Associations and Additive Interaction of Childhood Trauma and Psychological Resilience With Depression Among Vocational College Students
- 1Student Affairs Office, Yangming School of Shaoxing Vocational & Technical College, 312000 Shaoxing, Zhejiang, China
- 2Academic Affairs Office, Medical School Shaoxing Vocational & Technical College, 321000 Shaoxing, Zhejiang, China
- 3Mental Health Education Guidance Center, Zhejiang Post and Telecommunications College, 321000 Shaoxing, Zhejiang, China
Abstract
Background:: To observe the effects of childhood trauma and psychological resilience on depression in vocational college students, as well as their additive and interactive effects.
Methods:: From November 2023 to November 2024, 992 college students from a higher vocational and technical college in Shaoxing were selected using cluster sampling. An online survey was conducted using the Center for Epidemiologic Studies Depression Scale (CES-D), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and the Childhood Trauma Questionnaire-Short Form (CTQ-SF). According to the presence or absence of depressive symptoms, the students were divided into a depressive symptom group and a non-depressive group. CTQ-SF scores, CD-RISC-10 scores, and general characteristics of were compared between the two groups to analyse factors associated with depressive symptoms among higher vocational college students. The additive interaction between CTQ-SF and CD-RISC-10 scores in relation to depressive symptoms was also analysed.
Results:: Among the 992 vocational college students, the incidence of depressive symptoms was 19.86% (197/992). The CTQ-SF score was higher in the depressive symptom group than in the non-depressive group (p < 0.05), and the CD-RISC-10 score was lower in the depressive symptom group than in the non-depressive group (p < 0.05). The depressive symptom group was older than the non-depressive symptom group and had higher proportions of students with monthly living expenses <1000 yuan, average or poor relationships with classmates, and divorced or widowed parents (p < 0.05). Multivariable logistic regression analysis showed that age (odds ratio (OR) = 1.179, 95% confidence interval (CI): 1.072–1.295), average or poor relationships with classmates (OR = 3.197, 95% CI: 2.038–5.015), and having divorced or widowed parents (OR = 3.208, 95% CI: 1.788–5.756) were risk factors for depressive symptoms among vocational college students (p < 0.05). Monthly living expenses (OR = 0.264, 95% CI: 0.168–0.416), sexual orientation (OR = 0.740, 95% CI: 0.551–0.993), and CD-RISC-10 score (OR = 0.306, 95% CI: 0.187–0.502) were protective factors for depression symptoms among vocational college students (p < 0.05). The additive interaction analysis yielded relative excess risk due to interaction (RERI) = –0.001, attributable proportion due to interaction (AP) = –0.002, and synergy index (S) = 1.003, indicating no additive interaction between CTQ-SF and CD-RISC-10 scores in relation to depressive symptoms among vocational college students.
Conclusions:: CTQ-SF and CD-RISC-10 scores showed no additive interaction in relation to depressive symptoms among vocational college students.
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BibTeX
@article{tian2026associations,
title = {{Associations and Additive Interaction of Childhood Trauma and Psychological Resilience With Depression Among Vocational College Students}},
author = {Jiacun Tian and Xiaoping Chen and Danwen Huang and Xiaoyan Qiu},
journal = {Actas Españolas de Psiquiatría},
year = {2026},
month = oct,
doi = {10.62641/aep.2199},
url = {https://doi.org/10.62641/aep.2199},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Associations and Additive Interaction of Childhood Trauma and Psychological Resilience With Depression Among Vocational College Students
AU - Jiacun Tian
AU - Xiaoping Chen
AU - Danwen Huang
AU - Xiaoyan Qiu
PY - 2026
DA - 2026/10/15
JO - Actas Españolas de Psiquiatría
DO - 10.62641/aep.2199
UR - https://doi.org/10.62641/aep.2199
AB - Background:: To observe the effects of childhood trauma and psychological resilience on depression in vocational college students, as well as their additive and interactive effects. Methods:: From November 2023 to November 2024, 992 college students from a higher vocational and technical college in Shaoxing were selected using cluster sampling. An online survey was conducted using the Center for Epidemiologic Studies Depression Scale (CES-D), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and the Childhood Trauma Questionnaire-Short Form (CTQ-SF). According to the presence or absence of depressive symptoms, the students were divided into a depressive symptom group and a non-depressive group. CTQ-SF scores, CD-RISC-10 scores, and general characteristics of were compared between the two groups to analyse factors associated with depressive symptoms among higher vocational college students. The additive interaction between CTQ-SF and CD-RISC-10 scores in relation to depressive symptoms was also analysed. Results:: Among the 992 vocational college students, the incidence of depressive symptoms was 19.86% (197/992). The CTQ-SF score was higher in the depressive symptom group than in the non-depressive group (p < 0.05), and the CD-RISC-10 score was lower in the depressive symptom group than in the non-depressive group (p < 0.05). The depressive symptom group was older than the non-depressive symptom group and had higher proportions of students with monthly living expenses <1000 yuan, average or poor relationships with classmates, and divorced or widowed parents (p < 0.05). Multivariable logistic regression analysis showed that age (odds ratio (OR) = 1.179, 95% confidence interval (CI): 1.072–1.295), average or poor relationships with classmates (OR = 3.197, 95% CI: 2.038–5.015), and having divorced or widowed parents (OR = 3.208, 95% CI: 1.788–5.756) were risk factors for depressive symptoms among vocational college students (p < 0.05). Monthly living expenses (OR = 0.264, 95% CI: 0.168–0.416), sexual orientation (OR = 0.740, 95% CI: 0.551–0.993), and CD-RISC-10 score (OR = 0.306, 95% CI: 0.187–0.502) were protective factors for depression symptoms among vocational college students (p < 0.05). The additive interaction analysis yielded relative excess risk due to interaction (RERI) = –0.001, attributable proportion due to interaction (AP) = –0.002, and synergy index (S) = 1.003, indicating no additive interaction between CTQ-SF and CD-RISC-10 scores in relation to depressive symptoms among vocational college students. Conclusions:: CTQ-SF and CD-RISC-10 scores showed no additive interaction in relation to depressive symptoms among vocational college students.
SN - 1139-9287
SN - 1578-2735
ER -