Evidence map›Paper›PMID 40916546›Full record

ArticleBrain and behavior2025

Effect of Childhood Trauma on Emotional Distress: A Chain-Mediated Effects of Alexithymia and Psychological Flexibility.

Ning Wang, Jingyi Chu, Guo Chen, Xingyue Pan, Ziyue Wang, Wenjuan Wang

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Psychological Adjustment to Disease and Treatment: Commentary on Dekker (2024).Stress and health : journal of the International Society for the Investigation of Stress · 2026
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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.

Ning WangSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.
Jingyi ChuSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.
Guo ChenSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.
Xingyue PanSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.
Ziyue WangSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.
Wenjuan WangSchool of Mental Health, Bengbu Medical University, Bengbu, Anhui, China.ORCID https://orcid.org/0000-0002-7601-9416

Funding

Anhui Province Graduate Student Innovation and Practice Research Project 2022AH051430Anhui Province Graduate Student Innovation and Practice Research Project 2022AH051512Anhui provincial Education Department Natural Science Key Project 2023cxcysj160Bengbu Medical University Key Laboratory of Addiction Medicine 29-3Innovative Training Program for Chinese College students bydc2024072
6 · The paper itself

Abstract

objectiveThe study aims to explore how emotional distress is affected by childhood trauma through pathways involving alexithymia and psychological flexibility, and to construct a complete model established on this foundation, which will be provided as a theoretical theory for interventions in college students' mental health.

methodsNote that 1002 college students were assessed using Childhood Trauma Questionnaire (CTQ), The Depression Anxiety Stress Scale (DASS-21), the 20-item Toronto alexithymia scale (TAS-20), and Acceptance and Action Questionnaire-2nd Edition (AAQ-II). After removing some non-compliant questionnaires, the remaining 885 were used for data analysis.

resultsScores on childhood trauma, alexithymia, and psychological flexibility exhibited notable correlation with depression, anxiety, and stress; childhood trauma had chain mediation effects on depression, anxiety, and stress through alexithymia and psychological flexibility.

conclusionAmong college students, childhood trauma is positively associated with depression, anxiety, and stress, and impacts the relationship between them through the single mediation and chain mediation of alexithymia and psychological flexibility.

Indexed as

Adaptation, PsychologicalAffective SymptomsPsychological DistressStress, PsychologicalAdolescentAdultAnxietyDepressionFemaleHumansMaleStudentsSurveys and QuestionnairesYoung Adultalexithymiaanxietychildhood traumadepressionpsychological flexibilitystress

Identifiers

PMID40916546
PMCPMC12415357

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LicenceCC BY
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Registered trials

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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.