{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:21:27Z","timestamp":1787566887975,"version":"build-2736575974"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010256","name":"Guangzhou Municipal Science and Technology Project","doi-asserted-by":"publisher","award":["2023B03J1337"],"award-info":[{"award-number":["2023B03J1337"]}],"id":[{"id":"10.13039\/501100010256","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychologica"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.actpsy.2026.107598","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T13:51:50Z","timestamp":1786456310000},"page":"107598","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Associations between childhood trauma and heart rate variability: Serial mediation by alexithymia and anxiety symptoms"],"prefix":"10.1016","volume":"269","author":[{"given":"Zinan","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuang","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shumin","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiran","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong-ju","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.actpsy.2026.107598_bb0005","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.psychres.2014.03.046","article-title":"Affective lability in patients with bipolar disorders is associated with high levels of childhood trauma","volume":"218","author":"Aas","year":"2014","journal-title":"Psychiatry Research"},{"key":"10.1016\/j.actpsy.2026.107598_bb0010","series-title":"Dimensions of alexithymia and their links to anxiety and depression. June","first-page":"S460","author":"Abdallah 1","year":"2022"},{"issue":"S1","key":"10.1016\/j.actpsy.2026.107598_bb0015","doi-asserted-by":"crossref","first-page":"S905","DOI":"10.1192\/j.eurpsy.2023.1917","article-title":"The relationship between psychiatric symtoms and childhood trauma","volume":"66","author":"Almeida","year":"2023","journal-title":"European Psychiatry"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107598_bb0020","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0022-3999(94)90005-1","article-title":"The twenty-item Toronto alexithymia scale\u2014I. Item selection and cross-validation of the factor structure","volume":"38","author":"Bagby","year":"1994","journal-title":"Journal of Psychosomatic Research"},{"issue":"7","key":"10.1016\/j.actpsy.2026.107598_bb0025","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3390\/ijerph18073329","article-title":"Neurophysiological approach by self-control of your stress-related autonomic nervous system with depression, stress and anxiety patients","volume":"18","author":"Blase","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"10","key":"10.1016\/j.actpsy.2026.107598_bb0030","doi-asserted-by":"crossref","DOI":"10.1098\/rsos.150664","article-title":"Alexithymia: A general deficit of interoception","volume":"3","author":"Brewer","year":"2016","journal-title":"Royal Society Open Science"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107598_bb0035","doi-asserted-by":"crossref","DOI":"10.1080\/20008066.2023.2181766","article-title":"The long-term impact of early adverse experience on adaptive functioning: A pilot study integrating measures of mental status, nonverbal communication, and heart rate variability","volume":"14","author":"Bussone","year":"2023","journal-title":"European Journal of Psychotraumatology"},{"issue":"July","key":"10.1016\/j.actpsy.2026.107598_bb0040","article-title":"Anxiety disorders are associated with reduced heart rate variability: A meta-analysis","volume":"5","author":"Chalmers","year":"2014","journal-title":"Frontiers in Psychiatry"},{"issue":"7","key":"10.1016\/j.actpsy.2026.107598_bb0045","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1111\/pcn.13356","article-title":"Heart rate variability in patients with anxiety disorders: A systematic review and meta-analysis","volume":"76","author":"Cheng","year":"2022","journal-title":"Psychiatry and Clinical Neurosciences"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107598_bb0050","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/0005-7967(94)00082-U","article-title":"The Beck anxiety inventory in a non-clinical sample","volume":"33","author":"Creamer","year":"1995","journal-title":"Behaviour Research and Therapy"},{"issue":"21","key":"10.1016\/j.actpsy.2026.107598_bb0055","doi-asserted-by":"crossref","first-page":"17851","DOI":"10.1007\/s12144-022-02988-1","article-title":"The mediating role of early maladaptive schemas in the relationship between early childhood trauma and alexithymia","volume":"42","author":"Feyzio\u011flu","year":"2023","journal-title":"Current Psychology"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107598_bb0060","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1037\/0022-3514.85.2.348","article-title":"Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being","volume":"85","author":"Gross","year":"2003","journal-title":"Journal of Personality and Social Psychology"},{"issue":"6","key":"10.1016\/j.actpsy.2026.107598_bb0065","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.psyneuen.2008.03.008","article-title":"The link between childhood trauma and depression: Insights from HPA Axis studies in humans","volume":"33","author":"Heim","year":"2008","journal-title":"Psychoneuroendocrinology"},{"issue":"12","key":"10.1016\/j.actpsy.2026.107598_bb0070","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/S0006-3223(01)01157-X","article-title":"The role of childhood trauma in the neurobiology of mood and anxiety disorders: Preclinical and clinical studies","volume":"49","author":"Heim","year":"2001","journal-title":"Biological Psychiatry"},{"issue":"5","key":"10.1016\/j.actpsy.2026.107598_bb0075","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1111\/j.1467-6494.2011.00717.x","article-title":"On the relationship between interoceptive awareness and alexithymia: Is interoceptive awareness related to emotional awareness?","volume":"79","author":"Herbert","year":"2011","journal-title":"Journal of Personality"},{"issue":"July","key":"10.1016\/j.actpsy.2026.107598_bb0080","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jad.2016.03.050","article-title":"Emotion regulation mediates the effect of childhood trauma on depression","volume":"198","author":"Hopfinger","year":"2016","journal-title":"Journal of Affective Disorders"},{"issue":"January","key":"10.1016\/j.actpsy.2026.107598_bb0085","article-title":"An integrated model of emotional problems, beta power of electroencephalography, and low frequency of heart rate variability after childhood trauma in a non-clinical sample: A path analysis study","volume":"8","author":"Jin","year":"2018","journal-title":"Frontiers in Psychiatry"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107598_bb0090","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0030777","article-title":"Depression, comorbid anxiety disorders, and heart rate variability in physically healthy, unmedicated patients: Implications for cardiovascular risk","volume":"7","author":"Kemp","year":"2012","journal-title":"PLoS One"},{"issue":"9","key":"10.1016\/j.actpsy.2026.107598_bb0095","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1111\/jcpp.13616","article-title":"Alexithymia in individuals maltreated as children and adolescents: A meta-analysis","volume":"63","author":"Khan","year":"2022","journal-title":"Journal of Child Psychology and Psychiatry"},{"key":"10.1016\/j.actpsy.2026.107598_bb0100","series-title":"Human-Computer Interaction. New Trends","article-title":"The research on adaptive process for emotion recognition by using time-dependent parameters of autonomic nervous response","author":"Kim","year":"2009"},{"key":"10.1016\/j.actpsy.2026.107598_bb0105","doi-asserted-by":"crossref","DOI":"10.1038\/s41380-026-03511-9","article-title":"Emotional scars: Limbic brain processing alterations in adults with childhood abuse across mental health disorders","author":"Korgaonkar","year":"2026","journal-title":"Molecular Psychiatry"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107598_bb0110","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1017\/S0033291715002743","article-title":"Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: Systematic review, meta-analysis, and proportional attributable fractions","volume":"46","author":"Li","year":"2016","journal-title":"Psychological Medicine"},{"issue":"February","key":"10.1016\/j.actpsy.2026.107598_bb0115","article-title":"Inter-individual differences in heart rate variability are associated with inter-individual differences in empathy and alexithymia","volume":"9","author":"Lischke","year":"2018","journal-title":"Frontiers in Psychology"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107598_bb0120","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/00223890701629698","article-title":"The assessment of alexithymia in medical settings: Implications for understanding and treating health problems","volume":"89","author":"Lumley","year":"2007","journal-title":"Journal of Personality Assessment"},{"issue":"1","key":"10.1016\/j.actpsy.2026.107598_bb0125","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.psc.2005.10.011","article-title":"From infant attachment disorganization to adult dissociation: Relational adaptations or traumatic experiences?","volume":"29","author":"Lyons-Ruth","year":"2006","journal-title":"The Psychiatric Clinics of North America"},{"key":"10.1016\/j.actpsy.2026.107598_bb0130","series-title":"Introduction to statistical mediation analysis","author":"MacKinnon","year":"2012"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107598_bb0135","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1093\/oxfordjournals.eurheartj.a014868","article-title":"Heart rate variability: Standards of measurement, physiological interpretation, and clinical use","volume":"17","author":"Malik","year":"1996","journal-title":"European Heart Journal"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107598_bb0140","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1001\/archgenpsychiatry.2009.187","article-title":"Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication II: Associations with persistence of DSM-IV disorders","volume":"67","author":"McLaughlin","year":"2010","journal-title":"Archives of General Psychiatry"},{"issue":"11","key":"10.1016\/j.actpsy.2026.107598_bb0145","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1001\/archgenpsychiatry.2011.2277","article-title":"Childhood adversities and first onset of psychiatric disorders in a National Sample of US adolescents","volume":"69","author":"McLaughlin","year":"2012","journal-title":"Archives of General Psychiatry"},{"issue":"S1","key":"10.1016\/j.actpsy.2026.107598_bb0150","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1192\/j.eurpsy.2024.51","article-title":"Childhood trauma in adult depressive and anxiety disorders: Immuno-metabolic evidences in the NESDA cohort","volume":"67","author":"Milaneschi","year":"2024","journal-title":"European Psychiatry"},{"issue":"3","key":"10.1016\/j.actpsy.2026.107598_bb0155","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1037\/xge0000366","article-title":"Alexithymia is associated with a multidomain, multidimensional failure of interoception: Evidence from novel tests","volume":"147","author":"Murphy","year":"2018","journal-title":"Journal of Experimental Psychology: General"},{"issue":"9","key":"10.1016\/j.actpsy.2026.107598_bb0160","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1111\/psyp.12887","article-title":"Emotion dysregulation in alexithymia: Startle reactivity to fearful affective imagery and its relation to heart rate variability","volume":"54","author":"Panayiotou","year":"2017","journal-title":"Psychophysiology"},{"issue":"December","key":"10.1016\/j.actpsy.2026.107598_bb0165","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.autneu.2017.08.008","article-title":"Clinical and non-clinical depression and anxiety in young people: A scoping review on heart rate variability","volume":"208","author":"Paniccia","year":"2017","journal-title":"Autonomic Neuroscience: Basic and Clinical"},{"issue":"July","key":"10.1016\/j.actpsy.2026.107598_bb0170","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jad.2024.02.071","article-title":"Alexithymia profiles and depression, anxiety, and stress","volume":"357","author":"Preece","year":"2024","journal-title":"Journal of Affective Disorders"},{"issue":"6","key":"10.1016\/j.actpsy.2026.107598_bb0175","doi-asserted-by":"crossref","first-page":"436","DOI":"10.7326\/0003-4819-118-6-199303150-00008","article-title":"Heart rate variability","volume":"118","author":"Ravenswaaij-Arts","year":"1993","journal-title":"Annals of Internal Medicine"},{"issue":"September","key":"10.1016\/j.actpsy.2026.107598_bb0180","article-title":"An overview of heart rate variability metrics and norms","volume":"5","author":"Shaffer","year":"2017","journal-title":"Frontiers in Public Health"},{"issue":"2\u20136","key":"10.1016\/j.actpsy.2026.107598_bb0185","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1159\/000286529","article-title":"The prevalence of \u2018alexithymic\u2019 characteristics in psychosomatic patients","volume":"22","author":"Sifneos","year":"2010","journal-title":"Psychotherapy and Psychosomatics"},{"issue":"4","key":"10.1016\/j.actpsy.2026.107598_bb0190","first-page":"307","article-title":"Measuring changes in emotion during psychotherapy: Conceptual and methodological issues","volume":"14","author":"Sloan","year":"2007","journal-title":"Clinical Psychology: Science and Practice (United Kingdom)"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107598_bb0195","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1159\/000075537","article-title":"New trends in alexithymia research","volume":"73","author":"Taylor","year":"2004","journal-title":"Psychotherapy and Psychosomatics"},{"issue":"2","key":"10.1016\/j.actpsy.2026.107598_bb0200","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.neubiorev.2011.11.009","article-title":"A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health","volume":"36","author":"Thayer","year":"2012","journal-title":"Neuroscience & Biobehavioral Reviews"},{"issue":"S1","key":"10.1016\/j.actpsy.2026.107598_bb0205","doi-asserted-by":"crossref","first-page":"S824","DOI":"10.1192\/j.eurpsy.2024.1719","article-title":"The relationship between childhood trauma and adulthood anxiety and depression among Tunisian University students","volume":"67","author":"Turki","year":"2024","journal-title":"European Psychiatry"},{"issue":"1\u20132","key":"10.1016\/j.actpsy.2026.107598_bb0210","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/08862605241248437","article-title":"Role of maternal adverse childhood experiences on infant neglect: A multi-perspective approach","volume":"40","author":"Zhang","year":"2025","journal-title":"Journal of Interpersonal Violence"}],"container-title":["Acta Psychologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826013995?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826013995?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:34:21Z","timestamp":1787560461000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0001691826013995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":42,"alternative-id":["S0001691826013995"],"URL":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107598","relation":{},"ISSN":["0001-6918"],"issn-type":[{"value":"0001-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Associations between childhood trauma and heart rate variability: Serial mediation by alexithymia and anxiety symptoms","name":"articletitle","label":"Article Title"},{"value":"Acta Psychologica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.107598","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"107598"}}