scholarly journals Does Emotion Dysregulation Mediate the Relationship between Early Maltreatment and Later Substance Dependence? Findings of the CANSAS Study

2016 ◽  
Vol 22 (6) ◽  
pp. 292-300 ◽  
Author(s):  
Sebastian Wolff ◽  
Julia Holl ◽  
Malte Stopsack ◽  
Elisabeth A. Arens ◽  
Anja Höcker ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Childhood Maltreatment ◽  
Emotion Dysregulation ◽  
Substance Dependence ◽  
Hierarchical Regression ◽  
Childhood And Adolescence ◽  
Childhood Trauma Questionnaire ◽  
History Of ◽  
Physical Maltreatment ◽  
The Relationship

Background/Aims: Maltreatment in childhood and adolescence is a risk factor for substance use disorders (SUDs) in adulthood. This association has rarely been investigated in the light of emotion dysregulation. To fill this gap, this study examines emotion dysregulation and SUDs among adults with a history of early maltreatment. Methods: Comparison of emotion dysregulation in adults with a history of early abuse and neglect who developed either an SUD (n = 105) or no mental disorder (n = 54). Further, a mediation model for the association between the severity of early maltreatment and SUDs was tested. Participants completed research diagnostic interviews for psychopathology, the Difficulties in Emotion Regulation Scale, and the Childhood Trauma Questionnaire. Results: By using hierarchical regression techniques and mediational analyses controlling for age and gender, it was possible to provide evidence for the mediating role of emotion dysregulation between early emotional and physical maltreatment and later SUDs. Conclusions: Emotion dysregulation is a potential mechanism underlying the relationship between early emotional and physical maltreatment and the development of SUDs. In light of these findings, focusing on the early training of adaptive emotion regulation strategies after childhood maltreatment might be of considerable relevance to prevent the development of SUDs.

scholarly journals Link between History of Childhood Maltreatment and Emotion Dysregulation in Adults Suffering from Attention Deficit/Hyperactivity Disorder or Borderline Personality Disorder

Biomedicines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1469
Author(s):  
Eva Rüfenacht ◽  
Eléonore Pham ◽  
Rosetta Nicastro ◽  
Karen Dieben ◽  
Roland Hasler ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Emotion Dysregulation ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Emotion Reactivity ◽  
History Of ◽  
Regulation Strategies ◽  
The Relationship

Childhood maltreatment (CM) may have a long-term effect on emotion regulation. This study aimed to explore the relationship between CM and emotion dysregulation (ED) in a heterogeneous population. Four hundred seventy French-speaking outpatients (N = 279 ADHD, N = 70 BPD, N = 60 ADHD + BPD, N = 61 clinical controls) completed the Emotion Reactivity Scale (ERS), the Cognitive Emotional Regulation Questionnaire (CERQ), the Childhood Trauma Questionnaire (CTQ), and the Relationship Scales Questionnaire (RSQ). Reports of childhood maltreatment experiences were significantly associated with increased levels of emotion reactivity in all our groups and in the whole population, with a greater use of non-adaptive cognitive emotion regulation strategies and insecure attachment patterns. Emotional abuse showed the strongest effect. Further analysis indicated that an anxious attachment style significantly mediated the relationship between CM and the use of non-adaptive cognitive emotion regulation strategies and emotion reactivity. The results of our study suggest an impact of CM on ED and a potentially marked effect of emotional abuse. They also indicate a potentially mediating role of insecure attachment in the relationship between a history of childhood abuse and emotion reactivity and a higher use of non-adaptive cognitive emotion regulation strategies in adulthood.

scholarly journals Body connection mediates the relationship between traumatic childhood experiences and impaired emotion regulation in borderline personality disorder

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Marius Schmitz ◽  
Katja Bertsch ◽  
Annette Löffler ◽  
Sylvia Steinmann ◽  
Sabine C. Herpertz ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Dysregulation ◽  
Body Awareness ◽  
Borderline Personality ◽  
The Body ◽  
Childhood Experiences ◽  
History Of ◽  
The Relationship

Abstract Background Previous studies revealed an association between traumatic childhood experiences and emotional dysregulation in patients with borderline personality disorder (BPD). However, possible mediating pathways are still not fully understood. The aim of the present study was to investigate the potential mediating role of body connection, describing the awareness of the relationship of bodily and mental states, for the association between a history of traumatic childhood experiences and BPD core symptomatology. Methods One-hundred-twelve adult female individuals with BPD and 96 healthy female controls (HC) were included. Impaired emotion regulation, traumatic childhood experiences, and BPD symptomatology were assessed with self-report questionnaires. The Scale of Body Connection was used to assess two dimensions of body connection, that is body awareness, describing attendance to bodily information in daily life and noticing bodily responses to emotions and/or environment and body dissociation, describing a sense of separation from one’s own body, due to avoidance or emotional disconnection. Mann-Whitney U tests were employed to test for group differences (BPD vs. HC) on the two SBC subscales and associations with clinical symptoms were analyzed with Spearman correlations. We performed mediation analyses in the BPD group to test the assumption that body connection could act as a mediator between a history of traumatic childhood experiences and emotion dysregulation. Results Individuals with BPD reported significantly lower levels of body awareness and significantly higher levels of body dissociation compared to HC. Body dissociation, traumatic childhood experiences, and emotion dysregulation were significantly positively associated. Further analyses revealed that body dissociation, but not body awareness, significantly and fully mediated the positive relationship between traumatic childhood experiences and impaired emotion regulation in the BPD sample. This mediation survived when trait dissociation, i.e., general dissociative experiences not necessarily related to the body, was statistically controlled for. Conclusion Certain dimensions of body connection seem to be disturbed in BPD patients, with body dissociation being an important feature linking a history of traumatic childhood experiences to current deficits in emotion regulation.

The interplay of childhood maltreatment and maternal depression in relation to the reward positivity in youth

2021 ◽  
pp. 1-11
Author(s):  
Jennifer H. Suor ◽  
Maria Granros ◽  
Alison E. Calentino ◽  
K. Luan Phan ◽  
Katie L. Burkhouse
Keyword(s):  
Childhood Maltreatment ◽  
Developmental Psychopathology ◽  
Event Related Potential ◽  
Childhood Trauma Questionnaire ◽  
Reward Responsiveness ◽  
Reward Positivity ◽  
Potential Component ◽  
History Of ◽  
Simple Slope ◽  
The Relationship

Abstract Guided by developmental psychopathology and dual-risk frameworks, the present study examined the interplay between childhood maltreatment and maternal major depression history in relation to neural reward responsiveness in youth. The sample consisted of 96 youth (ages 9–16; M = 12.29 years, SD = 2.20; 68.8% female) drawn from a large metropolitan city. Youth were recruited based on whether their mothers had a history of major depressive disorder (MDD) and were categorized into two groups: youth with mothers with a history of MDD (high risk; HR; n = 56) and youth with mothers with no history of psychiatric disorders (low risk; LR; n = 40). The reward positivity (RewP), an event-related potential component, was utilized to measure reward responsiveness and the Childhood Trauma Questionnaire measured childhood maltreatment. We found a significant two-way interaction between childhood maltreatment and risk group in relation to RewP. Simple slope analysis revealed that in the HR group, greater childhood maltreatment was significantly associated with reduced RewP. The relationship between childhood maltreatment and RewP was not significant among the LR youth. The present findings demonstrate that the association between childhood maltreatment and blunted reward responsiveness is dependent on whether offspring have mothers with histories of MDD.

scholarly journals A Conceptual Model of the Intergenerational Transmission of Emotion Dysregulation in Mothers with a History of Childhood Maltreatment

2020 ◽  
Vol 7 (1) ◽  
pp. 49-71
Author(s):  
Sarah J. Cabecinha-Alati ◽  
Rachel Langevin ◽  
Tina C. Montreuil
Keyword(s):  
Emotion Regulation ◽  
Conceptual Model ◽  
Intergenerational Transmission ◽  
Childhood Maltreatment ◽  
Emotion Dysregulation ◽  
Emotion Socialization ◽  
History Of Childhood ◽  
Parental Emotion ◽  
History Of ◽  
Parental Emotion Socialization

Objectives: Adults with a history of childhood maltreatment report problems with emotion regulation (ER) and parenting, which can contribute to maladaptive outcomes in offspring. The following narrative review consists of a theoretical and empirical synthesis of the literature examining child maltreatment, emotion regulation, and parenting, with an emphasis on parental emotion socialization. Method: Building upon the literature contained in the review, we developed a novel conceptual model that elucidates some of the mechanisms involved in the intergenerational transmission of emotion dysregulation among mothers with a history of childhood maltreatment. Taking into account risk and protective factors (e.g., socio-economic status, polyvictimization, teenage motherhood, access to social supports), our conceptual model highlights both direct (e.g., social learning) and indirect (e.g., ER difficulties) mechanisms through which child maltreatment contributes to problems with parental emotion socialization and ER difficulties in the next generation. Implications: Directions for future research and implications for intervention will be discussed with an emphasis on preventing the continuity of maladaptive parenting by promoting the development of parents’ ER abilities in a trauma-informed, resilience-focused framework.

Roles of Psychological Distress and Social Support in the Relationship Between Childhood Maltreatment and Perceived Needs for Mental Health Care

2021 ◽  
pp. 088626052110063
Author(s):  
Tingting Gao ◽  
Songli Mei ◽  
Muzi Li ◽  
Carl D’ Arcy ◽  
Xiangfei Meng
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Care ◽  
Psychological Distress ◽  
Mental Health Care ◽  
Childhood Maltreatment ◽  
Perceived Needs ◽  
Perceived Need ◽  
History Of ◽  
The Relationship

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.

scholarly journals Modulatory effects of dynamic fMRI-based neurofeedback on emotion regulation networks in adolescent females

2018 ◽  
Author(s):  
Catharina Zich ◽  
Nicola Johnstone ◽  
Michael Lührs ◽  
Stephen Lisk ◽  
Simone P W Haller ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
State Anxiety ◽  
Adolescent Females ◽  
Anterior Cingulate ◽  
Childhood And Adolescence ◽  
Functional Magnetic Resonance ◽  
Thought Control ◽  
Excitatory Neurotransmitters ◽  
The Relationship ◽  
Thought Control Ability

ABSTRACTResearch has shown that difficulties with emotion regulation abilities in childhood and adolescence increase the risk for developing symptoms of mental disorders, e.g anxiety. We investigated whether functional magnetic resonance imaging (fMRI)-based neurofeedback (NF) can modulate brain networks supporting emotion regulation abilities in adolescent females.We performed three studies (total N=63). We first compared different NF implementations regarding their effectiveness of modulating prefrontal cortex (PFC)-amygdala functional connectivity (fc). Further we assessed the effects of fc-NF on neural measures, emotional/metacognitive measures and their associations. Finally, we probed the mechanism underlying fc-NF by examining concentrations of inhibitory and excitatory neurotransmitters.Results showed that NF implementations differentially modulate PFC-amygdala fc. Using the most effective NF implementation we observed important relationships between neural and emotional/metacognitive measures, such as practice-related change in fc was related with change in thought control ability. Further, we found that the relationship between state anxiety prior to the MRI session and the effect of fc-NF was moderated by GABA concentrations in the PFC and anterior cingulate cortex.To conclude, we were able to show that fc-NF can be used in adolescent females to shape neural and emotional/metacognitive measures underlying emotion regulation. We further show that neurotransmitter concentrations moderate fc-NF-effects.

Emotion Regulation and Attention Deficit Hyperactivity Disorder

2017 ◽  
pp. 113-128
Author(s):  
Blossom Fernandes ◽  
Roseann Tan-Mansukhani ◽  
Cecilia A. Essau
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Emotion Regulation ◽  
Executive Functions ◽  
Attention Deficit ◽  
Emotion Dysregulation ◽  
Clinical Implications ◽  
Emotional States ◽  
Hyperactivity Disorder ◽  
Prefrontal Cortical ◽  
The Relationship

Chapter 6 describes emotion dysregulation features which are associated with children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD). In ADHD adaptive emotion regulation processes are impaired; this negatively impacts the individual’s ability to flexibly select, attend, and appraise emotionally evocative stimuli. This is identified as emotion dysregulation, which occurs when individuals fail to alter emotional states that affect behaviours necessary for achieving one’s goals. This review also examines the relationship between executive functions and emotion dysregulation in ADHD. Successful modulation of emotion occurs as a result of intact executive functions; however, ADHD is characterized by poor executive functions as a result of deficits in the prefrontal cortical networks. Along with describing neural mechanisms associated with ADHD, this review also focuses on the development of emotion dysregulation, clinical implications and current interventions.

scholarly journals Family history of alcohol use disorder is associated with brain structural and functional changes in healthy first-degree relatives

2019 ◽  
Vol 62 ◽  
pp. 107-115 ◽  
Author(s):  
Irina Filippi ◽  
Nicolas Hoertel ◽  
Eric Artiges ◽  
Guillaume Airagnes ◽  
Christophe Guérin-Langlois ◽  
...  
Keyword(s):  
Family History ◽  
Alcohol Use ◽  
Childhood Maltreatment ◽  
Alcohol Use Disorder ◽  
Grey Matter ◽  
Brain Regions ◽  
Whole Brain ◽  
Childhood Trauma Questionnaire ◽  
Functional Changes ◽  
History Of

Abstract Background: Neuroimaging studies of vulnerability to Alcohol Use Disorder (AUD) have identified structural and functional variations which might reflect inheritable features in alcohol-naïve relatives of AUD individuals (FH+) compared to controls having no such family history (FH-). However, prior research did not simultaneously account for childhood maltreatment, any clinically significant disorder and maternal AUD. Therefore, we mainly aimed to investigate the brain structure and reward-related neural activations (fMRI), using whole-brain analysis in FH+ young adults with no prevalent confounders. Methods: 46 FH+ and 45 FH- male and female participants had no severe childhood maltreatment exposure, neither any psychiatric disorder or AUD, nor a prenatal exposure to maternal AUD. We used a 3 T MRI coupled with a whole brain voxel-based method to compare between groups the grey matter volumes and activations in response to big versus small wins during a Monetary Incentive Delay task. The Childhood Trauma Questionnaire score was used as confounding variable in the analyses to account for the remaining variance between groups. Results: Compared to FH- controls, FH+ participants had smaller grey matter volumes in the frontal and cingulate regions as well as in the bilateral nucleus accumbens and right insula. The FH+ participants’ fMRI datasets denoted a blunted activation in the middle cingulum with respect to FH- controls’ during the processing of reward magnitude, and a greater activation in the anterior cingulum in response to anticipation of a small win. Conclusions: Family history of alcohol use disorder is linked to structural and functional variations including brain regions involved in reward processes.

Childhood maltreatment modifies the relationship of depression with hippocampal volume

2015 ◽  
Vol 45 (16) ◽  
pp. 3517-3526 ◽  
Author(s):  
L. Gerritsen ◽  
L. van Velzen ◽  
L. Schmaal ◽  
Y. van der Graaf ◽  
N. van der Wee ◽  
...  
Keyword(s):  
Childhood Maltreatment ◽  
Hippocampal Volume ◽  
Diagnostic Interview ◽  
Analysis Of Covariance ◽  
Intracranial Volume ◽  
Mr Images ◽  
History Of ◽  
Relationship Of ◽  
The Impact ◽  
The Relationship

Background.Childhood maltreatment (CM) may modify the relationship between major depressive disorder (MDD) and hippocampal volume reduction. To disentangle the impact of MDD and CM on hippocampal volume we investigated the association between MDD and hippocampal volume in persons with and without a history of CM in two independent cohorts.Method.We used data of 262 participants from the Netherlands Study of Depression and Anxiety (NESDA) (mean age 37 years, 32% male) and 636 participants from the SMART-Medea study (mean age 61 years, 81% male). In both studies a 12-month diagnosis of MDD and CM were assessed using a diagnostic interview. Hippocampal volume was measured in NESDA using FreeSurfer software on 3-T magnetic resonance (MR) images and in SMART it was manually outlined on 1.5-T MR images. With analysis of covariance adjusted for intracranial volume, age, gender and lifestyle factors we estimated the effects of MDD and CM on hippocampal volume.Results.In both cohorts CM was not significantly associated with hippocampal volume. After pooling the data MDD was associated with smaller hippocampal volume (B = −138.90 mm3, p = 0.05) and the interaction between MDD and CM reached significance (p = 0.04); in participants with CM, MDD was related to smaller hippocampal volume (NESDA: B = −316.8 mm3, p = 0.02; SMART: B = −407.6, p = 0.046), but not in participants without CM (p > 0.05).Conclusions.Our study shows that in two independent cohorts, particularly in individuals with CM, a diagnosis of MDD is related to smaller hippocampal volume. Prospective studies are needed to further determine through which mechanism CM may amplify the relationship between MDD and hippocampal volume.

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