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<p>Childhood emotional maltreatment (CEM) and attachment disruptions are frequently associated with complex post-traumatic stress disorder (CPTSD) outcomes. However, the multidimensional pathways linking CEM to disturbances in self-organization (DSO) remain insufficiently understood. This study examined indirect associations between CEM and DSO through adolescent parental attachment (APA). Participants were clinically referred adolescents (<i>N</i> = 333), aged 16–19 years, who completed measures of CEM, APA, and DSO. Significant positive associations were observed among CEM, APA dimensions, and DSO dimensions. APA demonstrated significant indirect pathways linking CEM with DSO, particularly through angry distress and goal-corrected partnership. Emotional neglect showed a significant direct association with affective dysregulation. Overall, the findings underscore the relevance of parental attachment processes in understanding the association between emotional maltreatment and DSO among clinically referred adolescents, highlighting implications for assessment and intervention in trauma-focused clinical settings. Future research should examine whether strengthening relational and emotional supports mitigates DSO-related difficulties in similar clinical populations.</p>

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“From Childhood Emotional Maltreatment to Disturbances in Self-Organisation: The Mediating Role of Parental Attachment in Clinically Referred Adolescents”

  • 期刊论文

  • 发表日期：

    2026年3月24日

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  • Abdul Mahfir,
  • J. Parameswari

摘要

Childhood emotional maltreatment (CEM) and attachment disruptions are frequently associated with complex post-traumatic stress disorder (CPTSD) outcomes. However, the multidimensional pathways linking CEM to disturbances in self-organization (DSO) remain insufficiently understood. This study examined indirect associations between CEM and DSO through adolescent parental attachment (APA). Participants were clinically referred adolescents (N = 333), aged 16–19 years, who completed measures of CEM, APA, and DSO. Significant positive associations were observed among CEM, APA dimensions, and DSO dimensions. APA demonstrated significant indirect pathways linking CEM with DSO, particularly through angry distress and goal-corrected partnership. Emotional neglect showed a significant direct association with affective dysregulation. Overall, the findings underscore the relevance of parental attachment processes in understanding the association between emotional maltreatment and DSO among clinically referred adolescents, highlighting implications for assessment and intervention in trauma-focused clinical settings. Future research should examine whether strengthening relational and emotional supports mitigates DSO-related difficulties in similar clinical populations.