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The Journal of Nervous and Mental Disease:
October 2008 - Volume 196 - Issue 10 - pp 735-742
doi: 10.1097/NMD.0b013e3181879dd8
Original Article

Depressive Symptoms After Trauma: Is Self-Esteem a Mediating Factor?

David, Melissa MSc; Ceschi, Grazia PhD; Billieux, Joël MSc; Van der Linden, Martial PhD

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Abstract

Traumatic events have predicted depressive symptoms. Despite this consensus, it remains unclear as to whether the relationship between trauma and depression is consistently mediated by a negative cognitive schema, such as low self-esteem, or whether trauma influences mood independently of low self-esteem. This study tested these relationships while considering depressive symptom types. One hundred thirty-two students reported the number of traumatic events experienced and self-esteem and depression levels. Results indicated 2 depressive symptom types: cognitive-affective and somatic. Structural Equation Modeling tested an unmediated path from trauma to depressive symptoms and a path mediated by self-esteem. Results supported the unmediated relationship between trauma and cognitive-affective depressive symptoms, and did not support mediation by self-esteem. Findings are discussed in view of a dimensional rather than categorical approach to depression, and in consideration of alternative symptom clusters resulting from trauma in addition to those captured by posttraumatic stress disorder.

© 2008 Lippincott Williams & Wilkins, Inc.

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