Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis
Open accessAbstract
Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psych…
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- Findingown data
Suppression mediates the relation between childhood adversity and psychopathology.
“All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Findingown data
Distraction does not mediate the relation between childhood adversity and psychopathology.
“In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported.”
Quote in the paperSubstantial claim - Findingown data
Childhood adversity is positively associated with emotion regulation difficulties.
“The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression.”
Quote in the paperSubstantial claim - Findingown data
Emotion regulation difficulties are positively associated with psychopathology.
“In turn, these measures of emotion regulation were positively associated with psychopathology.”
Quote in the paperSubstantial claim - Findingown data
Reappraisal mediates the relation between childhood adversity and psychopathology.
“All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Findingown data
Childhood adversity is positively associated with habitual use of suppression.
“The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression.”
Quote in the paperSubstantial claim - Findingown data
Habitual reappraisal use is negatively associated with psychopathology.
“Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology.”
Quote in the paperSubstantial claim - Findingown data
Distraction is not related to psychopathology.
“In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported.”
Quote in the paperSubstantial claim - Findingown data
Habitual use of suppression is positively associated with psychopathology.
“In turn, these measures of emotion regulation were positively associated with psychopathology.”
Quote in the paperSubstantial claim - Findingown data
Distraction is not related to childhood adversity.
“In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported.”
Quote in the paperSubstantial claim - Findingown data
Rumination mediates the relation between childhood adversity and psychopathology.
“All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Findingown data
Habitual reappraisal use is negatively associated with childhood adversity.
“Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology.”
Quote in the paperSubstantial claim - Findingown data
Childhood adversity is positively associated with habitual use of rumination.
“The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression.”
Quote in the paperSubstantial claim - Findingown data
Habitual use of rumination is positively associated with psychopathology.
“In turn, these measures of emotion regulation were positively associated with psychopathology.”
Quote in the paperSubstantial claim - Findingown data
Emotion regulation difficulties mediate the relation between childhood adversity and psychopathology.
“All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Findingown data
Habitual reappraisal use was negatively associated with psychopathology.
“Habitual reappraisal use was negatively associated with psychopathology.”
- Also stated in: § Stage 2: Mediation model · plain
“Habitual reappraisal use was negatively associated with psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: Emotion regulation and psychopathology measures from different studies are sufficiently comparable to be pooled into common correlation matrices.
- Also stated in: § Stage 2: Mediation model · plain
- Findingown data
Heterogeneity in the correlations between childhood adversity and psychopathology was significant only in the analyses on emotion regulation difficulties and habitual rumination use.
“In which the correlations between childhood adversity and psychopathology was concerned, heterogeneity was significant only in the analyses on emotion regulation difficulties, and habitual rumination use.”
Quote in the paperNot a substantial claim - Findingown data
The correlations between childhood adversity and the habitual use of distraction and suppression tended to be homogenous between studies.
“In contrast, the correlations between childhood adversity and the habitual use of distraction and suppression tended to be homogenous between studies.”
Quote in the paperNot a substantial claim - Findingown data
Only the correlations between childhood adversity and emotion regulation difficulties, habitual rumination, and habitual reappraisal showed significant levels of heterogeneity.
“only the correlations between childhood adversity and emotion regulation difficulties, habitual rumination and habitual reappraisal showed significant levels of heterogeneity.”
Quote in the paperNot a substantial claim - Findingown data
Childhood adversity was significantly associated with all emotion regulation dimensions except distraction.
“Childhood adversity was significantly associated with all emotion regulation dimensions except distraction.”
Quote in the paperSubstantial claim- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Findingown data
Based on preliminary analyses, results do not differ when emotion regulation difficulties and emotion regulation ability are analyzed separately.
“Based on preliminary analyses, which indicated that results do not differ when emotion regulation difficulties and emotion regulation ability are analyzed separately, they were combined by reversing the correlations on the latter outcome so that positive correlations indicated greater emotion regulation difficulties.”
Quote in the paperSubstantial claim - Findingown data
Missing data is characteristic of the pool of studies meta-analyzed because some studies reported only one relation while others reported both.
“The latter potential bias (i.e., missing data) is indeed characteristic of the pool of studies that we meta-analyzed considering that some studies reported only one relation (i.e., either between childhood adversity and emotion regulation, or emotion regulation and psychopathology), while other studies reported both these relations.”
Quote in the paperSubstantial claim - Findingown data
The association between distraction and psychopathology was significant when the analysis focused on high-quality studies.
“It is also noteworthy that the association between distraction and psychopathology was significant when the analysis focused on high-quality studies.”
Quote in the paperNot a substantial claim - Findingown data
The direct pathway between childhood adversity and psychopathology was significant in models that included the indirect effect.
“The direct pathway between childhood adversity and psychopathology was also significant in models that included the indirect effect”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Findingown data
All analyses indicated a significant positive association between childhood adversity and psychopathology.
“All analyses indicated a significant positive association between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: Emotion regulation and psychopathology measures from different studies are sufficiently comparable to be pooled into common correlation matrices.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Findingown data
Overall heterogeneity was significant in all analyses.
“Overall heterogeneity was significant in all analyses (all Cochran’s Q ps < 0.001; see Table 1 for the proportion of between-study variability or I2).”
Quote in the paperNot a substantial claim - Findingown data
The pooled correlations between all emotion regulation measures except distraction and psychopathology were significant.
“The pooled correlations between all emotion regulation measures (except distraction) and psychopathology were significant.”
Quote in the paperSubstantial claim- Rests on an assumption: Emotion regulation and psychopathology measures from different studies are sufficiently comparable to be pooled into common correlation matrices.
- Findingreasoning
All emotion regulation dimensions except distraction were significant mediators in the relation between childhood adversity and psychopathology.
“all emotion regulation dimensions except distraction were significant mediators in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Findingown data
Childhood adversity was negatively associated with habitual reappraisal use.
“In contrast, childhood adversity was negatively associated with habitual reappraisal use.”
Quote in the paperSubstantial claim- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Findingown data
There was significant between-study heterogeneity in the correlations between emotion regulation difficulties, habitual rumination use, and habitual reappraisal use, and psychopathology.
“Similarly, there was significant between-study heterogeneity in the correlations between, on the one hand, emotion regulation difficulties, habitual rumination use, and habitual reappraisal use, and psychopathology, on the other hand.”
Quote in the paperNot a substantial claim - Findingown data
The direct path from childhood adversity to psychopathology was significant in all analyses.
“Furthermore, the direct path from childhood adversity to psychopathology was also significant in all analyses.”
Quote in the paperNot a substantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Premisereasoning
Previous meta-analyses have not addressed the mediator role of emotion regulation in the relation between childhood adversity and psychopathology.
“previous meta-analyses have not addressed the mediator role of emotion regulation in the relation between childhood adversity and psychopathology, which holds the most clinical relevance.”
Quote in the paperSubstantial claim - Premiseown data
Emotion regulation is associated with childhood adversity.
“Emotion regulation, which has been associated with both childhood adversity, and psychopathology.”
- Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · plain
“Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology”
Quote in the paperSubstantial claim0 of 3 sources checked - Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · plain
- Premisecitation
Almost all forms of psychopathology involve a component of disrupted emotion regulation.
“Almost all forms of psychopathology involve a component of disrupted emotion regulation, making this concept a candidate mechanism in which to explore individual differences in the psychological consequences of stressful events (e.g., Lazarus & Folkman, 1984).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lazarus & Folkman, 1984
Not checked in the free run.
- Premisecitation
Childhood adversity is a major risk factor for multiple forms of psychopathology.
“Childhood adversity is a major risk factor for multiple forms of psychopathology”
- Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · boosted
“Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010).”
Quote in the paperSubstantial claim0 of 2 sources checked - Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · boosted
- Interpretationreasoning
These results support the mechanistic involvement of emotion regulation in psychopathology.
“These results support the mechanistic involvement of emotion regulation in psychopathology, and further underscore the hypothesis that emotion regulation may be one of the mediators underlying the impact of childhood adversity on mental health.”
Quote in the paperSubstantial claim - Premisecitation
Rumination is positively associated with psychopathology.
“suppression and rumination have been positively associated (Aldao, Nolen-Hoeksema, & Schweizer, 2010; Compas et al., 2017; Hu et al., 2014; Prefit, Candea, & Szentagotai-Tatar, 2019; Seligowski, Lee, Bardeen, & Orcutt, 2015), and reappraisal has been negatively associated (Aldao et al., 2010; Hu et al., 2014; Prefit et al., 2019; but see Seligowski et al., 2015) with psychopathology.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Aldao et al., 2010
Not checked in the free run.
- cites Compas et al., 2017 source
Not checked in the free run.
- cites Hu et al., 2014
Not checked in the free run.
- Interpretationown data
Altered emotion regulation is a consistent marker of childhood adversity.
“These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Premisecitation
Broader measures of emotion regulation difficulties and abilities show consistent associations with internalizing and externalizing symptoms.
“Broader measures of emotion regulation, such as difficulties (Prefit et al., 2019; Seligowski et al., 2015) and abilities (Compas et al., 2017), have also shown consistent associations with internalizing and externalizing symptoms.”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
Emotion regulation has been conceptualized along two main lines that are distinct at several levels.
“emotion regulation has been conceptualized along two main lines, which have developed relatively independently in different fields of psychology and are distinct at several levels (for review see John & Eng, 2014).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites John & Eng, 2014
Not checked in the free run.
- Premisecitation
Maltreated children show higher aggressive behavior than non-maltreated children.
“found that maltreated children (identified based on official social services records) showed higher emotional lability and negativity, and lower adaptive emotion regulation, as well as higher aggressive behavior compared to non-maltreated children.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shields & Cicchetti, 1998
Not checked in the free run.
- Premisecitation
Two-stage structural equation modeling considers the potentially nested nature of correlations.
“considers the potentially nested nature of correlations (Jak, 2015);”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Jak, 2015
Not checked in the free run.
- Premisecitation
Maltreated children show lower adaptive emotion regulation than non-maltreated children.
“found that maltreated children (identified based on official social services records) showed higher emotional lability and negativity, and lower adaptive emotion regulation, as well as higher aggressive behavior compared to non-maltreated children.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shields & Cicchetti, 1998
Not checked in the free run.
- Interpretationown data
Altered emotion regulation contributes to risk of psychopathology.
“These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
- Premisecitation
Reappraisal is negatively associated with psychopathology.
“suppression and rumination have been positively associated (Aldao, Nolen-Hoeksema, & Schweizer, 2010; Compas et al., 2017; Hu et al., 2014; Prefit, Candea, & Szentagotai-Tatar, 2019; Seligowski, Lee, Bardeen, & Orcutt, 2015), and reappraisal has been negatively associated (Aldao et al., 2010; Hu et al., 2014; Prefit et al., 2019; but see Seligowski et al., 2015) with psychopathology.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Aldao et al., 2010
Not checked in the free run.
- cites Hu et al., 2014
Not checked in the free run.
- cites Prefit et al., 2019 source
Not checked in the free run.
- Premisecitation
Maltreated children show higher emotional lability and negativity than non-maltreated children.
“found that maltreated children (identified based on official social services records) showed higher emotional lability and negativity, and lower adaptive emotion regulation, as well as higher aggressive behavior compared to non-maltreated children.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shields & Cicchetti, 1998
Not checked in the free run.
- Premisecitation
Emotion regulation is associated with psychopathology.
“Emotion regulation, which has been associated with both childhood adversity, and psychopathology.”
- Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · plain
“Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008).”
Quote in the paperSubstantial claim0 of 3 sources checked - Also stated in: § Abstract Childhood adversity is a major risk factor for multiple forms of psychopathology, and recent efforts have focused on understanding the underlying psychological mechanisms. One outstanding candidate is emotion regulation, which has been associated with both childhood adversity, and psychopathology. Based on the available evidence, the present meta-analysis set out to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. Systematic searches in three databases (PubMed; PsycINFO; Web of Science) identified 215 eligible studies. Using meta-analytic structural equation modeling, we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation. Multiple emotion regulation dimensions were analyzed, including emotion regulation difficulties and the habitual use of rumination, distraction, reappraisal, and suppression. Measures of psychopathology included a wide range of internalizing and externalizing symptoms in both clinical and non-clinical samples. The results indicated that childhood adversity was positively associated with emotion regulation difficulties, as well as the habitual use of rumination and suppression. In turn, these measures of emotion regulation were positively associated with psychopathology. Habitual reappraisal use showed negative relations with both childhood adversity and psychopathology. All these emotion regulation measures were supported as mediators in the relation between childhood adversity and psychopathology. In contrast, distraction was not related to childhood adversity or psychopathology, and its mediator role was not supported. These results suggest that altered emotion regulation is a consistent marker of childhood adversity and contributes to risk of psychopathology. Extreme levels of childhood adversity have been consistently associated with lifelong and transdiagnostic risk of psychopathology (Green et al., 2010; Kessler et al., 2010). Recent efforts have focused on understanding the underlying psychological mechanisms, and progress in this area is crucial for increasing the specificity of psychological interventions (Dvir, Ford, Hill, & Frazier, 2014; Nanni, Uher, & Danese, 2012). Emotion regulation stands out among candidate mechanisms in light of its association with both childhood adversity (for review see Dvir et al., 2014; Hoppen & Chalder, 2018; Jaffee, 2017; McCrory, De Brito, & Viding, 2012; McLaughlin, 2016), and psychopathology (Aldao, Gee, De Los Reyes, & Seager, 2016; Beauchaine & Cicchetti, 2019; Gross & Jazaieri, 2014; Kring, 2008). However, relatively few studies have directly examined the mediator role of emotion regulation, and the integration of these results is not straightforward given the multiplicity of theoretical approaches to emotion regulation. We capitalized on recent advances in meta-analytic structural equation modeling to investigate the mechanistic involvement of emotion regulation in the relation between childhood adversity and psychopathology. To do so, we used extensive data on relevant pathways (i.e., childhood adversity to emotion regulation, and emotion regulation to psychopathology), as available in published studies. · plain
- Premisecitation
Suppression is positively associated with psychopathology.
“suppression and rumination have been positively associated (Aldao, Nolen-Hoeksema, & Schweizer, 2010; Compas et al., 2017; Hu et al., 2014; Prefit, Candea, & Szentagotai-Tatar, 2019; Seligowski, Lee, Bardeen, & Orcutt, 2015), and reappraisal has been negatively associated (Aldao et al., 2010; Hu et al., 2014; Prefit et al., 2019; but see Seligowski et al., 2015) with psychopathology.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Aldao et al., 2010
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- cites Compas et al., 2017 source
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- cites Hu et al., 2014
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- Study design and conductown data
Heterogeneity in study quality may have biased the present results.
“Another limitation is related to heterogeneity in study quality, which may have biased the present results.”
Quote in the paperNot a substantial claim - Premisecitation
The immature status of the hypothalamic-pituitary-adrenal axis and prefrontal-amygdala circuits renders stress systems susceptible to lifelong structural and functional alteration following childhood adversity.
“the immature status of the hypothalamic-pituitary-adrenal axis and the prefrontal-amygdala circuits, for example, renders these stress systems susceptible to lifelong structural and functional alteration following childhood adversity (for review see Lupien, McEwen, Gunnar, & Heim, 2009; McCrory et al., 2012).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Interpretationown data
The larger relations shown by rumination and suppression relative to reappraisal could suggest that the emotion regulation mechanisms intervening between childhood adversity and psychopathology involve mostly an enhanced use of maladaptive strategies and, to a lesser extent, a reduced use of adaptive strategies.
“The larger relations showed by rumination and suppression relative to reappraisal, however, could suggest that the emotion regulation mechanisms that intervene between childhood adversity and psychopathology involve mostly an enhanced use of maladaptive strategies, and to a lesser extent, a reduced use of adaptive strategies.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Interpretationown data
The present meta-analysis found consistent evidence for a mediating role of emotion regulation in the relation between childhood adversity and psychopathology.
“The present meta-analysis found consistent evidence for a mediating role of emotion regulation in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Premisecitation
Maltreating parents consistently report poor emotion regulation.
“Maltreating parents consistently report poor emotion regulation (Lavi, Manor-Binyamini, et al., 2019; Lavi, Ozer, Katz, & Gross, 2021; Plate et al., 2019)”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Lavi, Manor-Binyamini, et al., 2019
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- cites Lavi, Ozer, Katz, & Gross, 2021
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- cites Plate et al., 2019
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- Premisecitation
Some previous studies may have been underpowered for mediation analysis.
“some of the previous studies may have been underpowered for mediation analysis (Fritz & Mackinnon, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Fritz & Mackinnon, 2007 source
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- Interpretationreasoning
Multiple mechanisms are needed to account for how childhood adversity is associated with a wide range of mental disorders.
“This is in line with the view that multiple mechanisms are needed to account for how childhood adversity is associated with a wide range of mental disorders.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Premisecitation
Parental emotion regulation difficulties are associated with children's emotion regulation difficulties.
“not only that parental emotion regulation difficulties are associated with children’s emotion regulation difficulties (Osborne, Duprey, O’Brien Caughy, & Oshri, 2021)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Osborne, Duprey, O’Brien Caughy, & Oshri, 2021 source
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- Interpretationown data
Emotion regulation can only partially account for the association between childhood adversity and psychopathology.
“suggesting that emotion regulation can only partially account for the association between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- Premisecitation
The relations between emotion regulation and psychopathology have been consistently supported in meta-analyses.
“The relations between emotion regulation and psychopathology have also been consistently supported in meta-analyses.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Aldao et al., 2010
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- cites Compas et al., 2017 source
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- cites Hu et al., 2014
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- Premisecitation
Youth learn how to regulate their emotions mostly from their parents, through modelling and feedback.
“youth learn how to regulate their emotions mostly from their parents, through modelling and feedback (Kiel & Kalomiris, 2015; Morris, Criss, Silk, & Houltberg, 2017).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Kiel & Kalomiris, 2015
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- cites Morris, Criss, Silk, & Houltberg, 2017 source
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- Interpretationown data
The present meta-analytic results support the hypothesis that emotion regulation is one of the mechanisms underlying the association between childhood adversity and risk of psychopathology.
“In conclusion, the present meta-analytic results support the hypothesis that emotion regulation is one of the mechanisms underlying the association between childhood adversity and risk of psychopathology”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
- May combine two claims. 29
- Classified as probably not a substantial claim. 15
May combine two claims.
Findingown dataThe hypothesized indirect effect of childhood adversity on psychopathology was supported by both broad measures of emotion regulation difficulties and measures of the habitual use of specific emotion regulation strategies.
“The hypothesized indirect effect of childhood adversity on psychopathology was supported by both broad measures of emotion regulation (i.e., difficulties), and measures of the habitual use of specific emotion regulation strategies.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
Findingown dataFor suppression, all paths and the indirect effect were replicated in both high- and low-quality studies, but there was a significant difference between models.
“Similarly, all paths and the indirect effect were replicated in both high- and low-quality studies on suppression, but there was a significant difference between models.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong process measures, both higher habitual use of typically maladaptive strategies (rumination, suppression) and lower habitual use of typically adaptive strategies (reappraisal) played a mediator role in the relation between childhood adversity and psychopathology.
“Furthermore, among process measures, both higher habitual use of typically maladaptive strategies (i.e., rumination, suppression) and lower habitual use of typically adaptive strategies (i.e., reappraisal) played a mediator role in the relation between childhood adversity and psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
Findingown dataFindings on emotion regulation difficulties, habitual rumination, and habitual suppression held in both high- and low-quality studies, but the mediator role of reappraisal was replicated only in high-quality studies.
“While our findings on emotion regulation difficulties, habitual rumination and habitual suppression held in both high- and low-quality studies, the mediator role of reappraisal was replicated only in high-quality studies.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCorrelations between habitual suppression use and psychopathology, and between habitual distraction use and psychopathology, tended to be homogenous.
“Correlations between habitual suppression use and psychopathology, as well as those between habitual distraction use and psychopathology tended to be homogenous.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe path from reappraisal to psychopathology, and the indirect effect of childhood adversity on psychopathology through reappraisal, were not significant in the low-quality subgroup.
“The path from reappraisal to psychopathology, and the indirect effect of childhood adversity on psychopathology through reappraisal were not significant in the low-quality subgroup.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFor reappraisal, all paths and the indirect effect were replicated only in the high-quality studies subgroup, and the difference between models in the high- and low-quality subgroups was significant.
“In studies on reappraisal, all paths and the indirect effect were replicated only in the high-quality studies subgroup, and the difference between models in the high- and low-quality subgroups was significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor emotion regulation difficulties and rumination, the original results were replicated in both high- and low-quality subgroups, and the difference between models was not significant.
“In which emotion regulation difficulties and rumination were concerned, we replicated the original results in both subgroups and the difference between models was not significant.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the high-quality subgroup, the path from distraction to psychopathology became significant, while the path from childhood adversity to distraction and the indirect effect remained non-significant.
“In the high-quality subgroup, however, the path from distraction to psychopathology became significant, while the path from childhood adversity to distraction and the indirect effect remained non-significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenMost studies failed to substantiate clinical status in putatively non-clinical samples, to use representative samples, and to use multiple informants in childhood adversity assessments.
“Specifically, most studies failed to substantiate clinical status in putatively non-clinical samples, to use representative samples, and to use multiple informants in childhood adversity assessments.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataChildhood adversity was positively associated with emotion regulation difficulties, habitual rumination use, and habitual suppression use.
“Specifically, childhood adversity was positively associated with emotion regulation difficulties, habitual rumination use, and habitual suppression use.”
Quote in the paperSubstantial claim- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
Findingown dataEmotion regulation difficulties, rumination, and suppression showed medium and large associations, whereas reappraisal showed small associations with both childhood adversity and psychopathology.
“In terms of effect sizes, emotion regulation difficulties, rumination and suppression showed medium and large associations, whereas reappraisal showed small associations with both childhood adversity and psychopathology.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe paths from childhood adversity to emotion regulation, and from emotion regulation to psychopathology, were significant in the analyses on all emotion regulation outcomes except distraction.
“The paths from both childhood adversity to emotion regulation, and emotion regulation to psychopathology were significant in the analyses on all emotion regulation outcomes except distraction.”
Quote in the paperSubstantial claim- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
Findingown dataThe association between childhood adversity and habitual use of distraction was not significant in the present analyses, and neither was the indirect effect of childhood adversity on psychopathology through distraction.
“The association between childhood adversity and the habitual use of distraction was not significant in the present analyses (see also Gruhn & Compas, 2020), and neither was the indirect effect of childhood adversity on psychopathology through distraction.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruhn & Compas, 2020
Not checked in the free run.
- Rests on an assumption: The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
Findingown dataIn the distraction sample, all paths except that from childhood adversity to psychopathology, and the indirect effect, were not significant in the low-quality subgroup, replicating the original analysis.
“In the distraction sample, all paths (except that from childhood adversity to psychopathology) and the indirect effect were not significant in the low-quality subgroup, replicating the original analysis.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataEmotion regulation difficulties, habitual rumination use, and habitual suppression use were positively associated with psychopathology.
“Emotion regulation difficulties, habitual rumination use, and habitual suppression use were positively associated with psychopathology.”
Quote in the paperSubstantial claim- Rests on an assumption: Emotion regulation and psychopathology measures from different studies are sufficiently comparable to be pooled into common correlation matrices.
May combine two claims.
PremisecitationTwo-stage structural equation modeling takes into account sample size differences across elements of the pooled correlation matrix and gives more weight to estimates with higher precision.
“it takes into account sample size differences across the elements of the pooled correlation matrix, and gives more weight to estimates with higher precision (i.e., smaller standard error based on higher N) (Cheung & Chan, 2009);”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Cheung & Chan, 2009
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Classified as probably not a substantial claim.
PremisecitationThe effect of maltreatment on aggression becomes non-significant when controlling for emotional lability/negativity.
“The effect of maltreatment on aggression became non-significant when controlling for emotional lability/negativity, which suggested that the latter may play a mediator role (Shields & Cicchetti, 1998).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shields & Cicchetti, 1998
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InterpretationreasoningChildhood adversity may negatively interfere with emotion regulation development through both premature activation of biological stress systems and maladaptive social learning.
“In summary, childhood adversity may negatively interfere with emotion regulation development through both premature activation of biological stress systems and maladaptive social learning.”
Quote in the paperSubstantial claim0 of 3 sources checkedClassified as probably not a substantial claim. May combine two claims.
PremisereasoningBoth emotion regulation approaches (difficulties/ability and strategies) have been used in research on childhood adversity and provide complementary information that needs to be analyzed separately.
“Overall, both approaches (i.e., difficulties/ability, and strategies) have been used in research on childhood adversity, and provide complementary information that needs to be analyzed separately.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningThe follow-up analyses focused only on a subset of quality criteria.
“Furthermore, these follow-up analyses focused only on a subset of quality criteria.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSome relations (e.g., suppression and psychopathology) were found to be larger in adults compared to children and adolescents.
“It is noteworthy that some of these relations (e.g., suppression and psychopathology) were found to be larger in adults compared to children and adolescents (Aldao et al., 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Aldao et al., 2010
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PremisecitationLavi et al. (2019) meta-analysis found maltreated youth showed increased emotion regulation difficulties.
“maltreated youth showed increased difficulties, as indexed by a variety of outcomes related to both emotion regulation, and coping (Lavi, Katz, et al., 2019).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lavi, Katz, et al., 2019
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Study design and conductreasoningThe remaining quality criteria were met by a small number of studies, and using them would have resulted in too few high-quality studies to run the analyses.
“The remaining criteria were met by a small number of studies and using them would have resulted in too few high-quality studies to run the analyses.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningFile drawer effects may have influenced the findings because publication bias could not be investigated.
“File drawer effects may have also influenced our findings considering that, in the absence of an established method in two-stage structural equation modeling, we could not investigate publication bias.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningTogether, the included studies suggest that the negative consequences of childhood adversity on emotion regulation and psychopathology are not limited to childhood maltreatment and warrant a broader perspective on the dimensions of adversity.
“Together, these studies suggest that the negative consequences of childhood adversity on emotion regulation and psychopathology are not limited to childhood maltreatment and warrant a broader perspective on the dimensions of adversity.”
Quote in the paperSubstantial claim- Rests on an assumption: Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
May combine two claims.
PremisecitationLeitenberg et al. (1992) found suppression was used more frequently than other strategies and negatively associated with psychological adjustment after controlling for abuse characteristics.
“results indicated that, in this sample, suppression was used more frequently than other strategies, and it was negatively associated with psychological adjustment after controlling for multiple characteristics (e.g., age when abuse began, duration) of sexual abuse (Leitenberg et al., 1992).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Leitenberg et al., 1992 source
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May combine two claims.
PremisereasoningBoth previous meta-analyses left out studies in adults and excluded forms of childhood adversity other than maltreatment.
“However, both left out studies in adults, which are the largest part of the empirical literature, and excluded forms of childhood adversity other than maltreatment.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationGruhn & Compas (2020) meta-analysis found positive relations between maltreatment and emotional suppression (and expression), but not distraction.
“Significant associations were also found at the strategy level, including positive relations between maltreatment and emotional suppression (as well as expression), but not distraction (Gruhn & Compas, 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruhn & Compas, 2020
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PremisecitationNo relations were found at the factor level in Gruhn & Compas (2020).
“No relations were found at the factor level.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gruhn & Compas, 2020
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationParental emotion regulation may fully account for the impact of childhood adversity on children's emotion regulation.
“but the former may fully account for the impact of childhood adversity on children’s emotion regulation (Milojevich, Machlin, & Sheridan, 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Milojevich, Machlin, & Sheridan, 2020 source
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Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningThe data reported in this paper complement and extend previous meta-analyses on childhood adversity and emotion regulation.
“The data reported in this paper complement and extend previous meta-analyses on childhood adversity and emotion regulation (Gruhn & Compas, 2020; Lavi, Katz, et al., 2019).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Gruhn & Compas, 2020
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- cites Lavi, Katz, et al., 2019
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Study design and conductown dataA limitation of the present study is that it examined a saturated model with perfect fit to the data and could not compare alternative models.
“One of the limitations of the present study is that we examined a saturated model (i.e., including all possible pathways between variables), which has perfect fit to the data, and we could not compare alternative models.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationStudy quality was also assessed based on the inclusion of non-clinical controls in studies that included clinical samples, because exclusive focus on clinical samples is likely to give a skewed perspective on the childhood adversity-psychopathology correlation.
“In addition, we assessed study quality based on the inclusion of non-clinical controls in studies that included clinical samples (i.e., meeting established criteria for mental disorders in a clinical interview) considering that the exclusive focus on the latter category is likely to give a skewed perspective on the correlation between childhood adversity and psychopathology (e.g., up to 80-90% of”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Saunders & Adams, 2014
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Study design and conductown dataData from each study were independently extracted by three authors, disagreements were resolved by discussion, and interrater reliability was 97.2%.
“Data from each study were independently extracted by three authors, and disagreements were resolved by discussion (97.2% interrater reliability).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll studies were independently evaluated by at least two authors.
“All studies were independently evaluated by at least two authors.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationTwo-stage structural equation modeling uses full information maximum likelihood estimation to handle missing data, robust against MCAR and MAR.
“uses the full information maximum likelihood estimation to handle missing data (studies missing one or more sets of correlations), a method which is robust against both data missing completely at random and missing at random (Enders, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Enders, 2010
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Study design and conductnone givenFailure to preregister the meta-analysis is a potential limitation.
“Finally, we acknowledge the failure to preregister the meta-analysis as a potential limitation.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Most forms of psychopathology start to emerge in adolescence and adulthood.
“Most forms of psychopathology start to emerge in adolescence and adulthood, so it is not surprising that studies investigating the involvement of childhood adversity and emotion regulation in risk of psychopathology have overly focused on adults.”
The paper relies on this without support.
The causal ordering in the mediation model (childhood adversity influences emotion regulation, which influences psychopathology) is valid for interpreting the meta-analytic associations as mediation.
“we fitted a partial mediation model to the available data across studies, in which childhood adversity was related to psychopathology both directly and through emotion regulation.”
“The present model thus included both the indirect (i.e., childhood adversity to psychopathology via emotion regulation) and direct pathways between childhood adversity and psychopathology.”
The paper relies on this without support.
The modeled direction of effects—childhood adversity influencing emotion regulation, which in turn influences psychopathology—reflects the causal process underlying the observed associations.
“We fitted a path model to the pooled Stage 1 correlation matrices, in which childhood adversity predicted psychopathology both through each of the emotion regulation dimensions (separately), and directly.”
The paper relies on this without support.
Emotion regulation and psychopathology measures from different studies are sufficiently comparable to be pooled into common correlation matrices.
“In Stage 1, the random effects model was used to obtain a pooled correlation matrix among all coded variables”
The paper relies on this without support.
Different types of childhood adversity can be combined into a single childhood adversity construct for the meta-analytic associations.
“The majority of studies (65.44%) focused on childhood maltreatment, while the rest (34.56%) examined a wider array of childhood adverse experiences.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Emotion-regulation counts disagree on the number of effect sizes
MinorThe counts by emotion-regulation dimension add to 285. But the stated numbers of studies reporting one, two, three, or four distinct outcomes imply 283 effect sizes (170 + 2×31 + 3×13 + 4×3).
“most of which were on emotion regulation difficulties (k = 149; N = 60473) followed by reappraisal (k = 44; N = 14223), rumination (k = 40; N = 13888), suppression (k = 33; N = 9936), and distraction (k = 19; N = 6610).”
“Most studies (k = 170) reported a single effect size, but there were studies in which two (k = 31), three (k = 13) or four (k = 3) effect sizes related to distinct emotion regulation outcomes were reported.”
The citation lists haven’t been fetched yet
References 104 · Cited by 233
Research works printed but not linked: 1
- Nolen-Hoeksema, 2004, The response styles theory, Vol. 107, 107
- Authors
- Miu, A. C., Szentágotai-Tătar, A., Balázsi, R., Nechita, D., Bunea, I., & Pollak, S. D.
- Affiliations
- Babeș-Bolyai University (RO)
- University of Wisconsin–Madison (US)
- Corresponding author
- Miu, Andrei C.
- Szentágotai-Tătar, Aurora
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2022-04
- Volume
- 93
- Pages
- 102141
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC8960368
- OpenAlex
- W4212812362
- Cited by
- 233
- References
- 104
- Citations by year
- 2026: 76 · 2025: 77 · 2024: 48 · 2023: 27 · 2022: 5
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 329 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Clinical Psychology Review (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH061285)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD090256)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- emotion regulation, childhood adversity, psychopathology, mediation, rumination, emotional suppression, cognitive reappraisal, distraction, internalizing problems, externalizing problems, developmental risk factors
- MeSH terms
- Adverse Childhood Experiences, Emotional Regulation, Emotions, Humans, Psychopathology, Risk Factors
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.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-11.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-11.
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 ›
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