Investigating the impact of trauma and childhood abuse on self-esteem and depressive symptomatology in early adulthood.


cover 1/2026
Published: Apr 19, 2026
Keywords:
Depressive Symptomatology Self-Esteem Childhood Trauma Violence Childhood Abuse
Sofia Maria Tzimogianni
https://orcid.org/0009-0006-2372-3844
Professor of Psychiatric Social Work
https://orcid.org/0000-0002-7625-4029
Abstract

The investigation on the effects that early trauma and childhood maltreatment have on the mental health of young adults is considered crucial, as the international literature indicates that experiences of abuse during childhood are associated with increased psychopathology and reduced self-perception in adulthood. However, relevant data on Greek and Cypriot young populations remain limited, highlighting the need for the conduct of the present study. The study examines the associations between early trauma, childhood maltreatment, self-esteem, and depressive symptomatology in a sample of 557 individuals aged 18–25 years from Greece and Cyprus. Trauma and maltreatment were assessed using the Childhood Abuse and Trauma Scale [CATS-38]. Depressive symptomatology was measured with the Beck Depression Inventory [BDI-I], and self-esteem was assessed using the Rosenberg Self-Esteem Scale [RSES-10]. The results indicated that childhood maltreatment was positively associated with depressive symptomatology (ρ = .55, p < .001) and negatively associated with self-esteem (ρ = −.42, p < .001). Furthermore, self-esteem demonstrated a statistically significant negative association with depressive symptomatology (ρ = −.73, p < .001). Finally, elevated levels of depressive symptomatology were observed in the general young adult population of the sample. The findings of the present study underscore the importance of early detection and intervention within the general young adult population, emphasizing the need for targeted prevention policies and initiatives aimed at strengthening youth mental health.

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References
Bassam, E., Touma Boulos, M., Rabbaa, L. K., & Gerbaka, B. (2018). Corporal punishment of children: Discipline or abuse? Libyan Journal of Medicine, 13(1). https://doi.org/10.1080/19932820.2018.1485456
Basta, M., Micheli, K., Koutra, K., Fountoulaki, M., Dafermos, V., Drakaki, M., Faloutsos, K., Soumaki, E., Anagnostopoulos D., Papadakis, N., Vgontzas, A. N. (2022). Depression and anxiety symptoms in adolescents and young adults in Greece: Prevalence and associated factors. Journal of Affective Disorders Reports, 8, Article 100334. https://doi.org/10.1016/j.jadr.2022.100334
Batra, K., Sharma, M., Batra, R., Singh, T. P., & Schvaneveldt, N. (2021). Assessing the psychological impact of COVID-19 among college students: An evidence of 15 countries. Healthcare, 9 (2), 222. https://doi.org/10.3390/healthcare9020222
Baydemir, C., Açıkgöz, A., Derince, D., Kaya, Y., Ongun, E., & Kok, H. (2014). The effect of childhood trauma life on self-esteem in school of health students in a province of Western Turkey. Life Science Journal, 11(11), 749-158.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
Berber Çelik, Ç., & Odacı, H. (2019). Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals? International Journal of Social Psychiatry, 66(2), 171–178. https://doi.org/10.1177/0020764019894618
Dhamayanti, M., Noviandhari, A., Masdiani, N., Pandia, V., & Sekarwana, N. (2020). The association of depression with child abuse among Indonesian adolescents. BMC Pediatrics, 20(1), Article 313. https://doi.org/10.1186/s12887-020-02218-2
Downey, C., & Crummy, A. (2022). The impact of childhood trauma on children's wellbeing and adult behavior. European Journal of Trauma & Dissociation, 6(1), Article 100237. https://doi.org/10.1016/j.ejtd.2021.100237
Felson, R. B., & Zielinski, M. A. (1989). Children’s Self-Esteem and Parental Support. Journal of Marriage and the Family, 51(3), 727-735. https://doi.org/10.2307/352171
Ferguson, D. M., Horwood, L. J., & Woowand, L. J. (2000). The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychological Medicine, 30(3), 529–544. https://doi.org/10.1017/S0033291799002111
Fletcher, J. M. (2009). Childhood mistreatment and adolescent and young adult depression. Social Science & Medicine, 68(5), 799–806. https://doi.org/10.1016/j.socscimed.2008.12.005
Galambos, N. L., Barker, E. T., & Krahn, H. J. (2006). Depression, self-esteem, and anger in emerging adulthood: Seven-year trajectories. Developmental Psychology, 42(2), 350–365. https://doi.org/10.1037/0012-1649.42.2.350
Galanou, C., Galanakis, M., Alexopoulos, E., & Darviri, C. (2014). Rosenberg self-esteem scale Greek validation on student sample. Psychology, 5(8), 819-827. https://doi.org/10.4236/psych.2014.58093
Gilbert, R., Spatz Widom, C., Browne, K., Fergusson, D., Webb, E., & Janson, J. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81. https://doi.org/10.1016/S0140-6736(08)61706-7
Gregorowski, C., & Seedat, S. (2013). Addressing childhood trauma in a developmental context. Journal of Child & Adolescent Mental Health, 25(2), 105–118. https://doi.org/10.2989/17280583.2013.795154
Gross, A B., & Keller, H. R. (1992). Long-term consequences of childhood physical and psychological maltreatment. Aggressive Behavior, 18(3), 171-185.
Heim, C., Shugart, M., Craighead, W.E. & Nemeroff, C.B. (2010), Neurobiological and psychiatric consequences of child abuse and neglect. Developmental Psychobiology, 52(7), 671-690. https://doi.org/10.1002/dev.20494
Humphreys, K. L., LeMoult, J., Wear, J. G., Piersiak, H. A., Lee, A., & Gotlib, I. H. (2020). Child maltreatment and depression: A meta-analysis of studies using the Childhood Trauma Questionnaire. Child Abuse & Neglect, 102, Article 104361. https://doi.org/10.1016/j.chiabu.2020.104361
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015
Islam, M. J., Broidy, L., Eriksson, L., Rahman, M., & Mazumder, N. (2022). Childhood maltreatment and decision-making autonomy in adulthood: The mediating roles of self-esteem and social support. Child Abuse & Neglect, 129, Article 105665. https://doi.org/10.1016/j.chiabu.2022.105665
Jaschek, G., Carter‑Pokras, O. D., He, X., Lee, S., & Canino, G. (2016). Association of child maltreatment and depressive symptoms among Puerto Rican youth. Child Abuse & Neglect, 58, 63–71. https://doi.org/10.1016/j.chiabu.2016.06.016
Karakuş, O. (2012). Relation between childhood abuse and self esteem in adolescence. International Journal of Human Sciences, 9(2), 753-763. https://j-humansciences.com/ojs/index.php/IJHS/article/view/2348
Lamont Al. (2010). Effects of child abuse and neglect for adult survivors. National Child Protection Clearinghouse, Australian Institute of Family Studies.
Maka, Z. & Kafetsios, K. (2006). Interpersonal Relationships, Emotions and Mental Health of Individuals in Therapeutic Programs. Annals of the 10th European Conference on rehabilitation and drug policy, 308-319.
Murphy, S., McElroy, E., Elklit, A., Shevlin, M., & Christoffersen, M. (2020). Child maltreatment and psychiatric outcomes in early adulthood. Child Abuse Review, 29(4), 365-378. https://doi.org/10.1002/car.2619
Negele, A., Kaufhold, J., Kallenbach, L., & Leuzinger-Bohleber, M. (2015). Childhood trauma and its relation to chronic depression in adulthood. Depression Research and Treatment, 2015(1), Article 650804. https://doi.org/10.1155/2015/650804
Paul, E. & Eckenrode, J. (2015). Childhood psychological maltreatment subtypes and adolescent depressive symptoms, Child Abuse & Neglect, 47, 38-47. https://doi.org/10.1016/j.chiabu.2015.05.018
Pereira, A., Santos, J. P., Sardinha, P., Cardoso, J., Ramos, C., & Almeida, T. (2021). The impact of childhood abuse on adult self-esteem and emotional regulation. Annals of Medicine, 53(1), S126-S126. https://doi.org/10.1080/07853890.2021.1896171
Radell, M. L., Abo Hamza, E. G., Daghustani, W. H., Perveen, A., & Moustafa, A. A. (2021). The impact of different types of abuse on depression. Depression Research and Treatment, 2021(1), Article 6654503. https://doi.org/10.1155/2021/6654503
Reid-Russell, A., Miller, A. B., Cvencek, D., Meltzoff, A. N., & McLaughlin, K. A. (2021). Lower implicit self-esteem as a pathway linking childhood abuse to depression and suicidal ideation. Development and Psychopathology, 34(4), 1272–1286.
Robins, R. W., Trzesniewski, K. H., Tracy, J. L., Gosling, S. D., & Potter, J. (2002). Global self-esteem across the life span. Psychology and Aging, 17(3), 423–434. https://doi.org/10.1037/0882-7974.17.3.423
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.
Sachs-Ericsson, N., Gayman, M. D., Kendall-Tackett, K., Lloyd, D. A., Medley, A., Collins, N., Corsentino, E., & Sawyer, K. (2010). The long-term impact of childhood abuse on internalizing disorders among older adults: The moderating role of self-esteem. Aging & Mental Health, 14(4), 489–501. https://doi.org/10.1080/13607860903191382
Schuck, A.M., & Widom, C.S. (2001). Childhood victimization and alcohol symptoms in females: Causal inferences and hypothesized mediators. Child Abuse & Neglect, 25, 1069–1092. https://doi.org/10.1016/s0145-2134(01)00257-5
Weber, A. D. (2001). Influence of family environment on self-esteem and hostility (Honors thesis, Southern Illinois University). https://opensiuc.lib.siu.edu/uhp_theses/253/
World Health Organization (2020). Child Maltreatment Factsheet. https://www.who.int/news-room/fact-sheets/detail/child-maltreatment
World Health Organization (2025). Depression. https://www.who.int/news-room/fact-sheets/detail/depression
Αβραμίκα, Μ., Λαφαζάνη, Π., & Στεφανούδη, Ε. (2013). Παιδική κακοποίηση και παρεμβάσεις. Επιστημονικά Χρονικά, 18(3), 146-151. http://www.tzaneio.gr/wp-content/uploads/epistimonika_xronika/p13-3-3.pdf
Αντωνοπούλου, Ζ., Τζινιέρη- Κοκκώση, Μ., & Συνοδινού, Κ. (2016). Παιδικό τραύμα και επιδράσεις στην εμφάνιση άγχους κατά την ενήλικη ζωή. Πανελλήνιο Συνέδριο Επιστημών Εκπαίδευσης, 2015(1), 203-208. https://doi.org/10.12681/edusc.152
Δημακοπούλου, Μ. (2022). Ανάπτυξη αυτοαντίληψης–αυτοεκτίμησης παιδιών με δυσκολίες μάθησης: Μία κριτική επισκόπηση των σύγχρονων ερευνητικών δεδομένων. Πανελλήνιο Συνέδριο Επιστημών Εκπαίδευσης, 1(1), 91–103. https://doi.org/10.12681/edusc.4537
Θεμελή Ο. (2014). Τα παιδία καταθέτει. Τόπος.
Μάνος Ν. (1997). Βασικά Στοιχεία Κλινικής Ψυχιατρικής. University Studio Press.
Μπούρας, Γ., & Λαζαράτου, Ε. (2012). Η ανάδυση του τραύματος της πρώιμης παιδικής ηλικίας στην ψυχική συμπτωματολογία των ενηλίκων. Ψυχιατρική, 23 (1), 39-48. https://www.psychiatriki-journal.gr/documents/psychiatry/23.2-GR-2012-SUP-39.pdf
Νικολαΐδης Γ., & Σταυριανάκη Μ. (Επιμ.). (2009). Βία στην οικογένεια τεκμηριωμένη πρακτική και τεκμήρια από την πρακτική. Εκδόσεις ΚΨΜ
Ντώνιας, Σ., & Δεμερτζής, Ι. (1983). Στάθμιση της καταθλιπτικής συμπτωματολογίας με το Ερωτηματολόγιο Κατάθλιψης του Beck. Πρακτικά του 10ου Πανελληνίου Συνεδρίου Νευρολογίας και Ψυχιατρικής, 1, 486–492.
Παπάνης, Ε. (2011). Η Αυτοεκτίμηση. Ι. Σιδέρης
Πήττα Δ., & Σταύρου Κ. (2016). Κατάθλιψη παιδιών & εφήβων ως αποτέλεσμα κακοποίησης & παραμέλησης από το γονεϊκό περιβάλλον. Πανελλήνιο Συνέδριο Επιστημών Εκπαίδευσης, 2, 1243–1253. https://doi.org/10.12681/edusc.365
Σταλίκας, Α., Τριλίβα, Σ., & Ρούσση, Π. (2012). Τα ψυχομετρικά εργαλεία στην Ελλάδα: Μια συλλογή και παρουσίαση των ερωτηματολογίων, δοκιμασιών και καταλόγων καταγραφής χαρακτηριστικών στον ελληνικό χώρο. Πεδίο.
Το Χαμόγελο του Παιδιού. (2022). Αναφορές σε Εισαγγελικές και Αστυνομικές Αρχές για Παιδιά Σε Κίνδυνο. Πανελλαδικά Στατιστικά Στοιχεία 2022. https://www.hamogelo.gr/media/uploads_file/2023/01/19/p1gn5moohu1uql4k41fjq1dc81tdt3b.pdf
Feldman R. (2011). Εξελικτική Ψυχολογία διά βίου ανάπτυξη (Η. Μπεζεβέγκης, Επιμ.) GUTENBERG
Χατζηφωτίου Σ. (2016). Ενδοοικογενειακή βία κατά των γυναικών και παιδιών. Τζιόλας