Disorganized attachment and emotion dysregulation as mediators of the association between sexual abuse and dissociation in preschoolers

Hébert, Martine; Langevin, Ron; Charest, Florence

doi:10.1016/j.jad.2020.02.032

Cited by 18 publications

(9 citation statements)

References 47 publications

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“…For example, research among victims of CSA indicates that the linkage between trauma and emotion regulation may have neurobiological underpinnings, as trauma leads to structural and functional neurobiological changes (Cross et al, 2017). Sexual violence may also impact emotional regulation by disrupting attachment patterns, as indicated by research among survivors of CSA (Cloitre et al, 2008; Hébert et al, 2020). Future research further examining factors explaining the adult sexual violence victimization‐poor emotion regulation link is warranted.…”

Section: Discussionmentioning

confidence: 99%

Sexual violence victimization and suicide: Testing a coping‐mental health framework

Kaniuka

Desmarais

Cramer

et al. 2021

Aggressive Behavior

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Sexual violence victimization is a prevalent public health concern. However, little research has investigated the factors linking sexual violence victimization to suicidal thoughts and behaviors (STBs). The current study tested the applicability of the psychological mediation framework, a coping‐mental health model, for the prevention of STBs among victims of sexual youviolence. Furthermore, the current study explored whether sexual orientation moderated the progression from sexual violence victimization to STBs. Data were drawn from an online survey of victimization experiences and health (N = 2175). Bootstrap mediation tested whether the association of sexual violence victimization and STBs was mediated by emotion regulation strategies (cognitive reappraisal and expressive suppression) and psychopathology (anxiety, depression, and posttraumatic stress disorder). Multiple‐groups analysis tested whether links within the mediation effects varied by sexual orientation. Bivariate findings showed that: (1) sexual minority persons were more likely to report sexual violence victimization and (2) cognitive reappraisal was more meaningfully associated with mental health among sexual minority persons. Sexual violence victimization was associated with STBs via a serial mediation through emotion regulation and psychopathology. The association between psychopathology and STBs was stronger among sexual minority compared with heterosexual respondents. Physical violence victimization was associated with STBs for heterosexual but not sexual minority persons in a follow‐up model. Findings support an emotion regulation‐mental health framework for the prevention of suicide among victims of sexual violence. Research and training implications are discussed.

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Section: Discussionmentioning

confidence: 99%

Sexual violence victimization and suicide: Testing a coping‐mental health framework

Kaniuka

Desmarais

Cramer

et al. 2021

Aggressive Behavior

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“…Because disclosure of maltreatment would lead to serious consequences within the family, the child remains helpless, cannot stop maltreatment, even not express his/her emotions, and has to adapt to the dysfunctional environment (139). The consequences are impaired emotion recognition and management, the development of maladaptive coping strategies, such as dissociation, self-injurious behavior (140,141), and internalizing or externalizing behavior, interrupting the emotional development and the developing of constructive peer relationships, causing peer rejection, with sequelae persisting into adulthood (95,139,(141)(142)(143). 30% of sexually abused children are <7 years old (144), putting this most vulnerable group at extreme risk for later (transgenerational) malfunctioning, and severe health-related problems.…”

Section: Sexual Abuse and Sex Traffickingmentioning

confidence: 99%

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

et al. 2021

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Background: Emotional dysregulation (ED) is a transdiagnostic construct defined as the inability to regulate the intensity and quality of emotions (such as, fear, anger, sadness), in order to generate an appropriate emotional response, to handle excitability, mood instability, and emotional overreactivity, and to come down to an emotional baseline. Because ED has not been defined as a clinical entity, and because ED plays a major role in child and adolescent psychopathology, we decided to summarize current knowledge on this topic based on a narrative review of the current literature.Methods: This narrative review is based on a literature search of peer-reviewed journals. We searched the databases ERIC, PsycARTICLES, PsycINFO and PSYNDEX on June 2, 2020 for peer reviewed articles published between 2000 and 2020 in English language for the preschool, school, and adolescent age (2–17 years) using the following search terms: “emotional dysregulation” OR “affect dysregulation,” retrieving 943 articles.Results: The results of the literature search are presented in the following sections: the relationship between ED and psychiatric disorders (ADHD, Mood Disorders, Psychological Trauma, Posttraumatic Stress Disorder, Non-suicidal Self-Injury, Eating Disorders, Oppositional Defiant Disorder, Conduct Disorder, Disruptive Disruptive Mood Dysregulation Disorder, Personality Disorders, Substance Use Disorder, Developmental Disorders, Autism Spectrum Disorder, Psychosis and Schizophrenia, and Gaming Disorder), prevention, and treatment of ED.Conclusion: Basic conditions of ED are genetic disposition, the experience of trauma, especially sexual or physical abuse, emotional neglect in childhood or adolescence, and personal stress. ED is a complex construct and a comprehensive concept, aggravating a number of various mental disorders. Differential treatment is mandatory for individual and social functioning.

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“…On the other hand, disrupted attachment, involving childhood trauma and parental maltreatment, may play an important role in the later development of dissociation (Draijer & Langeland, 1999 ; Lyons-Ruth, Dutra, Schuder, & Bianchi, 2006 ). Disorganized attachment is reported to mediate the association between child sexual abuse and dissociation (Hebert, Langevin, & Charest, 2020 ), and it may also influence in the association between trauma and dissociation. In the current study, only maternal maltreatment had a significantly moderating effect, but not paternal maltreatment.…”

Section: Discussionmentioning

confidence: 99%

The moderation of maternal parenting on the association of trauma, dissociation, and psychosis in depressive inpatients

Hsieh

Chiu

et al. 2022

European Journal of Psychotraumatology

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Background The effect of dissociation and parenting style on the relationship between psychological trauma and psychotic symptoms has not previously been investigated. Objective The aim of this study was to develop a moderated mediation model to assess whether the association between psychological trauma and psychotic symptoms is mediated by dissociation and moderated by parental maltreatment. Methods Inpatients with major depressive disorder (MDD) and bipolar depression (BP) were recruited. Self-reported and clinical rating scales were used to measure the level of dissociation, psychotic symptoms, history of psychological trauma and parental maltreatment. The PROCESS macro in SPSS was used to estimate path coefficients and adequacy of the moderated mediation model. High betrayal trauma (HBT), low betrayal trauma (LBT), paternal maltreatment, and maternal maltreatment were alternatively entered into the conceptual model to test the adequacy. Results A total of 91 patients (59 with MDD and 32 with BP) were recruited, with a mean age of 40.59 ± 7.5 years. After testing with different variables, the moderated mediation model showed that the association between LBT and psychotic symptoms was mediated by dissociation and moderated by maternal maltreatment. A higher level of maternal maltreatment enhanced the effect of LBT on dissociation. Conclusions Healthcare workers should be aware of the risk of developing psychotic symptoms among depressive patients with a history of LBT and maternal maltreatment.

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Disorganized attachment and emotion dysregulation as mediators of the association between sexual abuse and dissociation in preschoolers

Cited by 18 publications

References 47 publications

Sexual violence victimization and suicide: Testing a coping‐mental health framework

Sexual violence victimization and suicide: Testing a coping‐mental health framework

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

The moderation of maternal parenting on the association of trauma, dissociation, and psychosis in depressive inpatients

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