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The long-term effects of childhood maltreatment: Examining the indirect and cross-lagged pathways of maladaptive cognitive emotion regulation strategies and internalizing problems

Published online by Cambridge University Press:  03 March 2025

Jianjun Huang
Affiliation:
Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, China
Xi Shen
Affiliation:
Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, China Mental Health Education and Consultation Centre, Chongqing Medical University, Chongqing, China
Jin-Liang Wang*
Affiliation:
Center for Mental Health Education, Faculty of Psychology, Southwest University, Chongqing, China
*
Corresponding author: Jin-Liang Wang; Email: [email protected]

Abstract

Childhood maltreatment, a significant distal risk factor for individual development, is potentially linked to maladaptive cognitive emotion regulation strategies (MCERS) and increased internalizing problems (i.e., depression and anxiety). Prior research has widely identified that MCERS mediate the link between childhood maltreatment and internalizing problems. However, this result overlooks the potential bidirectional relationship between MCERS and internalizing problems. In this study, we aim to explore whether childhood maltreatment longitudinally linked to internalizing problems through the mediating role of MCERS, or, conversely, was related to subsequent MCERS through internalizing problems. Gender differences in the associations between these variables were also examined. Participants were 892 adolescents from a longitudinal design with two waves (487 females, 405 males; Mage = 15.36, SDage = 1.43). Our results indicated that childhood maltreatment was longitudinally related to MCERS and internalizing problems. T1 MCERS mediated the relationship between T1 child maltreatment and T2 internalizing problems, while T1 internalizing problems also played a mediating role between T1 child maltreatment and T2 MCERS. These findings were also equivalent across genders. Taken together, childhood maltreatment was longitudinally associated with internalizing problems through MCERS, and also related to subsequent MCERS through internalizing problems.

Type
Regular Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Arnow, B. A., Blasey, C. M., Hunkeler, E. M., Lee, J., & Hayward, C. (2011). Does gender moderate the relationship between childhood maltreatment and adult depression? Child Maltreatment, 16(3), 175183. https://doi.org/10.1177/1077559511412067 CrossRefGoogle ScholarPubMed
Auslander, W., Sterzing, P., Threlfall, J., Gerke, D., & Edmond, T. (2016). Childhood abuse and aggression in adolescent girls involved in child welfare: The role of depression and posttraumatic stress. Journal of Child & Adolescent Trauma, 9(4), 359368. https://doi.org/10.1007/s40653-016-0090-3 CrossRefGoogle ScholarPubMed
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., & Zule, W. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169190. https://doi.org/10.1016/s0145-2134(02)00541-0 CrossRefGoogle ScholarPubMed
Brumariu, L. E. (2015). Parent-child attachment and emotion regulation. New Directions for Child and Adolescent Development, 2015(148), 3145. https://doi.org/10.1002/cad.20098 CrossRefGoogle ScholarPubMed
Calvete, E., Orue, I., & Hankin, B. (2015). Cross-lagged associations among ruminative response style, stressors, and depressive symptoms in adolescents. Journal of Social and Clinical Psychology, 34(3), 203220. https://doi.org/10.1521/jscp.2015.34.3.203 CrossRefGoogle Scholar
Chen, F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14(3), 464504. https://doi.org/10.1080/10705510701301834 CrossRefGoogle Scholar
Coyne, J. C. (1976). Toward an interactional description of depression. Psychiatry: Journal for the Study of Interpersonal Processes, 39(1), 2840.CrossRefGoogle ScholarPubMed
Dawel, A., Shou, Y., Gulliver, A., Cherbuin, N., Banfield, M., Murray, K., Calear, A. L., Morse, A. R., Farrer, L. M., & Smithson, M. (2021). Cause or symptom? A longitudinal test of bidirectional relationships between emotion regulation strategies and mental health symptoms. Emotion, 21(7), 15111521. https://doi.org/10.1037/emo0001018 CrossRefGoogle ScholarPubMed
De France, K., Lennarz, H., Kindt, K., & Hollenstein, T. (2019). Emotion regulation during adolescence: Antecedent or outcome of depressive symptomology? International Journal of Behavioral Development, 43(2), 107117. https://doi.org/10.1177/0165025418806584 CrossRefGoogle Scholar
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218226. https://doi.org/10.1037/0003-066X.56.3.218 CrossRefGoogle ScholarPubMed
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 13111327. https://doi.org/10.1016/S0191-8869(00)00113-6 CrossRefGoogle Scholar
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348362. https://doi.org/10.1037/0022-3514.85.2.348 CrossRefGoogle ScholarPubMed
Gruhn, M. A., & Compas, B. E. (2020). Effects of maltreatment on coping and emotion regulation in childhood and adolescence: A meta-analytic review. Child Abuse & Neglect, 103, 104446. https://doi.org/10.1016/j.chiabu.2020.104446 CrossRefGoogle ScholarPubMed
Gu, J., Guo, Y., & Wang, J.-L. (2024). Childhood maltreatment and internet addiction among chinese adolescents: A moderated mediation model. Journal of Affective Disorders, 350, 721727. https://doi.org/10.1016/j.jad.2024.01.175 CrossRefGoogle ScholarPubMed
Guo, Y. Y., Gu, J. J., Gaskin, J., Yin, X. Q., Zhang, Y. H., & Wang, J. L. (2023). The association of childhood maltreatment with internet addiction: The serial mediating effects of cognitive emotion regulation strategies and depression. Child Abuse & Neglect, 140, 106134. https://doi.org/10.1016/j.chiabu.2023.106134 CrossRefGoogle ScholarPubMed
Heesen, K., Rasing, S., Vermulst, A., Tak, Y., Engels, R., & Creemers, D. (2020). Associations between coping strategies and depressive symptoms in adolescence: A longitudinal perspective. The Journal of Early Adolescence, 41(7), 027243162097853. https://doi.org/10.1177/0272431620978533 Google Scholar
Heleniak, C., Jenness, J. L., Stoep, A. V., McCauley, E., & McLaughlin, K. A. (2016). Childhood maltreatment exposure and disruptions in emotion regulation: A transdiagnostic pathway to adolescent internalizing and externalizing psychopathology. Cognitive Therapy and Research, 40(3), 394415. https://doi.org/10.1007/s10608-015-9735-z CrossRefGoogle ScholarPubMed
Hu, L.-t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 155. https://doi.org/10.1080/10705519909540118 CrossRefGoogle Scholar
Huh, H. J., Kim, K. H., Lee, H. K., & Chae, J. H. (2017). The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. Journal of Affective Disorders, 213, 4450. https://doi.org/10.1016/j.jad.2017.02.009 CrossRefGoogle Scholar
Javakhishvili, M., & Widom, C. (2021). Childhood maltreatment, sleep disturbances, and anxiety and depression: A prospective longitudinal investigation. Journal of Applied Developmental Psychology, 77, 101351. https://doi.org/10.1016/j.appdev.2021.101351 CrossRefGoogle ScholarPubMed
Joormann, J., & Stanton, C. H. (2016). Examining emotion regulation in depression: A review and future directions. Behaviour Research and Therapy, 86, 3549. https://doi.org/10.1016/j.brat.2016.07.007 CrossRefGoogle ScholarPubMed
Kokonyei, G., Kovács, L. N., Szabó, J., & Urbán, R. (2023). Emotion regulation predicts depressive symptoms in adolescents: A prospective study. Journal of Youth and Adolescence, 53(1), 117. https://doi.org/10.1007/s10964-023-01894-4 Google ScholarPubMed
Larsen, J. K., Vermulst, A. A., Geenen, R., van Middendorp, H. B., English, T., Gross, J. J., Ha, T., Evers, C., & Engels, R. C. M. E. (2013). Emotion regulation in adolescence: A prospective study of expressive suppression and depressive symptoms. The Journal of Early Adolescence, 33(2), 184200. https://doi.org/10.1177/0272431611432712 CrossRefGoogle Scholar
Li, J. A., Li, J., Hou, Y., Zhang, W. J., Wang, G. C., & Qu, Z. Y. (2024). Underlying mechanisms of change in the effects of cognitive behavior therapy on posttraumatic stress disorders among Chinese children: Results from a randomized controlled trial. Child Abuse & Neglect, 156, 107023. https://doi.org/10.1016/j.chiabu.2024.107023 CrossRefGoogle ScholarPubMed
Mackinnon, S., Curtis, R., & O’Connor, R. (2022). Tutorial in longitudinal measurement invariance and cross-lagged panel models using lavaan. Meta-Psychology, 6, 120. https://doi.org/10.15626/MP.2020.2595 CrossRefGoogle Scholar
McLaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology: A prospective study. Behaviour Research and Therapy, 49(9), 544554. https://doi.org/10.1016/j.brat.2011.06.003 CrossRefGoogle ScholarPubMed
Miu, A. C., Szentágotai-Tătar, A., Balázsi, R., Nechita, D., Bunea, I., & Pollak, S. D. (2022). Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis. Clinical Psychology Review, 93, 102141. https://doi.org/10.1016/j.cpr.2022.102141 CrossRefGoogle ScholarPubMed
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16(2), 361388. https://doi.org/10.1111/j.1467-9507.2007.00389.x CrossRefGoogle ScholarPubMed
Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8(1), 161187. https://doi.org/10.1146/annurev-clinpsy-032511-143109 CrossRefGoogle ScholarPubMed
Rek, S. V., Reinhard, M. A., Bühner, M., Freeman, D., Adorjan, K., Falkai, P., & Padberg, F. (2022). Identifying potential mechanisms between childhood trauma and the psychological response to the COVID-19 pandemic in Germany: A longitudinal study. Scientific Reports, 12(1), 12964. https://doi.org/10.1038/s41598-022-13205-1 CrossRefGoogle Scholar
Scafuto, F., Ghiroldi, S., Montecucco, N. F., Presaghi, F., & Iani, L. (2022). The mindfulness-based gaia program reduces internalizing problems in high-school adolescents: A cluster randomized controlled trial. Mindfulness, 13(7), 18041815. https://doi.org/10.1007/s12671-022-01920-9 CrossRefGoogle Scholar
Spyropoulou, E., & Giovazolias, T. (2022). Anger rumination in early adolescence: Risk factor or outcome of depressive symptoms? A prospective study. Journal of Youth and Adolescence, 51(9), 17081719. https://doi.org/10.1007/s10964-022-01624-2 CrossRefGoogle ScholarPubMed
Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van Ijzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: Review of a series of meta-analyses. Child Abuse Review, 24(1), 3750. https://doi.org/10.1002/car.2353 CrossRefGoogle Scholar
Wu, Y.-Q., Liu, F., Chan, K. Q., Wang, N.-X., Zhao, S., Sun, X., Shen, W., & Wang, Z.-J. (2022). Childhood psychological maltreatment and internet gaming addiction in Chinese adolescents: Mediation roles of maladaptive emotion regulation strategies and psychosocial problems. Child Abuse & Neglect, 129, 105669. https://doi.org/10.1016/j.chiabu.2022.105669 CrossRefGoogle ScholarPubMed
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. Guilford Press.Google Scholar
Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4(1), 275303. https://doi.org/10.1146/annurev.clinpsy.3.022806.091358 CrossRefGoogle ScholarPubMed
Zhang, R., Hou, F., Lin, Y., Geng, Y., & Kong, F. (2024). Associations between emotional maltreatment, depression and self-harm among chinese adolescents: A three-wave longitudinal mediation model. Child Abuse & Neglect, 152, 106761. https://doi.org/10.1016/j.chiabu.2024.106761 CrossRefGoogle ScholarPubMed
Zhang, Y., Liao, H.-P., Gu, J., & Wang, J. (2022). Anxiety and depression related to childhood maltreatment in teenagers: Comparing multiple individual risk model, cumulative risk model and latent profile analysis. Child Abuse & Neglect, 128, 105630. https://doi.org/10.1016/j.chiabu.2022.105630 CrossRefGoogle ScholarPubMed
Zhou, X., & Zhen, R. (2022). How do physical and emotional abuse affect depression and problematic behaviors in adolescents? The roles of emotional regulation and anger. Child Abuse & Neglect, 129, 105641. https://doi.org/10.1016/j.chiabu.2022.105641 CrossRefGoogle ScholarPubMed
Zung, W. W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 6370. https://doi.org/10.1001/archpsyc.1965.01720310065008 CrossRefGoogle ScholarPubMed
Zung, W. W. (1971). A rating instrument for anxiety disorders. Psychosomatics: Journal of Consultation and Liaison Psychiatry, 12(6), 371379. https://doi.org/10.1016/S0033-3182(71)71479-0 CrossRefGoogle ScholarPubMed