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We investigated whether child maltreatment would link to life satisfaction both directly and through psychological symptoms, whether these relations would change from admission to discharge after treatment, and which types of maltreatment, symptoms and facets of life satisfaction would be most influential in adolescent inpatients with internalizing mental disorders. <jats:italic>N<\/jats:italic>\u2009=\u2009896 adolescent receiving inpatient psychotherapeutic treatment completed questionnaires on child maltreatment experiences, current psychopathology and subjective life satisfaction at admission and discharge (<jats:italic>n<\/jats:italic>\u2009=\u2009765). Main diagnoses were affective (<jats:italic>n<\/jats:italic>\u2009=\u2009322), eating (<jats:italic>n<\/jats:italic>\u2009=\u2009447), obsessive\u2013compulsive (<jats:italic>n<\/jats:italic>\u2009=\u200970) and anxiety disorders (<jats:italic>n<\/jats:italic>\u2009=\u200957). Network models of child maltreatment, psychopathology and life satisfaction nodes were estimated at admission and discharge and compared using network comparison tests. Potential causal shortest pathways were investigated using directed acyclic graphs.<\/jats:p><jats:p>Network models were stable with no significant differences between admission and discharge. Strongest nodes of each cluster were \u201cemotional abuse\u201d (child maltreatment), \u201cworthlessness\u201d, \u201cthinking about dying\u201d and \u201cfeeling lonely\u201d (psychopathology) and \u201csatisfied with life\u201d (life satisfaction) at both admission and discharge. Emotional neglect showed direct connections to life satisfaction, indicating its relevance for therapeutic interventions. At both admission and discharge, \u201csexual abuse\u201d indirectly predicted lower life satisfaction through psychological symptoms. In conclusion, child maltreatment is directly and indirectly connected to life satisfaction in adolescents with mental disorders. Emotional abuse and neglect were especially important in linking child maltreatment to life satisfaction and psychopathology.<\/jats:p>","DOI":"10.1007\/s10802-024-01172-2","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T09:02:47Z","timestamp":1706605367000},"page":"969-982","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Pathways between Child Maltreatment, Psychological Symptoms, and Life Satisfaction: A Network Analysis in Adolescent Inpatients"],"prefix":"10.1007","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8649-5467","authenticated-orcid":false,"given":"David R.","family":"Kolar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6786-4458","authenticated-orcid":false,"given":"Alessio Maria","family":"Monteleone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0358-8594","authenticated-orcid":false,"given":"Giammarco","family":"Cascino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0056-0361","authenticated-orcid":false,"given":"Sebastian","family":"Ertl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6639-8977","authenticated-orcid":false,"given":"Adrian","family":"Meule","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Naab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"1172_CR1","unstructured":"Arias, I., Leeb, R. 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