Introduction: Although previous studies have shown that there is a strong relationship between childhood trauma and depression, the mediating mechanisms of this relationship have not been well studied. Therefore, the present study was conducted with the aim of investigating the structural relationships between childhood trauma experience and depressive symptoms in adults with the mediating role of dissociative experiences and attachment styles.
Methods: The research method was descriptive-correlation. The statistical population of the research was made up of all the people who referred to the clinics and psychological service centers of Tehran in 2023. Among the statistical population, 320 people were selected by convenience sampling method. The research tools were: Childhood Trauma Questionnaire, Beck Depression Inventory-II, Dissociative Experiences Scale, and Attachment Styles Questionnaire. Pearson correlation, structural equation modeling and SPSS version 23 and AMOS version 23 software were used for data analysis.
Results: The results showed that the research model has a good fit. Direct path coefficients of childhood trauma experience (T = 0.28, β = 2.52), dissociative experiences (T = 0.27, β = 2.63), secure attachment (T = 0.27, -2.31) β=-0) and insecure attachment (T=2.21, β=0.23) were significant on depression symptoms. Also, the indirect coefficients of childhood trauma experience through dissociative experiences (p < 0.05, b = 0.52), secure (p < 0.05, b = -0.60) and insecure attachment styles (b = 0.05) p>0, b=0.39) were significant on depression symptoms. The results also showed that the research variables explained a total of 75% of the variance of depression symptoms.
Conclusions: These findings may provide indications for the development of measures to reduce dissociative experiences and teachings based on attachment styles to reduce depressive symptoms in adults with traumatic childhood experiences. It is suggested that trauma and depression psychotherapists pay special attention to the two components of dissociation and attachment styles in their interventions.
shahmohammadi Z, Hasannezhad Z, Maleki S, Hassanzadeh Tabatabaee M. Structural relationships between childhood trauma experience and depressive symptoms in adults: the mediating role of dissociative experiences and attachment styles. IJPN 2024; 12 (2) :84-97 URL: http://ijpn.ir/article-1-2390-en.html