MỐI QUAN HỆ GIỮA TRẢI NGHIỆM BẤT LỢI THỜI THƠ ẤU, TÍNH CẦU TOÀN, TRẦM CẢM VÀ SỰ HÀI LÒNG CUỘC SỐNG CỦA NGƯỜI TRƯỞNG THÀNH
Nội dung chính của bài viết
Tóm tắt
Trải nghiệm bất lợi thời thơ ấu được xem là một yếu tố quan trọng ảnh hưởng đến sức khỏe tâm thần ở giai đoạn trưởng thành. Tuy nhiên, có rất ít nghiên cứu xác định được cơ chế giữa ảnh hưởng này. Với mục đích khám phá mối quan hệ giữa các yếu tố: trải nghiệm bất lợi thời thơ ấu, tính cầu toàn, trầm cảm và sự hài lòng cuộc sống, nghiên cứu này đã khảo sát 554 khách thể là người trưởng thành Việt Nam từ đủ 18 tuổi trở lên, trong đó có 178 khách thể báo cáo có trải qua ít nhất một trải nghiệm bất lợi thời thơ ấu. Với phân tích hồi quy đơn biến, kết quả cho thấy trải nghiệm bất lợi thời thơ ấu có mối tương quan thuận đáng kể với tính cầu toàn (β = 0,326, p < 0,001), và triệu chứng trầm cảm (β = 0,366, p < 0,001), đồng thời có mối tương quan nghịch với sự hài lòng cuộc sống (β = -0,096, p = 0,024). Bên cạnh đó, tính cầu toàn cũng dự báo đáng kể các triệu chứng trầm cảm (β = 0,495, p < 0,001). Các kết quả này nhấn mạnh tầm quan trọng của việc nhận diện và can thiệp sớm, đồng thời cung cấp cơ sở khoa học để phát triển các chương trình hỗ trợ tâm lí nhằm nâng cao sức khỏe tâm thần và chất lượng sống của người trưởng thành tại Việt Nam đã trải qua thời thơ ấu bất lợi.
Từ khóa
mối quan hệ, người trưởng thành, sự hài lòng cuộc sống, tính cầu toàn, trải nghiệm bất lợi thời thơ ấu, triệu chứng trầm cảm
Chi tiết bài viết
Tài liệu tham khảo
Alloy, L. B., Abramson, L. Y., Gibb, B. E., Crossfield, A. G., Pieracci, A. M., Spasojevic, J., & Steinberg, J. A. (2004). Developmental Antecedents of Cognitive Vulnerability to Depression: Review of findings from the Cognitive Vulnerability to Depression Project. Journal of Cognitive Psychotherapy, 18(2), 115-133. https://doi.org/10.1891/jcop.18.2.115.65957
Antoniou, G., Lambourg, E., Steele, J. D., & Colvin, L. A. (2023). The effect of adverse childhood experiences on chronic pain and major depression in adulthood: a systematic review and meta-analysis. British Journal of Anaesthesia, 130(6), 729-746. https://doi.org/10.1016/j.bja.2023.03.008
Campbell, J. A., Walker, R. J., & Egede, L. E. (2015). Associations between adverse childhood experiences, high-Risk behaviors, and morbidity in adulthood. American Journal of Preventive Medicine, 50(3), 344-352. https://doi.org/10.1016/j.amepre.2015.07.022
Chen, C., Hewitt, P. L., & Flett, G. L. (2019). Adverse childhood experiences and multidimensional perfectionism in young adults. Personality and Individual Differences, 146, 53-57. https://doi.org/10.1016/j.paid.2019.03.042
Curran, T., & Hill, A. P. (2022). Young people’s perceptions of their parents’ expectations and criticism are increasing over time: Implications for perfectionism. Psychological Bulletin, 148(1-2), 107-128. https://doi.org/10.1037/bul0000347
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Dobos, B., Piko, B. F., & Mellor, D. (2021). What makes university students perfectionists? The role of childhood trauma, emotional dysregulation, academic anxiety, and social support. Scandinavian Journal of Psychology, 62(3), 443-447. https://doi.org/10.1111/sjop.12718
Farooq, B., Russell, A. E., Howe, L. D., Herbert, A., Smith, A. D., Fisher, H. L., Baldwin, J. R., Arseneault, L., Danese, A., & Mars, B. (2024). The relationship between type, timing and duration of exposure to adverse childhood experiences and adolescent self‐harm and depression: findings from three UK prospective population‐based cohorts. Journal of Child Psychology and Psychiatry, 65(10), 1369-1387. https://doi.org/10.1111/jcpp.13986
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Adverse Childhood Experiences Study questionnaire [Dataset]. In PsycTESTS Dataset. https://doi.org/10.1037/t26957-000
Flett, G. L., Hewitt, P. L., Oliver, J. M., & Macdonald, S. (2002). Perfectionism in children and their parents: A developmental analysis. In American Psychological Association eBooks (pp. 89-132). https://doi.org/10.1037/10458-004
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449-468. https://doi.org/10.1007/bf01172967
Gauthier, L., Stollak, G., Messé, L., & Aronoff, J. (1996). Recall of childhood neglect and physical abuse as differential predictors of current psychological functioning. Child Abuse & Neglect, 20(7), 549–559. https://doi.org/10.1016/0145-2134(96)00043-9
Grad, R. I., Thomas, C. L., & Gordy, D. D. (2023). Adverse childhood experiences, multidimensional perfectionism, and stress in young adults: A Person-Centered Perspective. Journal of Mental Health Counseling, 45(2), 166-183. https://doi.org/10.17744/mehc.45.2.05
Gross, J. J. (1998). The Emerging Field of Emotion Regulation: An Integrative Review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271
Hewitt, P. L., Flett, G. L., & Ediger, E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology, 105(2), 276-280. https://doi.org/10.1037/0021-843x.105.2.276
Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29(5), 409-416. https://doi.org/10.1002/da.21888
Horney, K. (1951). Neurosis and Human Growth: The Struggle Toward Self-Realization. Journal of the American Medical Association, 145(2), 124. https://doi.org/10.1001/jama.1951.02920200064035
Kempke, S., Luyten, P., Claes, S., Van Wambeke, P., Bekaert, P., Goossens, L., & Van Houdenhove, B. (2013). The prevalence and impact of early childhood trauma in Chronic Fatigue Syndrome. Journal of Psychiatric Research, 47(5), 664-669. https://doi.org/10.1016/j.jpsychires.2013.01.021
Kendall-Tackett, K. A. (2000). Physiological correlates of childhood abuse: chronic hyperarousal in PTSD, depression, and irritable bowel syndrome. Child Abuse & Neglect, 24(6), 799-810. https://doi.org/10.1016/s0145-2134(00)00136-8
Khodabakhsh, S. (2021). Factors affecting life satisfaction of Older adults in Asia: a systematic review. Journal of Happiness Studies, 23(3), 1289-1304. https://doi.org/10.1007/s10902-021-00433-x
Kranick, S., Ekanayake, V., Martinez, V., Ameli, R., Hallett, M., & Voon, V. (2011). Psychopathology and psychogenic movement disorders. Movement Disorders, 26(10), 1844-1850. https://doi.org/10.1002/mds.23830
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ‐9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Mosley-Johnson, E., Garacci, E., Wagner, N., Mendez, C., Williams, J. S., & Egede, L. E. (2018). Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995-2014. Quality of Life Research, 28(4), 907-914. https://doi.org/10.1007/s11136-018-2054-6
Nemeroff, C. B. (2016). Paradise Lost: The Neurobiological and clinical Consequences of Child Abuse and Neglect. Neuron, 89(5), 892-909. https://doi.org/10.1016/j.neuron.2016.01.019
Nguyen, T. C. (2012). Thực trạng trầm cảm và một số yếu tố nguy cơ đến trầm cảm ở người trưởng thành tại phường Sông Cầu, thị xã Bắc Kạn năm 2011 và đề xuất một số giải pháp [The current state of depression and some risk factors for depression among adults in Song Cau Ward, Bac Kan Town in 2011 and proposed solutions] [Level II specialist thesis]. Thai Nguyen University of Medicine and Pharmacy.
Rice, F., Riglin, L., Lomax, T., Souter, E., Potter, R., Smith, D., Thapar, A., & Thapar, A. (2019). Adolescent and adult differences in major depression symptom profiles. Journal of Affective Disorders, 243, 175–181. https://doi.org/10.1016/j.jad.2018.09.015
Satinsky, E. N., Kakuhikire, B., Baguma, C., Rasmussen, J. D., Ashaba, S., Cooper-Vince, C. E., Perkins, J. M., Kiconco, A., Namara, E. B., Bangsberg, D. R., & Tsai, A. C. (2021). Adverse childhood experiences, adult depression, and suicidal ideation in rural Uganda: A cross-sectional, population-based study. PLoS Medicine, 18(5), e1003642. https://doi.org/10.1371/journal.pmed.1003642
Seligman, M. E., Abramson, L. Y., Semmel, A., & Von Baeyer, C. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242-247. https://doi.org/10.1037/0021-843x.88.3.242
Stober, J. (1998). The Frost Multidimensional Perfectionism Scale revisited: More perfect with four (instead of six) dimensions. Personality and individual differences, 24(4), 481-491. https://doi.org/10.1016/S0191-8869(97)00207-9
Stoeber, J., & Stoeber, F. S. (2009). Domains of perfectionism: Prevalence and relationships with perfectionism, gender, age, and satisfaction with life. Personality and Individual Differences, 46(4), 530-535. https://doi.org/10.1016/j.paid.2008.12.006
Tran, Q. A., Dunne, M. P., Van Vo, T., & Luu, N. H. (2015). Adverse childhood experiences and the health of university students in eight provinces of Vietnam. Asia Pacific Journal of Public Health, 27(8_suppl), 26S-32S. https://doi.org/10.1177/1010539515589812
Tudorel, O. I. (2022). Adverse childhood experiences and problematic technology use: The mediating role of satisfaction with life. Current Psychology, 42(17), 14681-14688. https://doi.org/10.1007/s12144-022-02723-w
Winata, H. K., & Power, T. G. (1989). Child rearing and compliance. Journal of Cross-Cultural Psychology, 20(4), 333-356. https://doi.org/10.1177/0022022189204001
World Health Organization: WHO & World Health Organization: WHO. (2023, March 31). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression
Wu, C., & Chao, R. K. (2005). Intergenerational cultural conflicts in norms of parental warmth among Chinese American immigrants. International Journal of Behavioral Development, 29(6), 516-523. https://doi.org/10.1177/01650250500147444
Zarse, E. M., Neff, M. R., Yoder, R., Hulvershorn, L., Chambers, J. E., & Chambers, R. A. (2019). The adverse childhood experiences questionnaire: Two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases. Cogent Medicine, 6(1), 1581447. https://doi.org/10.1080/2331205x.2019.1581447
Antoniou, G., Lambourg, E., Steele, J. D., & Colvin, L. A. (2023). The effect of adverse childhood experiences on chronic pain and major depression in adulthood: a systematic review and meta-analysis. British Journal of Anaesthesia, 130(6), 729-746. https://doi.org/10.1016/j.bja.2023.03.008
Campbell, J. A., Walker, R. J., & Egede, L. E. (2015). Associations between adverse childhood experiences, high-Risk behaviors, and morbidity in adulthood. American Journal of Preventive Medicine, 50(3), 344-352. https://doi.org/10.1016/j.amepre.2015.07.022
Chen, C., Hewitt, P. L., & Flett, G. L. (2019). Adverse childhood experiences and multidimensional perfectionism in young adults. Personality and Individual Differences, 146, 53-57. https://doi.org/10.1016/j.paid.2019.03.042
Curran, T., & Hill, A. P. (2022). Young people’s perceptions of their parents’ expectations and criticism are increasing over time: Implications for perfectionism. Psychological Bulletin, 148(1-2), 107-128. https://doi.org/10.1037/bul0000347
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Dobos, B., Piko, B. F., & Mellor, D. (2021). What makes university students perfectionists? The role of childhood trauma, emotional dysregulation, academic anxiety, and social support. Scandinavian Journal of Psychology, 62(3), 443-447. https://doi.org/10.1111/sjop.12718
Farooq, B., Russell, A. E., Howe, L. D., Herbert, A., Smith, A. D., Fisher, H. L., Baldwin, J. R., Arseneault, L., Danese, A., & Mars, B. (2024). The relationship between type, timing and duration of exposure to adverse childhood experiences and adolescent self‐harm and depression: findings from three UK prospective population‐based cohorts. Journal of Child Psychology and Psychiatry, 65(10), 1369-1387. https://doi.org/10.1111/jcpp.13986
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Adverse Childhood Experiences Study questionnaire [Dataset]. In PsycTESTS Dataset. https://doi.org/10.1037/t26957-000
Flett, G. L., Hewitt, P. L., Oliver, J. M., & Macdonald, S. (2002). Perfectionism in children and their parents: A developmental analysis. In American Psychological Association eBooks (pp. 89-132). https://doi.org/10.1037/10458-004
Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449-468. https://doi.org/10.1007/bf01172967
Gauthier, L., Stollak, G., Messé, L., & Aronoff, J. (1996). Recall of childhood neglect and physical abuse as differential predictors of current psychological functioning. Child Abuse & Neglect, 20(7), 549–559. https://doi.org/10.1016/0145-2134(96)00043-9
Grad, R. I., Thomas, C. L., & Gordy, D. D. (2023). Adverse childhood experiences, multidimensional perfectionism, and stress in young adults: A Person-Centered Perspective. Journal of Mental Health Counseling, 45(2), 166-183. https://doi.org/10.17744/mehc.45.2.05
Gross, J. J. (1998). The Emerging Field of Emotion Regulation: An Integrative Review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271
Hewitt, P. L., Flett, G. L., & Ediger, E. (1996). Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis. Journal of Abnormal Psychology, 105(2), 276-280. https://doi.org/10.1037/0021-843x.105.2.276
Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29(5), 409-416. https://doi.org/10.1002/da.21888
Horney, K. (1951). Neurosis and Human Growth: The Struggle Toward Self-Realization. Journal of the American Medical Association, 145(2), 124. https://doi.org/10.1001/jama.1951.02920200064035
Kempke, S., Luyten, P., Claes, S., Van Wambeke, P., Bekaert, P., Goossens, L., & Van Houdenhove, B. (2013). The prevalence and impact of early childhood trauma in Chronic Fatigue Syndrome. Journal of Psychiatric Research, 47(5), 664-669. https://doi.org/10.1016/j.jpsychires.2013.01.021
Kendall-Tackett, K. A. (2000). Physiological correlates of childhood abuse: chronic hyperarousal in PTSD, depression, and irritable bowel syndrome. Child Abuse & Neglect, 24(6), 799-810. https://doi.org/10.1016/s0145-2134(00)00136-8
Khodabakhsh, S. (2021). Factors affecting life satisfaction of Older adults in Asia: a systematic review. Journal of Happiness Studies, 23(3), 1289-1304. https://doi.org/10.1007/s10902-021-00433-x
Kranick, S., Ekanayake, V., Martinez, V., Ameli, R., Hallett, M., & Voon, V. (2011). Psychopathology and psychogenic movement disorders. Movement Disorders, 26(10), 1844-1850. https://doi.org/10.1002/mds.23830
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ‐9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Mosley-Johnson, E., Garacci, E., Wagner, N., Mendez, C., Williams, J. S., & Egede, L. E. (2018). Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995-2014. Quality of Life Research, 28(4), 907-914. https://doi.org/10.1007/s11136-018-2054-6
Nemeroff, C. B. (2016). Paradise Lost: The Neurobiological and clinical Consequences of Child Abuse and Neglect. Neuron, 89(5), 892-909. https://doi.org/10.1016/j.neuron.2016.01.019
Nguyen, T. C. (2012). Thực trạng trầm cảm và một số yếu tố nguy cơ đến trầm cảm ở người trưởng thành tại phường Sông Cầu, thị xã Bắc Kạn năm 2011 và đề xuất một số giải pháp [The current state of depression and some risk factors for depression among adults in Song Cau Ward, Bac Kan Town in 2011 and proposed solutions] [Level II specialist thesis]. Thai Nguyen University of Medicine and Pharmacy.
Rice, F., Riglin, L., Lomax, T., Souter, E., Potter, R., Smith, D., Thapar, A., & Thapar, A. (2019). Adolescent and adult differences in major depression symptom profiles. Journal of Affective Disorders, 243, 175–181. https://doi.org/10.1016/j.jad.2018.09.015
Satinsky, E. N., Kakuhikire, B., Baguma, C., Rasmussen, J. D., Ashaba, S., Cooper-Vince, C. E., Perkins, J. M., Kiconco, A., Namara, E. B., Bangsberg, D. R., & Tsai, A. C. (2021). Adverse childhood experiences, adult depression, and suicidal ideation in rural Uganda: A cross-sectional, population-based study. PLoS Medicine, 18(5), e1003642. https://doi.org/10.1371/journal.pmed.1003642
Seligman, M. E., Abramson, L. Y., Semmel, A., & Von Baeyer, C. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242-247. https://doi.org/10.1037/0021-843x.88.3.242
Stober, J. (1998). The Frost Multidimensional Perfectionism Scale revisited: More perfect with four (instead of six) dimensions. Personality and individual differences, 24(4), 481-491. https://doi.org/10.1016/S0191-8869(97)00207-9
Stoeber, J., & Stoeber, F. S. (2009). Domains of perfectionism: Prevalence and relationships with perfectionism, gender, age, and satisfaction with life. Personality and Individual Differences, 46(4), 530-535. https://doi.org/10.1016/j.paid.2008.12.006
Tran, Q. A., Dunne, M. P., Van Vo, T., & Luu, N. H. (2015). Adverse childhood experiences and the health of university students in eight provinces of Vietnam. Asia Pacific Journal of Public Health, 27(8_suppl), 26S-32S. https://doi.org/10.1177/1010539515589812
Tudorel, O. I. (2022). Adverse childhood experiences and problematic technology use: The mediating role of satisfaction with life. Current Psychology, 42(17), 14681-14688. https://doi.org/10.1007/s12144-022-02723-w
Winata, H. K., & Power, T. G. (1989). Child rearing and compliance. Journal of Cross-Cultural Psychology, 20(4), 333-356. https://doi.org/10.1177/0022022189204001
World Health Organization: WHO & World Health Organization: WHO. (2023, March 31). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression
Wu, C., & Chao, R. K. (2005). Intergenerational cultural conflicts in norms of parental warmth among Chinese American immigrants. International Journal of Behavioral Development, 29(6), 516-523. https://doi.org/10.1177/01650250500147444
Zarse, E. M., Neff, M. R., Yoder, R., Hulvershorn, L., Chambers, J. E., & Chambers, R. A. (2019). The adverse childhood experiences questionnaire: Two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases. Cogent Medicine, 6(1), 1581447. https://doi.org/10.1080/2331205x.2019.1581447