Biopsychosocial science and medicine · 2025
Child Maltreatment and Whole-person Health: Investigation of Psychosocial Buffers Using Structural Equation Modeling.
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Jiang Yanping, Brinck Emily A, Ascienzo Sarah, Groves Angela, Trang Kathy, Farewell Charlotte V
Аннотация
OBJECTIVE: The purpose of this study was to investigate psychosocial factors that may modify associations between child maltreatment and whole-person health (ie, depressive symptoms, chronic health conditions, psychological well-being, and inflammation).
METHODS: Data were drawn from a subsample ( N = 1255) of Midlife in the United States study, a national longitudinal study of health and well-being. Structural equation modeling was applied to test hypotheses.
RESULTS: Child maltreatment was associated with more depressive symptoms (standardized β = 0.29, p < .001), more chronic health conditions ( β = 0.24, p < .001), poorer psychological well-being ( β = -0.25, p < .001), and elevated C-reactive protein (β = 0.06, p = .041), but not with interleukin-6 (IL-6; β = 0.06, p = .055). There were significant interaction effects between child maltreatment and psychological resources on depressive symptoms (unstandardized b = -0.009, SE = 0.005, p = .045) and IL-6 ( b = -0.001, SE = 0.000, p = .042). Specifically, there were stronger relationships between child maltreatment and more depressive symptoms and elevated IL-6 at low levels of psychological resources than at high levels of psychological resources. There were no statistically significant interaction effects between child maltreatment and social resources on any health outcomes.
CONCLUSIONS: High levels of psychological resources significantly mitigate the long-term effects of child maltreatment on depressive symptoms and inflammation among middle-aged and older adults.
METHODS: Data were drawn from a subsample ( N = 1255) of Midlife in the United States study, a national longitudinal study of health and well-being. Structural equation modeling was applied to test hypotheses.
RESULTS: Child maltreatment was associated with more depressive symptoms (standardized β = 0.29, p < .001), more chronic health conditions ( β = 0.24, p < .001), poorer psychological well-being ( β = -0.25, p < .001), and elevated C-reactive protein (β = 0.06, p = .041), but not with interleukin-6 (IL-6; β = 0.06, p = .055). There were significant interaction effects between child maltreatment and psychological resources on depressive symptoms (unstandardized b = -0.009, SE = 0.005, p = .045) and IL-6 ( b = -0.001, SE = 0.000, p = .042). Specifically, there were stronger relationships between child maltreatment and more depressive symptoms and elevated IL-6 at low levels of psychological resources than at high levels of psychological resources. There were no statistically significant interaction effects between child maltreatment and social resources on any health outcomes.
CONCLUSIONS: High levels of psychological resources significantly mitigate the long-term effects of child maltreatment on depressive symptoms and inflammation among middle-aged and older adults.