Evidence map›Paper›PMID 40253478›Full record

ArticleScientific reports2025

The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety in a sample of Lebanese adults.

Elie Mattar, Toni Sawma, Rabih Hallit, Diana Malaeb, Fouad Sakr, Mariam Dabbous, Souheil Hallit, Feten Fekih-Romdhane, Sahar Obeid

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

9 authors.

Elie MattarSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Toni SawmaDepartment of Psychology and Education, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon.
Rabih HallitSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. hallitrabih@hotmail.com.
Diana MalaebCollege of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Fouad SakrSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Mariam DabbousSchool of Pharmacy, Lebanese International University, Beirut, Lebanon.
Souheil HallitSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Feten Fekih-RomdhaneDepartment of Psychiatry "Ibn Omrane", The Tunisian Center of Early Intervention in Psychosis, Razi Hospital, Manouba, 2010, Tunisia.
Sahar ObeidDepartment of Psychology and Education, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon. saharobeid23@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood maltreatment is a widespread issue worldwide and has a significant impact on the society at multiple levels, as it affects children. Numerous studies have shown the relationship between various forms of child abuse and the development of adverse outcomes in affected individuals. This study aims to assess the mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety among a sample of Lebanese adults. This cross-sectional study was conducted between March and April 2024; 507 participants were recruited using a snowball sampling method. The results of the mediation analysis were adjusted over sex and physical activity. Distress tolerance partially mediated the association between child abuse and anxiety (indirect effect: Beta = 0.01; Boot SE = 0.01; Boot CI 0.001; 0.02). Higher child abuse was significantly associated with less distress tolerance and directly associated with more anxiety. Higher distress tolerance was significantly associated with less anxiety. The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety as a mental health outcome was established in this study. Thus, this study highlights the importance of enhancing distress tolerance through therapeutic means including Cognitive and Behavioral Therapies and Dialectical Behavioral Therapy. By doing so, individuals can learn to cope with anxiety caused by childhood maltreatment.

Indexed as

Adult Survivors of Child AbuseAnxietyChild AbusePsychological DistressStress, PsychologicalAdaptation, PsychologicalAdultChildCross-Sectional StudiesFemaleHumansLebanonMaleMiddle AgedYoung AdultAnxietyChildhood maltreatmentDistress toleranceMediation

Identifiers

PMID40253478
PMCPMC12009328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.