Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology

David G. Weissman, Debbie Bitran, Adam Bryant Miller, Jonathan D. Schaefer, Margaret A. Sheridan, Katie A. McLaughlin

Research output: Contribution to journalArticlepeer-review

179 Scopus citations


Childhood maltreatment is associated with increased risk for most forms of psychopathology. We examine emotion dysregulation as a transdiagnostic mechanism linking maltreatment with general psychopathology. A sample of 262 children and adolescents participated; 162 (61.8%) experienced abuse or exposure to domestic violence. We assessed four emotion regulation processes (cognitive reappraisal, attention bias to threat, expressive suppression, and rumination) and emotional reactivity. Psychopathology symptoms were assessed concurrently and at a 2-year longitudinal follow-up. A general psychopathology factor (p factor), representing co-occurrence of psychopathology symptoms across multiple internalizing and externalizing domains, was estimated using confirmatory factor analysis. Maltreatment was associated with heightened emotional reactivity and greater use of expressive suppression and rumination. The association of maltreatment with attention bias varied across development, with maltreated children exhibiting a bias toward threat and adolescents a bias away from threat. Greater emotional reactivity and engagement in rumination mediated the longitudinal association between maltreatment and increased general psychopathology over time. Emotion dysregulation following childhood maltreatment occurs at multiple stages of the emotion generation process, in some cases varies across development, and serves as a transdiagnostic mechanism linking child maltreatment with general psychopathology.

Original languageEnglish (US)
Pages (from-to)899-915
Number of pages17
JournalDevelopment and psychopathology
Issue number3
StatePublished - Aug 1 2019

Bibliographical note

Funding Information:
Financial support. This research was funded by the National Institute of Mental Health Grant R01-MH103291 (awarded to K.A.M.) and Grant K01MH116325 (awarded to A.B.M.), an Early Career Research Fellowship from the Jacobs Foundation (to K.A.M.), and a OneMind Institute Rising Star Award (to K.A.M.).

Publisher Copyright:
Copyright © Cambridge University Press 2019.


  • adversity
  • attention bias
  • p factor
  • rumination
  • threat


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