Kolar, David R. and Monteleone, Alessio Maria and Cascino, Giammarco and Ertl, Sebastian and Meule, Adrian and Naab, Silke and Voderholzer, Ulrich (2024) Pathways between Child Maltreatment, Psychological Symptoms, and Life Satisfaction: A Network Analysis in Adolescent Inpatients. RESEARCH ON CHILD AND ADOLESCENT PSYCHOPATHOLOGY, 52 (6). pp. 969-982. ISSN 2730-7166, 2730-7174
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Child maltreatment is a risk factor for mental disorders and decreased life satisfaction during adolescence. We investigated whether child maltreatment would link to life satisfaction both directly and through psychological symptoms, whether these relations would change from admission to discharge after treatment, and which types of maltreatment, symptoms and facets of life satisfaction would be most influential in adolescent inpatients with internalizing mental disorders. N = 896 adolescent receiving inpatient psychotherapeutic treatment completed questionnaires on child maltreatment experiences, current psychopathology and subjective life satisfaction at admission and discharge (n = 765). Main diagnoses were affective (n = 322), eating (n = 447), obsessive-compulsive (n = 70) and anxiety disorders (n = 57). Network models of child maltreatment, psychopathology and life satisfaction nodes were estimated at admission and discharge and compared using network comparison tests. Potential causal shortest pathways were investigated using directed acyclic graphs.Network models were stable with no significant differences between admission and discharge. Strongest nodes of each cluster were "emotional abuse" (child maltreatment), "worthlessness", "thinking about dying" and "feeling lonely" (psychopathology) and "satisfied with life" (life satisfaction) at both admission and discharge. Emotional neglect showed direct connections to life satisfaction, indicating its relevance for therapeutic interventions. At both admission and discharge, "sexual abuse" indirectly predicted lower life satisfaction through psychological symptoms. In conclusion, child maltreatment is directly and indirectly connected to life satisfaction in adolescents with mental disorders. Emotional abuse and neglect were especially important in linking child maltreatment to life satisfaction and psychopathology.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; MAJOR DEPRESSIVE DISORDER; EMOTIONAL MALTREATMENT; REPRESENTATIVE SAMPLE; GERMAN VERSION; MENTAL-HEALTH; TRAUMA; PSYCHOPATHOLOGY; INTERVENTIONS; ASSOCIATION; Life satisfaction; Childhood trauma; Adolescents; Depression; Eating disorder |
| Subjects: | 100 Philosophy & psychology > 150 Psychology |
| Divisions: | Human Sciences > Institut für Psychologie > Clinical Child and Adolescent Psychology and Psychotherapy – Prof. Dr. David Kolar |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Dec 2025 06:47 |
| Last Modified: | 09 Dec 2025 06:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/64633 |
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