TY  - JOUR
PY  - 2022//
TI  - Disentangling the associations between past childhood adversity and psychopathology during the COVID-19 pandemic: the mediating roles of specific pandemic stressors and coping strategies
JO  - Child abuse and neglect
A1  - Jernslett, Maria
A1  - Anastassiou-Hadjicharalambous, Xenia
A1  - Lioupi, Chrysanthi
A1  - Syros, Ioannis
A1  - Kapatais, Alexandros
A1  - Karamanoli, Vassia
A1  - Evgeniou, Eleftheria
A1  - Messas, Kostas
A1  - Palaiokosta, Triada
A1  - Papathanasiou, Eleni
A1  - Lotzin, Annett
SP  - e105673
EP  - e105673
VL  - 129
IS  - 
N2  - BACKGROUND: Individuals with a history of adverse childhood experiences (ACEs) display heightened symptoms of psychopathology during the COVID-19 pandemic. Yet, no study has investigated what aspects of the pandemic are of particular concern for this population and ways in which strategies to coping with pandemic stressors may exacerbate their clinical symptomatology. <br><br>OBJECTIVE: This study explores what pandemic stressors and coping strategies are associated with ACEs, depression, and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic, before investigating whether the identified chief stressors and coping styles mediate the effects of ACEs on depression and PTSD. PARTICIPANTS AND SETTING: 1107 Greek adults were sampled from the general population. <br><br>METHODS: Participants completed the Adverse Childhood Experiences Questionnaire, Patient Health Questionnaire, Primary Care PTSD Screen for DSM-5, Pandemic Stressor Scale, and Brief Cope Scale. <br><br>RESULTS: ACEs and depression were both predominantly associated with difficult housing conditions as a stressor (b = 0.079, p < .001 and b = 0.046, p < .001, respectively), whereas PTSD was mainly related to fear of contracting the COVID-19 virus (b = 0.065, p < .001). Self-blame was the main coping strategy associated with both ACEs (b = 0.046, p = .010), depression (b = 0.071, p < .0005), and PTSD (b = 0.088, p < .0005). Difficult housing conditions and self-blame further demonstrated a significant serial mediation effect in the relationship between ACEs with both depression (b = 0.105, 95% CI [0.0607, 0.158]) and PTSD (b = 0.019, 95% CI [0.011, 0.031]). <br><br>CONCLUSIONS: The findings indicate that policy makers should identify ways of ameliorating challenging housing conditions, and that service providers should target self-blame in the psychological treatment of adults with ACEs during the COVID-19 pandemic.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2022.105673
ID  - ref1
ER  -