor (b = 0.079, p < .001 and b = 0.046, p < .001, respectively), whereas PTSD was mainly related to fear of contracting the COVID-19 virus (b = 0.065, p < .001). Self-blame was the main coping strategy associated with both ACEs (b = 0.046, p = .010), depression (b = 0.071, p < .0005), and PTSD (b = 0.088, p < .0005). Difficult housing conditions and self-blame further demonstrated a significant serial mediation effect in the relationship between ACEs with both depression (b = 0.105, 95% CI [0.0607, 0.158]) and PTSD (b = 0.019, 95% CI [0.011, 0.031]).CONCLUSIONS: The findings indicate that policy makers should identify ways of ameliorating challenging housing conditions, and that service providers should target self-blame in the psychological treatment of adults with ACEs during the COVID-19 pandemic.
AB - BACKGROUND: Individuals with a history of adverse childhood experiences (ACEs) display heightened symptoms of psychopathology during the COVID-19 pandemic. Yet, no study has investigated what aspects of the pandemic are of particular concern for this population and ways in which strategies to coping with pandemic stressors may exacerbate their clinical symptomatology.OBJECTIVE: This study explores what pandemic stressors and coping strategies are associated with ACEs, depression, and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic, before investigating whether the identified chief stressors and coping styles mediate the effects of ACEs on depression and PTSD.PARTICIPANTS AND SETTING: 1107 Greek adults were sampled from the general population.METHODS: Participants completed the Adverse Childhood Experiences Questionnaire, Patient Health Questionnaire, Primary Care PTSD Screen for DSM-5, Pandemic Stressor Scale, and Brief Cope Scale.RESULTS: ACEs and depression were both predominantly associated with difficult housing conditions as a stressor (b = 0.079, p < .001 and b = 0.046, p < .001, respectively), whereas PTSD was mainly related to fear of contracting the COVID-19 virus (b = 0.065, p < .001). Self-blame was the main coping strategy associated with both ACEs (b = 0.046, p = .010), depression (b = 0.071, p < .0005), and PTSD (b = 0.088, p < .0005). Difficult housing conditions and self-blame further demonstrated a significant serial mediation effect in the relationship between ACEs with both depression (b = 0.105, 95% CI [0.0607, 0.158]) and PTSD (b = 0.019, 95% CI [0.011, 0.031]).CONCLUSIONS: The findings indicate that policy makers should identify ways of ameliorating challenging housing conditions, and that service providers should target self-blame in the psychological treatment of adults with ACEs during the COVID-19 pandemic.
KW - Adaptation, Psychological
KW - Adult
KW - Adverse Childhood Experiences
KW - COVID-19/epidemiology
KW - Humans
KW - Pandemics
KW - Stress Disorders, Post-Traumatic/psychology
U2 - 10.1016/j.chiabu.2022.105673
DO - 10.1016/j.chiabu.2022.105673
M3 - SCORING: Journal article
C2 - 35605466
VL - 129
JO - CHILD ABUSE NEGLECT
JF - CHILD ABUSE NEGLECT
SN - 0145-2134
M1 - 105673
ER -
