ArticlePsychiatry investigation2026
Association Between Childhood Trauma and Somatization in a Clinical Sample: The Mediating Roles of Rumination, Cognitive Reappraisal, and Expressive Suppression.
Article in Psychiatry investigation, 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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Abstract
objectiveThis study investigated the relationships among childhood trauma, somatization, depressive rumination, cognitive reappraisal, and expressive suppression among a clinical sample through a mediation model approach.
methodsOutpatients (n=125) with a diagnosis of depression and/or anxiety were included in our study. Childhood trauma, somatization, depressive rumination, cognitive reappraisal, and expressive suppression were assessed by the Childhood Trauma Questionnaire (CTQ), Symptom Checklist-90-Revision (SCL-90-R), Korean-Ruminative Response Scale (K-RRS), and Emotion Regulation Questionnaire (ERQ), respectively.
resultsChildhood trauma was associated with somatization symptoms mediated by depressive rumination and cognitive reappraisal. In particular, emotional abuse was positively associated with somatization mediated by a depressive rumination. However, the mediating effect of expressive suppression on the relationship between childhood trauma and somatization was not significant.
conclusionThese findings suggest that depressive rumination is a key element affecting somatization symptoms in clinical patients who experienced emotional abuse.
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