Depressive symptoms after trauma : is self-esteem a mediating factor?
David, Melissa;Ceschi, Grazia;Billieux, Joël;Van der Linden, Martial
(2008) Journal of Nervous and Mental Disease : an educational journal of neuropsychiatry — Vol. 196, n° 10, p. 735-742 (2008)
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Authors
David, Melissa
Author
Ceschi, Grazia
Author
Billieux, JoëlUCLouvain
Author
Van der Linden, Martial
Author
Abstract
Traumatic events have predicted depressive symptoms. Despite this consensus, it remains unclear as to whether the relationship between trauma and depression is consistently mediated by a negative cognitive schema, such as low self-esteem, or whether trauma influences mood independently of low self-esteem. This study tested these relationships while considering depressive symptom types. One hundred thirty-two students reported the number of traumatic events experienced and self-esteem and depression levels. Results indicated 2 depressive symptom types: "cognitive-affective" and "somatic." Structural Equation Modeling tested an unmediated path from trauma to depressive symptoms and a path mediated by self-esteem. Results supported the unmediated relationship between trauma and "cognitive-affective" depressive symptoms, and did not support mediation by self-esteem. Findings are discussed in view of a dimensional rather than categorical approach to depression, and in consideration of alternative symptom clusters resulting from trauma in addition to those captured by posttraumatic stress disorder.
David, M., Ceschi, G., Billieux, J., & Van der Linden, M. (2008). Depressive symptoms after trauma : is self-esteem a mediating factor? Journal of Nervous and Mental Disease : an educational journal of neuropsychiatry, 196(10), 735-742. https://doi.org/10.1097/NMD.0b013e3181879dd8 (Original work published 2008)