Relationships between childhood trauma and perceived stress in the general population: a network perspective. Issue 15 (14th November 2021)

• Record Type: Journal Article
• Authors: Betz, Linda T.; Penzel, Nora; Rosen, Marlene; Kambeitz, Joseph
• Is Part Of: Psychological medicine. Volume 51:Issue 15(2021)
• Page Start: 2696
• Page End: 2706
• Publication Date: 2021-11-14
• Subjects: Adverse life events -- childhood trauma -- early risk -- network analysis -- pathogenesis -- perceived stress; Psychiatry -- Periodicals; Medicine and psychology -- Periodicals; Clinical psychology -- Periodicals; 616.89
• DOI: 10.1017/S003329172000135X
• Languages: English
• ISSNs: 0033-2917

Abstract

Abstract: Background: Experiences of childhood trauma (CT) are associated with increased psychological vulnerability. Past research suggests that CT might alter stress processing with a subsequent negative impact on mental health. However, it is currently unclear how different domains of CT exert effects on specific subjective experiences of stress during adulthood. Methods: In the present study, we used network analysis to explore the complex interplay between distinct domains of CT and perceived stress in a large, general-population sample of middle-aged adults ( N = 1252). We used a data-driven community-detection algorithm to identify strongly connected subgroups of items within the network. To assess the replicability of the findings, we repeated the analyses in a second sample ( N = 862). Combining data from both samples, we evaluated network differences between men ( n = 955) and women ( n = 1159). Results: Results indicate specific associations between distinct domains of CT and perceived stress. CT domains reflecting a dimension of deprivation, i.e. experiences of neglect, were associated exclusively to a stress network community representing low perceived self-efficacy. By contrast, CT associated with threat, i.e. experiences of abuse, was specifically related to a stress community reflecting perceived helplessness. Our results replicated with high accordance in the second sample. We found no difference in network structure between men and women, but overall a stronger connected network in women. Conclusions: Our findings emphasize the unique role of distinct domains of CT in psychological stress processes in adulthood, implying opportunities for targeted interventions following distinct domains of CT.