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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Mar 19, 2026; 16(3): 114110
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.114110
Confronting childhood maltreatment and promoting trauma-informed care: Safeguarding the mental health of young and middle-aged adults
Guo-Chang Xue, Li-Wen Zhang, Chao-Ying Ma
Guo-Chang Xue, Li-Wen Zhang, Chao-Ying Ma, Department of Pediatrics, Wuxi Ninth People’s Hospital Affiliated to Soochow University, Wuxi 214062, Jiangsu Province, China
Author contributions: Xue GC conceived and designed the article; Xue GC and Zhang LW wrote the manuscript; Xue GC and Ma CY reviewed and edited the manuscript; and all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Guo-Chang Xue, MD, Chief Physician, Department of Pediatrics, Wuxi Ninth People’s Hospital Affiliated to Soochow University, No. 999 Liangxi Road, Wuxi 214062, Jiangsu Province, China. gcxue@163.com
Received: September 15, 2025
Revised: October 27, 2025
Accepted: December 15, 2025
Published online: March 19, 2026
Processing time: 168 Days and 8 Hours
Abstract

Childhood maltreatment, particularly emotional abuse and neglect, casts a long shadow over mental health, as highlighted by a recent study linking these experiences to subthreshold depressive symptoms and major depressive disorder in young and middle-aged adults. The findings underscore emotional abuse and neglect as particularly potent risk factors, emphasizing the urgent need for trauma-informed approaches in depression prevention and management. This article explores the implications of these results, advocating for early identification of childhood maltreatment to mitigate long-term depressive outcomes and calling for integrated strategies across clinical, public health, and policy domains.

Keywords: Emotional neglect; Emotional abuse; Childhood maltreatment; Depression; Trauma-informed care; Mental health

Core Tip: This article focuses on a study linking childhood maltreatment to young and middle-aged adults’ subthreshold depressive symptoms and major depressive disorder. The study has found that childhood maltreatment raises depression risk, which is strongly correlated with emotional abuse and neglect. It advocates for trauma-informed care for treatment and early maltreatment identification for prevention, calling for joint efforts to safeguard the mental health of young and middle-aged adults.