Evidence map›Paper›PMID 41508038›Full record

ArticleBMC psychology2026

Childhood trauma and depressive symptoms in college students: the mediating role of fear of happiness.

Feng Xiao, Fang Liu, Yiying Wang, Zhiwei Zhang

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Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Feng XiaoSchool of Nursing, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, P.R. China.
Fang LiuSchool of Nursing, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, P.R. China. fangliu@cqmu.edu.cn.
Yiying WangSchool of Nursing, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, P.R. China.
Zhiwei ZhangSchool of Nursing, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood trauma represents a significant risk factor for the development of depressive symptoms among college students; however, the underlying psychological mechanisms remain insufficiently understood. This study investigated the mediating role of fear of happiness in the association between childhood trauma and depressive symptoms, with a specific focus on delineating the distinct pathways linked to various trauma subtypes.

methodsA cross-sectional survey was administered to a sample of 1,085 college students using validated self-report instruments: the Childhood Trauma Questionnaire (CTQ), Fear of Happiness Scale (FHS), and Patient Health Questionnaire (PHQ-9). Mediation analysis was conducted using the SPSS PROCESS macro (Model 4), and structural equation modeling was applied to evaluate the distinct pathways linking individual trauma subtypes to depressive symptoms via fear of happiness.

resultsSignificant positive correlations were found among childhood trauma, fear of happiness, and depressive symptoms. Fear of happiness partially mediated the association between overall childhood trauma and depressive symptoms, accounting for 36.43% of the total effect. Subtype-specific analyses revealed that emotional abuse and physical neglect indirectly influenced depressive symptoms by increasing fear of happiness. In contrast, emotional neglect had a unique negative direct effect on depressive symptoms, suggesting potential emotional blunting or regulatory dysfunction.

conclusionsThese findings indicate that fear of happiness functions as a key psychological mechanism connecting childhood trauma to depressive symptomatology in college students. The divergent patterns across trauma subtypes highlight the importance of differentiating trauma experiences in both theoretical models and clinical interventions. Specifically, emotional neglect may be linked to adaptive emotional suppression processes, such as numbing, which could have implications for treatment planning. These results support the development of cognitive-behavioral interventions targeting fear of happiness as a promising strategy for preventing and reducing depressive symptoms in individuals with a history of adversity in early life. Given the cross-sectional design, causal conclusions cannot be definitively drawn, and future longitudinal or prospective studies are warranted to establish temporal and causal relationships between these variables.

Indexed as

Adult Survivors of Child AbuseAdverse Childhood ExperiencesDepressionFearHappinessStudentsAdolescentAdultCross-Sectional StudiesFemaleHumansMaleUniversitiesYoung AdultChildhood traumaCollege studentsDepressive symptomsFear of happinessMediating effect

Identifiers

PMID41508038
PMCPMC12882259

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LicenceCC BY-NC-ND
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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.