The Relationship Between Traumatic Childhood Traumatic Experiences and Mental Health with the Mediating Role of Coping Strategies

Document Type : Original Article

Authors

1 Master of Science in General Psychology, Northern Strategy Institute of Higher Education, Rasht, Iran.

2 Assistant Professor, Department of Psychology, Northern Strategy Institute of Higher Education, Rasht, Iran.

Abstract

Introduction: The study aimed to investigate the relationship between childhood traumatic experiences and general health with the mediating role of coping strategies.

Method: The research used a descriptive-correlation path analysis method. The statistical population consisted of undergraduate students from non-profit institutions in Rasht city in 2022-2023 academic year. 173 students were selected by cluster random sampling to complete Goldberg's General Health Questionnaire (GHQ), Bernstein et al.'s Childhood Trauma Questionnaire (CTQ), and Lazarus and Folkman's Coping Strategies Questionnaire (CSQ).Pearson correlation coefficient, path analysis model, and SPSS and AMOS software were used to analyze statistical data.

Results: The results showed that emotional neglect and emotional abuse had a direct effect on coping strategies and general health, whereas physical and sexual abuse only affected general health. Additionally, physical neglect influenced only coping strategies. Moreover, emotion-focused coping mediated the relationship between emotional abuse and general health, while problem-focused coping did not have a mediating role. Both emotion-focused and problem-focused coping strategies significantly mediated the relationship between emotional and physical neglect with general health and had a direct impact on general health.

Conclusion: Based on the results, it can be said that childhood trauma experiences can affected collegians' genera health through the mediation of coping strategies. Therefore, psychological interventions that aim to strengthen coping strategies and reduce the negative effects of childhood adversities can play an effective role in improving the general health of university students

Keywords

Main Subjects


  1. منابع

    1. Peng J, Liu Y, Wang X, Yi Z, Xu L, Zhang F. Physical and emotional abuse with internet addiction and anxiety as a mediator and physical activity as a moderator. Scientific Reports. 2025;15(1):2305. DOI:10.1038/s41598-025-85943-x
    2. Syafitri N, Lubis R, Indrawan YF, Choong TC. Self-compassion: Unveiling mental health through emotion regulation in high-school students. Tazkiya Journal of Psychology. 2024;12(1):1-16. DOI:10.15408/tazkiya.v12i1.37794
    3. Zhang J, Peng C, Chen C. Mental health and academic performance of college students: Knowledge in the field of mental health, self-control, and learning in college. Acta Psychologica. 2024; (248):104351. DOI:10.1016/j.actpsy.2024.104351
    4. Hammoudi Halat D, Soltani A, Dalli R, Alsarraj L, Malki A. Understanding and fostering mental health and well-being among university faculty: A narrative review. Journal of clinical medicine. 2023;12(13):4425. DOI:10.3390/jcm12134425
    5. Luo W, Mohammed J. Mental health status and coping strategies of Chinese university students during the COVID-19 pandemic: A rapid review. PLoS One. 2023;18(12):e0296309. DOI:10.1371/journal.pone.0296309
    6. Gaou S, Elouali M, Akhlil K, Tribak H. Recommendation of a list of items of search retrieval for user's intent. J Theor Appl Inf Technol. 2021;99(23):25-5613. https://www.jatit.org/volumes/Vol99No23/3Vol99No23.pdf
    7. Theodoratou M, Argyrides M. Neuropsychological insights into coping strategies: integrating theory and practice in clinical and therapeutic contexts. Psychiatry International. 2024;5(1):53-73. DOI:10.3390/psychiatryint5010005
    8. Bondarchuk O, Balakhtar V, Pinchuk N, Pustovalov I, Pavlenok K. Coping with stressfull situations using coping strategies and their impact on mental health. Multidisciplinary Reviews. 2024; (7):1-11. DOI:10.31893/multirev.2024spe034
    9. Nadri M, Sadeghi M, Rezaei F. Presenting a causal model of social anxiety disorder based on primary maladaptive schemas and childhood traumas with the mediating role of emotional coping strategy. Research in Cognitive and Behavioral Sciences. 2022;12(2):49-72. DOI:10.22108/cbs.2023.134479.1671 [Persian]
    10. Gomis-Pomares A, Lacomba-Trejo L, Villanueva L. Using avoidant emotion-focused coping and being a woman with adverse childhood experiences as the worst-case scenario for internalising problems. Journal of Child & Adolescent Trauma. 2025:1-11. DOI:10.1007/s40653-025-00688-z
    11. Tzouvara V, Kupdere P, Wilson K, Matthews L, Simpson A, Foye U. Adverse childhood experiences, mental health, and social functioning: A scoping review of the literature. Child Abuse & Neglect. 2023; (139):106092. DOI:10.1016/j.chiabu.2023.106092
    12. Brown M, Worrell C, Pariante CM. Inflammation and early life stress: An updated review of childhood trauma and inflammatory markers in adulthood. Pharmacology Biochemistry and Behavior. 2021; (211):173291. DOI:10.1016/j.pbb.2021.173291
    13. Prajapati AK. The impact of trauma on mental health outcomes: a systematic outcomes. Archives. 2024; (1): 174-183. DOI:10.25215/9358092874.15
    14. Madigan S, Deneault AA, Racine N, Park J, Thiemann R, Zhu J, et al. Adverse childhood experiences: a meta‐analysis of prevalence and moderators among half a million adults in 206 studies. World psychiatry. 2023;22(3):71-463. DOI:10.1002/wps.21122
    15. Shameli L, Bahraamara Z, Mohammadi M, Hadianfard H. The relationship between childhood maltreatment and mental health with the mediation of experiential avoidance in girl students. Psychological Achievements. 2022;29(1):57-78. DOI:10.22055/psy.2022.39038.2756 [Persian]
    16. Daníelsdóttir HB, Aspelund T, Shen Q, Halldorsdottir T, Jakobsdóttir J, Song H, et al. Adverse childhood experiences and adult mental health outcomes. JAMA psychiatry. 2024;81(6):94-586. DOI:10.1001/jamapsychiatry.2024.0039
    17. Yetunde A, Beatrice B, Oreofe O, Yetunde O, Oluwatoyin B. Outcome of childhood trauma on adulthood mental health. Commonwealth Journal of Academic Research(CJAREU). 2025;6(3):18-30. DOI:10.5281/zenodo.15052932
    18. Emmerton RW, Camilleri C, Sammut S. Continued deterioration in university student mental health: Inevitable decline or skirting around the deeper problems? Journal of Affective Disorders Reports. 2024;15:100691. DOI:10.1016/j.jadr.2023.100691
    19. Chang Z, Osman N, Doll CM, Lichtenstein TK, Rosen M, Meisenzahl E, et al. Do coping strategies mediate the effects of childhood adversities and traumata on clinical high-risk of psychosis, depression, and social phobia? A cross-sectional study on patients of an early detection service. BMC psychiatry. 2025;25(1):21. DOI:10.1186/s12888-024-06435-2
    20. Fritz MS, MacKinnon DP. Required sample size to detect the mediated effect. Psychological science. 2007;18(3):9-233. DOI:10.1111/j.1467-9280.2007.01882.x
    21. Goldberg P. The detection of psychiatric illness by questionnaire. Maudsley Monograph. 1972. DOI:10.1177/070674377301800421
    22. Chan JC. Tropical cyclone activity in the northwest Pacific in relation to the El Niño/Southern Oscillation phenomenon. Monthly weather review. 1985;113(4):599-606. DOI:10.1175/1520-0493(1985)113<0599:TCAITN>2.0.CO;2
    23. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychological medicine. 1979;9(1):45-139. DOI:10.1017s0033291700021644
    24. Hasheminezhad M, Mohammadi A, Haghighat S. Providing a structural model of predicting mental health based on personality traits with the mediating role of resilience in Islamic Azad University Students. Soc Educ. 2023;8(2):22-311. DOI:10.22034/ijes.2021.541983.1184 [Persian]
    25. Izanloo Z, Hosseini Keshtan M, Amirshaghaghi F. General health status and physical activity level of pregnant women in Bojnord, Iran during the COVID-19 pandemic. The Scientific Journal of Rehabilitation Medicine. 2023;12(4):59-746. DOI:10.32598/SJRM.12.4.11 [Persian]
    26. Lazarus RS, Folkman S. Stress, appraisal, and coping: Springer publishing company; 1984. DOI:10.1007/978-1-4419-1005-9_215
    27. Khatibi P, Meghrazi P. Predicting psychological helplessness based on initial maladaptive schemas and coping strategies in women affected by marital infidelity. Journal of Applied Family Therapy. 2023;4(2):487-506. DOI:10.61838/kman.aftj.4.2.30

    [Persian]

    1. Dehrouyeh D SS, Razaghian ST, Hafezian M, Dadkhah E. The effectiveness of social cognitive problem solving training on academic self-regulation and coping strategies of students with math anxiety. Instruction and Curriculum Based-Learner Journal (LBCIJ). 2025;3(4):0-0. DOI:10.22034/cipj.2025.64713.1199

     [Persian]

    1. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect. 2003;27(2):90-169. DOI:10.1016/s0145-2134(02)00541-0
    2. Enfael N, Omidvar B, Zarenejad M. Predicting borderline personality traits based on childhood trauma and family emotional atmosphere in drug addicts. Pajouhan Sci J. 2021;19(3):1-11. DOI:10.61186/psj.19.3.1 [Persian]
    3. Xie X, Liu J, Gong X, Sun T, Li Y, Liu Z, et al. Relationship between childhood trauma and nonsuicidal self-injury among adolescents with depressive disorder: mediated by negative life events and coping style. Neuropsychiatric Disease and Treatment. 2023; (19):2271-2281. DOI:10.2147/NDT.S431647
    4. Choi S, Kim H, Chae S. Sexual trauma survivors and their mental health: Assessing based on types of the traumatic event. Health Policy and Management. 2024;34(2):40-129. DOI:10.4332/KJHPA.2024.34.2.129
    5. Farazmand S, Mohammadkhani P, Pourshahbaz A, Dolatshahee B. The role of sources of childhood emotional maltreatment in predicting conditional and unconditional maladaptive schemas in adulthood. 2017;44(11):37-64. DOI:10.22098/jpc.2023.12054.1145 [Persian]
    6. Ershadi Manesh S, Kafi Malak S. The structural relationships of emotional neglect with risky behaviors in prisoners considering the mediating role of emotion regulation strategies. Health. 2025; 3(1): 22-111. DOI:10.61838/kman.hn.3.1.12
    7. Buizza C, Cela H, Costa A, Ghilardi A. Coping strategies and mental health in a sample of students accessing a university counselling service. Counselling and Psychotherapy Research. 2022; 22(3): 66-658. DOI: 10.1002/capr.12519
    8. Darmian ME, Javadi SV. The mediating role of stress-coping strategies on the relationship between thinking styles and mental health of nursing and midwifery students. Journal of Midwifery & Reproductive Health. 2019;7(4):1964-1971. DOI:10.22038/jmrh.2019.39776.1444 [Persian]
    9. Cao H, Zhang R, Li L, Yang L. Coping style and resilience mediate the effect of childhood maltreatment on mental health symptomology. Children. 2022;9(8):1118. DOI:10.3390/children9081118
    10. Edinger A, Fischer-Waldschmidt G, Parzer P, Brunner R, Resch F, Kaess M. The impact of adverse childhood experiences on therapy outcome in adolescents engaging in nonsuicidal self-injury. Frontiers in psychiatry. 2020; (11):505661. DOI:10.3389/fpsyt.2020.505661
    11. Boullier M, Blair M. Adverse childhood experiences. Paediatrics and Child Health. 2018;28(3):7-132. DOI:10.1016/j.paed.2017.12.008