Untangling Potential Links between Childhood Trauma and the Psychological Response to the COVID‐19 Pandemic: A Prospective Study Testing Multiple Mediation
Abstract Childhood maltreatment (CM)has been associated with adverse psychosocial outcomes during the pandemic, but the underlying mechanisms are unclear. In a prospective online study using baseline and 10-week follow-up data of 391 German participants, we applied multiple mediation analyses to test to what extent COVID-19 perceived stressors mediate the association between CM and later adverse psychosocial outcomescompared to established mediators of rumination and insecure attachment. We also explored the relative importance of different COVID-19 related stressors in predicting adverse psychological trajectories using elastic net regression.Results showed that CM was longitudinally associated with all adverse psychosocial outcome. COVID-19 perceived stressors, rumination, and insecure attachment mediated this relationship and full mediation was observed for the outcomes anxiety, stress and psychological well-being. COVID-19-related concerns about the future wasmost strongly and consistently associated with adverse psychosocial functioning.These findings provide preliminary evidence that COVID-19 perceived stressors, in particular concerns about the future, may be a key mechanismunderlying the development of adverse psychosocial outcomes in individuals with a CM history. Thus, COVID-19 perceived stressors may require a higher priority for prevention and treatment efforts in vulnerable groups.Our results warrant replication in more representative cross-cultural samples.