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Psychiatry"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Non\u2010suicidal self\u2010injury (NSSI) is a significant health concern among adolescents and young adults, often resulting from adverse childhood experiences (ACEs). Dissociation, post\u2010traumatic symptoms and attachment style may have a role in shaping such associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to provide a unified model of the impact of ACEs on NSSI, exploring complex post\u2010traumatic stress disorder (cPTSD) symptoms and dissociation as potential mediators and the role of the predominant attachment style in affecting such associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>1010 young individuals attending the last year of high school participated in this cross\u2010sectional study. ACEs, cPTSD, dissociation and NSSI were evaluated using self\u2010report questionnaires. We fitted a path model of NSSI, with ACEs as exogenous variables and cPTSD and dissociation as sequential mediators. Secure, fearful and preoccupied attachment styles were modelled as grouping variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our findings showed that dissociation mediated the impact of ACEs on NSSI in subjects with a fearful attachment style, as opposed to those with a preoccupied attachment for whom cPTSD symptoms mediated the ACEs\u2010NSSI association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Attachment styles moderate the relationship between ACEs and NSSI, with either dissociation or post\u2010traumatic symptomatology mediating the impact of ACEs on NSSI, depending on the predominant attachment style. Our results highlight the importance of attachment as a pathway modifier in the relationships between different psychopathology dimensions, providing a useful framework to better conceptualise the ACEs\u2010NSSI association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/gpsych-2023-101277","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T08:41:10Z","timestamp":1743842470000},"update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Role of attachment style in the association between childhood adversities and non\u2010suicidal self\u2010injury among young adults: a multigroup structural equation study"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6857-898X","authenticated-orcid":false,"given":"Rodolfo","family":"Rossi","sequence":"first","affiliation":[{"name":"Department of Systems Medicine Tor Vergata University of Rome Rome 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