ArticleBMC psychiatry2023
The role of self-esteem and emotion regulation in the associations between childhood trauma and mental health in adulthood: a moderated mediation model.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Emotion regulation and mental health across cultures: a systematic review and meta-analysis.Nature human behaviour · 2025Pooled it
- Personality, Emotion Regulation, and Psychological Distress in Italian Women with Feeding and Eating Disorders: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Core self-evaluation and learning burnout among first-year medical students: a three-wave longitudinal study on the mediating roles of anxiety-related distress and problematic digital media use.Frontiers in medicine · 2026Article
- Latent profile analysis of emotional inhibition in older adults with gastrointestinal tumors: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2025Article
- Heterogeneity in interpersonal and intrapersonal emotion regulation among adolescents with histories of child physical abuse and emotional abuse: a latent profile analysis.BMC psychiatry · 2025Article
- The relationship between childhood trauma and psychological security: the mediating role of self-disclosure and perceived social support in Iranian medical students.BMC psychology · 2025Article
- Cyber upward social comparison and well-being among college students: the chain mediating roles of self-esteem and emotional regulation.BMC psychology · 2025Article
- Gender Differences in Psychosocial Pathways to Depression and Anxiety: Cross-Sectional and Bayesian Causal Network Study.Journal of medical Internet research · 2025Article
- Intergenerational transmission of disability stigma: the mediating role of family communication patterns and the moderating effect of cognitive empathy.BMC public health · 2025Article
- The relationship between athletes' self-esteem and perceived social support: the mediating effect of decentering and the moderating effect of training years.Frontiers in psychology · 2025Article
- The influence of left-behind experiences on depression in single-parent adolescents: the mediating role of family satisfaction and the moderating effects of exercise frequency.Frontiers in pediatrics · 2025Article
- The effects of self-perceived aging and emotion regulation strategies on psychological abuse of elderly people in rural China: a structural equation modeling approach.Frontiers in psychology · 2025Article
- Self-esteem mediates child abuse predicting adulthood anxiety, depression, and substance use symptoms 18 years later.Journal of affective disorders · 2024Article
- Sleep disturbance and internalizing symptoms in adolescents: a moderated mediation model of self-control and mindfulness.BMC psychiatry · 2024Article
- The Use of Alternative Rooms in Forensic and Regular Psychiatric Units: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh levels of childhood trauma (CT) have been observed in adults with mental health problems. Herein, we investigated whether self-esteem (SE) and emotion regulation strategies (cognitive reappraisal (CR) and expressive suppression (ES)) affect the association between CT and mental health in adulthood, including depression and anxiety symptoms.
methodsWe performed a cross-sectional study of 6057 individuals (39.99% women, median age = 34 y), recruited across China via the internet, who completed the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Childhood Trauma Questionnaire (CTQ), Self-esteem Scale (SES), and Emotion Regulation Questionnaire (ERQ). Multivariate linear regression analysis and bias-corrected percentile bootstrap methodologies were used to assess the mediating effect of SE, and hierarchical regression analysis and subgroup approach were performed to examine the moderating effects of emotion regulation strategies.
resultsAfter controlling for age and sex, we found that (1) SE mediated the associations between CT and depression symptoms in adulthood (indirect effect = 0.05, 95% confidence interval [CI]: 0.04-0.05, 36.2% mediated), and CT and anxiety symptoms in adulthood (indirect effect = 0.03, 95% CI: 0.03-0.04, 32.0% mediated); (2) CR moderated the association between CT and SE; and (3) ES moderated the association between of CT and mental health in adulthood via SE, and such that both the CT-SE and SE-mental health pathways were stronger when ES is high rather than low, resulting the indirect effect was stronger for high ES than for low ES.
conclusionsThese findings suggested that SE plays a partially mediating role in the association between CT and mental health in adulthood. Furthermore, ES aggravated the negative effect of CT on mental health in adulthood via SE. Interventions such as emotional expression training may help reduce the detrimental effects of CT on mental health.
trial registrationThe study was registered on http://www.chictr.org.cn/index.aspx and the registration number was ChiCTR2200059155.
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