Psychological maltreatment, meaning-centered coping, psychological flexibility, and suicide cognitions: A moderated mediation model
Abstract
Background Mental health problems are currently diversifying, increasing the possibility of suicide. Exposure to psychological maltreatment is one of the factors that increases suicidal cognitions. In addition, psychological flexibility and meaning-centered approaches may be effective in coping with suicidal cognitions. Objective A hypothesized model was tested to examine the relationships among psychological maltreatment, suicidal cognitions, psychological flexibility, and meaning-centered coping. Method Data were collected from a sample of 652 participants. Mediation and moderation analyses were conducted to examine the mediating and moderating role of psychological flexibility and meaning-centered coping in the relationship between childhood psychological maltreatment and suicide cognitions among Turkish adults. Results The results of the study indicated significant negative and positive relationships between psychological maltreatment, suicide cognitions, psychological flexibility, and meaning-centered coping. The findings suggest that psychological flexibility and meaning-centered coping have a serial mediating effect on the relationship between psychological maltreatment and suicide cognitions. Furthermore, according to the study results, psychological flexibility plays a moderating role both between psychological maltreatment and suicidal cognitions and between meaning-centered coping and suicidal cognitions. Conclusions The study suggests that psychological maltreatme…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,065 · see citing works
Preacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · see citing works
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
Acceptance and commitment therapy: model, processes and outcomes
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.06.006 · Cited by 6,587 · see citing works
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Hayes, A. F. (2018) · Communication Monographs · doi:10.1080/03637751.2017.1352100 · Cited by 3,516 · see citing works
Transactional theory and research on emotions and coping
Lazarus, R. S., & Folkman, S. (1987) · European Journal of Personality · doi:10.1002/per.2410010304 · Cited by 3,053 · see citing works
Baumeister, R. F. (1990) · Psychological Review · doi:10.1037/0033-295x.97.1.90 · Cited by 1,919 · see citing works
The integrated motivational–volitional model of suicidal behaviour
O'Connor, R. C., & Kirtley, O. J. (2018) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2017.0268 · Cited by 1,559 · see citing works
Rudd, M. D. (2006) · Cognition and suicide: Theory, research, and therapy. · doi:10.1037/11377-016 · Cited by 463 · see citing works
Miller, A. B., Esposito-Smythers, C. L., Weismoore, J. T., & Renshaw, K. D. (2013) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-013-0131-5 · Cited by 412 · see citing works
Ma, J., Batterham, P. J., Calear, A. L., & Han, J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.04.008 · Cited by 384 · see citing works
Arslan, G. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.09.010 · Cited by 344 · see citing works
Self-citationPurpose in Life, Satisfaction with Life, and Suicide Ideation in a Clinical Sample
Heisel, M. J., & Flett, G. L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000013660.22413.e0 · Cited by 324 · see citing works
McCrory, E. J., & Viding, E. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000115 · Cited by 295 · see citing works
Cognition and suicide: Theory, research, and therapy.
Ellis, T. E. (2006) · American Psychological Association eBooks · doi:10.1037/11377-000 · Cited by 255 · see citing works
The interpersonal‐psychological theory of suicidal behavior: current status and future directions
Ribeiro, J. D., & Joiner, T. E. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20621 · Cited by 238 · see citing works
Evidence for the Effects of Psychological Maltreatment
Hart, S. N., Binggeli, N. J., & Brassard, M. R. (1997) · Journal of Emotional Abuse · doi:10.1300/j135v01n01_03 · Cited by 237 · see citing works
Further Reflections on Suicide and Psychache
Shneidman, E. S. (1998) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1998.tb00854.x · Cited by 164 · see citing works
Yavuz, F., Ulusoy, S., Iskin, M., Esen, F. B., Burhan, H. S., Karadere, M. E., & Yavuz, N. (2016) · Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology · doi:10.5455/bcp.20160223124107 · Cited by 152 · see citing works
Xiao, Z., Baldwin, M. M., Wong, S. C., Obsuth, I., Meinck, F., & Murray, A. L. (2022) · Trauma Violence & Abuse · doi:10.1177/15248380221122816 · Cited by 136 · see citing works
Bryan, C. J., Rudd, M. D., Wertenberger, E. G., Etienne, N., Ray-Sannerud, B. N., Morrow, C. E., Peterson, A. L., & Young‐McCaughan, S. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.02.021 · Cited by 134 · see citing works
Heisel, M. J., Neufeld, E., & Flett, G. L. (2015) · Aging & Mental Health · doi:10.1080/13607863.2015.1078279 · Cited by 132 · see citing works
Meaning in life and resilience to stressors
Ostafin, B. D., & Proulx, T. (2020) · Anxiety Stress & Coping · doi:10.1080/10615806.2020.1800655 · Cited by 132 · see citing works
Tindle, R., Hemi, A., & Moustafa, A. A. (2022) · Scientific Reports · doi:10.1038/s41598-022-12262-w · Cited by 125 · see citing works
Arslan, G. (2017) · Computers in Human Behavior · doi:10.1016/j.chb.2017.02.037 · Cited by 123 · see citing works
Self-citationUnderstanding and Treating Feelings of Shame in Children Who Have Experienced Maltreatment
Deblinger, E., & Runyon, M. K. (2005) · Child Maltreatment · doi:10.1177/1077559505279306 · Cited by 117 · see citing works
Bryan, C. J., Ray-Sannerud, B. N., & Heron, E. A. (2015) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2015.10.002 · Cited by 111 · see citing works
Eisenbeck, N., Carreno, D. F., Wong, P. T. P., Hicks, J. A., María, R.-R. G., Puga, J. L., Greville, J., Testoni, I., Biancalani, G., López, A. C. C., et al. (2022) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2021.100256 · Cited by 108 · see citing works
Self-citationArslan, G. (2017) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.03.023 · Cited by 98 · see citing works
Self-citationChoi, J., Teshome, T. Z., & Smith, J. P. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.10.041 · Cited by 85 · see citing works
Eisenbeck, N., Carreno, D. F., & Pérez‐Escobar, J. A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.648383 · Cited by 85 · see citing works
Psychological maltreatment: An international challenge to children's safety and well being.
Brassard, M. R., Hart, S. N., & Glaser, D. (2020) · International Journal of Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104611 · Cited by 84 · see citing works
Barnhofer, T., Crane, C., Brennan, K., Duggan, D. S., Crane, R. S., Eames, C., Radford, S., Silverton, S., Fennell, M. J. V., & Williams, J. M. G. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000027 · Cited by 80 · see citing works
Arslan, G., & Yıldırım, M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.646572 · Cited by 75 · see citing works
Self-citationCrasta, D., Daks, J. S., & Rogge, R. D. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.09.003 · Cited by 72 · see citing works
Miller, A. B., Jenness, J. L., Oppenheimer, C. W., Barrocas, A. L., Young, J. F., & Hankin, B. L. (2016) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-016-0150-z · Cited by 72 · see citing works
Zhang, H.-P., Liu, M., & Long, H. (2020) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-020-00679-z · Cited by 70 · see citing works
The Brief Suicide Cognitions Scale: Development and Clinical Application
Rudd, M. D., & Bryan, C. J. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.737393 · Cited by 65 · see citing works
Ellis, T. E., & Rufino, K. A. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2015.1093983 · Cited by 60 · see citing works
Cobos-Sánchez, L., Flujas-Contreras, J. M., & Becerra, I. G. (2022) · Current Psychology · doi:10.1007/s12144-020-01067-7 · Cited by 59 · see citing works
A psychometric study of the Suicide Cognitions Scale with psychiatric inpatients.
Ellis, T. E., & Rufino, K. A. (2014) · Psychological Assessment · doi:10.1037/pas0000028 · Cited by 58 · see citing works
Association between Childhood Maltreatment and Suicidal Ideation: A Path Analysis Study
Berardelli, I., Sarubbi, S., Rogante, E., Erbuto, D., Giuliani, C., Lamis, D. A., Innamorati, M., & Pompili, M. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11082179 · Cited by 58 · see citing works
Roush, J. F., Brown, S. L., Mitchell, S. M., & Cukrowicz, K. C. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1395923 · Cited by 46 · see citing works
Arslan, G. (2015) · Bartın University Journal of Faculty of Education · doi:10.14686/buefad.v4i2.5000146983 · Cited by 45 · see citing works
Self-citationArslan, G., & Balkıs, M. (2016) · Sakarya University Journal of Education · doi:10.19126/suje.35977 · Cited by 44 · see citing works
Self-citationArslan, G., Genç, E., Yıldırım, M., Tanhan, A., & Allen, K. (2021) · Children and Youth Services Review · doi:10.1016/j.childyouth.2021.106296 · Cited by 37 · see citing works
Self-citationAvsec, A., Eisenbeck, N., Carreno, D. F., Kocjan, G. Z., & Kavčič, T. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.10.001 · Cited by 33 · see citing works
Arslan, G. (2022) · Current Psychology · doi:10.1007/s12144-022-03538-5 · Cited by 31 · see citing works
Self-citationDeBeer, B. B., Meyer, E. C., Kimbrel, N. A., Kittel, J. A., Gulliver, S. B., & Morissette, S. B. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12388 · Cited by 31 · see citing works
Üniversite Öğrencilerinde Yaşamın Anlamı İle Psikolojik Esneklik Arasındaki İliş
SEYREK, Ö. D. (2017) · Journal of Turkish Studies · doi:10.7827/turkishstudies.10053 · Cited by 25 · see citing works
TAŞÖREN, A. B. (2022) · Current Psychology · doi:10.1007/s12144-021-02594-7 · Cited by 23 · see citing works
Existential Meaning-Making Coping in Iran: A Qualitative Study among Patients with Cancer
Ahmadi, F., Khodayarifard, M., Rabbani, M., Zandi, S., & Sabzevari, M. (2022) · Social Sciences · doi:10.3390/socsci11020080 · Cited by 21 · see citing works
Psychological Aspects of Cancer
(2022) · Springer eBooks · doi:10.1007/978-3-030-85702-8 · Cited by 20 · see citing works
Arslan, G., & Genç, E. (2022) · Children and Youth Services Review · doi:10.1016/j.childyouth.2022.106371 · Cited by 19 · see citing works
Self-citationBOSTAN, B. C., & Duru, E. (2019) · Pamukkale University Journal of Education · doi:10.9779/pauefd.568123 · Cited by 17 · see citing works
Rufino, K. A., & Ellis, T. E. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12353 · Cited by 16 · see citing works
Park, C. L., & Hanna, D. B. (2022) · Springer eBooks · doi:10.1007/978-3-030-85702-8_6 · Cited by 16 · see citing works
Investigating the link between psychological maltreatment, shyness, hope, and wellbeing
Satıcı, S. A., & Okur, S. (2022) · Personality and Individual Differences · doi:10.1016/j.paid.2022.111764 · Cited by 16 · see citing works
Psikolojik Esneklik Ölçeği: Geliştirilmesi, Geçerliği ve Güvenirliği
KARACA, S. S. U. R. (2020) · Turkish Studies - Educational Sciences · doi:10.47423/turkishstudies.44949 · Cited by 14 · see citing works
Childhood maltreatment and expressive flexibility: specific effects of threat and deprivation?
Pițur, S., & Miu, A. C. (2020) · Cognition & Emotion · doi:10.1080/02699931.2020.1795625 · Cited by 13 · see citing works
Childhood trauma and its influence on the clinical features of bipolar disorder
Tian, L., Mao, Z., Zhao, L., Sun, Y., Wang, C., & Bo, Q. (2023) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2023.106203 · Cited by 11 · see citing works
Prevalence, Correlates, and Risk Factors of Suicidal Ideation and Attempts in Turkey
Karkın, A. N., & Eskin, M. (2023) · Neuropsychiatric Investigation · doi:10.5152/neuropsychiatricinvest.2023.22019 · Cited by 10 · see citing works
Ekwonye, A. U., Hearst, M. O., & Howard, H. (2021) · Journal of Immigrant & Refugee Studies · doi:10.1080/15562948.2021.1996672 · Cited by 9 · see citing works
Zandi, S., Ahmadi, F., Çetrez, Ö., & Akhavan, S. (2022) · Illness Crisis & Loss · doi:10.1177/10541373221088391 · Cited by 9 · see citing works
Secular Existential Meaning-Making Coping Among Cancer Patients in Portugal: A Qualitative Study
Ahmadi, F., Tavares, R., Matos, P. M., Tomás, C., & Ahmadi, N. (2019) · Illness Crisis & Loss · doi:10.1177/1054137319864854 · Cited by 6 · see citing works
Barbot, B., Eff, H., Weiss, S. R., & McCarthy, J. B. (2020) · Child and Adolescent Mental Health · doi:10.1111/camh.12393 · Cited by 6 · see citing works
Tsai, K. M., Perez‐Brena, N. J., Perez, V. M., & Camacho‐Thompson, D. E. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00094-7 · Cited by 6 · see citing works
Xu, M., Rosario‐Williams, B., Kline, E. A., & Miranda, R. (2022) · Psychology of Violence · doi:10.1037/vio0000447 · Cited by 6 · see citing works
Baker, A., Schneiderman, M., Brassard, M. R., & Donnelly, L. (2012) · PubMed · Cited by 6 · see citing works
Günel, D., & Aydın, Y. (2022) · Mersin Üniversitesi Eğitim Fakültesi Dergisi · doi:10.17860/mersinefd.1050072 · Cited by 3 · see citing works
The Relationship Between Burnout and Psychological Flexibility Processes in Healthcare Professionals
Karatepe, H. T., & Elbay, R. Y. (2020) · Journal of Cognitive-Behavioral Psychotherapy and Research · doi:10.5455/jcbpr.132931 · Cited by 2 · see citing works
Flagged first, then by citations
3 of the 75 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Türk, N., Yildirim, M., Batmaz, H., Aziz, I. A., & Gómez-Salgado, J. (2025) · Medicine · doi:10.1097/md.0000000000041712 · Cited by 25 · see citing works
Self-citationTürk, N., Özmen, M., & Deri̇n, S. (2025) · Healthcare · doi:10.3390/healthcare13151875 · Cited by 22 · see citing works
Self-citationMaral, S., Bilmez, H., & Satıcı, S. A. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02079-4 · Cited by 20 · see citing works
Akbulut, Ö. F., Okur, S., & Akat, M. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10164-4 · Cited by 7 · see citing works
Akat, M., Okur, S., Akbulut, Ö. F., Satıcı, S. A., & Hamarta, E. (2025) · Psychiatric Quarterly · doi:10.1007/s11126-025-10134-w · Cited by 6 · see citing works
DOĞRUSEVER, C., KURTULUŞ, H. Y., Kaya, A., Türk, N., & Yıldırım, M. (2026) · Brain and Behavior · doi:10.1002/brb3.71163 · Cited by 3 · see citing works
Self-citationÇELİK, M., Batmaz, H., Türk, N., & Deri̇n, S. (2026) · Behavioral Sciences · doi:10.3390/bs16010151 · Cited by 2 · see citing works
Self-citationYILDIRIM, O., Batmaz, H., & Türk, N. (2026) · BMC Psychology · doi:10.1186/s40359-025-03856-w · Cited by 1 · see citing works
Self-citationVangölü, M. S., Ünsal, F., & Çi̇çek, İ. (2026) · BMC Pediatrics · doi:10.1186/s12887-026-07027-7 · Cited by 1 · see citing works
Aydal, Z., & Güloğlu, B. (2025) · Türk Psikolojik Danışma ve Rehberlik Dergisi · doi:10.17066/tpdrd.1586806
Behn, A. J., & Sharp, C. (2025) · Depression and personality · doi:10.1007/978-3-031-96037-6_4
Turan, M. E., Cengiz, S., SAFALI, S., & Yıldırım, M. (2025) · Psychological Reports · doi:10.1177/00332941251365885
Self-citationProtective Factors in Youth Suicide: A Systematic Review of Evidence from Cross-Sectional Studies
Demir, B. (2025) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1676575
Liu, S., Xiong, Q., Gao, Y., Wang, L., & Yu, Q. (2025) · Behavioral Sciences · doi:10.3390/bs15121619
Teke, E., Baltacı, U. B., Arslan, G., & Avşaroğlu, S. (2026) · Psychiatric Quarterly · doi:10.1007/s11126-025-10242-7
Self-citationWen, X., Zhou, Y., Li, Y., Li, Q., & Zhou, L. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121441
Kaya, B. (2026) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-026-00665-x
EKİNCİ, N. (2026) · Türk Psikolojik Danışma ve Rehberlik Dergisi · doi:10.17066/tpdrd.1961375
- Authors
- Türk, N., Arslan, G., Kaya, A., Güç, E., & Turan, M. E.
- Affiliations
- Siirt Üniversitesi (TR)
- The University of Melbourne (AU)
- Ağrı İbrahim Çeçen University (TR)
- Corresponding author
- Arslan, Gökmen
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2024-06
- Volume
- 152
- Pages
- 106735
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W4393855478
- Cited by
- 20
- References
- 75
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 1
- FWCI
- 9.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- childhood emotional abuse, suicidal cognitions, psychological flexibility, suicide prevention, serial mediation, moderation, protective factors, risk factors, Turkish adults
- MeSH terms
- Mediation Analysis, Adaptation, Psychological, Adolescent, Adult, Cognition, Female, Humans, Male, Middle Aged, Models, Psychological, Surveys and Questionnaires, Risk Factors, Suicide, Turkey, Adult Survivors of Child Abuse, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
