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Child Psychiatry & Human Development
Gepubliceerd in:

14-12-2014 | Original Article

Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation

Auteurs: Kelly E. Buckholdt, Nicole H. Weiss, John Young, Kim L. Gratz

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2015

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Abstract

Exposure to violence during adolescence is a highly prevalent phenomenon associated with a range of deleterious outcomes. Theoretical literature suggests that emotion dysregulation is one consequence of exposure to violence associated with the manifestation of posttraumatic stress symptoms (PTSS) and borderline personality (BP) pathology. Thus, the goal of the present study was to examine the mediating role of emotion dysregulation in the relation between exposure to violence and both PTSS and BP pathology in a sample of 144 adolescents (age 10- to 17-years; 51 % male; 55 % African American) admitted to a psychiatric residential treatment center. Exposure to violence was associated with greater emotion dysregulation, which, in turn, was associated with greater PTSS and BP pathology. Furthermore, emotion dysregulation mediated the associations between exposure to violence and both PTSS and BP pathology. Findings suggest the importance of assessing and treating emotion dysregulation among violence-exposed adolescents in psychiatric residential treatment.
vorige artikel Parents’ Prenatal Mental Health and Emotional, Behavioral and Social Development in Their Children
volgende artikel Longitudinal Assessment of Self-Harm Statements of Youth in Foster Care: Rates, Reporters, and Related Factors
Literatuur
1.
Finkelhor D, Turner HA, Shattuck A, Hamby SL (2013) Violence, crime, and abuse exposure in a national sample of children and youth: an update. JAMA Pediatr 167:1–8
2.
Kilpatrick DG, Saunders BE, Smith DW (2003) Youth victimization: prevalence and implications. National Institute of Justice, US Department of Justice, Washington
3.
Danese A, Moffitt TE, Harrington H et al (2009) Adverse childhood experiences and adult risk factors for age-related disease: depression, inflammation, and clustering of metabolic risk markers. Arch Pediatr Adolesc Med 163:1135–1143PubMedCentralCrossRefPubMed
4.
Widom CS, DuMont K, Czaja SJ (2007) A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up. Arch Gen Psychiatry 64:49–56CrossRefPubMed
5.
Christiansen EJ, Evans WP (2005) Adolescent victimization testing models of resiliency by gender. J Early Adolesc 25:298–316CrossRef
6.
Fowler PJ, Tompsett CJ, Braciszewski JM, Jacques-Tiura AJ, Baltes BB (2009) Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Dev Psychopathol 21:227–259CrossRefPubMed
7.
Lynch M (2003) Consequences of children’s exposure to community violence. Clin Child Fam Psychol Rev 6:265–274CrossRefPubMed
8.
Margolin G, Gordis EB (2000) The effects of family and community violence on children. Annu Rev Psychol 51:445–479CrossRefPubMed
9.
Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB (1995) Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 52:1048–1060CrossRefPubMed
10.
Breslau N, Chilcoat HD, Kessler RC, Davis GC (1999) Previous exposure to trauma and PTSD effects of subsequent trauma: results from the Detroit Area Survey of Trauma. Am J Psychiatry 156:902–907CrossRefPubMed
11.
Linehan MM (1993) Cognitive behavioral treatment of borderline personality disorder. Guilford Press, New York
12.
Sansone RA, Sansone LA (2007) Childhood trauma, borderline personality, and eating disorders: a developmental cascade. Eat Disord 15:333–346CrossRefPubMed
13.
Zanarini MC, Dubo ED, Lewis RE, Williams AA (1997) Childhood factors associated with the development of borderline personality disorder. American Psychiatric Press, Washington
14.
Kessler RC (2000) Posttraumatic stress disorder: the burden to the individual and to society. J Clin Psychiatry 61:4–14PubMed
15.
Van Asselt ADI, Dirksen CD, Arntz A, Severens JL (2007) The cost of borderline personality disorder: societal cost of illness in BPD-patients. Eur Psychiatry 22:354–361CrossRefPubMed
16.
Bornovalova MA, Hicks BM, Iacono WG, McGue M (2009) Stability, change, and heritability of borderline personality disorder traits from adolescence to adulthood: a longitudinal twin study. Dev Psychopathol 21:1335–1353PubMedCentralCrossRefPubMed
17.
Perkonigg A, Pfister H, Stein MB et al (2005) Longitudinal course of posttraumatic stress disorder and posttraumatic stress disorder symptoms in a community sample of adolescents and young adults. Am J Psychiatry 162:1320–1327CrossRefPubMed
18.
Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54CrossRef
19.
Gratz KL, Tull MT (2010) Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. In: Baer RA (ed) Assessing mindfulness and acceptance: illuminating the theory and practice of change. New Harbinger Publications, Oakland, pp 105–133
20.
Cloitre M, Miranda R, Stovall-McClough KC, Han H (2005) Beyond PTSD: emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behav Ther 36:119–124CrossRef
21.
Kim J, Cicchetti D (2010) Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. J Child Psychol Psychiatry 51:706–716PubMedCentralCrossRefPubMed
22.
Calkins SD (1994) Origins and outcomes of individual differences in emotion regulation. Monogr Soc Res Child Dev 59:53–72CrossRefPubMed
23.
Cole PM, Michel MK, Teti LO (1994) The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev 59:73–102CrossRefPubMed
24.
Thompson RA (1994) Emotion regulation: a theme in search of definition. Monogr Soc Res Child Dev 59:25–52CrossRefPubMed
25.
Cummings EM, El-Sheikh M, Kouros CD, Buckhalt JA (2009) Children and violence: the role of children’s regulation in the marital aggression–child adjustment link. Clin Child Fam Psychol Rev 12:3–15PubMedCentralCrossRefPubMed
26.
Davies PT, Cummings EM (1998) Exploring children’s emotional security as a mediator of the link between marital relations and child adjustment. Child Dev 69:124–139CrossRefPubMed
27.
Mennin DS, Heimberg RG, Turk CL, Fresco DM (2005) Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behav Res Ther 43:1281–1310CrossRefPubMed
28.
Hayes SC, Wilson KG, Gifford EV, Follette VM, Strosahl K (1996) Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol 64:1152–1168CrossRefPubMed
29.
Kooiman CG, van Rees Vellinga S, Spinhoven P, Draijer N, Trijsburg RW, Rooijmans HGM (2004) Childhood adversities as risk factors for alexithymia and other aspects of affect dysregulation in adulthood. Psychother Psychosom 3:107–116CrossRef
30.
McLaughlin KA, Hatzenbuehler ML (2009) Mechanisms linking stressful life events and mental health problems in a prospective, community-based sample of adolescents. J Adolesc Health 44:153–160PubMedCentralCrossRefPubMed
31.
McLaughlin KA, Hatzenbuehler ML, Hilt LM (2009) Emotion dysregulation as a mechanism linking peer victimization to internalizing symptoms in adolescents. J Consult Clin Psychol 77:894–904PubMedCentralCrossRefPubMed
32.
Schwartz D, Proctor LJ (2000) Community violence exposure and children’s social adjustment in the school peer group: the mediating roles of emotion regulation and social cognition. J Consult Clin Psychol 68:670–683CrossRefPubMed
33.
Frewen PA, Lanius RA (2006) Toward a psychobiology of posttraumatic self-dysregulation. Ann N Y Acad Sci 1071:110–124CrossRefPubMed
34.
Litz BT, Orsillo SM, Kaloupek D, Weathers F (2000) Emotional processing in posttraumatic stress disorder. J Abnorm Psychol 109:26–39CrossRefPubMed
35.
Tull MT, Barrett HM, McMillan ES, Roemer L (2007) A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther 38:303–313CrossRefPubMed
36.
Gratz KL, Tull MT, Baruch DE, Bornovalova MA, Lejuez CW (2008) Factors associated with co-occurring borderline personality disorder among inner-city substance users: the roles of childhood maltreatment, negative affect intensity/reactivity, and emotion dysregulation. Compr Psychiatry 49:603–615CrossRefPubMed
37.
Putnam KM, Silk KR (2005) Emotion dysregulation and the development of borderline personality disorder. Dev Psychopathol 17:899–925CrossRefPubMed
38.
Weiss NH, Tull MT, Anestis MD, Gratz KL (2013) The relative and unique contributions of emotion dysregulation and impulsivity to posttraumatic stress disorder among substance dependent inpatients. Drug Alcohol Depend 128:45–51PubMedCentralCrossRefPubMed
39.
Weiss NH, Tull MT, Viana AG, Anestis MD, Gratz KL (2012) Impulsive behaviors as an emotion regulation strategy: examining associations between PTSD, emotion dysregulation, and impulsive behaviors among substance dependent inpatients. J Anxiety Disord 26:453–458PubMedCentralCrossRefPubMed
40.
Bornovalova MA, Gratz KL, Daughters SB et al (2008) A multimodal assessment of the relationship between emotion dysregulation and borderline personality disorder among inner-city substance users in residential treatment. J Psychiatr Res 42:717–726CrossRefPubMed
41.
Gratz KL, Rosenthal MZ, Tull MT, Lejuez CW, Gunderson JG (2006) An experimental investigation of emotion dysregulation in borderline personality disorder. J Abnorm Psychol 115:850–855CrossRefPubMed
42.
Glenn CR, Klonsky ED (2009) Emotion dysregulation as a core feature of borderline personality disorder. J Pers Disord 23:20–28CrossRefPubMed
43.
Fossati A, Gratz KL, Maffei C, Borroni S (2013) Emotion dysregulation and impulsivity additively predict borderline personality disorder features in Italian nonclinical adolescents. Personal Mental Health 7:320–333CrossRef
44.
Gratz KL, Latzman RD, Tull MT, Reynolds EK, Lejuez CW (2011) Exploring the association between emotional abuse and childhood borderline personality features: the moderating role of personality traits. Behav Ther 42:493–508PubMedCentralCrossRefPubMed
45.
Gratz KL, Tull MT, Reynolds EK et al (2009) Extending extant models of the pathogenesis of borderline personality disorder to childhood borderline personality symptoms: the roles of affective dysfunction, disinhibition, and self- and emotion-regulation deficits. Dev Psychopathol 21:1263–1291PubMedCentralCrossRefPubMed
46.
Weiss NH, Tull MT, Lavender J, Gratz KL (2013) Role of emotion dysregulation in the relationship between childhood abuse and probable PTSD in a sample of substance abusers. Child Abuse Negl 37:944–954CrossRefPubMed
47.
Gaher RM, Hofman NL, Simons JS, Hunsaker R (2013) Emotion regulation deficits as mediators between trauma exposure and borderline symptoms. Cognit Ther Res 37:1–10CrossRef
48.
van Dijke A, Ford JD, van Son M, Frank L, van der Hart O (2013) Association of childhood-trauma-by-primary caregiver and affect dysregulation with borderline personality disorder symptoms in adulthood. Psychol Trauma Theory Res Pract Policy 5:217–224CrossRef
49.
American Psychological Association (2002) Developing adolescents: A reference for professionals. American Psychological Association, Washington, DC
50.
51.
Havens JF, Gudiño OG, Biggs EA, Diamond UN, Weis JR, Cloitre M (2012) Identification of trauma exposure and PTSD in adolescent psychiatric inpatients: an exploratory study. J Trauma Stress 25:171–178PubMedCentralCrossRefPubMed
52.
Muller RT, Goebel-Fabbri AE, Diamond T, Dinklage D (2000) Social support and the relationship between family and community violence exposure and psychopathology among high risk adolescents. Child Abuse Negl 24:449–464CrossRefPubMed
53.
Perez J, Venta A, Garnaat S, Sharp C (2012) The Difficulties in Emotion Regulation Scale: factor structure and association with nonsuicidal self-injury in adolescent inpatients. J Psychopathol Behav Assess 34:393–404CrossRef
54.
Schramm AT, Venta A, Sharp C (2013) The role of experiential avoidance in the association between borderline features and emotion regulation in adolescents. Personal Disord Theory Res Treat 4:138–144CrossRef
55.
Sharp C, Pane H, Ha C et al (2011) Theory of mind and emotion regulation difficulties in adolescents with borderline traits. J Am Acad Child Adolesc Psychiatry 50:563–573CrossRefPubMed
56.
Lipschitz DS, Winegar RK, Hartnick E, Foote B, Southwick SM (1999) Posttraumatic stress disorder in hospitalized adolescents: psychiatric comorbidity and clinical correlates. J Am Acad Child Adolesc Psychiatry 38:385–392CrossRefPubMed
57.
Zatzick DF, Grossman DC, Russo J et al (2006) Predicting posttraumatic stress symptoms longitudinally in a representative sample of hospitalized injured adolescents. J Am Acad Child Adolesc Psychiatry 45:1188–1195CrossRefPubMed
58.
Venta A, Kenkel-Mikelonis R, Sharp C (2012) A preliminary study of the relation between trauma symptoms and emerging BPD in adolescent inpatients. Bull Menninger Clin 76:130–146CrossRefPubMed
59.
Tolin DF, Foa EB (2006) Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull 132:959–992CrossRefPubMed
60.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DC
61.
62.
Singer MI, Anglin TM, yu Song L, Lunghofer L (1995) Adolescents’ exposure to violence and associated symptoms of psychological trauma. J Am Med Assoc 273:477–482CrossRef
63.
Neumann A, van Lier PA, Gratz KL, Koot HM (2010) Multidimensional assessment of emotion regulation difficulties in adolescents using the Difficulties in Emotion Regulation Scale. Assessment 17:138–149CrossRefPubMed
64.
Walpole B, Dettmer E, Morrongiello B, McCrindle B, Hamilton J (2011) Motivational Interviewing as an intervention to increase adolescent self-efficacy and promote weight loss: methodology and design. BMC Public Health 11:459PubMedCentralCrossRefPubMed
65.
Weinberg A, Klonsky ED (2009) Measurement of emotion dysregulation in adolescents. Psychol Assess 21:616–621CrossRefPubMed
66.
Gratz KL, Bornovalova MA, Delany-Brumsey A, Nick B, Lejuez CW (2007) A laboratory-based study of the relationship between childhood abuse and experiential avoidance among inner-city substance users: the role of emotional nonacceptance. Behav Ther 38:256–268CrossRefPubMed
67.
Vasilev CA, Crowell SE, Beauchaine TP, Mead HK, Gatzke-Kopp LM (2009) Correspondence between physiological and self-report measures of emotion dysregulation: a longitudinal investigation of youth with and without psychopathology. J Child Psychol Psychiatry 50:1357–1364CrossRefPubMed
68.
Foa EB, Johnson KM, Feeny NC, Treadwell KRH (2001) The Child PTSD Symptom Scale: a preliminary examination of its psychometric properties. J Clin Child Psychol 30:376–384CrossRefPubMed
69.
Ruscio AM, Ruscio J, Keane TM (2002) The latent structure of posttraumatic stress disorder: a taxometric investigation of reactions to extreme stress. J Abnorm Psychol 111:290–301CrossRefPubMed
70.
Forbes D, Haslam N, Williams BJ, Creamer M (2005) Testing the latent structure of posttraumatic stress disorder: a taxometric study of combat veterans. J Trauma Stress 18:647–656CrossRefPubMed
71.
Broman-Fulks JJ, Ruggiero KJ, Green BA et al (2006) Taxometric investigation of PTSD: data from two nationally representative samples. Behav Ther 37:364–380CrossRefPubMed
72.
Crick NR, Murray-Close D, Woods K (2005) Borderline personality features in childhood: a short-term longitudinal study. Dev Psychopathol 17:1051–1070CrossRefPubMed
73.
Morey LC (1991) The Personality Assessment Inventory professional manual. Psychological Assessment Resources, Odessa
74.
Muthén LK, Muthén BO (2004) Mplus Version 3.13. Muthen & Muthen, Los Angeles, CA
75.
Linehan MM, Schmidt H, Dimeff LA, Craft JC, Kanter J, Comtois KA (1999) Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. Am J Addict 8:279–292CrossRefPubMed
76.
Dimeff LA, Rizvi SL, Brown MZ, Linehan MM (2000) Dialectical behavior therapy for substance abuse: a pilot application to methamphetamine-dependent women with borderline personality disorder. Cogn Behav Pract 7:457–468CrossRef
77.
Safer DL, Telch CF, Agras WS (2001) Dialectical behavior therapy for bulimia nervosa. Am J Psychiatry 158:632–634CrossRefPubMed
78.
Telch CF, Agras WS, Linehan MM (2001) Dialectical behavior therapy for binge eating disorder. J Consult Clin Psychol 69:1061–1065CrossRefPubMed
79.
Lynch TR (2000) Treatment of elderly depression with personality disorder comorbidity using dialectical behavior therapy. Cogn Behav Pract 7:468–477CrossRef
80.
Lynch TR, Morse JQ, Mendelson T, Robins CJ (2003) Dialectical behavior therapy for depressed older adults: a randomized pilot study. Am J Geriatr Psychiatry 11:33–45CrossRefPubMed
81.
Harned MS, Korslund KE, Foa EB, Linehan MM (2012) Treating PTSD in suicidal and self-injuring women with borderline personality disorder: development and preliminary evaluation of a Dialectical Behavior Therapy Prolonged Exposure Protocol. Behav Res Ther 50:381–386PubMedCentralCrossRefPubMed
82.
Miller AL, Rathus JH, DuBose AP, Dexter-Mazza ET, Goldklang AR (2007) Dialectical behavior therapy for adolescents. Guilford Press, New York
83.
Fleischhaker C, Böhme R, Sixt B, Brück C, Schneider C, Schulz E (2011) Dialectical Behavioral Therapy for Adolescents (DBT-A): a clinical trial for patients with suicidal and self-injurious behavior and borderline symptoms with a one-year follow-up. Child Adolesc Psychiatry Ment Health 5:3PubMedCentralCrossRefPubMed
84.
Miller AL, Wyman SE, Huppert JD, Glassman SL, Rathus JH (2000) Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cogn Behav Pract 7:183–187CrossRef
85.
James AC, Taylor A, Winmill L, Alfoadari K (2008) A preliminary community study of Dialectical Behaviour Therapy (DBT) with adolescent females demonstrating persistent, deliberate self-harm (DSH). Child Adolesc Mental Health 13:148–152CrossRef
86.
James AC, Winmill L, Anderson C, Alfoadari K (2011) A preliminary study of an extension of a community dialectic behaviour therapy (DBT) programme to adolescents in the looked after care system. Child Adolesc Mental Health 16:9–13CrossRef
87.
Woodberry KA, Popenoe EJ (2008) Implementing dialectical behavior therapy with adolescents and their families in a community outpatient clinic. Cogn Behav Pract 15:277–286CrossRef
88.
Gratz KL, Gunderson JG (2006) Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behav Ther 37:25–35CrossRefPubMed
89.
Gratz KL, Tull MT (2011) Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personal Disord Theory Res Treat 2:316–326CrossRef
90.
Breslau N, Davis GC, Andreski P, Peterson EL, Schultz LR (1997) Sex differences in posttraumatic stress disorder. Arch Gen Psychiatry 54:1044–1048CrossRefPubMed
91.
Breslau N (2001) Gender differences in trauma and posttraumatic stress disorder. J Gend Specif Med 5:34–40
92.
Zanarini MC, Frankenburg FR, Reich DB, Marino MF, Haynes MC, Gunderson JG (1999) Violence in the lives of adult borderline patients. J Nerv Ment Dis 187:65–71CrossRefPubMed
93.
Bornovalova MA, Lejuez CW, Daughters SB, Rosenthal MZ, Lynch TR (2005) Impulsivity as a common process across borderline personality and substance use disorders. Clin Psychol Rev 25:790–812CrossRefPubMed
94.
Lemos-Miller A, Kearney CA (2006) Depression and ethnicity as intermediary variables among dissociation, trauma-related cognitions, and PTSD symptomatology in youths. J Nerv Ment Dis 194:584–590CrossRefPubMed
95.
Carlson EA, Egeland B, Sroufe LA (2009) A prospective investigation of the development of borderline personality symptoms. Dev Psychopathol 21:1311–1334CrossRefPubMed
Metagegevens
Titel
Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation
Auteurs
Kelly E. Buckholdt
Nicole H. Weiss
John Young
Kim L. Gratz
Publicatiedatum
14-12-2014
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 6/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0528-5

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