Abstract
This study investigated the relationship between emotion regulation deficits and posttraumatic symptomatology (PTS), internalizing, and externalizing behavior problems in a sample of 46 maltreated children recruited through the Healthy Coping Program (Muller & Di Paolo, 2008), prior to treatment. Caregivers rated their child using the Emotion Regulation Checklist, the Trauma Symptom Checklist for Young Children, and the Child Behavior Checklist. Problems in emotion regulation were conceptualized on two dimensions: poor emotion understanding and emotion dysregulation. Analyses revealed that both dimensions were significantly related to overall PTS and internalizing behavior problems; however, only emotion dysregulation was significantly related to externalizing problems.
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Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth and Families.
Alink, L. R. A., Cicchetti, D., Kim, J., & Rogosch, F. A. (2009). Mediating and moderating processes in the relation between maltreatment and psychopathology: Mother-child relationship quality and emotion regulation. Journal of Abnormal Child Psychopathology, 37, 831–843. doi:10.1007/s10802-009-9314-4
Alink, L. R. A., Cicchetti, D., Kim, J., & Rogosch, F. A. (2012). Longitudinal associations among child maltreatment, social functioning, and cortisol regulation. Developmental Psychopathology, 48, 224–236. doi:10.1037/a0024892
American Academy of Child and Adolescent Psychiatry (AACAP). (1998). Summary of the practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 37(11), 1234–1238. doi:10.1097/00004583-199811000-00028
Barnett, D., Manly, J. T., & Cicchetti, D. (1991). Continuing toward an operational definition of psychological maltreatment. Development and Psychopathology, 3, 19–29. doi:10.1017/S0954579400005046
Barrett, K. C., & Campos, J. J. (1987). Perspectives on emotional development II: A functionalist approach to emotions. Oxford, England: John Wiley & Sons.
Blishen, B. R., Carroll, W. K., & Moore, C. (2008). The 1981 socioeconomic index for occupations in Canada. Canadian Review of Sociology/Revue canadienne de sociologie, 24, 465–488. doi:10.1111/j.1755-618X.1987.tb00639.x
Bradley, S. J. (2000). Affect regulation and the development of psychopathology. New York, NY: Guilford Press.
Briere, J. (2005). Trauma Symptom Checklist for Young Children: Professional manual. Lutz, FL: Psychological Assessment Resources.
Briere, J., Johnson, K., Bissada, A., Damon, L., Crouch, J., Gil, E., & Ernst, V. (2001). The trauma symptom checklist for young children (TSCYC): Reliability and association with abuse exposure in a multi-site study. Child Abuse & Neglect, 25, 1001–1014. doi:10.1016/S0145-2134(01) 00253-8
Casey, R. J. (1996). Emotional competence in children with externalizing and internalizing disorders. In M. Lewis & M. W. Sullivan (Eds.), Emotional development in atypical children (pp. 161–183). Mahwah, NJ: Lawrence Erlbaum Associates.
Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1–10. doi:10.1017/S0954579400006301
Cicchetti, D., Ganiban, J., & Barnett, D. (1991). Contributions from the study of high-risk populations to understanding the development of emotion regulation. In J. Garber & K. A. Dodge (Eds.), The development of emotion regulation and dysregulation (pp. 15–48). New York, NY: Cambridge University Press.
Cohen, J. A. (1998). Practice parameters for the assessment and treatment of children and adolescents with posttraumatic stress disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 37(Supp. 10), 4S–26S. doi:10.1097/00004583-00002
Cole, P. M., & Zahn-Waxler, C. (1992). Emotional dysregulation in disruptive behavior disorders. In D. Cicchetti, & S. L. Toth (Eds.), Developmental perspectives on depression: Rochester symposium on developmental psychopathology (Vol. 4, pp. 173–209). Rochester, NY: University of Rochester Press.
Cook-Cottone, C. (2004). Childhood posttraumatic stress disorder: Diagnosis, treatment, and school reintegration. School Psychology Review, 33, 127–139.
Dalgleish, T., Rolfe, J., Golden, A., Dunn, B. D., & Barnard, P. J. (2008). Reduced autobiographical memory specificity and posttraumatic stress: Exploring the contributions of impaired executive control and affect regulation. Journal of Abnormal Psychology, 117, 236–241. doi:10.1037/0021-843X.117.1.236
De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131, 483–509. doi:10.1037/0033-2909.131.4.483
Eisenberg, N., Cumberland, A., Spinrad, T. L., Fabes, R. A., Shepard, S. A., Reiser, M., &Guthrie, I. K. (2001). The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Development, 72, 1112–1134. doi:10.1111/1467-8624.00337
Eisenberg, N., Fabes, R. A., Guthrie, I. K., Murphy, B. C., Maszk, P., Holmgren, R., & Suh, K. (1996). The relations of regulation and emotionality to problem behavior in elementary school children. Development and Psychopathology, 8, 141–162. doi:10.1017/S095457940000701X
Erickson, M. F., & Egeland, B. (1987). A developmental view of the psychological consequences of maltreatment. School Psychology Review, 16, 156–168.
Finkelhor, D., Hamby, S. L., Ormrod, R., & Turner, H. (2005). The juvenile victimization questionnaire: Reliability, validity, and national norms. Child Abuse & Neglect, 29, 383–412. doi:10.1016/j.chiabu.2004.11.001
Finkelhor, D., Ormrod, R., Turner, H., & Hamby, S. L. (2005). The victimization of children and youth: A comprehensive, national survey. Child Maltreatment, 10, 5–25. doi:10.1177/1077559504271287
Frewen, P., Lane, R. D., Neufeld, R. W. J., Densmore, M., Stevens, T., & Lanius, R. (2008). Neural correlates of levels of emotional awareness during trauma script-imagery in posttraumatic stress disorder. Psychosomatic Medicine, 70, 27–31. doi:10.1002/jts.20284
Garber, J., Braafladt, N., & Zeman, J. (1991). The regulation of sad affect: An information-processing perspective. In J. Garber, & K. A. Dodge (Eds.), The development of emotion regulation and dysregulation (pp. 208–240). New York, NY: Cambridge University Press.
Higgins, D. J., & McCabe, M. P. (2001). The development of the comprehensive child maltreatment scale. Journal of Family Studies, 7, 7–28. doi:10.5172/jfs.7.1.7
Hopper, J. W., Frewen, P. A., van der Kolk, B. A., & Lanius, R. A. (2007). Neural correlates of reexperiencing, avoidance, and dissociation in PTSD: Symptom dimensions and emotion dysregulation in responses to script-driven trauma imagery. Journal of Traumatic Stress, 20, 713–725. doi:10.1002/jts.20284
Horowitz, M. J. (1991). Emotionality and schematic control processes. In M. J. Horowitz (Ed.), Person schemas and maladaptive interpersonal patterns (pp. 413–423). Chicago, IL: University of Chicago Press.
Ito, Y., Teicher, M. H., Glod, C. A., & Ackerman, E. (1998). Preliminary evidence for aberrant cortical development in abused children: A quantitative EEG study. Journal of Neuropsychiatry & Clinical Neurosciences, 10, 298–307.
Katz, L. F., & Gottman, J. M. (1991). Marital discord and child outcomes: A social psychophysiological approach. In J. Garber & K. A. Dodge (Eds.), The development of emotion regulation and dysregulation. (pp. 129–155). New York, NY: Cambridge University Press.
Keenan, K. (2000). Emotion dysregulation as a risk factor for child psychopathology. Clinical Psychology: Science and Practice, 7, 418–434. doi:10.1093/clipsy/7.4.418
Kirsch, A., & Brunnhuber, S. (2007). Facial expression and experience of emotions in psychodynamic interviews with patients with PTSD in comparison to healthy subjects. Psychopathology, 40, 296–302. doi:10.1159/000104779
Kopp, C. B. (1989). Regulation of distress and negative emotions: A developmental view. Developmental Psychology, 25, 343–354. doi:10.1037/0012-1649.25.3.343
LeDoux, J. E. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York, NY: Simon & Schuster.
Lipschitz, D. S., Morgan III., C. A. & Southwick, S. M. (2002). Neurobiological disturbances in youth with childhood trauma and in youth with conduct disorder. Journal of Aggression, Maltreatment & Trauma, 6, 149–174. doi: 10.1300/J146v06n01_08
Marsee, M. A. (2008). Reactive aggression and posttraumatic stress in adolescents affected by hurricane Katrina. Journal of Clinical Child and Adolescent Psychology, 37, 519–529. doi:10.1080/15374410802148152
Marsee, M. A., & Frick, P. J. (2007). Exploring the cognitive and emotional correlates to proactive and reactive aggression in a sample of detained girls. Journal of Abnormal Child Psychology, 35, 969–981. doi:10.1007/s10802-007-9147-y
Miller, M. W., & Litz, B. T. (2004). Emotional-processing in posttraumatic stress disorder II: Startle reflex modulation during picture processing. Journal of Abnormal Psychology, 113, 451–463. doi:10.1037/0021-843X.113.3.451
Muller, R. T., & Di Paolo, M. A. (2008). The Healthy Coping Program for Maltreated Children. Ottawa, Ontario, Canada: Provincial Centre of Excellence, Child & Youth Mental Health at CHEO.
Orsillo, S. M., Batten, S. V., Plumb, J. C., Luterek, J. A., & Roessner, B. M. (2004). An experimental study of emotional responding in women with posttraumatic stress disorder related to interpersonal violence. Journal of Traumatic Stress, 17, 241–248. doi:10.1023/B:JOTS.0000029267.61240.94
Perlman, S. B., Kalish, C. W., & Pollak, S. D. (2008). The role of maltreatment experience in children’s understanding of the antecedents of emotion. Cognition and Emotion, 22, 651–670. doi:10.1080/02699930701461154
Pynoos, R. S. (1994). Traumatic stress and developmental psychopathology in children and adolescents. In R. S. Pynoos (Ed.), Posttraumatic stress disorder: A clinical review (pp. 65–98). Baltimore, MD: The Sidran Press.
Saarni, C. (1999). The development of emotional competence. New York, NY: Guilford Press.
Shields, A., & Cicchetti, D. (1997). Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale. Developmental Psychology, 33, 906–916. doi:10.1037/0012-1649.33.6.906
Shields, A., & Cicchetti, D. (1998). Reactive aggression among maltreated children: The contributions of attention and emotion dysregulation. Journal of Clinical Child Psychology, 27, 381–395. doi:10.1207/s15374424jccp2704_2
Shields, A., Ryan, R. M., & Cicchetti, D. (2001). Narrative representations of caregivers and emotion dysregulation as predictors of maltreated children’s rejection by peers. Developmental Psychology, 37, 321–337. doi:10.1037//0012-1649.37.3.321
Shipman, K., Edwards, A., Brown, A., Swisher, L., & Jennings, E. (2005). Managing emotion in a maltreating context: A pilot study examining child neglect. Child Abuse & Neglect, 29, 1015–1029. doi:10.1016/j.chiabu.2005.01.006
Shipman, K. L., Schneider, R., Fitzgerald, M. M., Sims, C., Swisher, L., & Edwards, A. (2007). Maternal emotion socialization in maltreating and non-maltreating families: Implications for children’s emotion regulation. Social Development, 16, 268–285. doi:10.1111/j.1467-9507.2007.00384.x
Shipman, K. L., & Zeman, J. (2001). Socialization of children’s emotion regulation in mother-child dyads: A developmental psychopathology perspective. Development and Psychopathology, 13(2), 317–336. doi:10.1017/S0954579401002073
Shipman, K., Zeman, J., Penza, S., & Champion, K. (2000). Emotion management skills in sexually maltreated and nonmaltreated girls: A developmental psychopathology perspective. Development and Psychopathology, 12, 47–62. doi:10.1017/S0954579400001036
Siegler, R., Deloache, J., & Eisenberg, N. (2006). How children develop (2nd ed.). New York, NY: Worth.
Southam-Gerow, M. A., & Kendall, P. C. (2002). Emotion regulation and understanding: Implications for child psychopathology and therapy. Clinical Psychology Review, 22, 189–222. doi:10.1016/S0272-7358(01)00087-3
Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22, 249–270. doi:10.1016/S0145-2134(98)00095-7
Suveg, C., & Zeman, J. (2004). Emotion regulation in children with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33, 750–759. doi:10.1207/s15374424jccp3304_10
Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25–52. Retrieved from http://www.jstor.org/pss/1166137
Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38, 303–313. doi:10.1016/j.beth.2006.10.001
van der Kolk, Bessel A. (2007). The developmental impact of childhood trauma. In L. J. Kirmayer, R. Lemelson & M. Barad (Eds.), Foundation for psychocultural conference (pp. 224–241). New York, NY: Cambridge University Press.
Walcott, C. M., & Landau, S. (2004). The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 33, 772–782. doi:10.1207/s15374424jccp3304_12
Walsh, C., Jamieson, E., MacMillan, H., & Trocmé, N. (2004). Measuring child sexual abuse in children and youth. Journal of Child Sexual Abuse, 13, 39–68. doi:10.1300/J070v13n01_03
Waters, S. F., Virmani, E. A., Thompson, R. A., Meyer, S., Raikes, H. A., & Jochem, R. (2010). Emotion regulation and attachment: Unpacking two constructs and their association. Journal of Psychopathology and Behavioral Assessment, 32, 37–47. doi:10.1007/s10862-009-9163-z
Whalen, P. J., Rauch, S. L., Etcoff, N. L., McInerney, S. C., Lee, M. B., & Jenike, M. A. (1998). Masked presentations of emotional facial expressions modulate amygdala activity without explicit knowledge. Journal of Neuroscience, 18, 411–418. Retrieved from http://www.jneurosci.org/content/18/1/411.full
Wolfe, D. A., & McGee, R. (1991). Assessment of emotional status among maltreated children. In R. H. Starr Jr. & D. A. Wolfe (Eds.), The effects of child abuse and neglect: Issues and research (pp. 257–277). New York, NY: Guilford Press.
Zeman, J., Cassano, M., Perry-Parrish, C., & Stegall, S. (2006). Emotion regulation in children and adolescents. Journal of Developmental & Behavioral Pediatrics, 27, 155–168. doi:10.1097/00004703-200604000-00014
Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and sadness regulation: Predictions to internalizing and externalizing symptoms in children. Journal of Clinical Child and Adolescent Psychology, 31, 393–398. doi:10.10.1207/153744202760082658
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Muller, R.T., Vascotto, N.A., Konanur, S. et al. Emotion Regulation and Psychopathology in a Sample of Maltreated Children. Journ Child Adol Trauma 6, 25–40 (2013). https://doi.org/10.1080/19361521.2013.737441
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DOI: https://doi.org/10.1080/19361521.2013.737441