The Relationship Between Childhood Trauma and Sense of Coherence Based on the Mediating Role of Emotional Schemas in Adolescents with Risky Behaviors

Authors

    Solmaz Dabiri Department of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran
    Hossein Ebrahimi Moghaddam * Department of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran ebrahimimoghaddam@iau.ac.ir
    Narges Babakhani Department of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran

Keywords:

Childhood trauma, Sense of coherence, Emotional schemas, Adolescents, Risky behaviors

Abstract

Purpose: The present study aimed to examine the relationship between childhood trauma and sense of coherence based on the mediating role of emotional schemas in adolescents exhibiting risky behaviors.

Materials and Methods: This research employed a descriptive/analytical correlational design. The statistical population consisted of all adolescents with risky behaviors who had sought help from counseling centers affiliated with the Welfare Organization, psychological service centers, and neighborhood houses in Tehran during the 2024–2025 academic year. A total of 324 participants were selected using the minimum sample size calculation method for structural equation modeling and based on convenience sampling. Data were collected using the Childhood Trauma Questionnaire (Bernstein et al., 2003), the Sense of Coherence Scale (Antonovsky, 1987), the Iranian Youth Risk-Taking Scale (Zadeh Mohammadi et al., 2011), and the Emotional Schemas Questionnaire (Leahy, 2007). Descriptive and Spearman correlation analyses were performed using SPSS version 27, and path analysis was conducted using SmartPLS version 4.

Findings: The results indicated that childhood trauma had a significant and negative direct effect on emotional schemas (β = -0.748, p < .001). Additionally, childhood trauma had a significant and negative direct effect on sense of coherence (β = -0.765, p < .001). Furthermore, childhood trauma had a significant and negative indirect effect on sense of coherence through emotional schemas (β = -0.119, p < .001).

Conclusion: Therefore, psychological interventions following childhood trauma should prioritize the modification of emotional schemas and the enhancement of the sense of coherence in order to mitigate the negative impacts of such experiences and promote mental health.

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References

Akbarizadeh, F., Soleimani, A., kachooei, M., & Farahani, H. (2024). Relationship Between Mothers' Adverse Childhood Experiences and Children's Psychological Problems, Mediated by Mothers' Emotional Dysregulation and Mental Capacity. ijpcp, 30(1), 4825.4821. https://doi.org/10.32598/ijpcp.30.4825.1

Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36(6), 725-733. https://doi.org/10.1016/0277-9536(93)90033-Z

Arntz, A., Jacob, G. A., Lee, C. W., Brand-de Wilde, O. M., Fassbinder, E., Harper, R. P., Lavender, A., Lockwood, G., Malogiannis, I. A., Ruths, F. A., Schweiger, U., Shaw, I. A., Zarbock, G., & Farrell, J. M. (2022). Effectiveness of predominantly group schema therapy and combined individual and group schema therapy for borderline personality disorder: A randomized clinical trial. JAMA Psychiatry, 79(4), 287-299. https://doi.org/10.1001/jamapsychiatry.2022.0010

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

Beyrami, M., Asadi Majareh, S., & Hoseini Asl, M. (2014). Prediction of Changes in Health Behaviors Based on the Variables of Sense of Coherence, General Self-Efficacy, Optimism, and Pessimism in a Student Population. Quarterly Journal of Modern Psychological Research, 12(14), 3-15. https://psychologyj.tabrizu.ac.ir/article_4040.html

Branje, S. (2022). Adolescent identity development in context. Current opinion in psychology, 45, 101286. https://doi.org/10.1016/j.copsyc.2021.11.006

Carbonell, D. M. (2021). Take a Breath: A Population-Oriented Prevention Approach Using Mindfulness Training to Impact College Students' Sense of Coherence, Stress Levels, and Help-Seeking Intentions The Florida State University]. https://www.proquest.com/openview/6cab7e31d99bc82540049635c38d34ff/1?pq-origsite=gscholar&cbl=18750&diss=y

Damavandian, A., Saffarinia, M., Golshani, F., & Baghdasarians, A. (2021). A Comparison of the Effectiveness of Compassion-Focused Therapy and Dialectical Behavior Therapy on Aggression, Self-Harming Behaviors, and Emotional Self-Regulation in Juvenile Offenders at the Tehran Correctional and Rehabilitation Center. Social Psychology Research, 11(1), 72-88. https://www.socialpsychology.ir/article_130963_en.html

Ebrahimi, H., Dejkam, M., & Seghatoleslam, T. (2014). Childhood traumas and suicide attempt in adulthood. Iranian Journal of Psychiatry and Clinical Psychology. http://ijpcp.iums.ac.ir/article-1-2090-fa.html

Elahian, M. S., Rezakhani, S., & Dokanehifard, F. (2025). Relationship between Early Maladaptive Schemas and Psychological Capital in Children of Veterans; a Psychological Perspective. Iranian Journal of War and Public Health, 17(1), 9-16. http://ijwph.ir/article-1-1494-en.html

Fan, N., Fan, H., Luo, R., Wang, Y., Yan, Y., Yang, X., Wang, M., Dou, Y., Ni, R., Wei, J., Yang, W., & Ma, X. (2024). The impact of childhood trauma on emotional distress and the moderating role of sense of coherence among college students in China. Scientific reports, 14(1), 9797. https://doi.org/10.1038/s41598-024-60537-1

Feyzioğlu, A., Taşlıoğlu Sayıner, A. C., Özçelik, D., Tarımtay Altun, F., & Budak, E. N. (2023). The mediating role of early maladaptive schemas in the relationship between early childhood trauma and alexithymia. Current Psychology, 42(21), 17851-17861. https://doi.org/10.1007/s12144-022-02988-1

Hajlou, N., Ahmadi, S., & Gharibzadeh, R. (2020). The Role of Sense of Coherence and Personal Intelligence in Predicting Craving in Substance Users. Military Caring Sciences, 7(2), 168-175. https://doi.org/10.29252/mcs.7.2.168

Imannezhad, S., Razavi Pour, S. M. K., Lashgari Kalat, H., Shariat Moghani, S., & Yazdanparast, A. (2023). A systematic review of risky behaviors in adolescence and its related factors: evidence from Iran. Health Providers, 3(2), 115-130. https://www.health-providers.ir/article_164003.html

Jerebine, A., Mohebbi, M., Lander, N., Eyre, E. L., Duncan, M. J., & Barnett, L. M. (2024). Playing it safe: the relationship between parent attitudes to risk and injury, and children's adventurous play and physical activity. Psychology of Sport and Exercise, 70, 102536. https://doi.org/10.1016/j.psychsport.2023.102536

Khanzadeh, M., Edrisi, F., Muhammadkhani, S., & Saidian, M. (2013). Factor structure and psychometric properties of Emotional Schema Scale. J Clin Psychol, 3(11), 91-119. https://www.magiran.com/paper/1188797/factor-structure-and-psychometric-properties-of-emotional-schema-scale?lang=en

Leahy, R. L. (2007). Emotional schemas and resistance to change in anxiety disorders. Cognitive and Behavioral Practice, 14(1), 36-45. https://doi.org/10.1016/j.cbpra.2006.08.001

Lee, K. Y., Kim, E., Cui, Y., Kim, S. W., Lee, B. J., Kim, J. J., Yu, J. C., Won, S., Lee, S. H., Kim, S. H., Kang, S. H., Piao, Y. H., Kang, N. I., & Chung, Y. C. (2019). Negative schema and rumination as mediators of the relationship between childhood trauma and recent suicidal ideation in patients with early psychosis. The Journal of Clinical Psychiatry, 80(3), 11438. https://doi.org/10.4088/JCP.17m12088

Li, M., & Ren, Y. (2024). Relationship among physical exercise, social support and sense of coherence in rural left-behind children. Journal of psychiatric research, 169, 1-6. https://doi.org/10.1016/j.jpsychires.2023.11.010 10.1016/j.jpsychires.2024.05.045

Loveday, S., Hall, T., Constable, L., Paton, K., Sanci, L., Goldfeld, S., & Hiscock, H. (2022). Screening for adverse childhood experiences in children: a systematic review. Pediatrics, 149(2), e2021051884. https://doi.org/10.1542/peds.2021-051884

Mahammadzadeh, A., Poursharifi, H., & Alipour, A. (2010). Validation of Sense of Coherence (SOC) 13-item scale in Iranian sample. Procedia-Social and Behavioral Sciences, 5, 1451-1455. https://doi.org/10.1016/j.sbspro.2010.07.306

Mantas-Jiménez, S., Reig-García, G., Roqueta-Vall-Llosera, M., Camara-Liebana, D., Masià-Plana, A., Lluch-Canut, M. T., & Juvinya-Canal, D. (2024). Positive mental health and sense of coherence among emergency medical service professionals. Frontiers in Public Health, 12, 1344872. https://doi.org/10.3389/fpubh.2024.1344872

Mirzaalian Dastjerdi, F. (2022). Prediction of Risky Behaviors Based on Childhood Maltreatment with the Mediation of Maladaptive Schemas in High School Students. New Approach to Children's Education Journal, 4(3), 76-83. https://ensani.ir/fa/article/508047/

Moksnes, U. K. (2021). Sense of coherence. Health promotion in health care-vital theories and research, 35-46. https://doi.org/10.1007/978-3-030-63135-2_4

Narimani, M., & Ghaffari, M. (2016). Investigating the Relationship of Sense of Coherence, Self-Compassion, and Personal Intelligence with Postpartum Depression in Women. Nursing research, 11(1), 25-33. https://ijnr.ir/article-1-1666-en.html

Nicol, A., Mak, A. S., Murray, K., & Kavanagh, P. S. (2021). Early maladaptive schemas in young people who self‐injure. Journal of Clinical Psychology, 77(7), 1745-1762. https://doi.org/10.1002/jclp.23172

Oguz, G., Celikbas, Z., Batmaz, S., Cagli, S., & Sungur, M. Z. (2019). Comparison between obsessive compulsive disorder and panic disorder on metacognitive beliefs, emotional schemas, and cognitive flexibility. International Journal of Cognitive Therapy, 12(3), 157-178. https://doi.org/10.1007/s41811-019-00047-5

Peeters, N., van Passel, B., & Krans, J. (2022). The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. British Journal of Clinical Psychology, 61(3), 579-597. https://doi.org/10.1111/bjc.12324

Rada, C., Neagu, A. E., Marinescu, V., Rodideal, A. A., & Lunga, R. A. (2025). The Impact of Childhood Abuse on the Development of Early Maladaptive Schemas and the Expression of Violence in Adolescents. Behavioral Sciences, 15(7), 854. https://doi.org/10.3390/bs15070854

Salgó, E., Bajzát, B., & Unoka, Z. (2021). Schema modes and their associations with emotion regulation, mindfulness, and self-compassion among patients with personality disorders. Borderline personality disorder and emotion dysregulation, 8(1), 1-14. https://doi.org/10.1186/s40479-021-00160-y

Smrekar, M., Zaletel-Kragelj, L., Petrak, O., & Franko, A. (2020). Validation of the Croatian version of the sense of coherence 29-item scale in Croatian nurses. Slovenian Journal of Public Health, 59(3), 155-163. https://doi.org/10.2478/sjph-2020-0020

Urtubia-Herrera, V., Navarta-Sanchez, M. V., Palmar-Santos, A. M., Pedraz-Marcos, A., Garcia-Gomez, A., Luis, E. O., & Bermejo-Martins, E. (2024). The relationship between sense of coherence and emotional intelligence as individual health assets for mental health promotion in students and healthcare professionals: a scoping review. Frontiers in Public Health, 12, 1304310. https://doi.org/10.3389/fpubh.2024.1304310

Webster, E. M. (2022). The impact of adverse childhood experiences on health and development in young children. Global Pediatric Health, 9, 2333794X221078708. https://doi.org/10.1177/2333794X221078708

You, Q., Ou, Y., Meng, N., Guo, L., Ye, Y., Xie, X., Yuan, W., Liao, Q., & Chen, J. (2024). Childhood emotional maltreatment affects depression of adolescents with mood disorders: the mediating role of functions of non-suicidal self-injury. BMC psychiatry, 24(1), 748. https://doi.org/10.1186/s12888-024-06185-1

Zadeh, M. A., Ahmadabadi, Z., & Heidari, M. (2011). Construction and assessment of psychometric features of Iranian adolescents risk-taking scale. Iranian Journal of Psychiatry and Clinical Psychology, 17(3 (66)), 218-225. https://sid.ir/paper/16567/en

Zheng, X., Xie, J., Cai, R., Liu, Z., & Xu, L. (2025). Why avoidance? The impact of childhood emotional abuse on social avoidance. BMC psychology, 13(1), 558. https://doi.org/10.1186/s40359-025-02852-4

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Published

2025-09-14

Submitted

2025-03-06

Revised

2025-06-11

Accepted

2025-06-20

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Section

Articles

How to Cite

Dabiri, S. ., & Babakhani, N. . (2025). The Relationship Between Childhood Trauma and Sense of Coherence Based on the Mediating Role of Emotional Schemas in Adolescents with Risky Behaviors. Iranian Journal of Neurodevelopmental Disorders, 1-12. https://maherpub.com/jndd/article/view/558

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