Social Functioning in Individuals Affected by Childhood Maltreatment: Establishing a Research Agenda to Inform Interventions

Monique C. Pfaltz, Sarah L. Halligan, Shilat Haim-Nachum, Marie R. Sopp, Fredrik Åhs, Rahel Bachem, Eleonora Bartoli, Habte Belete, Tilahun Belete, Azi Berzengi, Daniel Dukes, Aziz Essadek, Naved Iqbal, Laura Jobson, Rachel Langevin, Einat Levy-Gigi, Antonia M. Lüönd, Chantal Martin-Soelch, Tanja Michael, Misari OeMiranda Olff, Deniz Ceylan, Vijaya Raghavan, Muniarajan Ramakrishnan, Vedat Sar, Georgina Spies, Dany Laure Wadji, Rachel Wamser-Nanney, Natalia E. Fares-Otero, Ulrich Schnyder, Soraya Seedat

Research output: Contribution to journalReview articlepeer-review

27 Scopus citations


Childhood maltreatment (CM) is linked to impairments in various domains of social functioning. Here, we argue that it is critical to identify factors that underlie impaired social functioning as well as processes that mediate the beneficial health effects of positive relationships in individuals exposed to CM. Key research recommendations are presented, focusing on: (1) identifying attachment-related alterations in specific inter- and intrapersonal processes (e.g., regulation of closeness and distance) that underlie problems in broader domains of social functioning (e.g., lack of perceived social support) in individuals affected by CM; (2) identifying internal (e.g., current emotional state) and external situational factors (e.g., cultural factors, presence of close others) that modulate alterations in specific social processes; and (3) identifying mechanisms that explain the positive health effects of intact social functioning. Methodological recommendations include: (1) assessing social processes through interactive and (close to) real-life assessments inside and outside the laboratory; (2) adopting an interdisciplinary, lifespan perspective to assess social processes, using multi-method assessments; (3) establishing global research collaborations to account for cultural influences on social processes and enable replications across laboratories and countries. The proposed line of research will contribute to globally develop and refine interventions that prevent CM and further positive relationships, which - likely through buffering the effects of chronic stress and corresponding allostatic load - foster resilience and improve mental and physical health, thereby reducing personal suffering and the societal and economic costs of CM and its consequences. Interventions targeting euthymia and psychological well-being are promising therapeutic concepts in this context.

Original languageEnglish
Pages (from-to)238-251
Number of pages14
JournalPsychotherapy and Psychosomatics
Issue number4
StatePublished - 1 Jul 2022

Bibliographical note

Publisher Copyright:
© 2022 The Author(s).


The preparation of this manuscript was supported by two grants from the Swiss National Science Foundation (S-86403-02 and 10001C_185356) to Monique C. Pfaltz. Natalia E. Fares-Otero was supported by CIBERSAM: Biomedical Research Networking Center for Mental Health Network, Spain, and by a scholarship provided by the German Academic Exchange Service DAAD: Deutscher Akademischer Austauschdienst (91629413).

FundersFunder number
CIBERSAM: Biomedical Research Networking Center for Mental Health Network
Deutscher Akademischer Austauschdienst France91629413
Deutscher Akademischer Austauschdienst
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen ForschungS-86403-02, 10001C_185356


    • Child abuse
    • Early interventions
    • Interpersonal relations
    • Social behavior
    • Social support


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