Cumulative trauma, gender discrimination and mental health in women: mediating role of self-esteem

J Ment Health. 2018 Oct;27(5):416-423. doi: 10.1080/09638237.2017.1417548. Epub 2017 Dec 20.

Abstract

Background: Evidence suggests that women show symptoms of trauma-related symptoms more often than men. Gender discrimination is also associated with the severity of symptoms in women.

Aims: This study explored the relations among cumulative trauma, gender discrimination and mental health in women with a mediating role of self-esteem and emotion regulation. Two types of gender discrimination were taken into account: discrimination by parents and in the social context. Cumulative trauma over the lifetime was assessed, as well as three types of symptoms: internalising, externalising, psychoticism.

Methods: A total of 277 females from Poland participated in the study. It was hypothesised that gender discrimination and cumulative trauma would be positively related to symptoms and that lowered self-esteem mediates these relations.

Results: Hypotheses received partial confirmation, as both gender discrimination and cumulative trauma have been shown to be related to three types of symptoms. Self-esteem was a partial mediator between gender discrimination in the social context and symptoms. It was also demonstrated that emotion suppression is a partial mediator between cumulative trauma and symptoms.

Conclusions: It has been demonstrated that socio-cultural factors, such as gender discrimination, play an important role in psychiatric symptoms development.

Keywords: Cumulative trauma; gender discrimination; mental health.

MeSH terms

  • Adolescent
  • Adult
  • Emotions
  • Female
  • Humans
  • Life Change Events*
  • Mental Disorders / psychology*
  • Mental Health*
  • Self Concept*
  • Self-Control
  • Sexism*
  • Women's Health
  • Young Adult