While childhood maltreatment is understood to be a significant risk factor for adolescent internalizing problems (depression and anxiety), underlying mechanisms linking each type of maltreatment to internalizing problems in adolescents remain unclear. Moreover, the current state of knowledge regarding the associations between maladaptive cognitive emotion regulation strategies and each type of maltreatment, as well as their impact on adolescent internalizing problems, is limited. Additionally, it remains unclear whether these maladaptive strategies mediate this relationship. This study sought to investigate the effects of childhood maltreatment types on adolescent internalizing problems and to explore whether the overall and specific types of maladaptive strategies mediate these associations. Using a cross-sectional design, adolescents ( = 7071, = 14.05 years, = 1.54) completed online questionnaires assessing childhood maltreatment, maladaptive cognitive emotion regulation strategies (including rumination, catastrophizing, self-blame, and other-blame), anxiety, and depression. The hypothesized mediating effects were tested using the Lavaan package in R software (4.1.2). Different maltreatment types had varying effects on adolescent internalizing problems. Emotional neglect, emotional abuse, and sexual abuse significantly affected anxiety and depression, whereas physical neglect and physical abuse did not. Other than physical neglect and physical abuse, overall maladaptive strategies mediated the relationship between the other three types of maltreatment (emotional abuse, emotional neglect, and sexual abuse) and internalizing problems (anxiety and depression). For specific maladaptive strategies, rumination mediated the effects of physical abuse, emotional abuse, emotional neglect, and sexual abuse on internalizing problems (anxiety and depression). In contrast, catastrophizing mediated the relationship between physical neglect, emotional abuse, emotional neglect, sexual abuse and internalizing problems (anxiety and depression). These results suggest that the effects of maltreatment types on internalizing problems are different and that maladaptive strategies, particularly rumination and catastrophizing, are important mechanisms through which childhood maltreatment affects internalizing problems. This is a reminder that mental health workers need to consider the different effects of maltreatment types when intervening and recognize the importance of prioritizing interventions for rumination and catastrophizing.

中文翻译：

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儿童虐待亚型与青少年内化问题之间的关系：适应不良的认知情绪调节策略的中介作用

虽然儿童虐待被认为是青少年内化问题（抑郁和焦虑）的一个重要风险因素，但将每种类型的虐待与青少年内化问题联系起来的潜在机制仍不清楚。此外，目前关于适应不良的认知情绪调节策略与每种类型的虐待之间的关联及其对青少年内化问题的影响的知识有限。此外，目前还不清楚这些适应不良策略是否介导了这种关系。本研究旨在调查儿童虐待类型对青少年内化问题的影响，并探讨总体和特定类型的适应不良策略是否介导这些关联。采用横断面设计，青少年（= 7071，= 14.05 岁，= 1.54）完成了在线调查问卷，评估童年虐待、适应不良的认知情绪调节策略（包括沉思、灾难化、自责和他人责备）、焦虑和沮丧。使用 R 软件 (4.1.2) 中的 Lavaan 包测试了假设的中介效应。不同的虐待类型对青少年内化问题有不同的影响。情感忽视、情感虐待和性虐待显着影响焦虑和抑郁，而身体忽视和身体虐待则没有。除了身体忽视和身体虐待之外，总体适应不良策略还介导了其他三种类型的虐待（情感虐待、情感忽视和性虐待）与内化问题（焦虑和抑郁）之间的关系。对于特定的适应不良策略，沉思介导了身体虐待、情感虐待、情感忽视和性虐待对内化问题（焦虑和抑郁）的影响。相反，灾难化调节了身体忽视、情感虐待、情感忽视、性虐待和内化问题（焦虑和抑郁）之间的关系。这些结果表明，虐待类型对内化问题的影响是不同的，适应不良策略，特别是沉思和灾难化，是童年虐待影响内化问题的重要机制。这提醒精神卫生工作者在进行干预时需要考虑虐待类型的不同影响，并认识到优先考虑针对沉思和灾难化进行干预的重要性。