Low emotional awareness as a transdiagnostic mechanism underlying psychopathology in adolescence
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Abstract
The ability to identify and label one's emotions is associated with effective emotion regulation, rendering emotional awareness important for mental health. We evaluated how emotional awareness was related to psychopathology and whether low emotional awareness was a transdiagnostic mechanism explaining the increase in psychopathology during the transition to adolescence and as a function of childhood trauma-specifically violence exposure. In Study 1, children and adolescents (N=120, aged 7-19 years) reported on emotional awareness and psychopathology. Emotional awareness was negatively associated with psychopathology (p-factor) and worsened across age in females but not males. In Study 2 (N=262, aged 8-16 years), we replicated these findings and demonstrated longitudinally that low emotional awareness mediated increases in p-factor as a function of age in females and violence exposure. These findings indicate that low emotional awareness may be a transdiagnostic mechanism linking adolescent development, sex, and trauma with the emergence of psychopathology.
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A recent study linked alexithymia to a range of self-reported psychopathological symptoms in a community sample of children and adolescents.
“Indeed, a recent study linked alexithymia to a range of self-reported psychopathological symptoms in a community sample of children and adolescents (Weissman et al., 2020).”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Weissman et al., 2020
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Palis, J. H. A., Joplo, T. M., Lopez, R. L., Alo, L. N., Saavedra, C. M., & Conwi, L. J. C. (2026) · Journal of interdisciplinary perspectives · doi:10.69569/jip.2026.383
- Authors
- Weissman, D. G., Nook, E. C., Dews, A. A., Miller, A. B., Lambert, H. K., Sasse, S. F., Somerville, L. H., & McLaughlin, K. A.
- Affiliations
- Harvard University (US)
- University of North Carolina at Chapel Hill (US)
- University of Washington (US)
- Corresponding author
- Weissman, David G.
- ORCID
- Venue
- Clinical Psychological Science
- Publisher
- SAGE Publications
- Published
- 2020-07-22
- Volume
- 8
- Issue
- 6
- Pages
- 971-988
- ISSN
- 2167-7026 (ISSN-L)
- 2167-7034
- PMC
- PMC7983841
- OpenAlex
- W3044716771
- Semantic Scholar
- e1b5bba8842db404f77ea705205867b5d80f8f20
- Cited by
- 91
- References
- 117
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 19 · 2023: 12 · 2022: 12 · 2021: 13 · 2020: 4
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Clinical Psychological Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
- PsyArXiv (OSF Preprints) (submittedVersion)
- Funders
- National Institute of Mental Health (K01-MH116325, R01-MH10329)
- Jacobs Foundation
- OneMind Institute
- National Science Foundation (DGE1144152)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- emotional awareness, emotion regulation, transdiagnostic mechanisms, adolescent psychopathology, childhood trauma, violence exposure, sex differences, adolescence, p-factor, mediation, transition to adolescence
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.
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