Leiden University Student Repository

Lugten, Julia (2026)

The Impact of Child Abuse on Depressive Symptoms and the Role of Emotion Regulation Training in Patients with Depression and a Recent History of Victimization

Master thesis | Psychology (MSc)

The prevalence of major depressive disorder (MDD) is growing worldwide, and experiencing violent victimization, especially during childhood, worsens its symptoms and raises the likelihood of being victimized again. This study assessed the impact of different forms of child abuse (physical, emotional, sexual) on depressive symptoms in patients with MDD and a recent history of victimization, and whether gender moderates this relationship. Additionally, it investigates whether Internet Emotion Regulation Training (iERT) as an addition to Treatment as Usual (TAU) can reduce emotion regulation difficulties and depressive symptoms in the same population. 153 patients filled in questionnaires and the hypotheses were tested by a hierarchical regression analysis and two repeated measure ANOVAs. Regarding the first research question, a significant association was found between depression and physical- and emotional child abuse, but not sexual abuse. This effect was not moderated by gender....Show moreThe prevalence of major depressive disorder (MDD) is growing worldwide, and experiencing violent victimization, especially during childhood, worsens its symptoms and raises the likelihood of being victimized again. This study assessed the impact of different forms of child abuse (physical, emotional, sexual) on depressive symptoms in patients with MDD and a recent history of victimization, and whether gender moderates this relationship. Additionally, it investigates whether Internet Emotion Regulation Training (iERT) as an addition to Treatment as Usual (TAU) can reduce emotion regulation difficulties and depressive symptoms in the same population. 153 patients filled in questionnaires and the hypotheses were tested by a hierarchical regression analysis and two repeated measure ANOVAs. Regarding the first research question, a significant association was found between depression and physical- and emotional child abuse, but not sexual abuse. This effect was not moderated by gender. Regarding the second research question, no significant effect was found of adding iERT to TAU on either emotion regulation difficulties or depressive symptoms.Show less

Major depressive disorder, (violent) victimization, child abuse, gender, emotion regulation difficulties, internet emotion regulation training

Author

Lugten, Julia

Faculty

Faculty of Social & Behavioural Sciences

Specialisation

Clinical Psychology

Supervisors

Emmelkamp, J.
Beurs, E. de

ECTS Credits

20

Language

en