ArticleFrontiers in psychiatry2025
Family functioning and dysfunctional attitudes mediate the link between childhood maltreatment and nonsuicidal self-injury in depressed college students: a moderated mediation model of anhedonia.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Longitudinal Associations Between Emotional Abuse, Family Functioning, and Depressive Symptoms in Adolescence.Journal of clinical psychology · 2026Article
- The specific mediating role of social anhedonia in the relationship between childhood emotional abuse and depressive symptoms in bipolar disorder.BMC psychiatry · 2026Article
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8 authors.
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Abstract
Objective: Childhood maltreatment is a well-established risk factor for nonsuicidal self-injury (NSSI), particularly in individuals with major depressive disorder (MDD). The psychological mechanisms are complex and not completely understood. Based on the Cognitive-Behavioral Vulnerability Model, this study aimed to investigate whether family functioning and dysfunctional attitudes act as parallel mediators of the relationship between childhood maltreatment and NSSI and anhedonia moderates the association between dysfunctional attitudes and NSSI in depressed college students. Methods: 525 college students diagnosed with MDD were recruited from the ESCID project. They completed Childhood Trauma Questionnaire (CTQ), Family Assessment Device (FAD), Dysfunctional Attitude Scale (DAS), Snaith-Hamilton Pleasure Scale (SHAPS), and a measure of NSSI. Data were analyzed using SPSS 26.0 for descriptive statistics and correlations, and Mplus 8.3 for mediation and moderated mediation analyses, employing maximum-likelihood estimation with Monte Carlo integration. Results: Childhood maltreatment showed a positive correlation with dysfunctional attitudes, anhedonia, and NSSI, while family functioning demonstrated no significant association. Mediation analyses revealed that childhood maltreatment had both a direct effect on NSSI (β = 0.125, Conclusions: Our findings reveal that dysfunctional attitudes significantly mediate the link between childhood maltreatment and NSSI, while family functioning showed no mediating effect. Anhedonia amplified the impact of dysfunctional attitudes on NSSI, suggesting that cognitive and affective vulnerabilities enhance the risk of self-injury. Interventions that target dysfunctional attitudes and enhance hedonic capacity may improve prevention and treatment among maltreated youth with depression.
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