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
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