Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (11): 83-89.doi: 10.6040/j.issn.1671-7554.0.2019.566

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Effects of cumulative childhood adversity on depressive symptoms among nurses

WANG Ying, YANG Bei, WANG Juan, LI Yanyan, CAO Fenglin   

  1. Department of Nursing Psychology, School of Nursing, Shandong University, Jinan 250012, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To explore the relationship between cumulative childhood adversity and emerging depressive symptoms among nurses. Methods A nested case-control study was conducted among subjected with PHQ-9≥10. A total of 74 subjects who had depressive symptoms were selected as the case group, and 518 subjects were included in the control group. Data were collected using PHQ-9, ACEQ-R and Nurse Job Stressors Inventory. The relationship between cumulative childhood adversity and emerging depressive symptoms was assessed with multivariate Logistic regression analysis. The mediation of work stress was analyzed with Spearman rank correlation and causal steps. Results The PAR% of cumulative childhood adversity was 8.0%. After nurses work stress and family burden were adjusted, the risk of imaging depressive symptoms for those with cumulative childhood adversity was 2.60 times of those without childhood adversity(OR=2.60, 95%CI:1.12-6.01). Work stress could partially mediate cumulative childhood adversity and emerging depression symptoms. Conclusion It is noteworthy that cumulative childhood adversity increases the risk of emerging depressive symptoms in nurses. Measures should be taken to reduce exposure to childhood adversity.

Key words: Cumulative childhood adversity, Emerging depressive symptoms, Work stress, Clinical nurses, Nested case-control study

CLC Number: 

  • R749.92
[1] 习近平. 决胜全面建成小康社会 夺取新时代中国特色社会主义伟大胜利——在中国共产党第十九次全国代表大会上的报告[EB/OL].(2017.10.27).[2019.06.04]. http://news.cnr.cn/native/gd/20171027/t20171027_524003098.shtml.
[2] Gao YQ, Pan BC, Sun W, et al. Depressive symptoms among Chinese nurses: prevalence and the associated factors[J]. J Adv Nurs, 2012, 68(5): 1166-1175.
[3] Chen MJ, Weng SS. Psychological symptoms among hospital nurses in Taiwan: a cross sectional study[J]. BMC Womens Health, 2017, 17(1): 101. doi: 10.1186/s12905-017-0460-5.
[4] Davey A, Sharma P, Davey S, et al. Is work-associated stress converted into psychological distress among the staff nurses: a hospital-based study[J]. J Family Med Prim Care, 2019, 8(2): 511-516.
[5] 叶冬青,姚捷,董玛霞.儿童期不良经历的研究现状[J].疾病控制杂志,2004,8(6):483-485. YE Dongqing, YAO Jie, DONG Maxia. Progress on the adverse childhood experience(ACE)study[J]. Chinese Journal of Disease Control & Prevention, 2004, 8(6): 483-485.
[6] 崔乃雪,曹枫林,董方虹,等.遭受多重侵害的高职高专新生的儿童期逆境的质性研究[J].中国心理卫生杂志,2012,26(2):143-148. CUI Naixue, CAO Fenglin, DONG Fanghong, et al. Oualitative research of childhood adversitv in polv-victimized vocational college freshmen[J]. Chinese Mental Health Journal, 2012, 26(2): 143-148.
[7] McLaughlin KA, Greif Green J, Gruber MJ, et al. Childhood adversities and first onset of psychiatric disorders in a national sample of US adolescents[J]. Arch Gen Psychiatry, 2012, 69(11):1151-1160.
[8] Merrick MT, Ford DC, Ports KA, et al.Prevalence of adverse childhood experiences from the 2011-2014 behavioral risk factor surveillance system in 23 states[J]. JAMA Pediatrics, 2018, 172(11): 1038-1044.
[9] 崔乃雪. 医学生儿童期不良经历及其与执行功能和攻击的关系[D]. 济南:山东大学, 2013.
[10] Shapero BG, Black SK, Liu RT, et al. Stressful life events and depression symptoms: the effect of childhood emotional abuse on stress reactivity[J]. J Clin Psychol, 2014, 70(3): 209-233.
[11] Ettekal I, Eiden RD, Nickerson AB, et al. Developmental cascades to childrens conduct problems: The role of prenatal substance use, socioeconomic adversity, maternal depression and sensitivity, and childrens conscience[J]. Dev Psychopathol, 2019, 1: 1-19. doi: 10.1017/S095457941800144X.
[12] Wolfe JD. Maternal alcohol use disorders and depression in emerging adulthood: examining the relevance of social ties, childhood adversity, and socioeconomic status[J]. Psychiatry Res, 2017, 257: 441-445. doi: 10.1016/j.psychres. 2017.08.012.
[13] Manyema M, Norris SA, Richter LM. Stress begets stress: the association of adverse childhood experiences with psychological distress in the presence of adult life stress[J]. BMC Public Health, 2018, 18(1): 835. doi: 10.1186/s12889-018-5767-0.
[14] Manea L, Gilbody S, McMillan D. A diagnostic meta-analysis of the Patient Health Questionnaire-9(PHQ-9)algorithm scoring method as a screen for depression[J]. Gen Hosp Psychiatry, 2015, 37(1): 67-75.
[15] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613.
[16] Finkelhor D, Shattuck A, Turner H, et al. A revised inventory of Adverse Childhood Experiences[J]. Child Abuse Negl, 2015,48:13-21.doi:10.1016/j.chiabu.2015.07.011.
[17] 王艳荣,林萍珍,曹枫林.中文儿童期不良经历问卷修订版的效度与信度[J].中国心理卫生杂志,2018,32(9):760-764. WANG Yanrong, LIN Pingzhen, CAO Fenglin. Validity and reliability of the Chinese version of the Revised Adverse Childhood Experience Questionnaire[J]. Chinese Mental Health Journal, 2018, 32(9): 760-764.
[18] 郭舒婕,张纪豪,李永鑫,等.护士出勤主义行为与工作压力源的相关性研究[J].中华现代护理杂志,2018,24(9):1028-1031. GUO Shujie, ZHANG Jihao, LI Yongxin, et al. Correlation between nurses presenteeism and job stressors[J]. Chinese Journal of Modern Nursing, 2018, 24(9): 1028-1031.
[19] Joseph G Grzywace, Nadine F Marks. Family, Work, Work-Family Spillover and Problem Drinking Midlife[J]. Journal of Marriage and the Family, 2000, 62(2): 336-348. doi:10.1111/j.1741-3737.2000.00336.x.
[20] 刘萍. 常德市儿科护士职业倦怠的现状及影响因素和对EAP(员工帮助计划)的需求研究[D]. 长沙: 中南大学, 2014.
[21] 温忠麟, 叶宝娟. 中介效应分析: 方法和模型发展[J].心理科学进展, 2014, 22(5): 731-745.
[22] Wadman R, Hiller RM, St Clair MC. The influence of early familial adversity on adolescent risk behaviors and mental health: Stability and transition in family adversity profiles in a cohort sample[J]. Dev Psychopathol, 2019, 7: 1-18. doi: 10.1017/S0954579419000191.
[23] Müller N, Krause D, Barth R, et al. Childhood adversity and current stress are related to pro- and anti-inflammatory cytokines in major depression[J]. J Affect Disord, 2019, 253: 270-276. doi: 10.1016/j.jad.2019.04.088.
[24] Stansfeld SA, Clark C, Smuk M, et al. Childhood adversity and midlife suicidal ideation[J]. Psychol Med, 2017, 47(2): 327-340.
[25] 王成瑜,王强,李晓晶, 等.成长环境和儿童期创伤对大学生情绪问题和躯体症状影响的研究[J].中国神经精神疾病杂志,2017,43(3):163-169. WANG Chengyu, WANG Qiang, LI Xiaojing, et al. The influence of rural living and childhood trauma on the psychological distress and somatic symptom of undergraduates in China[J]. Chinese Journal of Nervous and Mental Diseases, 2017, 43(3): 163-169.
[26] 刘菲. 护士与医生职业倦怠发生状况的比较及相关因素研究[D]. 济南: 山东大学, 2017.
[27] Yang L, Hu Y, Silventoinen K, Martikainen P. Childhood adversity and depressive symptoms among middle-aged and older Chinese: results from China health and retirement longitudinal study[J]. Aging Ment Health, 2019, 31: 1-9. doi: 10.1080/13607863.2019.1569589.
[28] Nurius PS, Green S, Logan-Greene P, et al. Stress pathways to health inequalities: embedding ACEs within social and behavioral contexts[J]. Int Public Health J, 2016, 8(2): 241-256.
[29] Frodl T, Janowitz D, Schmaal L, et al. Childhood adversity impacts on brain subcortical structures relevant to depression[J]. J Psychiatr Res, 2017, 86: 58-65. doi: 10.1016/j.jpsychires.2016.11.010.
[30] McLaughlin KA, Sheridan MA. Beyond cumulative risk: a dimensional approach to childhood adversity[J]. Curr Dir Psychol Sci, 2016, 25(4): 239-245.
[31] Nurius PS, Uehara E, Zatzick DF. Intersection of stress, social disadvantage, and life course processes: reframing trauma and mental health[J]. Am J Psychiatr Rehabil, 2013, 16(2): 91-114.
[32] Bell CJ, Foulds JA, Horwood LJ, et al. Childhood abuse and psychotic experiences in adulthood: findings from a 35-year longitudinal study[J]. Br J Psychiatry, 2019, 214(3): 153-158.
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