The Relationship between Child Maltreatment, Religiosity, and Adult-onset Anxiety and Depressive Disorders among Participants in the Saudi National Mental Health Survey (SNMHS)

Abstract

This dissertation explores the interrelationships among childhood maltreatment (CM), religiosity, and adult-onset depressive and anxiety disorders using data from the Saudi National Mental Health Survey (SNMHS). It addresses whether parental religiosity is associated with CM and differs by gender, the influence of CM on adult religiosity and its gender-dependence, and the association between CM and adult-onset anxiety and depressive disorders with religiosity as a moderating factor. The first study (Chapter 2) investigates the correlation between parental religiosity and CM, finding no overall significant association but a significant protective effect against CM, particularly physical abuse, among males. The second study (chapter 3) explores the impact of CM on adult religiosity, revealing no significant association or gender differences. The third study (Chapter 4) examines the link between CM and adult-onset anxiety and depressive disorders, with religiosity moderating these effects. Sexual abuse significantly increases the risk of depressive disorders, while physical abuse increases anxiety disorder risk. Seeking religious comfort moderates these associations. In conclusion, this dissertation highlights that parental religiosity generally protects against CM, especially physical abuse among males, while CM does not influence adult religiosity. CM is associated with higher risks of mental health disorders, with religious coping moderating these effects. The findings emphasize the need for culturally tailored interventions in Saudi Arabia to promote healthy religious parenting, encourage seeking professional help, and address cultural and gender dynamics influencing CM experiences and mental health outcomes.