Childhood maltreatment,psychopathology and well-being: The mediator role of global self-esteem,attachment difficulties and substance use |
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| Institution: | 1. Northcentral University, United States;2. University of Nevada, Reno, United States;1. Department of Clinical Psychology and Psychotherapy, University of Marburg, Marburg, Germany;2. Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany;3. Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany;4. Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany;5. Center for Health Sciences, SRI International, Menlo Park, CA, USA;6. Department of Psychiatry, University of Münster, Münster, Germany;7. Department of Clinical Psychology and Psychotherapy, University of Greifswald, Greifswald, Germany |
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| Abstract: | Childhood maltreatment is known to be associated with a broad variety of psychopathology and deteriorated well-being in adolescent populations. In the present nationwide study, we aimed to explore global self-esteem, attachment difficulties and substance use as possible mediators of these associations in a high-risk adolescent population. We included 400 adolescents (aged 12–20 years) living in residential youth care in Norway (response rate 67%). The participants completed a semistructured psychiatric interview (Child and Adolescent Psychiatric Assessment (CAPA)), a study-specific questionnaire, a revised version of the Self-Perception Profile for Adolescents (SPPA) and the Questionnaire for Measuring Health-related Quality of Life in Children and Adolescents (KINDL-R). Information was also provided by the adolescent’s primary contact at the institution. Two models were tested using structural equation modelling; one assessed the association between childhood maltreatment and psychopathology, and one assessed the association between childhood maltreatment and well-being. Childhood maltreatment, psychopathology, well-being, global self-esteem and attachment difficulties were treated as latent variables, and substance use was added as an observed variable. The results of this study showed that global self-esteem was a mediator of paths in both models, whereas attachment difficulties and substance use were not. Preventing decline in health and well-being in high-risk adolescents is a main goal, and this study suggests that improving self-esteem, in addition to providing psychiatric health services, could be an important tool for achieving this goal. |
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| Keywords: | Childhood maltreatment Adolescents Psychopathology Quality of life Self-esteem |
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