{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:15:08Z","timestamp":1788542108474,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Adverse effects of early life stress (ELS) exposure are well\u2010documented, but the joint effects of multiple exposures to different types of ELS (e.g., abuse, neglect, family dysfunction, maladaptive parenting) and their interaction with more proximal stress in adulthood remains less understood. To bridge this gap, we used a person\u2010centered approach to identify distinct patterns of exposure to ELS (i.e., ELS profiles) and examined whether they interact with proximal stress to explain variability in mental health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>367 young adults completed questionnaires assessing their exposure to ELS (i.e., abuse, neglect, family dysfunction, maladaptive parenting), proximal stress (COVID\u201019\u2010related stressors), and stress\u2010related mental health outcomes (e.g., mood and posttraumatic stress symptoms, alcohol use). We conducted latent profile analyses to uncover ELS profiles and regression\u2010based moderation analyses to examine their interactions with COVID\u201019 stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified three profiles: Profile 1 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009286) with low ELS exposure; Profile 2 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200966) with high emotional maltreatment and elevated physical maltreatment, family dysfunction, and parental affectionless control; and Profile 3 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) with extremely high childhood maltreatment (particularly sexual abuse), parental affectionless control, and normative family dysfunction. These profiles interacted with COVID\u201019 stress to explain variability in mood symptoms and alcohol use, suggesting sensitizing effects of ELS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The identified profiles and their interaction with COIVD\u201019 stress shed light on the cumulative and interactive effects of exposure to multiple stressors across the lifespan that could help identify vulnerabilities for stress\u2010related psychological problems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70174","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T08:03:51Z","timestamp":1783152231000},"page":"1498-1508","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Profiles of Early Life Stress and Their Interaction With Proximal Stress in Early Adulthood: A Person\u2010Centered Approach"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0972-529X","authenticated-orcid":false,"given":"Juhyun","family":"Park","sequence":"first","affiliation":[{"name":"University of Toronto Scarborough Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-8871","authenticated-orcid":false,"given":"Clara","family":"Freeman","sequence":"additional","affiliation":[{"name":"Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5012-0615","authenticated-orcid":false,"given":"Seonwoo","family":"Hong","sequence":"additional","affiliation":[{"name":"University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Weinberg","sequence":"additional","affiliation":[{"name":"McGill University Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325024.2012.734205"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559517736628"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0145-2134(02)00541-0"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511428353"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.08.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2022.105877"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.06.021"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2016.04.002"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-022-00798-x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1024-3"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.04.009"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/rev0000394"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0165025419881721"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.186"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001325"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.68.5.782"},{"key":"e_1_2_10_19_1","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression\u2010Based Approach","author":"Hayes A. 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