# Internalized criticism and absence of care: separate pathways from childhood abuse and neglect to dual harm via self-compassion

**Authors:** Yanxia Mao, Zhongguang Xie, Liying Zhang, Wenchao Wang

PMC · DOI: 10.3389/fpsyt.2026.1762268 · Frontiers in Psychiatry · 2026-02-10

## TL;DR

Childhood abuse and neglect lead to self-harm and cyber aggression in college students through different self-compassion pathways.

## Contribution

This study identifies distinct mediating roles of self-compassion in the effects of childhood abuse and neglect on dual harm.

## Key findings

- Childhood abuse and neglect both predict non-suicidal self-injury and cyber aggression.
- Negative self-compassion mediates the link between childhood abuse and harmful behaviors.
- Positive self-compassion mediates the relationship between childhood neglect and harmful behaviors.

## Abstract

Non-suicidal self-injury and cyber aggression are increasingly prevalent among college students. Childhood maltreatment is a known risk factor for both behaviors, yet few studies have examined their co-occurrence (dual harm) or the underlying mechanisms from a developmental psychopathology perspective. This study investigates the distinct effects of childhood abuse and neglect on NSSI and cyber aggression, with self-compassion as a potential mediator.

A longitudinal design with a six-month interval was employed. A sample of 2,301 Chinese college students completed the Childhood Trauma Questionnaire-Short Form and the Self-Compassion Scale at baseline, followed by the Inventory of Statements about Self-Injury and the Adolescent Cyber Aggression Scale at follow-up. Structural equation modeling and bootstrapping were used to examine direct and mediated pathways.

Childhood abuse and neglect positively predicted both NSSI and cyber aggression. Negative self-compassion mediated the relationship between childhood abuse and both outcomes. For childhood neglect, positive self-compassion mediated its positive association with NSSI and cyber aggression, while negative self-compassion mediated a negative association.

The findings highlight differential pathways through which childhood abuse and neglect influence later self- and other-directed harm. Positive self-compassion may serve as a protective factor, whereas negative self-compassion may exacerbate risk. Tailored interventions focusing on enhancing self-compassion could help mitigate the long-term effects of childhood maltreatment.

## Full-text entities

- **Diseases:** Childhood abuse and neglect (MESH:D058069), aggressive tendencies (MESH:C536965), NSSI (MESH:D012652), Aggression (MESH:D010554), low (MESH:D009800), trauma-related disorders (MESH:D000068099), suicidal ideation (MESH:D001072), Deprivation (MESH:D012892), depression (MESH:D003866), internalizing problems (MESH:D000082122), cognitive deficits (MESH:D003072), PSC (MESH:D015209), behavioral dysregulation (MESH:D021081), NSC (OMIM:617394), emotional pain (MESH:D010146), physical abuse (MESH:D059445), externalizing problems (MESH:D017577), Dual Harm (MESH:D009105), -injury (MESH:D014947), SA (MESH:D000082002), anxiety (MESH:D001007), childhood maltreatment (MESH:D063766), psychiatric (MESH:D001523), EA (MESH:D019966)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

57 references — full list in the complete paper: https://tomesphere.com/paper/PMC12929461/full.md

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Source: https://tomesphere.com/paper/PMC12929461