Abstract
Recent research has primarily focused on elucidating the role of specific cognitive vulnerability factors in the intricate relationship between childhood trauma and depression. To advance existing research by integrating two prominent cognitive theories of depression (the Beck’s cognitive theory and hopelessness theory), this study proposed a moderated mediation model aimed at investigating the mediating role of the sense of control and the moderating effect of rumination in this complex association. A sample of 1,091 college students (comprising 436 males; age range 17–25) was recruited through poster advertisements and a snowball sampling approach. Participants voluntarily engaged in the study and completed a battery of assessments, including measures of depression, childhood trauma, sense of control, and rumination. Our findings suggest that childhood trauma affects depression not only directly but also indirectly through the mediating influence of the sense of control. Furthermore, the result reveals that the mediating role of the sense of control is moderated by the intensity of rumination. Specifically, this mediating effect is more pronounced among college students with higher levels of rumination. The outcomes of this investigation provide prospective empirical support, suggesting that the loss of control and rumination may serve as viable targets for preventative and interventional measures in addressing depression among individuals who have experienced childhood trauma. This research enhances our understanding of the intricate interplay between cognitive determinants and depression, informing future research in this critical domain of mental health.

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References
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96(2), 358–372. https://doi.org/10.1037/0033-295x.96.2.358
An, J. H., Jeon, H. J., Cho, S. J., Chang, S. M., Kim, B. S., Hahm, B.J.,... Hong, J. P. (2022). Subthreshold lifetime depression and anxiety are associated with increased lifetime suicide attempts: A Korean nationwide study. Journal of Affective Disorders, 302, 170–176. https://doi.org/10.1016/j.jad.2022.01.046
Auerbach, R. P., Eberhart, N. K., & Abela, J. R. Z. (2009). Cognitive vulnerability to depression in Canadian and Chinese adolescents. Journal of Abnormal Child Psychology, 38(1), 57–68. https://doi.org/10.1007/s10802-009-9344-y
Auerbach, R. P., Richardt, S., Kertz, S., & Eberhart, N. K. (2012). Cognitive vulnerability, stress generation, and anxiety: Symptom clusters and gender differences. International Journal of Cognitive Therapy, 5(1), 50–66. https://doi.org/10.1521/ijct.2012.5.1.50
Bak, M., Krabbendam, L., Janssen, I., de Graaf, R., Vollebergh, W., & van Os, J. (2005). Early trauma may increase the risk for psychotic experiences by impacting on emotional response and perception of control. Acta Psychiatrica Scandinavica, 112(5), 360–366. https://doi.org/10.1111/j.1600-0447.2005.00646.x
Bal, V. H., Wilkinson, E., Glascock, V., Hastings, R. P., & Jahoda, A. (2022). Mechanisms of change in behavioral activation: Adapting depression treatment for autistic people. Cognitive and Behavioral Practice, 30(4), 589–596. https://doi.org/10.1016/j.cbpra.2022.03.006
Bastin, M., Mezulis, A. H., Ahles, J., Raes, F., & Bijttebier, P. (2015). Moderating effects of brooding and co-rumination on the relationship between stress and depressive symptoms in early adolescence: A multi-wave study. Journal of Abnormal Child Psychology, 43(4), 607–618. https://doi.org/10.1007/s10802-014-9912-7
Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspects. Staples Press.
Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J. Clayton, & J. E. Barrett (Eds.), Treatment of depression: Old controversies and newappr oaches (pp. 265–290). Raven.
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., ... 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
Bolger, K. E., & Patterson, C. J. (2002). Pathways from child maltreatment to internalizing problems: Perceptions of control as mediators and moderators. Development and Psychopathology, 13(4), 913–940. https://doi.org/10.1017/s0954579401004096
Brown, G. W., & Harris, T. (1978). The social origins of depression: A study of psychiatric disorder in women. Free.
Brown, J. D., & Siegel, J. M. (1988). Attributions for negative life events and depression: The role of perceived control. Journal of Personality and Social Psychology, 54(2), 316–322. https://doi.org/10.1037//0022-3514.54.2.316
Cantave, C. Y., Langevin, S., Marin, M. F., Brendgen, M., Lupien, S., & Ouellet-Morin, I. (2019). Impact of maltreatment on depressive symptoms in young male adults: The mediating and moderating role of cortisol stress response and coping strategies. Psychoneuroendocrinology, 103, 41–48. https://doi.org/10.1016/j.psyneuen.2018.12.235
Cavicchioli, M., & Maffei, C. (2022). Rumination as a widespread emotion-based cognitive vulnerability in borderline personality disorder: A meta-analytic review. Journal of Clinical Psychology, 78(6), 989–1008. https://doi.org/10.1002/jclp.23281
Chang, J. J., Ji, Y., Li, Y. H., Yuan, M. Y., & Su, P. Y. (2021). Childhood trauma and depression in college students: Mediating and moderating effects of psychological resilience. Asian Journal of Psychiatry, 65, 102824. https://doi.org/10.1016/j.ajp.2021.102824
Chung, M. L., Bakas, T., Plue, L. D., & Williams, L. S. (2016). Effects of self-esteem, optimism, and perceived control on depressive symptoms in stroke survivor-spouse dyads. The Journal of Cardiovascular Nursing, 31(2), E8–E16. https://doi.org/10.1097/JCN.0000000000000232
Ciesla, J. A., & Roberts, J. E. (2002). Self-directed thought and response to treatment for depression: A preliminary investigation. Journal of Cognitive Psychotherapy, 16(4), 435–453. https://doi.org/10.1891/jcop.16.4.435.52528
Cui, L., Luo, X., & Xiao, J. (2011). The influence of childhood trauma on trait-depression and trait-anxiety: The mediation-specificity of schemas. Acta Psychologica Sinica, 43(10), 1163–1174. https://doi.org/10.3724/SP.J.1041.2011.01163
Dinis, J., & Braganca, M. (2018). Quality of sleep and depression in college students: A systematic review. Sleep Science, 11(4), 290–301. https://doi.org/10.5935/1984-0063.20180045
Edge, D., Newbold, A., Ehring, T., Rosenkranz, T., Frost, M., & Watkins, E. R. (2021). Reducing worry and rumination in young adults via a mobile phone app: Study protocol of the ECoWeB (emotional competence for well-being in young adults) randomised controlled trial focused on repetitive negative thinking. BMC Psychiatry, 21, 519. https://doi.org/10.1186/s12888-021-03536-0
Edmiston, E. E., Wang, F., Mazure, C. M., Guiney, J., Sinha, R., Mayes, L. C., & Blumberg, H. P. (2011). Corticostriatal-limbic gray matter morphology in adolescents with self-reported exposure to childhood maltreatment. Archives of Pediatrics and Adolescent Medicine, 165(12), 1069–1077. https://doi.org/10.1001/archpediatrics.2011.565
Gong, T., Ren, Y., Wu, J., Jiang, Y., Hu, W., & You, J. (2019). The associations among self-criticism, hopelessness, rumination, and NSSI in adolescents: A moderated mediation model. Journal of Adolescence, 72, 1–9. https://doi.org/10.1016/j.adolescence.2019.01.007
Goodwin, T. C., & Williams, G. A. (2023). Testing the roles of perceived control, optimism, and gratitude in the relationship between general/personal belief in a just world and wellbeing/depression. Social Justice Research, 36(1), 40–74. https://doi.org/10.1007/s11211-023-00405-x
Grant, H., & Dweck, C. S. (2003). Clarifying achievement goals and their impact. Journal of Personality and Social Psychology, 85(3), 541–553. https://doi.org/10.1037/0022-3514.85.3.541
Gu, H., Ma, P., & Xia, T. (2020). Childhood emotional abuse and adolescent nonsuicidal self-injury: The mediating role of identity confusion and moderating role of rumination. Child Abuse & Neglect, 106. https://doi.org/10.1016/j.chiabu.2020.104474
Hammen, C. (2018). Risk factors for depression: An autobiographical review. Annual Review of Clinical Psychology, 14, 1–28. https://doi.org/10.1146/annurev-clinpsy-050817-084811
Hammen, C., Henry, R., & Daley, S. E. (2000). Depression and sensitization to stressors among young women as a function of childhood adversity. Journal of Consulting and Clinical Psychology, 68(5), 782–787. https://doi.org/10.1037/0022-006X.68.5.782
Han, X., & Yang, H. (2009). Chinese version of Nolen-Hoeksema ruminative responses scale (RRS) used in 912 college students: Reliability and validity. Chinese Journal of Clinical Psychology, 17(5), 550–551.
Hayes, A. F. (2017). Partial, conditional, and moderated moderated mediation: Quantification, inference, and interpretation. Communication Monographs, 85(1), 4–40. https://doi.org/10.1080/03637751.2017.1352100
He, Y., Liu, J., Gong, J., Fang, Y., Cui, X., & Luo, X. (2018). Childhood trauma and schizotypal personality traits and safety in college students. Chinese Journal of Clinical Psychology, 26(4), 721–724.
Hilt, L. M., & Pollak, S. D. (2012). Getting out of rumination: Comparison of three brief interventions in a sample of youth. Journal of Abnormal Child Psychology, 40(7), 1157–1165. https://doi.org/10.1007/s10802-012-9638-3
Hilt, L. M., & Swords, C. M. (2021). Acceptability and preliminary effects of a mindfulness mobile application for ruminative adolescents. Behavior Therapy, 52(6), 1339–1350. https://doi.org/10.1016/j.beth.2021.03.004
Hopfinger, L., Berking, M., Bockting, C. L., & Ebert, D. D. (2016). Emotion regulation mediates the effect of childhood trauma on depression. Journal of Affective Disorders, 198, 189–197. https://doi.org/10.1016/j.jad.2016.03.050
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015
Ingram, R. E., & Luxton, D. D. (2005). Vulnerability-stress models. In B. L. Hankin, & J. R. Z. Abela (Eds.), Development of psychopathology: A vulnerability-stress perspective (pp. 32–46). Sage.
Lachman, M. E., & Weaver, S. L. (1998). The sense of control as a moderator of social class differences in health and well-being. Journal of Personality and Social Psychology, 74(3), 763–773. https://doi.org/10.1037/0022-3514.74.3.763
Lemma, S., Gelaye, B., Berhane, Y., Worku, A., & Williams, M. A. (2012). Sleep quality and its psychological correlates among university students in Ethiopia: A cross-sectional study. Bmc Psychiatry, 12(1), 237. https://doi.org/10.1186/1471-244X-12-237
Li, M., D’Arcy, C., & Meng, X. (2016). Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: Systematic review, meta-analysis, and proportional attributable fractions. Psychological Medicine, 46(4), 717–730. https://doi.org/10.1017/S0033291715002743
Liao, K. Y., & Wei, M. (2011). Intolerance of uncertainty, depression, and anxiety: The moderating and mediating roles of rumination. Journal of Clinical Psychology, 67(12), 1220–1239. https://doi.org/10.1002/jclp.20846
Liu, R. T., Kleiman, E. M., Nestor, B. A., & Cheek, S. M. (2015). The hopelessness theory of depression: A quarter-century in review. Clinical Psychology: Science and Practice, 22(4), 345–365. https://doi.org/10.1037/h0101732
Ly, V., Wang, K. S., Bhanji, J., & Delgado, M. R. (2019). A reward-based rramework of perceived control. Frontiers in Neuroscience, 13, 65. https://doi.org/10.3389/fnins.2019.00065
Lyubomirsky, S., & Nolen-Hoeksema, S. (1993). Self-perpetuating properties of dysphoric rumination. Journal of Personality and Social Psychology, 65(2), 339–349. https://doi.org/10.1037/0022-3514.65.2.339
McEvoy, P., Law, A., Bates, R., Hylton, K., & Mansell, W. (2013). Using behavioural activation in the treatment of depression: A control theory perspective. Journal of Psychiatric and Mental Health Nursing, 20(10), 890–895. https://doi.org/10.1111/jpm.12032
McKay, M. T., Cannon, M., Chambers, D., Conroy, R. M., Coughlan, H., Dodd, P., ... Clarke, M. C. (2021). Childhood trauma and adult mental disorder: A systematic review and meta-analysis of longitudinal cohort studies. Acta Psychiatrica Scandinavica, 143(3), 189–205. https://doi.org/10.1111/acps.13268
Meng, T., He, Y., Zhang, Q., Yu, F., Zhao, L., Zhang, S., ... Liu, J. (2021). Analysis of features of social anxiety and exploring the relationship between childhood major adverse experiences and social anxiety in early adulthood among Chinese college students. Journal of Affective Disorders, 292, 614–622. https://doi.org/10.1016/j.jad.2021.05.105
Mezo, P. G., & Baker, R. M. (2012). The moderating effects of stress and rumination on depressive symptoms in women and men. Stress and Health, 28(4), 333–339. https://doi.org/10.1002/smi.2417
Mirowsky, J. (2013). Depression and the sense of control: Aging vectors, trajectories, and trends. Journal of Health and Social Behavior, 54(4), 407–425. https://doi.org/10.1177/0022146513499022
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843x.100.4.569
Nolen-Hoeksema, S. (1994). An interactive model for the emergence of gender differences in depression in adolescence. Journal of Research on Adolescence, 4(4), 519–534. https://doi.org/10.1207/s15327795jra0404_5
Pagnini, F., Bercovitz, K., & Langer, E. (2016). Perceived control and mindfulness: Implications for clinical practice. Journal of Psychotherapy Integration, 26(2), 91–102. https://doi.org/10.1037/int0000035
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurements, 1, 385–401. https://doi.org/10.1177/014662167700100306
Reich, J. W., & Infurna, F. J. (2017). Perceived control: Theory, research, and practice in the first 50 years. Oxford University Press.
Robinson, M. S. (2003). Negative cognitive styles and stress-reactive rumination interact to predict depression: A prospective study. Cognitive Therapy and Research, 27(3), 275–291. https://doi.org/10.1023/a:1023914416469
Seligman, M. E., Abramson, L. Y., Semmel, A., & von Baeyer, C. (1979). Depressive attributional style. Journal of Abnormal Psychology, 88(3), 242–247. https://doi.org/10.1037/0021-843x.88.3.242
Shao, N., Gong, Y., Wang, X., Wei, J., Shi, J., Ding, H., ... Han, J. (2021). Effects of polygenic risk score, childhood trauma and resilience on depressive symptoms in Chinese adolescents in a three-year cohort study. Journal of Affective Disorders, 282, 627–636. https://doi.org/10.1016/j.jad.2020.12.114
Shapiro, D. H. Jr. (1994). Shapiro Control Inventory. Behaviordata.
Shaw, B. A., & Krause, N. (2002). Exposure to physical violence during childhood, aging, and health. Journal of Aging and Health, 14(4), 467–494. https://doi.org/10.1177/089826402237179
Shaw, B. A., Krause, N., Chatters, L. M., Connell, C. M., & Ingersoll-Dayton, B. (2004). Emotional support from parents early in life, aging, and health. Psychology and Aging, 19(1), 4–12. https://doi.org/10.1037/0882-7974.19.1.4
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561
Wang, K. S., & Delgado, M. R. (2019). Corticostriatal circuits encode the subjective value of perceived control. Cerebral Cortex, 29(12), 5049–5060. https://doi.org/10.1093/cercor/bhz045
Wang, X., & Feng, Z. (2022). A narrative review of empirical literature of behavioral activation treatment for depression. Frontiers in Psychiatry, 13, 845138. https://doi.org/10.3389/fpsyt.2022.845138
Wang, M., Han, F., Liu, J., Huang, K., Peng, H., Huang, M., & Zhao, Z. (2020). A meta-analysis of detection rate of depression symptoms and related factors in college students. Chinese Mental Health Journal, 12, 1041–1047.
Wardle, J., Steptoe, A., Gulis, G., Sartory, G., Sek, H., Todorova, I., ... Ziarko, M. (2004). Depression, perceived control, and life satisfaction in university students from Central-Eastern and Western Europe. International Journal of Behavioral Medicine, 11(1), 27–36. https://doi.org/10.1207/s15327558ijbm1101_4
Watters, E. R., Aloe, A. M., & Wojciak, A. S. (2023). Examining the associations between childhood trauma, resilience, and depression: A multivariate meta-analysis. Trauma Violence Abuse, 24(1), 231–244. https://doi.org/10.1177/15248380211029397
Webb, C. A., Swords, C. M., Murray, L., & Hilt, L. M. (2021). App-based mindfulness training for adolescent rumination: Predictors of immediate and cumulative benefit. Mindfulness (N Y), 12(10), 2498–2509. https://doi.org/10.1007/s12671-021-01719-0
Weir, K. F., & Jose, P. E. (2008). A comparison of the response styles theory and the hopelessness theory of depression in preadolescents. The Journal of Early Adolescence, 28(3), 356–374. https://doi.org/10.1177/0272431608314662
Yu, Z., Zhao, A., & Liu, A. (2017). Childhood maltreatment and depression: A meta-analysis. Acta Psychologica Sinica, 49(1), 40–49. https://doi.org/10.3724/sp.J.1041.2017.00040
Zautra, A. J., Davis, M. C., Reich, J. W., Sturgeon, J. A., Arewasikporn, A., & Tennen, H. (2012). Phone-based interventions with automated mindfulness and mastery messages improve the daily functioning for depressed middle-aged community residents. Journal of Psychotherapy Integration, 22(3), 206–228. https://doi.org/10.1037/a0029573
Zhang, L., & You, Z. (2023). The interactive effect of intolerance of uncertainty and rumination on depressive symptoms among college students: Moderating effect of family socioeconomic status. Chinese Journal of Clinical Psychology, 31(4), 998–1002. https://doi.org/10.16128/j.cnki.1005-3611.2023.04.046
Zhang, J., Wu, Z., Fang, G., Li, J., Han, B., & Chen, Z. (2010). Development of the Chinese age norms of CES-D in urban area. Chinese Mental Health Journal, 24(2), 139–143.
Zhang, M., Han, J., Shi, J., Ding, H., Wang, K., Kang, C., & Gong, J. (2018). Personality traits as possible mediators in the relationship between childhood trauma and depressive symptoms in Chinese adolescents. Journal of Psychiatric Research, 103, 150–155. https://doi.org/10.1016/j.jpsychires.2018.05.019
Zhou, X., & Zhen, R. (2022). How do physical and emotional abuse affect depression and problematic behaviors in adolescents? The roles of emotional regulation and anger. Child Abuse & Neglect, 129, 105641. https://doi.org/10.1016/j.chiabu.2022.105641
Zhu, X., & Geng, Y. (2023). Childhood environment, sense of control and hoarding among Chinese college students. Current Psychology, 42, 2128–2135. https://doi.org/10.1007/s12144-021-01624-8
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This work was supported by the National Social Science Fund Project of China [grant number 22BSH097] and Fundamental Research Funds for the Central Universities, China [grant number 2662022WFYJ005].
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You, Z., You, R., Zheng, J. et al. The role of sense of control and rumination in the association between childhood trauma and depression. Curr Psychol 43, 27875–27885 (2024). https://doi.org/10.1007/s12144-024-06421-7
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DOI: https://doi.org/10.1007/s12144-024-06421-7