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Emotion dysregulation mediates the relationship between child maltreatment and psychopathology: A structural equation model
Institution:1. Clinic for General Internal Medicine and Psychosomatics, Ruprecht-Karls-University Heidelberg, Germany;2. Department of Clinical Psychology and Psychotherapy, Ruprecht-Karls-University Heidelberg, Germany;1. School of Psychology, University of Ottawa, 4085 Vanier Hall, 136 Jean Jacques Lussier, Ottawa, Ontario, Canada K1N 6N5;2. Department of Psychology, University of Georgia, Athens, GA, USA;3. Department of Psychiatry and Health Behavior, Georgia Health Sciences University, Augusta, GA, USA;1. Department of Psychiatry, Sanggye Paik Hospital, Inje University, 1342, Dongilro, Nowon-gu, Seoul, Republic of Korea;2. Department of Psychology, Yonsei University, Shinchon-dong, Seodaemun-gu, Seoul, Republic of Korea;1. Clinical Psychology and Psychotherapy, Philipps-University Marburg, Germany;2. Clinical Psychology and Psychotherapy, Friedrich-Alexander-University Erlangen-Nuremberg, Germany;3. Clinical Psychology, University of Utrecht, Netherlands;4. Innovation Incubator, Leuphana University, Lueneburg, Germany;1. NHS Tayside Psychological Therapies Service & University of Edinburgh, Scotland, UK;2. School of Health in Social Science, University of Edinburgh, Scotland, UK;3. NHS Tayside Psychological Therapies Service & University of Stirling, Scotland, UK;4. Department of Psychology, University of Stirling, Scotland, UK;5. School of Psychology, University of Dundee & NHS Tayside Psychological Therapies Service, Scotland, UK
Abstract:The present study investigated the mediating effects of emotion dysregulation on the relationship between child maltreatment and psychopathology. An adult sample (N = 701) from diverse backgrounds of psychopathology completed the Childhood Trauma Questionnaire (CTQ), the Difficulties in Emotion Regulation Scale (DERS), the Brief Symptom Inventory (BSI), and the negative affect subscale of the Positive and Negative Affect Schedule (PANAS) in a cross-sectional online survey. Correlational analyses showed that all types of child maltreatment were uniformly associated with emotion dysregulation, and dimensions of emotion dysregulation were strongly related to psychopathology. Limited access to strategies for emotion regulation emerged as the most powerful predictor. Structural equation modeling analyses revealed that emotion dysregulation partially mediated the relationship between child maltreatment and psychopathology, even after controlling for shared variance with negative affect. These findings emphasize the importance of emotion dysregulation as a possible mediating mechanism in the association between child maltreatment and later psychopathology. Additionally, interventions targeting specific emotion regulation strategies may be effective to reduce psychopathology in victims of child maltreatment.
Keywords:Child maltreatment  Psychopathology  Emotion dysregulation  Negative affect  Mediation
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