The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination
ABSTRACT Background There exists a prevalence of insomnia in depressed adolescents. Childhood maltreatment is a major life event which may intensify its severity. However, studies on the relationship between insomnia and childhood maltreatment and the mediating role of rumination are scarce. Methods...
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| Format: | Article |
| Language: | English |
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Wiley
2025-05-01
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| Series: | Brain and Behavior |
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| Online Access: | https://doi.org/10.1002/brb3.70554 |
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| author | Aiping Wang Zhaojuan Xu Caifeng Liu Lingxia Cao Feifei Wang |
| author_facet | Aiping Wang Zhaojuan Xu Caifeng Liu Lingxia Cao Feifei Wang |
| author_sort | Aiping Wang |
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| description | ABSTRACT Background There exists a prevalence of insomnia in depressed adolescents. Childhood maltreatment is a major life event which may intensify its severity. However, studies on the relationship between insomnia and childhood maltreatment and the mediating role of rumination are scarce. Methods The study utilized a cross‐sectional study design with 88 adolescents diagnosed with major depressive disorder. Childhood maltreatment, rumination, and insomnia were measured by self‐reported questionnaires which included Child Psychological Abuse and Neglect Scale, Rumination Response Scale, and Insomnia Severity Index. Multiple linear regressions were employed for data analysis after controlling for confounders. Results Adolescents with severe childhood neglect reported higher levels of insomnia. Childhood abuse was positively associated with insomnia, but their association was insignificant. Symptom rumination and reflective pondering could indirectly mediate the association between neglect and insomnia. Conclusion The association between childhood maltreatment and insomnia symptoms in depressed adolescents was mediated by rumination. Collaboration with psychotherapists who are experts in psychotherapies, like cognition or mindfulness‐based intervention, may be an effective way of releasing the adverse effects of childhood maltreatment on insomnia. |
| format | Article |
| id | doaj-art-ebc952d91c5541b0a5b78ddedb8d1cc7 |
| institution | OA Journals |
| issn | 2162-3279 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj-art-ebc952d91c5541b0a5b78ddedb8d1cc72025-08-20T02:29:19ZengWileyBrain and Behavior2162-32792025-05-01155n/an/a10.1002/brb3.70554The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of RuminationAiping Wang0Zhaojuan Xu1Caifeng Liu2Lingxia Cao3Feifei Wang4Department of Clinical Psychology, Shandong Mental Health Center Shandong University Jinan Shandong ChinaThe Second Hospital of Shandong University Jinan Shandong ChinaDepartment of Clinical Psychology, Shandong Mental Health Center Shandong University Jinan Shandong ChinaDepartment of Clinical Psychology, Shandong Mental Health Center Shandong University Jinan Shandong ChinaDepartment of Clinical Psychology, Shandong Mental Health Center Shandong University Jinan Shandong ChinaABSTRACT Background There exists a prevalence of insomnia in depressed adolescents. Childhood maltreatment is a major life event which may intensify its severity. However, studies on the relationship between insomnia and childhood maltreatment and the mediating role of rumination are scarce. Methods The study utilized a cross‐sectional study design with 88 adolescents diagnosed with major depressive disorder. Childhood maltreatment, rumination, and insomnia were measured by self‐reported questionnaires which included Child Psychological Abuse and Neglect Scale, Rumination Response Scale, and Insomnia Severity Index. Multiple linear regressions were employed for data analysis after controlling for confounders. Results Adolescents with severe childhood neglect reported higher levels of insomnia. Childhood abuse was positively associated with insomnia, but their association was insignificant. Symptom rumination and reflective pondering could indirectly mediate the association between neglect and insomnia. Conclusion The association between childhood maltreatment and insomnia symptoms in depressed adolescents was mediated by rumination. Collaboration with psychotherapists who are experts in psychotherapies, like cognition or mindfulness‐based intervention, may be an effective way of releasing the adverse effects of childhood maltreatment on insomnia.https://doi.org/10.1002/brb3.70554adolescents | childhood maltreatment | insomnia | major depressive disorder | rumination |
| spellingShingle | Aiping Wang Zhaojuan Xu Caifeng Liu Lingxia Cao Feifei Wang The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination Brain and Behavior adolescents | childhood maltreatment | insomnia | major depressive disorder | rumination |
| title | The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination |
| title_full | The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination |
| title_fullStr | The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination |
| title_full_unstemmed | The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination |
| title_short | The Relationship Between Childhood Maltreatment and Insomnia in Depressed Adolescents: The Mediating Role of Rumination |
| title_sort | relationship between childhood maltreatment and insomnia in depressed adolescents the mediating role of rumination |
| topic | adolescents | childhood maltreatment | insomnia | major depressive disorder | rumination |
| url | https://doi.org/10.1002/brb3.70554 |
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