Childhood Cumulative Trauma and Depressive Symptoms in Adulthood: the Role of Mindfulness and Dissociation
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Considering the heightened risk of adults who have experienced childhood cumulative trauma (CCT) to suffer from depressive symptoms, the present study aimed to investigate mindfulness and dissociation as possible mechanisms implicated in this relationship. A total of 234 clients seeking psychotherapy for sexual and/or relational difficulties completed self-reported questionnaires as part of the evaluation phase within their treatment. The assessment tools evaluated the experience of childhood trauma, depressive symptoms, mindfulness levels, and dissociative symptoms. Results of structural equation modeling indicated that the link between CCT and depressive symptoms was fully mediated by both mindfulness and dissociation. In light of our results, it is recommended to assess systematically the presence of CCT, depressive symptoms, and dissociation in clients seeking help for sexual and/or relational issues, even though their primary motive may seem unrelated. Findings suggest that treatments focusing on fostering mindfulness might be beneficial in reducing depressive symptoms for individuals who experienced CCT.
KeywordsChildhood cumulative trauma Depressive symptoms Mindfulness Dissociation
The authors want to thank all the clients who participated in this study. Also, this study would not have been possible without the valuable collaboration of the graduate interns in sexology as well as a number of student members of the Trauma and Couple Research and Intervention Unit (TRACE), who collaborated in the data collection. Finally, we want to acknowledge Michel Goulet, sexologist and clinical professor of sexology, UQAM, without whom this collaboration between research and clinical work would have not been possible.
RB: acquisition of data, designed and executed the study, assisted with the data analyses, and drafted the manuscript. NB: designed and executed the study, assisted with the data analyses, and collaborated with the writing and editing of the paper. MÈD: performed the structural equation analysis as well as writing data analyses section, provided critical review and final approval of the manuscript. MH: provided critical review and final approval for the manuscript. NG: responsible of the project, acquisition of data, designed and executed the study, wrote the paper, supervision, review, and editing of the final manuscript.
This study was partially funded by grants from the Fonds de Recherche du Québec—Santé (FRQS), the Fonds de Recherche du Québec—Société et Culture (FRQSC), the Interdisciplinary Research Centre on Intimate Relationship Problems and Sexual Abuse (CRIPCAS), and UQAM, to the last author.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Université du Québec à Montréal (UQAM) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The research project was approved by the UQAM Ethic Institutional Board.
Informed consent was obtained from all individual participants included in the study.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals.
- Beck, A. T. (1978). Depression inventory. Philadelphia, PA: Center for Cognitive Therapy.Google Scholar
- Berthelot, N., Hébert, M., Godbout, N., Goulet, M., Bergeron, S., & Boucher, S. (2014). Childhood maltreatment increases the risk of intimate partner violence via PTSD and anger personality traits in individuals consulting for sexual problems. Journal of Aggression, Maltreatment & Trauma, 23(9), 982–998.CrossRefGoogle Scholar
- Brach, T. (2003). Radical acceptance: embracing your life with the heart of a Buddha. New York, NY: Bantam Dell.Google Scholar
- Briere, J. (2002). Treating adult survivors of severe childhood. In J. E. B. Myers, L. Berliner, J. Briere, C. T. Hendrix, T. Reid, & C. Jenny (Eds.), The APSAC handbook on child maltreatment (2nd ed., pp. 175–202). Newbury Park, CA: Sage Publications.Google Scholar
- Briere, J. (2011). Trauma symptom inventory–2 (TSI–2). Odessa, FL: Psychological Assessment Resources.Google Scholar
- Briere, J. (2015). Pain and suffering: a synthesis of Buddhist and Western approaches to trauma. In V. M. Follette, J. Briere, D. Rozelle, J. Hopper, & D. I. Rome (Eds.), Mindfulness-oriented interventions for trauma: integrating contemplative practices (pp. 11–30). New York, NY: Guilford.Google Scholar
- Burns, D. D., & Beck, A. T. (1978). Cognitive behavior modification of mood disorders. Cognitive behavior therapy: Research and application, 109–134.Google Scholar
- Dugal, C., Bigras, N., Godbout, N., & Bélanger, C. (2016). Childhood interpersonal trauma and its repercussions in adulthood: an analysis of psychological and interpersonal sequelae. In G. El-Baalbaki & C. Fortin (Eds.), A multidimensional approach to post-traumatic stress disorder: from theory to practice. Rijeka: InTech Open science publishers.Google Scholar
- Follette, V. M., & Pistorello, J. (2007). Finding life beyond trauma: using acceptance and commitment therapy to heal from post-traumatic stress and trauma-related problems. Oakland, CA: New Harbinger Publications.Google Scholar
- Follette, V. M., Palm, K. M., & Hall, M. L. R. (2004). Acceptance, mindfulness, and trauma. In S. C. Hayes, V. M. Follette, & M. M. Linehan (Eds.), Mindfulness and acceptance: expanding the cognitive-behavioral tradition (pp. 192–208). New York, NY: Guilford Press.Google Scholar
- Godbout, N., Bigras, N., & Dion, J. (2016). Présence attentive et traumas interpersonnels subis durant l’enfance. In S. Grégoire, L. Lachance, & L. Richer (Eds.), La présence attentive (mindfulness): État des connaissances théoriques, empiriques et pratiques (pp. 229-251). Québec, Qc: Presses de l’Université du Québec (PUQ).Google Scholar
- Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York, NY: Guilford Press.Google Scholar
- Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: the process and practice of mindful change. New York, NY: Guilford Press.Google Scholar
- Herman, J. L. (1992). Trauma and recovery. New York, NY: Basic Books.Google Scholar
- Jermann, F., Billieux, J., Larøi, F., d’Argembeau, A., Bondolfi, G., Zermatten, A., & Van der Linden, M. (2009). Mindful attention awareness scale (MAAS): psychometric properties of the French translation and exploration of its relations with emotion regulation strategies. Psychological Assessment, 21(4), 506–514.CrossRefPubMedGoogle Scholar
- Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford Press.Google Scholar
- Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
- Pratt, L. A., & Brody, D. J. (2014). Depression in the U.S. household population, 2009-2012. NCHS data brief, no 172. Hyattsville, MD: National Center for Health Statistics.Google Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to relapse prevention. New York, NY: Guilford.Google Scholar
- Spss, I. (2012). IBM SPSS statistics version 21 (p. 126). Boston, Mass: International Business Machines Corp.Google Scholar
- Teasdale, J. D., Williams, J. M. G., & Segal, Z. V. (2014). The mindful way workbook: an 8-week program to free yourself from depression and emotional distress. New York, NY: Guilford Publications.Google Scholar
- Ullman, S. E. (2001). Structural equation modeling. In B. G. Tabachnick & L. S. Fidell (Eds.), Using multivariate statistics (4th ed., pp. 653–771). New York, NY: Allyn and Bacon.Google Scholar
- Zvolensky, M. J., Feldner, M. T., Leen-Feldner, E., & Yartz, A. R. (2005). Exploring basic processes underlying acceptance and mindfulness. In S. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety: conceptualization and treatment (pp. 325–359). New York, NY: Springer.CrossRefGoogle Scholar