The role of identity in the development of depressive, anxiety, and psychosis symptoms in adolescents exposed to childhood adversity

J Adolesc. 2023 Jun;95(4):686-699. doi: 10.1002/jad.12145. Epub 2023 Feb 3.

Abstract

Introduction: Childhood adversity is a major risk factor for psychiatric disorders and has especially been associated with an admixture of depressive, anxiety, and psychosis symptoms. Identity formation, a main developmental task during adolescence, may be impacted by these adverse experiences and act as an important process in the association between childhood adversity and psychopathology.

Methods: We investigated the association between childhood adversity, identity formation, and depressive, anxiety, and psychosis symptoms cross-sectionally in 1913 Flemish adolescents between 11 and 20 years old (mean = 13.76, SD = 1.86). Adolescents completed questionnaires during the first wave of the SIGMA study between January 2018 and May 2019.

Results: Childhood interpersonal adversity was associated with increased identity confusion and decreased identity synthesis. Additionally, identity confusion was associated with increased self-reported levels of psychopathology and potentially mediated the association between childhood adversity and psychopathology.

Conclusion: This study highlights the importance of promoting healthy identity formation in adolescents with and without exposure to adverse childhood experiences.

Keywords: adolescence; childhood adversity; identity; psychopathology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Adverse Childhood Experiences*
  • Anxiety / epidemiology
  • Anxiety Disorders
  • Child
  • Humans
  • Psychotic Disorders* / epidemiology
  • Risk Factors
  • Young Adult