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. 2025 Jun 24;18(4):925–945. doi: 10.1007/s40653-025-00724-y

Table 1.

Overview of included studies

First Author Sample Description Sample Size (N) Age in Years (SD) Sex (% Fem) Covariates Adversity Measure Adversity Type Social Cognition Measures Social Cognition Domains Measured Associations/Correlations Design
Bérubé et al., (2020) All mothers with children between the ages of 2–5 years. Participants were recruited from local community organisations that provide services to vulnerable families in Canada 58 Not Stated 100% No covariates included in correlation of interest CTQ-SF (French Version)—28 item questionnaire (Bernstein et al., 1994; Paquette et al., 2004) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Novel method similar to Facial Expression Megamix task (Young et al., 1997) Emotion recognition—Correctly identifying emotions CTQ total x Emotion recognition total: (r = −0.29, p = 0.03) Retrospective
Chen et al., (2012) PennTwins Cohort, a population-based sample of twins born in Pennsylvania, USA between 1959 and 1978. Sample is skewed towards younger unmarried female adults 2752

Age range

20–55

58.5% Age, SES, Gender and social desirability CTQ–SF, 28 item questionnaire (Bernstein et al., 1994) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score

Social Information Processing-Attribution and Emotional Response Questionnaire (SIP-AEQ; Coccaro et al. 2009)

Subscales:

Hostile Attribution Biases (HAB), Negative Emotional Responses (NER)

Social Information Processing (SIP) & Negative emotion perception bias

HAB x:

CTQ total (r = 0.18, p < 0.001),

Physical abuse (r = 0.10, p < 0.001),

Emotional abuse (r = 0.16, p < 0.001)

NER x:

CTQ total (r = 0.10, p < 0.001),

Physical abuse (r = 0.02, p > 0.05),

Emotional abuse (r = 0.13, p < 0.001)

Retrospective
Dayton et al., (2016) All pregnant women. The majority of participants were single, either Caucasian or African American and were recruited through fliers at public locations and agencies serving low income families 120 26 (5.7) 100% None reported CTQ −28-items (D. Bernstein & Fink, 1998) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score The Infant Facial Expressions of Emotion from Looking At Pictures (IFEEL) task—30 pictures (Emde et al.,1993) Emotion recognition – Negative emotion perception bias

IFEEL total x CTQ subdomains:

EA: (r = 0.12, p > 0.05),

PA: (r = −0.02, p > 0.05),

SA: (r = 0.11, p > 0.05),

EN: (r = 0.16, p > 0.05),

PN: (r = 0.05, p > 0.05)

Longitudinal design with ELA measured retrospectively
English et al., (2018) All female undergraduate university students 126 18.98 100% None reported CTQ-SF, 25 item questionnaire (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Images obtained from the Cohn-Kanade Facial Expression database (Kanade, Cohn, & Tian, 2000). A total of 80 target images were presented to each participant identical to those used by Pollak et al. (2009) Emotion recognition – Amount of information required to accurately identify emotion

CTQ total (low cognitive load condition) x:

ER total: (r = −0.06, p > 0.05),

Fear: (r = −0.09, p > 0.05),

Anger: (r = −0.05, p > 0.05)

Retrospective
Hartling et al., (2019) Recruited from general population in Germany, representing the middle range of SES and are of European descent 170 43.2 (19.9) 44% Age, gender and IQ CTQ (German version)—28 item questionnaire (Bernstein and Fink, 1998) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Novel facial emotion recognition, developed in alignment with ‘Face Puzzle Explicit’ task (Kliemann et al., 2013) Facial emotion recognition—Percentage correctly identified CTQ total x ER total: (β = −0.095, p = 0.181) Retrospective
iRELATE Corley et al., (2024) Recruited via advertisements in local and national media in Ireland 177 36.19 (12.36) 42% None included in association of interest CTQ—28 item questionnaire (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect and sexual abuse Emotion Recognition Task—Short version from CANTAB (Robbins et al., 1994) Emotion recognition

Unstandardised regression coefficients

ERT Total x physical neglect, B = 0.044, p = 0.057

Retrospective
iRELATE Rokita et al., (2021) Recruited via advertisements in local and national media Ireland. All participants were Caucasian 116 35.01 (11.72) 44.8% Age and years of education CTQ—25 item questionnaire with rescaled cut‐off scores (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect and sexual abuse

RMET (Baron-Cohen et al., 2001),

The Hinting Task (Corcoran, Mercer, & Frith, 1995), Emotion Recognition Task (ERT; Robbins et al., 1994)

Theory of mind, Emotion recognition

Unstandardised regression coefficients

ERT total and neglect (B =  − 3.34, t(113) =  − 1.98, p = 0.049),

Physical neglect and the recognition of disgust (B =  − 1.28, t(113) =  − 1.96, p = 0.052)

Retrospective
Kopera et al., (2020) People presenting to general practitioner (GP) for treatment of an infection, medical device or prophylactic examination 172 39.65 (10.34) 16.9% None included in correlation of interest CTQ-SF (Polish version)—28 item questionnaire (Bernstein et al., 1994) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score RMET Polish version—36 different faces (Baron-Cohen et al., 2001) Theory of mind

CTQ Emotional abuse/neglect x:

RMET Negative (r = 0.001, p > 0.05),

RMET Positive (r = −0.23, p < 0.05),

RMET Neutral (r = −0.1, p > 0.05),

Retrospective
Krammer et al., (2016) All older adults from the Swiss-German part of Switzerland with a history of child labour or being in foster care 116 77 (7.1) 40.5% None included in correlation of interest CTQ (German version)—25 item questionnaire (Bernstein & Fink, 1998) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Social Acknowledgement Questionnaire (SAQ; Maercker & Müller, 2004), Disclosure of Trauma Questionnaire (DTQ; Müller & Maercker, 2006)

Social Acknowledgement as a trauma victim,

Disclosure of Trauma

CTQ total x:

Social Acknowledgement (r = −0.30, p = 0.001),

Dysfunctional disclosure (r = 0.25, p < 0.008)

Retrospective
Lee et al., (2019) Recruited via online notices in three colleges in Daegu, Korea. All participants received financial payment for their participation 201 23.67 (2.76) 59.7% None included in correlation of interest CTQ-SF (Korean version) – 28 item questionnaire (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004) Emotional awareness and emotional clarity

CTQ total x:

Lack of emotional awareness (r = 0.42, p < 0.001), Lack of emotional clarity (r = 0.28, p < 0.001)

Retrospective
Liu et al., (2023) Han Chinese population 134 Median age of 31 68.66% Age, gender and education CTQ-SF (Chinese version) – 28 item questionnaire (Bernstein & Fink, 1998; He et al., 2019) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score

TAS-20 (Bagby et al., 1994),

The Facial Emotion Recognition Test (Gong et al., 2011), The Interpersonal Reactivity Index–C (IRI; Davis, 1983)

Alexithymia, Recognising facial emotions—percentage correctly identified

CTQ total x:

TAS-20 total (r = 0.21, p = 0.016),

TAS subscale DIF (Difficulty identifying feelings; r = 0.219, p = 0.012), Recognizing neutral facial emotions (r =  − 0.4, p < 0.001)

Retrospective
Nweze et al., (2023) Participants were recruited through the Avon Longitudinal Study of Parents and Children (ALSPAC) in England, United Kingdom 2965 All 24 years old 62.1% Multivariate regression model controlled the effects of shared variance between the 11 adversity measures Novel self report questionnaire examining 11 subdomains of childhood adversity reported by parents of children between 0–8 years old Physical abuse, sexual abuse, inconsistent caregiving, family instability, caregivers abuse, maternal psychopathology, maternal victimization, parental legal problems, parental separation/divorce, financial distress, neighbourhood stress Emotion Recognition Task (Penton-Voak et al., 2012) Emotion recognition – Percentage correctly identified

Emotion Recognition total x:

Physical abuse (r = 0.02, p > 0.05),

Sexual abuse (r = −0.06, p < 0.01),

Inconsistent caregiving (r = 0.07, p < 0.001),

Family instability (r = 0.01, p > 0.05),

Caregivers abuse (r = 0.01, p > 0.05),

Maternal psychopathology (r = 0.00, p > 0.05),

Maternal victimization (r = −0.02, p > 0.05),

Parental legal problems (r = −0.03, p > 0.05),

Parental separation/divorce (r = 0.02, p > 0.05),

Financial distress (r = −0.03, p > 0.05),

Neighbourhood stress (r = 0.00, p > 0.05)

Longitudinal design with ELA measured retrospectively
Seitz et al., (2022) Healthy volunteers recruited via advertisements in Germany 35 29.34 (9.69) 80% None included in correlation of interest CTQ (German version)—28 item questionnaire (Bernstein et al., 2003; Klinitzke et al., 2012) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Multiple-choice version of the Movie for the Assessment of Social Cognitionn (MASC; Dziobek et al., 2006) Theory of mind

MASC total x:

CTQ total (r = −0.12, p > 0.05)

Retrospective
Terock et al., (2020)

Large general population sample comprising of Caucasians residing in Pomerania, north-eastern Germany

(Study of Health in Pomerania; SHIP)

SHIP‐LEGENDE 1916

SHIP-TREND 3658

SHIP‐LEGENDE

55 (13.7)

SHIP-TREND 51 (15.2)

SHIP‐LEGENDE 53%

SHIP-TREND 51%

Age, sex, education, lifetime diagnosis of MDD CTQ (German version)—34 item questionnaire (Bernstein & Fink, 1998; Wingenfeld et al., 2010) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Toronto Alexithymia Scale 20 (TAS-20; Bach et al., 1996, Bagby et al., 1994) Alexithymia

Unstandardised regression coefficients

TAS-20 x:

SHIP-LEGENDE Neglect (B = 2.88, p < 0.001),

SHIP-TREND Neglect (B = 3.21, p < 0.001)

Retrospective
TestMyBrain Germine et al., (2015) Recruited online at TestMyBrain.org, predominantly individuals from the United States (US)

RMET 2242

QSFDT 1504

RMET 32.7 (13.3)

QSFDT 33.5 (13.7)

RMET 66%

QSFDT 69%

No covariates included in reported outcomes

TestMyBrain Childhood Experiences Questionnaire

25 Item questionnaire adapted from the Conflicts Tactic Scale, the Composite International Diagnostic Interview and Adverse Childhood Experiences (ACE) Scale

Parental maltreatment, parental maladjustment, neglect, sexual abuse/institutional care

RMET (Baron-Cohen et al., 2001),

Queen Square Face Discrimination Test (Garrido et al., 2009; Germine & Hooker, 2011)

Theory of Mind,

Emotion recognition – Identifying the correct emotion

RMET total x

Parental Maltreatment: (β = −0.061, p = 0.004),

Parental Maladjustment: (β = −0.076, p = 0.000),

Neglect: (β = −0.019, p = 0.362),

Sexual Abuse/Institutionalisation: (β = −0.045, p = 0.031)

QSFDT Test (Emotion Identification) x

Parental Maltreatment: (β = −0.048, p = 0.049),

Parental Maladjustment: (β = 0.011, p = 0.670),

Neglect: (β = 0.005, p = 0.832),

Sexual Abuse/Institutionalisation: (β = −0.037, p = 0.127)

Retrospective
TestMyBrain Peterson et al., (2022) Native English speakers only recruited online 2200

Young adults

41.8% aged 18–25

66.3% Sex (Male/Female), age (Years), ethnicity (Hispanic, White, Black, Other), educational attainment, parents educational attainment, relative SES

TestMyBrain Childhood Experiences Questionnaire

25 Item questionnaire adapted from the Conflicts Tactic Scale, the Composite International Diagnostic Interview and Adverse Childhood Experiences (ACE) Scale

Childhood maltreatment and interpersonal loss REMT—36 pictures (Baron-Cohen et al., 2001) Theory of mind

RMET x:

Any trauma (β = −0.34 [−0.84, 0.17], p = 0.189),

Maltreatment (β = −0.21 [−0.66, 0.25], p = 0.369),

Interpersonal loss (β = −0.25 [−0.61, 0.10], p = 0.170), Physical abuse (β = −0.06 [−0.42, 0.30], p = 0.740), Sexual abuse (β = −0.31 [−0.75, 0.14], p = 0.175)

Retrospective
Turner et al., (2022) Recruited through social media and Facebook advertisements 197 37.5 (13.7) 57% None included in correlation of interest CTQ-SF—28 item questionnaire (Bernstein et al., 2013) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Computerised Director Task (Dumontheil et al., 2010) Theory of Mind

Unstandardised beta regression coefficients

CTQ total x TOM Performance (β = −0.0028, p = 0.0022)

Retrospective
Vaskinn et al., (2021) Healthy controls randomly selected from the official population registries in Oslo, Norway 70 29.4 (7.7) 40% None stated CTQ—28 item questionnaire (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse and aggregate childhood trauma score Movie for the Assessment of Social Cognition (MASC) Norwegian version (Dziobek et al., 2006) Theory of Mind

MASC total x:

CTQ total: (rs = −0.072,p = 0.562)

PA: (rs = 0.118, p = 0.334),

SA: (rs = 0.088, p = 0.471),

EA: (rs = 0.041, p = 0.739),

EN: (rs = −0.084, p = 0.495),

PN: (rs = 0.000, p = 0.9999)

Retrospective
Young & Widom, (2014) Abused/neglected children from juvenile and adult criminal arrest records in Midwestern metropolitan area of the USA 547 47.1 (3.45) 57.8% Age, Sex, Race and SES ELA was measured through examination of criminal and court records Physical abuse, physical neglect, sexual abuse and neglect International Affective Picture System (IAPS; Lang, Bradley, & Cuthbert, 2005) Emotion recognition – Correctly identifying emotional valence

Overall picture recognition accuracy x:

Abuse/neglect: (β = −0.11, p < 0.01, SE = 0.04, n = 547),

Physical abuse: (β = −0.08, p > 0.05, SE = 0.06, n = 294),

Sexual abuse: (β = −0.11, p > 0.05, SE = 0.06, n = 301)

Retrospective. ELA was measured through examination of criminal and court records
Zhao & Wu, (2022) Healthy adults recruited through online advertising from six Chinese universities 173 22.5 (2.2) 55% Age, sex, education, marital status, recent stressful life events, depression and anxiety levels, personality, cognitive reappraisal and expression inhibition strategy CTQ—28 item questionnaire (Bernstein et al., 2003) Physical abuse, physical neglect, emotional abuse, emotional neglect and sexual abuse and aggregate childhood trauma score International Affective Picture System (IAPS; lang et al., 2008) adapted for a Chinese population (Liu et al., 2009) Emotion perception – Identifying emotional dominance valence and arousal

CTQ total x

IAPS Emotion Score: (r = 0.595, p < 0.001),

Positive Valence: (β = 0.497, p < 0.001),

Negative Valence: (β = −0.590, p < 0.001),

Positive Dominance: (β = 0.424, p < 0.001),

Negative Dominance: (β = −0.541, p < 0.001),

Neutral Arousal: (β = −0.434, p < 0.001)

Retrospective

Sample: CHR Clinically High Risk of neuropsychiatric diagnosis, CHR-NT Clinically High Risk of neuropsychiatric diagnosis- Not Transitioned to a neuropsychiatric diagnosis, SHIP Study of Health in Pomerania, SHIP-LEGENDE Study of Health in Pomerania-Life Events and Gene–Environment Interaction in Depression, SHIP-TREND Study of Health in Pomerania, TREND cohort study. Covariates: IQ Intelligence Quotient, MDD Major Depressive Disorder, SES Socioeconomic status. Adversity Measure: ACE Adverse Childhood Experience, CECA-Q Childhood Experience of Care and Abuse questionnaire, CTQ Childhood Trauma Questionnaire, CTQ-SF Childhood Trauma Questionnaire—Short Form, ELA Early Life Adversity. Social Cognition Measures: CANTAB Cambridge Automated Neuropsychological Test Battery, DERS Difficulties in Emotion Regulation Scale, DFAR Degraded Facial Affect Recognition task, DTQ Disclosure of Trauma Questionnaire, ERT Emotion Recognition Task, HAB Hostile Attribution Biases (Subscale of SIP-AEQ), IAPS International Affective Picture System, IFEEL The Infant Facial Expressions of Emotion from Looking At Pictures, IRI Interpersonal Reactivity Index, MASC Movie for the Assessment of Social Cognition, NER Negative Emotional Responses (Subscale of SIP-AEQ), QSFDT Test Queen Square Face Discrimination Test, RMET Reading the Mind in the Eyes Task, SAQ Social Acknowledgement Questionnaire, SIP-AEQ Social Information Processing-Attribution and Emotional Response Questionnaire, TAS-20 The Toronto Alexithymia Scale. Social Cognition Domains Measured: SIP Social Information Processing. Associations/Correlations: ER Emotion Recognition, EA Emotional Abuse, EN Emotional Neglect, PA Physical Abuse, PN Physical Neglect, SA Sexual Abuse, B Unstandardised Regression Coefficient, β Beta Regression Coefficient, p P value, r Correlation Coefficient, rs Spearman’s Rho, SD Standard Deviation