Evidence map›Paper›PMID 35219929›Full record

SynthesisClinical psychology review2022

Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis.

Andrei C Miu, Aurora Szentágotai-Tătar, Róbert Balázsi, Diana Nechita, Ioana Bunea, Seth D Pollak

2 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Clinical psychology review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 81 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 6 pooled it
31.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05613972 narecruitingnot on this mapstarted 2025, after this paper: background citation

Using Integrated Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma

TypeinterventionalSponsorUnity Health TorontoRan2025 to 2027Enrolled20ConditionsSuicide, Trauma, Major Depressive DisorderArmsIntegrated Suicide and Trauma Therapy
NCT07118072 narecruitingnot on this mapstarted 2025, after this paper: background citation

Internet-Delivered Skills Training in Affective and Interpersonal Regulation (i-STAIR) for Individuals With Adverse Childhood Experiences and Subsyndromal Depression: A Pilot Study

TypeinterventionalSponsorInstitute of Mental Health, SingaporeRan2025 to 2028Enrolled150ConditionsSubthreshold DepressionArmsInternet-Delivered Skills Training in Affective and Interpersonal Regulation, Online general psychoeducation
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 178 citations in OpenAlex.

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  5. The effects of childhood adversity: Two specific neural patterns.Neuroscience and biobehavioral reviews · 2025
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Andrei C MiuCognitive Neuroscience Laboratory, Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania; Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania. Electronic address: andreimiu@psychology.ro.
Aurora Szentágotai-TătarDepartment of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania; The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania. Electronic address: auraszentagotai@psychology.ro.
Róbert BalázsiDepartment of Psychology, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania.
Diana NechitaDepartment of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania; The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania.
Ioana BuneaCognitive Neuroscience Laboratory, Department of Psychology, Babeș-Bolyai University, Cluj-Napoca, CJ, Romania.
Seth D PollakDepartment of Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Babeș-Bolyai University · ROUniversity of Wisconsin–Madison · US

Funding

Emotion Processing:Risk for Psychopathology in ChildrenR01MH061285 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI SETH D POLLAK · 2001 to 2026
$12.4M
Waisman Intellectual and Developmental Disabilities Research Center Down Syndrome RegistryU54HD090256 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI POLLAK, SETH D · 2016 to 2020
$6.0M
NICHD NIH HHS U54 HD090256NIMH NIH HHS R01 MH061285
6 · The paper itself

Abstract

Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as with the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology.

Indexed as

Adverse Childhood ExperiencesEmotional RegulationEmotionsHumansPsychopathologyRisk FactorsAdversityChildhoodEmotionPsychopathologyRegulation

Identifiers

PMID35219929
PMCPMC8960368
OpenAlexW4212812362

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.