Journals / Kocaeli Üniversitesi Eğitim Dergisi / 2026 / Cilt: 8 Sayı: 1

The effects of childhood emotional abuse on mental health in adulthood: A systematic literature review

Çocukluk dönemi duygusal istismarının yetişkinlikteki ruh sağlığı üzerindeki etkileri: Bir sistematik literatür taraması

Esra Teke(MALATYA TURGUT ÖZAL ÜNİVERSİTESİ)0000-0002-8436-2169
Pages
393–417
Publication Date
2025-05-31
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of the study were interpreted, and suggestions for future investigations were proposed.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study aims to conduct a systematic review of the current literature examining the impacts of childhood emotional abuse (CEA) on mental health in adulthood.
📊
Key Findings & Data:Utilizing the PRISMA report, between October 29 and November 21, 2024, database search in PubMed, Wiley Online Library, Sage Journals, and TR Index yielded 986 research articles.
💡
Conclusion & Impact:The results of the study were interpreted, and suggestions for future investigations were proposed.
🔬Design:Survey & Empirical Study
📍Scope:2024 Verileri
⚙️Variables:çocukluk dönemi duygusal istismarı · yetişkin ruh sağlığı · sistematik derleme

Abstract

This study aims to conduct a systematic review of the current literature examining the impacts of childhood emotional abuse (CEA) on mental health in adulthood. The research process involved a thorough analysis of published articles addressing the consequences of CEA on mental health in adulthood, with findings systematically synthesized based on predetermined inclusion and exclusion criteria. Utilizing the PRISMA report, between October 29 and November 21, 2024, database search in PubMed, Wiley Online Library, Sage Journals, and TR Index yielded 986 research articles. Among these, 15 articles fulfilled the inclusion criteria. The selected studies were scrutinized based on publication year, research locale, study objectives, sample characteristics, assessment tools, and the results. The majority of studies were conducted in 2024, 2023, and 2021. The studies were conducted to examine the associations between CEA and various psychological variables related to mental health such as depression, anxiety, posttraumatic stress disorder, psychotic symptoms, paranoid thoughts, suicidal ideation, emotion regulation difficulties, cognitive symptoms, social support, rumination, dissociation, early maladaptive schemas, interpersonal problems, obesity and alcohol use. The sample sizes of studies ranges from 72 to 34653 participants. The most frequently utilized measurement instruments in the studies were the Childhood Trauma Questionnaire and the Childhood Trauma Questionnaire-Short Form. In the investigation of the effects of CEA on mental health in adulthood, depression emerged as the most extensively examined variable. The results of the studies underscored CEA as a significant risk factor with the potential for having long-lasting and profound impacts on individuals' mental health, as well as being a crucial element in exacerbating psychological disorders. The results of the study were interpreted, and suggestions for future investigations were proposed.

Özet

Bu araştırmanın amacı, çocukluk dönemi duygusal istismarının (ÇDDİ) yetişkinlikteki ruh sağlığı üzerindeki etkilerine ilişkin mevcut literatürü sistematik bir şekilde incelemektir. Araştırma sürecinde, ÇDDİ’nin yetişkinlikteki ruh sağlığı üzerindeki etkilerine ilişkin yayımlanan makaleler, detaylı bir şekilde taranmış ve belirli dahil etme ve hariç tutma kriterlerine göre bulgular, sistematik bir biçimde sentezlenmiştir. Araştırmanın çalışma grubunun belirlenmesinde PRISMA raporundan faydalanılmıştır. 29 Ekim-21 Kasım 2024 tarihleri arasında PubMed, Wiley Online Library, Sage Journals ve TR Dizin veri tabanlarında yapılan taramalarda 986 araştırma makalesine ulaşılmıştır. Bu makaleler arasında dahil edilme kriterlerine uygun olarak 15 makale, araştırmanın çalışma grubunu oluşturmuştur. Çalışmalar, yayımlanma yıllarına, araştırmanın yapıldığı ülkeye, araştırmanın amacına, örneklemine, ölçme araçları ve sonuçlarına göre incelenmiştir. ÇDDİ’nin yetişkinlikteki ruh sağlığı üzerindeki etkilerine ilişkin en çok çalışma, 2024, 2023 ve 2021 yıllarında yapılmıştır. Çalışmalar, ÇDDİ ile depresyon, anksiyete, travma sonrası stres bozukluğu, psikotik semptomlar, paranoyak düşünceler, intihar düşünceleri, duygu düzenleme güçlükleri, bilişsel semptomlar, sosyal destek, ruminasyon, dissosiyasyon, erken maladaptif şemalar, kişiler arası sorunlar, obezite ve alkol kullanımı gibi ruh sağlığıyla ilişkili çeşitli psikolojik değişkenler arasındaki ilişkileri incelemek amacıyla gerçekleştirilmiştir. Çalışmaların örneklem büyüklükleri, 72 kişiden 34653 kişiye kadar değişmektedir. Çalışmalarda en yaygın kullanılan ölçme araçları, Çocukluk Çağı Travma Anketi ve Çocukluk Çağı Travma Anketi-Kısa Formu‘dur. ÇDDİ’nin yetişkinlikteki ruh sağlığı üzerindeki etkilerinin incelenmesinde, depresyon en fazla odaklanılan değişken olmuştur. Çalışmaların sonuçları, ÇDDİ’nin, bireylerin ruh sağlığını uzun vadeli ve kalıcı bir şekilde etkileme potansiyeline sahip önemli bir risk unsuru ve psikolojik bozuklukların şiddetini artırıcı kritik bir etken olduğunu ortaya koymaktadır. Araştırmanın sonuçları, ilgili literatür ışığında tartışılmış ve gelecekteki çalışmalar için önerilerde bulunulmuştur.

🔖

Cite This Article

Teke, E. (2025). The effects of childhood emotional abuse on mental health in adulthood: A systematic literature review. Kocaeli Üniversitesi Eğitim Dergisi, Cilt: 8 Sayı: 1, 393–417. https://doi.org/10.33400/kuje.1613982

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (78)

  1. Ackner, S., Skeate, A., Patterson, P., & Neal, A. (2013). Emotional abuse and psychosis: a recent review of the literature. Journal of Aggression, Maltreatment & Trauma, 22(9), 1032-1049. https://doi.org/10.1080/10926771.2013.837132
  2. Adams, J., Mrug, S., & Knight, D. C. (2018). Characteristics of child physical and sexual abuse as predictors of psychopathology. Child Abuse & Neglect, 86, 167-177. https://doi.org/10.1016/j. chiabu.2018.09.019
  3. Altıparmak, S., Yıldırım, G., Yardımcı, F., & Ergin, D. (2013). Annelerden alınan bilgilerle çocuk istismarı ve etkileyen etkenler. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 14(4). https://doi.org/10.5455/apd.39819
  4. Amianto, F., Spalatro, A. V., Rainis, M., Andriulli, C., Lavagnino, L., Abbate-Daga, G., & Fassino, S. (2018). Childhood emotional abuse and neglect in obese patients with and without binge eating disorder: Personality and psychopathology correlates in adulthood. Psychiatry Research, 269, 692-699. https://doi.org/10.1016/j.psychres.2018.08.089
  5. Arslan, A. D., & Kanak, M. (2022). Ortaöğretim öğrencilerinin algıladıkları duygusal istismar ile adil dünya inançları arasındaki ilişkinin incelenmesi. E-International Journal of Educational Research, 13(3). https://doi.org/10.19160/e-ijer.1016024
  6. Arslan, G. (2015). Psikolojik istismar, psikolojik sağlamlık, sosyal bağlılık ve aidiyet duygusu arasındaki ilişki. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 1(36), 47-58.
  7. Arslan, R. (2016). Çocukluk dönemi duygusal istismarı ile depresyon arasındaki ilişkide erken dönem uyumsuz şemaların aracı rolüne ilişkin bir gözden geçirme. Klinik Psikiyatri Dergisi, 19, 202-210. https://doi.org/10.5505/kpd.2016.42714
  8. Aviles, A. I., Reisz, S., Jacobvitz, D., & Hazen, N. (2022). Maternal experiences of childhood psychological maltreatment: Relations with toddler emotional regulation. Journal of Social and Personal Relationships, 39(7), 2022-2044. https://doi.org/10.1177/02654075221074382
  9. Baker, A. J., & Festinger, T. (2011). Adult recall of childhood psychological maltreatment: A comparison of five scales. Journal of Aggression, Maltreatment & Trauma, 20(1), 70-89. https://doi.org/10.1080/10926771.2011.538006
  10. Bentz, L., Mantilla, D. O., & Winter, S. M. (2024). Diagnostic options for suspected cases of emotional maltreatment-presentation of the interdisciplinary perspective of a child protection outpatient clinic. Praxis der Kinderpsychologie und Kinderpsychiatrie, 73(1), 55-84. https://doi.org/10.13109/prkk.2024.73.1.55
  11. Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M. Desmond, D., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169-190. https://doi.org/10.1016/S0145-2134(02)00541-0
  12. Berube, A., Turgeon, J., Tsur, N., & Talmon, A. (2024). The recognition and the initial reaction to children's signals after experiencing maltreatment during childhood. Journal of Family Theory & Review, 16(3), 621-632. https://doi.org/10.1111/jftr.12572
  13. Bifulco, A., Moran, P. M., Baines, R., Bunn, A., & Stanford, K. (2002). Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression. Bulletin of the Menninger Clinic, 66(3), 241-258. https://doi.org/10.1521/bumc.66.3.241.23366
  14. Büyüköztürk, Ş., Kılıç Çakmak, E., Akgün, Ö. D., Karadeniz, Ş., & Demirel, F. (2019). Eğitimde bilimsel araştırma yöntemleri. Pegem Akademi.
  15. Can, Y., Anli, I., Evren, C., & Yilmaz, D. (2019). Alcohol use disorder and emotional abuse: the mediating role of early maladaptive schemas. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 20(2), 125-132. https://doi.org/10.5455/apd.2849
  16. Chambers, B. (2024). The effects of physical and emotional child abuse on social functioning, and help seeking behaviors in adulthood [Master's Theses]. Fort Hays State University.
  17. Christ, C., De Waal, M. M., Dekker, J. J., van Kuijk, I., Van Schaik, D. J., Kikkert, M. J., Goudriaan, A. E., Beekman, A. T. F., & Messman-Moore, T. L. (2019). Linking childhood emotional abuse and depressive symptoms: The role of emotion dysregulation and interpersonal problems. PloS One, 14(2), e0211882. https://doi.org/10.1371/journal.pone.0211882
  18. Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse & Neglect, 15(1-2), 5-18. https://doi.org/10.1016/0145-2134(91)90085-R
  19. Começanha, R., Basto-Pereira, M., & Maia, A. (2017). Clinically speaking, psychological abuse matters. Comprehensive Psychiatry, 73, 120-126. https://doi.org/10.1016/j.comppsych.2016.11.015
  20. Çelik, Ç. B., & Odacı, H. (2020). Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals? International Journal of Social Psychiatry, 66(2), 171-178. https://doi.org/10.1177/0020764019894618
  21. de Filippis, R., Aloi, M., Liuzza, M. T., Pugliese, V., Carbone, E. A., Rania, M., Segura-Garcia, C., & De Fazio, P. (2024). Aberrant salience mediates the interplay between emotional abuse and positive symptoms in schizophrenia. Comprehensive Psychiatry, 133, 152496. https://doi.org/10.1016/j.comppsych.2024.152496
  22. de Mattos Souza, L. D., Molina, M. L., da Silva, R. A., & Jansen, K. (2016). History of childhood trauma as risk factors to suicide risk in major depression. Psychiatry Research, 246, 612-616. https://doi.org/10.1016/j.psychres.2016.11.002
  23. Domke, A. K., Hartling, C., Stippl, A., Carstens, L., Gruzman, R., Bajbouj, M., Gartner, M. & Grimm, S. (2023). The influence of childhood emotional maltreatment on cognitive symptoms, rumination, and hopelessness in adulthood depression. Clinical Psychology & Psychotherapy, 30(5), 1170-1178. https://doi.org/10.1002/cpp.2872
  24. Duman, N. (2019). Yetişkin psikolojik istismarını tanımak. International Journal of Social Sciences and Education Research, 5(1), 33-43. https://doi.org/10.24289/ijsser.478248
  25. Duprey, E. B., Oshri, A., Liu, S., Kogan, S. M., & Caughy, M. O. B. (2021). Physiological stress response reactivity mediates the link between emotional abuse and youth internalizing problems. Child Psychiatry & Human Development, 52, 450-463. https://doi.org/10.1007/s10578-020-01033-1
  26. Egeland, B. (2009). Taking stock: Childhood emotional maltreatment and developmental psychopathology. Child Abuse & Neglect, 33(1), 22–26. https://doi.org/10.1016/j.chiabu.2008.12.004
  27. Fang, X., Fry, D. A., Ji, K., Finkelhor, D., Chen, J., Lannen, P., & Dunne, M. P. (2015). The burden of child maltreatment in China: a systematic review. Bulletin of the World Health Organization, 93, 176-185C. https://doi.org/10.2471/BLT.14.140970
  28. Fuchshuber, J., Hiebler-Ragger, M., Kresse, A., Kapfhammer, H. P., & Unterrainer, H. F. (2018). Depressive symptoms and addictive behaviors in young adults after childhood trauma: The mediating role of personality organization and despair. Frontiers in Psychiatry, 9, 318. https://doi.org/10.3389/fpsyt.2018.00318
  29. Fung, H. W., Chung, H. M., & Ross, C. A. (2020). Demographic and mental health correlates of childhood emotional abuse and neglect in a Hong Kong sample. Child Abuse & Neglect, 99, 104288. https://doi.org/10.1016/j.chiabu.2019.104288
  30. Gama, C. M. F., Portugal, L. C. L., Gonçalves, R. M., de Souza Junior, S., Vilete, L. M. P., Mendlowicz, M. V., Figueira, I., Volchan, E., David, I. A., de Oliveira, L., & Pereira, M. G. (2021). The invisible scars of emotional abuse: a common and highly harmful form of childhood maltreatment. BMC Psychiatry, 21, 1-14. https://doi.org/10.1186/s12888-021-03134-0
  31. Gardner, M. J., Thomas, H. J., & Erskine, H. E. (2019). The association between five forms of child maltreatment and depressive and anxiety disorders: A systematic review and meta-analysis. Child Abuse & Neglect, 96, 104082. https://doi.org/10.1016/j.chiabu.2019.104082
  32. Gilbert, R., Fluke, J., O'Donnell, M., Gonzalez-Izquierdo, A., Brownell, M., Gulliver, P., Janson, S. & Sidebotham, P. (2012). Child maltreatment: variation in trends and policies in six developed countries. The Lancet, 379(9817), 758-772. http://dx.doi.org/10.1016/S0140-6736(11)61087-8
  33. Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68-81. https://doi.org/10.1016/S0140-6736(08)61706-7
  34. Grave, U., Glanert, S., Borchfeld, K., Outzen, J., Schweiger, U., Faßbinder, E., & Klein, J. P. (2021). Differential effect of childhood emotional abuse on present social support in borderline disorder and depression: a cross-sectional study. European Journal of Psychotraumatology, 12(1), 1968612. https://doi.org/10.1080/20008198.2021.1968612
  35. Hart S. N., Brassard, M. R. (1991). Psychological maltreatment: progress achieved. Development and Psychopathology, 3(1), 61-70. https://doi.org/10.1017/S0954579400005095
  36. Higgins, J. P. & Green, S. (2011). Cochrane handbook for systematic reviews of ınterventions version. https://handbook-5-1.cochrane.org/
  37. Inozu, M., Keser, E., Erel, S., Akın Sarı, B., Hacıömeroğlu, A. B., & Özmenler, K. N. (2022). Obsesif inançların tanılar üstü rolünün incelenmesi: Obsesif-kompulsif bozukluk, kaygı bozuklukları ve depresyon tanısı almış klinik grupların üniversite öğrencileri ile karşılaştırılması. Türk Psikiyatri Dergisi, 33(1). https://doi.org/10.5080/u25933
  38. Iwaniec, D. (2006). The emotionally abused and neglected child: Identification, assessment and ıntervention: A practice handbook. John Wiley & Sons
  39. Jung, J. H., & Soo, S. H. J. (2023). Childhood emotional abuse and adult mental health at the intersection of social relationship and education. International Journal of Social Psychiatry, 69(6), 1335-1344. https://doi.org/10.1177/00207640231161295
  40. Kanak, M., & Pekdoğan, S. (2020). 3-6 Yaş çocuğa sahip ebeveynlerin duygusal istismar potansiyellerinin bazı değişkenler açısından incelenmesi. Cumhuriyet International Journal of Education, 9(4), 1029-1046. http://dx.doi.org/10.30703/cije.594156
  41. Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., Aguilar-Gaxiola, S. Alhamzawi, A. O., Alonso, J., & Williams, D. R. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British Journal of Psychiatry, 197(5), 378-385. https://doi.org/10.1192/bjp.bp.110.080499
  42. Khan, A., McCormack, H. C., Bolger, E. A., McGreenery, C. E., Vitaliano, G., Polcari, A., & Teicher, M. H. (2015). Childhood maltreatment, depression, and suicidal ideation: critical importance of parental and peer emotional abuse during developmental sensitive periods in males and females. Frontiers in Psychiatry, 6, 42. https://doi.org/10.3389/fpsyt.2015.00042
  43. Khosravani, V., Messman-Moore, T. L., Mohammadzadeh, A., Ghorbani, F., & Amirinezhad, A. (2019). Effects of childhood emotional maltreatment on depressive symptoms through emotion dysregulation in treatment-seeking patients with heroin-dependence. Journal of Affective Disorders, 256, 448-457. https://doi.org/10.1016/j.jad.2019.06.021
  44. Korkut, Y. (2003). Bir geçiş krizi olarak boşanma. Psikoloji Çalışmaları, 23, 99-112.
  45. Korolevskaia, A., & Yampolskaya, S. (2023). The consequences of childhood emotional abuse: A systematic review and content analysis. Families in Society, 104(2), 167-178. https://doi.org/10.1177/10443894221124565
  46. Kuo, J. R., Khoury, J. E., Metcalfe, R., Fitzpatrick, S., & Goodwill, A. (2015). An examination of the relationship between childhood emotional abuse and borderline personality disorder features: The role of difficulties with emotion regulation. Child Abuse & Neglect, 39, 147-155. https://doi.org/10.1016/j.chiabu.2014.08.008
  47. Kwan, C. K., & Kwok, S. Y. (2021). The impact of childhood emotional abuse on adolescents’ subjective happiness: the mediating role of emotional intelligence. Applied Research in Quality of Life, 16(6), 2387-2401. https://doi.org/10.1007/s11482-021-09916-8
  48. Kwok, S. Y. C. L., Chai, W., & He, X. (2013). Child Abuse and Suicidal Ideation among Adolescents in China. Child Abuse & Neglect, 37(11), 986–996. https://doi.org/10.1016/j.chiabu.2013.06.006
  49. Li, L., Lin, X., Chi, P., Heath, M. A., Fang, X., Du, H., & Wang, Z. (2016). Maltreatment and emotional and behavioral problems in Chinese children with and without oppositional defiant disorder: The mediating role of the parent–child relationship. Journal of Interpersonal Violence, 31(18), 2915-2939. https://doi.org/10.1177/0886260515624234
  50. Mertens, Y. L., Racioppi, A., Sheinbaum, T., Kwapil, T., & Barrantes-Vidal, N. (2021). Dissociation and insecure attachment as mediators of the relation between childhood emotional abuse and nonclinical paranoid traits. European Journal of Psychotraumatology, 12(1), 1888539. https://doi.org/10.1080/20008198.2021.1888539
  51. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Methods of systematic reviews and meta-analysis preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. Journal of Clinical Epidemiology, 62(10), 1006–1012. https://doi.org/10.1016/j.jclinepi.2009.06.005
  52. Moody, G., Cannings-John, R., Hood, K., Kemp, A., & Robling, M. (2018). Establishing the international prevalence of self-reported child maltreatment: a systematic review by maltreatment type and gender. BMC Public Health, 18, 1-15. https://doi.org/10.1186/s12889-018-6044-y
  53. Moulding, N. (2017). Damned if you do, damned if you don’t: Conflicted femininities in women’s narratives of childhood emotional abuse. Affilia, 32(3), 308-326. https://doi.org/10.1177/0886109917701913
  54. Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS medicine, 9(11), e1001349. https://doi.org/10.1371/journal.pmed.1001349
  55. Olgiati, P., & Serretti, A. (2022). Post-traumatic stress disorder and childhood emotional abuse are markers of subthreshold bipolarity and worse treatment outcome in major depressive disorder. International Clinical Psychopharmacology, 37(1), 1-8. https://doi.org/10.1097/YIC.0000000000000380
  56. Öztürk, E., Derin, G., & Okudan, M. (2020). Üniversite öğrencilerinde çocukluk çağı travmaları ile savunma mekanizmaları ve kendine zarar verme davranışları arasındaki ilişkinin incelenmesi. Turkiye Klinikleri Journal of Forensic Medicine & Forensic Sciences, 17(1), 10-24. https://doi.org/10.5336/forensic.2019-71979
  57. Pruessner, M., King, S., Vracotas, N., Abadi, S., Iyer, S., Malla, A. K., Shah, J., & Joober, R. (2019). Gender differences in childhood trauma in first episode psychosis: Association with symptom severity over two years. Schizophrenia Research, 205, 30-37. https://doi.org/10.1016/j.schres.2018.06.043
  58. Salokangas, R. K., Schultze-Lutter, F., Schmidt, S. J., Pesonen, H., Luutonen, S., Patterson, P., von Reventlow, H. G., Heinimaa, M., Form, T., & Hietala, J. (2020). Childhood physical abuse and emotional neglect are specifically associated with adult mental disorders. Journal of Mental Health. https://doi.org/10.1080/09638237.2018.1521940
  59. Sarı, H. Y., Ardahan, E., & Öztornacı, B. Ö. (2016). Çocuk ihmal ve istismarına ilişkin son 10 yılda yapılan sistematik derlemeler. TAF Preventive Medicine Bulletin, 15(6), 501-511. https://doi.org/10.5455/pmb.1-1453795052
  60. Scher, C. D., Forde, D. R., McQuaid, J. R., & Stein, M. B. (2004). Prevalence and demographic correlates of childhood maltreatment in an adult community sample. Child Abuse & Neglect, 28(2), 167-180. https://doi.org/10.1016/j.chiabu.2003.09.012
  61. Schlensog-Schuster, F., Keil, J., Von Klitzing, K., Gniewosz, G., Schulz, C. C., Schlesier-Michel, A., Mayer, S., Stadelmann, S., Döhnert, M., Klein, A. M., Sierau, A., Manly, J. T., Sheridan, M. A., & White, L. O. (2024). From maltreatment to psychiatric disorders in childhood and adolescence: the relevance of emotional maltreatment. Child Maltreatment, 29(1), 142-154. https://doi.org/10.1177/10775595221134248
  62. Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27(11), 1247-1258. https://doi.org/10.1016/j.chiabu.2003.05.001
  63. Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R., & Van Ijzendoorn, M. H. (2012). The universality of childhood emotional abuse: a meta-analysis of worldwide prevalence. Journal of Aggression, Maltreatment & Trauma, 21(8), 870-890. https://doi.org/10.1080/10926771.2012.708014
  64. Stoltenborgh, M., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H., & Alink, L. R. (2013). Cultural–geographical differences in the occurrence of child physical abuse? A meta-analysis of global prevalence. International Journal of Psychology, 48(2), 81-94. https://doi.org/10.1080/00207594.2012.697165
  65. Stoltenborgh, M., Van Ijzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment, 16(2), 79-101. https://doi.org/10.1177/1077559511403920
  66. Taillieu, T. L., Brownridge, D. A., Sareen, J., & Afifi, T. O. (2016). Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abuse & Neglect, 59, 1-12. http://dx.doi.org/10.1016/j.chiabu.2016.07.005
  67. Teicher, M. H. (2002). Scars that won’t heal: The neurobiology of child abuse. Scientific American, 286(3), 68-75.
  68. Van Landeghem, C., & Jakobson, L. S. (2024). Isolating unique variance in mental health outcomes attributable to personality variables and childhood emotional abuse. Frontiers in Psychology, 15, 1330483. https://doi.org/10.3389/fpsyg.2024.1330483
  69. Wang, W., Wang, X., & Duan, G. (2023). Non-suicidal self-injury and suicidal ideation among Chinese college students of childhood emotional abuse: associations with rumination, experiential avoidance, and depression. Frontiers in Psychiatry, 14, 1232884. https://doi.org/10.3389/fpsyt.2023.1232884
  70. Watts, J., Leeman, M., O’Sullivan, D., Castleberry, J., & Baniya, G. (2021). Childhood emotional maltreatment and post-traumatic stress disorder in the context of centrality of the event and intrusive rumination. Rehabilitation Counseling Bulletin, 64(2), 108-117. https://doi.org/10.1177/0034355220925889
  71. Wright, M. O. D. (2007). The long-term impact of emotional abuse in childhood: Identifying mediating and moderating processes. Journal of Emotional Abuse, 7(2), 1-8. https://doi.org/10.1300/J135v07n02_01
  72. Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., & Xiao, J. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274, 405-410. https://doi.org/10.1016/j.jad.2020.05.081
  73. Xiao, Z., Murat Baldwin, M., Wong, S. C., Obsuth, I., Meinck, F., & Murray, A. L. (2023a). The impact of childhood psychological maltreatment on mental health outcomes in adulthood: a systematic review and meta-analysis. Trauma, Violence, & Abuse, 24(5), 3049-3064. https://doi.org/10.1177/15248380221122816
  74. Xiao, Z., Obsuth, I., Meinck, F., & Murray, A. L. (2023b). Latent profiles of childhood psychological maltreatment and their links to adult mental health in China and the UK. Child and Adolescent Psychiatry and Mental Health, 17(1), 30. https://doi.org/10.1186/s13034-023-00572-4
  75. Xiao, Z., Obsuth, I., Meinck, F., & Murray, A. L. (2024). Relations between childhood psychological maltreatment and mental health dimensions within a higher-order model. International Journal of Clinical and Health Psychology, 24(1), 100416. https://doi.org/10.1016/j.ijchp.2023.100416
  76. Yalçın, S. (2007). Ergenlerde algılanan duygusal istismar ile uyum düzeyi arasındaki ilişkinin incelenmesi [Yayımlanmamış Yüksek Lisans Tezi]. Maltepe Üniversitesi
  77. Zhang, H., Liu, Z., Zheng, H., Xu, T., Liu, L., Xu, T., Yuan, T., & Han, X. (2024). Multiple mediation of the association between childhood emotional abuse and adult obesity by anxiety and bulimia–a sample from bariatric surgery candidates and healthy controls. BMC Public Health, 24(1), 653. https://doi.org/10.1186/s12889-024-18015-w
  78. Zhu, Z., Li, P., & Hao, L. (2022). Correlation of childhood psychological abuse and neglect with mental health in Chinese college students during the COVID-19 pandemic. Frontiers in Psychiatry, 12, 770201. https://doi.org/10.3389/fpsyt.2021.770201