Childhood emotional maltreatment and internalizing problems in a non-clinical sample of adolescents: a moderated-mediation model of insecure anxious attachment style and gender

Childhood emotional maltreatment (abuse and neglect) may contribute to the development of internalizing problems in adolescence. However, the mechanisms explaining this association should be examined further. This study explored the mediating role of insecure anxious attachment style in the relationship between emotional maltreatment and internalizing symptoms in a non-clinical sample of adolescents. Analyses were also conducted to determine whether gender moderated the direct and indirect pathways between emotional maltreatment and internalizing problems. We recruited 449 adolescents aged between 14 and 18 years old [(Mage)=16.46, standard deviation (SD)=1.38]. 60.8% of adolescents were female (Mage=16.51, SD=1.43), whereas 39.2% identified as male (Mage=16.39, SD=1.28). Participants completed a survey including socio-demographic information and three selfreport questionnaires: the Childhood Trauma Questionnaire-Short Form, the Attachment Style Questionnaire, and the Youth Self- Report for ages 11-18. Results showed that emotional abuse and neglect were related to internalizing problems both directly and indirectly through anxious attachment style. Girls who experienced higher levels of emotional abuse and who had an anxious attachment style reported more internalizing problems than boys, whereas higher levels of emotional neglect were associated with increasing levels of internalizing problems only for boys. This study expanded our knowledge of the role of anxious attachment in the onset of internalizing problems among adolescents with experiences of childhood emotional maltreatment.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Research Center for Children, Youth, & Families.

Ammaniti, M., Cimino, S., & Petrocchi, M. (2005). Adolescenza ed esperienze traumatiche: Influenze sul funzionamento emotivo-adattivo. Infanzia e Adolescenza, 4(3), 145–155.

Ara, E. (2016). Internalizing and externalizing problems in adolescents analyzing the gender difference. International Journal of Research in Social Sciences, 6, 328-337.

Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T. … Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190. DOI: https://doi.org/10.1016/S0145-2134(02)00541-0 Bernstein, D. P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132–1136. https://doi.org/10.1176/ajp.151.8.1132 DOI: https://doi.org/10.1176/ajp.151.8.1132

Bowlby, J. (1969). Attachment and Loss, Vol. 1: Attachment. New York: Basic Books.

Cecil, C. A. M., Viding, E., Fearon, P., Glaser, D., & McCrory, E. J. (2017). Disentangling the mental health impact of childhood abuse and neglect. Child Abuse and Neglect, 63, 106–119. http://doi.org/10.1016/j.chiabu.2016.11.024 DOI: https://doi.org/10.1016/j.chiabu.2016.11.024 Costello, P. C. (2013). Attachment-based psychotherapy. Helping patients develop adaptive capacities. Washington, D.C.: American Psychological Association. DOI: https://doi.org/10.1037/14185-000 Davila, J., Ramsay, M., Stroud, C. B., & Steinberg, S. (2005). Attachment as vulnerability to the development of psychopathology. In B.L. Hankin, & J. R. Z. Abela (Eds), Development of psychopathology: A vulnerability-stress perspective (pp. 215–242). Thousand Oaks, CA: Sage. DOI: https://doi.org/10.4135/9781452231655.n9 Duprey, E. B., Oshri, A., Liu, S., Kogan, S. M., & Caughy, M. O. (2021). Physiological stress response reactivity mediates the link between emotional abuse and youth internalizing problems. Child Psychiatry and Human Development, 52(3), 450–463. https://doi.org/10.1007/s10578-020-01033-1 DOI: https://doi.org/10.1007/s10578-020-01033-1 Erkoreka, L., Zamalloa, I., Rodriguez, S., Muñoz, P., Mendizabal, I., Zamalloa, M. I., Arrue, A., Zumarraga, M., & Gonzalez-Torres, M. A. (2022). Attachment anxiety as mediator of the relationship between childhood trauma and personality dysfunction in borderline personality disorder. Clinical Psychology & Psychotherapy, 29(2), 501-511. https://doi.org/10.1002/cpp.2640 DOI: https://doi.org/10.1002/cpp.2640 Falgares, G., Marchetti, D., Manna, G., Musso, P., Oasi, O., Kopala-Sibley, D.C., De Santis, S., & Verrocchio, M. C. (2018). Childhood maltreatment, pathological personality dimensions, and suicide risk in young adults. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2018.00806389/fpsyg.2018.00806 DOI: https://doi.org/10.3389/fpsyg.2018.00806 Featherstone, B., Morris, K., Daniel, B., Bywaters, P., Brady, G., Bunting, L., Mason, W., & Mirza, N. (2019). Poverty, inequality, child abuse and neglect: Changing the conversation across the UK in child protection? Children and Youth Services Review, 97, 127-133. https://doi.org/10.1016/j.childyouth.2017.06.009 DOI: https://doi.org/10.1016/j.childyouth.2017.06.009

Feeney, J. A., Noller, P., & Hanrahan, M. (1994). Assessing adult attachment. In M. B. Sperling & W. H. Berman (Eds.), Attachment in adults: Clinical and developmental perspectives (pp. 122–158). Guilford.

Fossati, A., Feeney, J., Donati, D., Donini, M., Novella, L., Bagnato, M., Acquarini, E., & Maffei, C. (2003). On the dimensionality of the Attachment Style Questionnaire in Italian clinical and nonclinical participants. Journal of Social and Personal Relationships, 20. https://doi.org/10.1177/02654075030201003 DOI: https://doi.org/10.1177/02654075030201003 Gay, L. E., Harding, H. G., Jackson, J. L., Burns, E. E., & Baker, B. D. (2013). Attachment style and early maladaptive schemas as mediators of the relationship between childhood emotional abuse and intimate partner violence. Journal of Aggression, Maltreatment & Trauma, 22(4), 408–424. https://doi.org/10.1080/10926771.2013.775982 DOI: https://doi.org/10.1080/10926771.2013.775982 Godbout, N., Daspe, M. È., Runtz, M., Cyr, G., & Briere, J. (2019). Childhood maltreatment, attachment, and borderline personality-related symptoms: Gender-specific structural equation models. Psychological Trauma: Theory, Research, Practice and Policy 11(1), 90-98. https://doi.org/10.1037/tra0000403 DOI: https://doi.org/10.1037/tra0000403 Hamilton, J. L., Shapero, B. G., Stange, J. P., Hamlat, E. J., Abramson, L. Y., & Alloy, L. B. (2013). Emotional maltreatment, peer victimization, and depressive versus anxiety symptoms during adolescence: hopelessness as a mediator. Journal of Clinical Child & Adolescent Psychology, 42(3), 332–347. https://doi.org/10.1080/15374416.2013.777916 DOI: https://doi.org/10.1080/15374416.2013.777916

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.

IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp

Kamkar, K., Doyle, A.B., & Markiewicz, D. (2012). Insecure attachment to parents and depressive symptoms in early adolescence: Mediating roles of attributions and self-esteem. International Journal of Psychological Studies, 4. DOI: https://doi.org/10.5539/ijps.v4n2p3 MacKinnon, D. P., Cheong, J., & Pirlott, A. G. (2012). Statistical mediation analysis. In H. Cooper, P. M. Camic, D. L. Long, A. T. Panter, D. Rindskopf, & K. J. Sher (Eds.), APA handbooks in psychology®. APA handbook of research methods in psychology, Vol. 2. Research designs: Quantitative, qualitative, neuropsychological, and biological (p. 313–331). American Psychological Association. https://doi.org/10.1037/13620-018 DOI: https://doi.org/10.1037/13620-018 Marchetti, D., Musso, P., Verrocchio, M. C., Manna, G., Kopala-Sibley, D. C., De Berardis, D., De Santis, S., & Falgares, G. (2021). Childhood maltreatment, personality vulnerability profiles, and borderline personality disorder symptoms in adolescents. Development and Psychopathology, 1-14. https://doi.org/10.1017/S0954579420002151 DOI: https://doi.org/10.1017/S0954579420002151 Martin, J., Bureau, J. F., Yurkowski, K., Fournier, T. R., Lafontaine, M. F., & Cloutier, P. (2016). Family based risk factors for nonsuicidal self-injury: Considering influences of maltreatment, adverse family-life experiences, and parent-child relational risk. Journal of Adolescence, 49, 170–180. https://doi.org/10.1016/j.adolescence.2016.03.015 DOI: https://doi.org/10.1016/j.adolescence.2016.03.015

Muthén, L. K., & Muthén, B. O. (1998-2022). Mplus 8.8 [computer software]. Los Angeles: Author.

Ramos, V., Canta, G., de Castro, F., & Leal, I. (2016). The relation between attachment, personality, internalizing, and externalizing dimensions in adolescents with borderline personality disorder. Bulletin of the Menninger Clinic, 80(3), 213-233. https://doi.org/10.1521/bumc.2016.80.3.213 DOI: https://doi.org/10.1521/bumc.2016.80.3.213 Russotti, J., Warmingham, J. M., Duprey, E. B., Handley, E. D., Manly, J. T., Rogosch, F. A., & Cicchetti, D. (2021). Child maltreatment and the development of psychopathology: The role of developmental timing and chronicity. Child Abuse & Neglect, 120, 105215. https://doi.org/10.1016/j.chiabu.2021.105215 DOI: https://doi.org/10.1016/j.chiabu.2021.105215 Struck, N., Krug, A., Yuksel, D., Stein, F., Schmitt, S., Meller, T., Brosch, K., Dannlowski, U., Nenadić, I., Kircher, T., & Brakemeier, E. L. (2020). Childhood maltreatment and adult mental disorders - the prevalence of different types of maltreatment and associations with age of onset and severity of symptoms. Psychiatry Research, 293. https://doi.org/10.1016/j.psychres.2020.113398 DOI: https://doi.org/10.1016/j.psychres.2020.113398 Velotti, P., Rogier, G., Beomonte Zobel, S., Chirumbolo, A., & Zavattini, G. C. (2020). The Relation of anxiety and avoidance dimensions of attachment to intimate partner violence: A meta-analysis about perpetrators. Trauma Violence Abuse, 23(1), 196-212. https://doi.org/10.1177/1524838020933864 DOI: https://doi.org/10.1177/1524838020933864

World Medical Association. (2001). World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bulletin of the World Health Organization, 79(4), 373–374.

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