Predicting Melancholic Depression by Mental Pain Mediation: The Roles of Object Relations and Childhood Trauma

Document Type : Research Paper

Authors

1 M. A. in Clinical Psychology of Child & Adolescent, Department of Psychology, Faculty of Education & Psychology, University of Isfahan. Isfahan. Iran

2 Assistance Professor, Department of Psychology, Faculty of Education & Psychology, University of Isfahan, Isfahan, Iran.

Abstract

The study was aimed to investigate the relationship between object relations, childhood trauma and melancholic depression with the mediation of mental pain in teenage girls. The research method was descriptive and correlational. The study population included all teenage girls aged 15 to 18 lived in Kerman, Iran 2022. A sample of 500 teens were selected using the voluntary manner. Research data were collected through Object Relations Scale, Childhood Trauma and Mental Pain Scale. Data analysis was done using Pearson correlation statistical tests and structural equation modeling. The results showed that the model predicting melancholic depression based on the role of object relations and childhood trauma with the mediation of mental pain had satisfactory fit. Also, the indirect effect of object relations and childhood trauma through mental pain and the direct effect of mental pain on melancholic depression were confirmed. According to the findings of this study, defective relationships with parents during childhood and the experience of neglect and abuse during this period can serve as a basis for the formation of factors contributing to the onset of melancholic depression. Attention to these factors can provide guidance for counselors and parents in preventing melancholic depression.

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Main Subjects


احمدی، مهدی؛ شریعت باقری، محمد مهدی؛ رضایی، مهدی؛ خزایی، سمانه. (1401). پیش بینی نشانه­های افسردگی دانش­آموزان پسر براساس تروماهای دوران کودکی. مطالعات روان­شناختی، 18 (4): 29-19. https://doi.org/10.22051/psy.2022.40788.2634
ابراهیمی، حجت­الله؛ دژکام، محمود؛ یوسفی، سمیه. (1392). رابطۀ تروماهای دوران کودکی و سبک­های دلبستگی با رفتار اقدام به خودکشی در زنان مراجعه­کننده به بیمارستان لقمان حکیم در مقایسه با جمعیت عمومی. فصلنامۀ فرهنگی_ تربیتی زنان و خانواده، 7 (23): 69-47. https://civilica.com/doc/1722198/
باقری، جواد؛ بیرشک، بهروز؛ دهقانی، محمود؛ اصغرنژاد فرید، علی اصغر. (1398). ارتباط بین روابط ابژه و شدت نشانه­های افسردگی: نقش میانجی شفقت به خود. مجلۀ روان­پزشکی و روان­شناسی بالینی ایران، 25 (3): 342-328. http://dx.doi.org/10.32598/ijpcp.25.3.328
رامتین­فر، هاله؛ علیزاده، ماندانا. (1399). رابطۀ طرحواره­های ناسازگار اولیه و تنظیم هیجانی در سالمندان مبتلا به دیابت. فصلنامۀ پرستاری، مامایی و پیراپزشکی، 6 (3): 87-78.  http://sjnmp.muk.ac.ir/article-1-351-fa.html
سلیمانی، علی؛ لشکری، آرزو؛ ترابی، یگانه. (1400). ارتباط تروما و بهزیستی روان­شناختی: نقش واسطه­ای ترس از شادی و ناگویی خلقی. مجلۀ تحقیقات علوم رفتاری، 19 (1): 127-116. http://rbs.mui.ac.ir/article-1-1032-fa.html
فاریابی، مریم. (1402). ارائۀ مدل برای پیش بینی افسردگی مالیخولیایی بر اساس نقش ترومای دوران کودکی، روابط ابژه، درد ذهنی، اجتناب تجربی، ادراک سربار بودن و تعلق­پذیری خنثی در دختران نوجوان 15 تا 18 سالۀ شهر کرمان. پایا­ن­نامۀ کارشناسی ارشد رشتۀ روان­شناسی گرایش بالینی کودک و نوجوان، دانشگاه اصفهان، ایران.
کرمی، جهانگیر؛ بگیان کوله مرز، محمد جواد؛ مؤمنی، خدامراد؛ الهی، عادله. (1397). سنجش درد ذهنی: ویژگی­های روان­سنجی و تحلیل عاملی تأییدی پرسشنامۀ چندبعدی درد ذهنی (OMMP)، فصلنامۀ علمی_پژوهشی روان­شناسی سلامت، 7 (25): 146-172. https://civilica.com/doc/1909183/
ذرراتی، ایران؛ برماس، حامد؛ ثابت، مهرداد. (1399). همبستگی ترومای کودکی و ایده­پردازی خودکشی با میانجی­گری درد روانی و روابط موضوعی. نشریۀ مدیریت ارتقای سلامت، 9 (3): 48-35. http://jhpm.ir/article-1-1143-fa.html
مسگریان، فاطمه؛ آزاد فلاح، پرویز؛ فراهانی، حجت­اله؛ قربانی، نیما. (1396). ویژگی­های روان­سنجی نسخۀ فارسی مقیاس روابط موضوعی بل. روان­شناسی بالینی و شخصیت، 15 (2): 204-193. https://sid.ir/paper/208704/fa
Ahmadi, M., Shariat Bagheri, M. M., Rezaei, M., & Khazaei, S. (2023). Predicting the depression symptoms by childhood traumas in male students. Psychological Studies, 18 (4): 19-29. (Text in persian) https://doi.org/10.22051/psy.2022.40788.2634
Bagheri, J., Birashk, B., Dehghani, M., & Asgharnegad Farid, A. (2019). The relationship between object relations and the severity of depression symptoms: The mediating role of self-compassion. Iranian Journal of Psychiatry and Clinical Psychology, 25 (3): 328-343. (Text in persian) http://dx.doi.org/10.32598/ijpcp.25.3.328
Bell, M. D. (1995). Bell Object Relations and Reality Testing Inventory (BORRTI) manual. Los Angeles: Western Psychological.
Chu, W., Wang, X., Yao, R., Fan, J., & et al. (2022). Childhood trauma and current depression among Chinese university students: A Moderated mediation model of cognitive emotion regulation strategies and neuroticism. BMC Psychiatry, 22 (90). https://doi.org/10.1186/s12888-021-03673-6
Demirkol, M. E., Uğur, K.& Tamam, L. (2020). The mediating effects of psychache and dissociation in the relationship between childhood trauma and suicide attempts. Anadolu Psikiyatri Derg, 21 (0): 453–460. DOI: 10.5455/apd.82990
Ebrahimi, H., Dejcom, M., & Yousefi, S. (2013). The relationship between childhood traumas and attachment styles with suicidal behavior in women referred to Loghman Hakim hospital compared to the general population. Women and Family Cultural-Educational Quarterly, 7 (23): 47-69. (Text in persian) https://civilica.com/doc/1722198/
Eisenberg, N. (2020). Findings, issues, and new directions for research on emotion socialization. Dev Psychol, 56 (3): 664-670. DOI: 10.1037/dev0000906
Faryabi, M., Akrami, N. (2023). Presenting model for predicting melancholic depression based on the role of childhood trauma, object relations, mental Pain, experiential avoidance, perceived burdensomeness & thwarted belongingness in 15-18 years old adolescent girls in kerman. Master’s dissertation of clinical psychology of child and adolescene, university of Isfahan, Iran. (Text in Persian)
Fitzpatrick, C., Lemieux, A., Smith, J., West, G. L., & et al. (2023). Is adolescent internet use a risk factor for the development of depression symptoms or vice-versa?. National Library of Medicine, 53 (14): 1-7. DOI: 10.1017/S0033291723000284 
Fried, E. I. (2015). Depression is not a consistent syndrome: an investigation of unique symptom patterns in the STAR* D study. Journal of Affective Disorder, 172: 96-102. doi: 10.1016/j.jad.2014.10.010
Fu, Y., Feng, S., Xu, Y., Yang, Y., & et al. (2022). Association of Depression, Antidepressants With Atrial Fibrillation Risk: A Systemic Review and Meta-Analysis. Frontiers in Cardiovascular Medicine. 11 (9): 897622. DOI: 10.3389/fcvm.2022.897622
Ghapanchi, A. Masjedi-Arani, A., Fathali Lavasani, F., & Atef Vahid, M. K. (2022). Object Relations and Core Conflictual Relationship Theme in Patients With Major Depression and Normal Individuals. Journal of Practice in Clinical, 10 (2): 165-176. https://doi.org/10.32598/jpcp.10.2.812.3
Garrusi, B., & Nakhaee, N. (2009). Validity and reliability of a persian version of the childhood trauma questionnaire. Psychological Reports, 104: 509-516. http://doi.org/10.2466/PR0.104.2.509-516
Joana, S., Campos, R. C. Marques, D., & Holden, R. R. (2020). Psychache, unmet interpersonal needs, childhood trauma and suicide ideation in young adults. Death Studies, 46(4), 930–939. DOI: 10.1080/07481187.2020.1788670
Jansson, A. (2021). From Melancholia to Depression: Disordered Mood in Nineteenth-Century Psychiatry. Hist Psychiatry, 33 (1): 47-64. doi: 10.1177/0957154X211062539.
Jollant, F., Perreira, F., Fiori, L. M., Richard-Devantoy, S., & et al. (2020). Neural and molecular correlates of psychological pain during major depression, and its link with suicidal ideas. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 100: 109909. https://doi.org/10.1016/j.pnpbp.2020.109909
Kaiser, R. H., Kang, M. S., Lew, Y., Van Der Feen, J., & et al. (2019). Abnormal frontoinsular-default network dynamics in adolescent depression and rumination: a preliminary resting-state co-activation pattern analysis. Neuropsychopharmacology, 44 (9): 1604-1612. doi: 10.1038/s41386-019-0399-3
Karami, J., Bagiyan Koulemarz, M. J., Momeni, Kh., & Elahi, A. (2018). Measurement of mental pain: Psychometric properties and confirmatory factor analysis of multidimensional mental pain questionnaire. Health Psychology, 7 (1): 146-172. (Text in persian) https://civilica.com/doc/1909183/
Li, C. T. (2023). Overview of treatment-resistant depression. Prog Brain Res, 278: 1-23. DOI: 10.1016/bs.pbr.2023.03.007
Li, E. T., & Luyten, P. (2020). Psychological mediators of the association between childhood emotional abuse and depression: a systematic review. Frontiers in Psychiatry, 11: 213-249. DOI: 10.3389/fpsyt.2020.559213
Li, X., You, J., Ren, Y., Zhou, J., & et al. (2019). A longitudinal study testing the role of psychache in the association between emotional abuse and suicidal ideation. J Clin Psychol, 75 (12): 2284-2292. DOI: 10.1002/jclp.22847
Lu, B., Lin, L., & Su, X. (2024). Global burden of depression or depressive symptoms in children and adolescents: A systematic review and meta-analysis. Journal of Affective Disorders, 354: 553-562. DOI: 10.1016/j.jad.2024.03.074 
Lorenzo-Luaces, L., Rutter, L.A., & Scalco M.D. (2020). Carving depression at its joints? Psychometric properties of the Sydney Melancholia Prototype Index. Psychiatry Research, 293: 113410. https://doi.org/10.1016/j.psychres.2020.113410
Martino, D. J. (2022). Clinical course in patients with melancholic & nonmelancholic bipolar depression. The Journal of Nervous and Mental Disease, 210 (11): 862-868. DOI: 10.1097/NMD.0000000000001553
Munoli, R.N. (2020). Melancholic versus non-melancholic depression: A prospective study. East Asian Arch Psychiatry, 30 (1): 20-27. DOI: 10.12809/eaap1852
Parker, G., Fletcher, K., & Hadzi-Pavlovic, D. (2012). Is context everything to the definition of clinical depression? A test of the Horwitz and Wakefield postulate. Journal of Affective Disorders, 136 (3): 1034–1038. https://doi.org/10.1016/j.jad.2010.11.021
Ramtinfar, H., & Alizadeh, M. (2021). The relationship between the maladaptive schemas with emotional intelligence and emotional regulation in the diabetic elderly. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 6 (3): 78-87. (Text in persian) http://sjnmp.muk.ac.ir/article-1-351-fa.html
Sarlaki, A., Farokhzad, M., Khanzadeh, F., Younesi sinaki, M., & et al. (2024). Effectiveness of intensive short-term dynamic psychotherapy on object relations, anger, and guilt in women with major depressive disorder. Psychological Achievements. doi: 10.22055/psy.2024.44694.3112
Orbach, I., Mikulincer, M., Gilboa-Schechtman, E., & Sirota, P. (2003). Mental pain and its relationship to suicidality and life meaning. Suicide Life Threat Behavior, 33 (3): 231-241. doi: 10.1521/suli.33.3.231.23213.
Özkan, A. B. (2020). The melancholic subject differentiated from mourning in the psychoanalytic theories of freud and lacan. Psikoloji Çalışmaları - Studies in Psychology Cilt, 40 (2); 318- 333. DOI: 10.26650/SP2019-0056
Tahan, M. S. (2020). Systematic review of prevalence of depression in iranian patients. Neuropsychopharmacol Hung, 22 (1): 16-22. PMID: 32329749.
Zarrati, I., Bermas, H., & Sabet, M. (2020). Correlation between childhood trauma and suicidal ideation by mediation of mental pain and object relations. Journal of Health Promotion Management, 9 (3): 34-48. (Text in persian) http://jhpm.ir/article-1-1143-fa.html