The conceptualization of emotion regulation difficulties, and its association with posttraumatic stress symptoms in traumatized refugees

Doolan, Emma L.; Bryant, Richard A.; Liddell, Belinda J.; Nickerson, Angela

doi:10.1016/j.janxdis.2017.04.005

Cited by 33 publications

(27 citation statements)

References 55 publications

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“…There are three key methodological features of the present study important to interpretation of and confidence in the observed findings. First, most extant studies in the field of refugee mental health to-date have related to refugees as a distinct population group (Doolan, Bryant, Liddell, & Nickerson, 2017; Spiller et al., 2017). Yet, very often, these refugee samples have admixed a variety of socio-cultural and linguistic population groups (e.g., Le et al., 2018; Specker, Liddell, Byrow, Bryant, & Nickerson, 2018).…”

Section: Discussionmentioning

confidence: 99%

A Functional Network Perspective on Posttraumatic Stress in Refugees: Implications for Theory, Classification, Assessment, and Intervention

Yuval

Aizik-Reebs

Lurie

et al. 2020

Transcult Psychiatry

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There is an important, long-standing debate regarding the universality vs. specificity of trauma-related mental health symptoms in socio-culturally and linguistically diverse population groups, such as refugees and asylum seekers. Network theory, an emerging development in the field of psychological science, provides a novel data analytic methodology to evaluate and empirically examine long-standing questions about the structure and function of posttraumatic stress symptoms. We sought to empirically model the functional network of posttraumatic stress symptoms among East African refugees who survived multiple potentially traumatic events. A sample of 148 Sudanese and Eritrean male asylum seekers ( M( SD)age = 32.60(7.13) were recruited from the community in Israel. The nature and function(s) of posttraumatic symptoms (Harvard Trauma Questionnaire) were modeled using regularized partial correlation models to derive a network of symptoms. Spinglass and exploratory graph analysis walktrap algorithms were then used to identify functional “circuits of symptoms” or clusters of nodes within the network. Analyses revealed a functional symptom circuitry that shares features with the predominant western model of posttraumatic stress disorder; as well as unique functional clusters of symptoms inconsistent with nosology and symptomatology observed in studies of Western populations. Findings may have important implications for theory, classification, assessment, candidate mechanisms that may drive and maintain posttraumatic stress, and in turn may inform prevention or treatment for socio-culturally diverse forcibly displaced population groups.

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Section: Discussionmentioning

confidence: 99%

A Functional Network Perspective on Posttraumatic Stress in Refugees: Implications for Theory, Classification, Assessment, and Intervention

Yuval

Aizik-Reebs

Lurie

et al. 2020

Transcult Psychiatry

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“…Put another way, given that engaging in these two SRDM logically serves a regulatory function, women with less ability to regulate their emotions using other techniques may endorse stronger SRDM. In the current study we explore different ER facets separately given that previous literature finds differential associations with mental health outcomes (Doolan, Bryant, Liddell, & Nickerson, 2017;Nickerson et al, 2015). We hypothesize that SV severity will be positively associated with both motivations to drink to cope with sex-related distress and to enhance sex.…”

Section: Current Studymentioning

confidence: 99%

“…might independently relate to SV and SRDM. Because prior research has demonstrated that specific ER facets have unique associations with trauma histories and mental health outcomes such as PTSD (Doolan, Bryant, Liddell, & Nickerson, 2017;Nickerson et al, 2015), research that investigates the relations among SV severity, SRDM, and specific ER skills is warranted.…”

Section: Motivesmentioning

confidence: 99%

Sexual Victimization and Sex-Related Drinking Motives: How Protective is Emotion Regulation?

Bird

Stappenbeck

Neilson

et al. 2018

The Journal of Sex Research

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One in five college women experience sexual victimization (SV) and SV severity is associated with subsequent psychological distress including sex-related distress. SV severity may also be associated with drinking motives to cope with sex-related distress and to enhance sex (sex-related drinking motives; SRDM), particularly if individuals suffer from emotion regulation (ER) difficulties. College women (N = 151) completed a survey assessment of ER, SV history, childhood sexual abuse, and SRDM. Twelve regression models assessed six facets of ER as moderators between SV severity and SRDM. Among women with no or low levels of prior SV severity, women with greater access to ER strategies were less likely to endorse drinking to cope SRDM. At higher levels of SV severity, women at all levels of access to ER strategies were equally likely to endorse drinking to cope SRDM, suggesting that access to ER strategies did not mitigate motivations to drink to cope with sex-related distress for these women. Women with severe SV histories may benefit from interventions that build on existing ER strengths or address other factors. However, greater access to ER strategies may serve as a protective factor against SRDM when SV severity is low.

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“…emotion dysregulation, has been strongly associated with psychopathology, particularly mood and anxiety disorders (Aldao, Nolen-Hoeksema, & Schweizer, 2010). Extant research has identified refugees as a population that may be especially likely to experience ER difficulties (Doolan, Bryant, Liddell, & Nickerson, 2017). Key aspects of the refugee experience, such as interpersonal trauma including torture and persecution, forced displacement, and post-migratory stressors such as family separation and visa uncertainty, have been associated with disruptions to adaptive ER (Nickerson et al, 2015(Nickerson et al, , 2016.…”

Section: 考查在澳大利亚重新定居的难民中情绪调节、创伤暴露和精神病症的独特模式之间的关系：一个潜在类别分析mentioning

confidence: 99%

Investigating the relationship between distinctive patterns of emotion regulation, trauma exposure and psychopathology among refugees resettled in Australia: a latent class analysis

Specker

Nickerson

2019

European Journal of Psychotraumatology

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Background: Emotion regulation difficulties are common among individuals from refugee backgrounds. Little is known, however, about whether there are specific patterns relating to the types of emotion regulation strategies commonly employed by refugees, nor how this relates to psychopathology. Moreover, wider literature on emotion regulation has primarily focused on examining specific emotion regulation strategies in isolation, rather than patterns of emotion regulation across multiple strategies. Objective: The current study was the first to identify individual differences in patterns of habitual emotion regulation among refugees, and explore their unique associations with trauma exposure and PTSD symptoms. Method: Levels of trait reappraisal and suppression were measured among 93 refugees, using the Emotion Regulation Questionnaire and the White Bear Suppression Inventory. A latent class analysis was conducted to identify distinct classes of participants based on differing levels of habitual engagement in reappraisal and suppression. The association between class membership and key variables indexing refugee experiences (e.g. trauma exposure) and psychopathology (e.g. PTSD symptoms and emotion dysregulation) were also examined. Results: Latent class analysis revealed three distinct profiles of habitual emotion regulation: a high regulators class (55.7%; high trait reappraisal/high trait suppression), an adaptive regulators class (23.6%; high trait reappraisal/moderate trait suppression), and a maladaptive regulators class (20.6%; low trait reappraisal/high trait suppression). Each class evidenced unique relations with trauma exposure and psychopathology. Compared to adaptive regulators, maladaptive regulators had more PTSD symptoms, experienced greater emotion dysregulation, and were more likely to be female, while high regulators had experienced more types of traumatic events. Conclusions: This study identified distinct patterns of emotion regulation among refugees. Our findings demonstrate the importance of measuring multiple strategies to uncover patterns of emotion regulation and better understand the links between emotion regulation and psychopathology, which has important implications for the development of effective treatment with traumatized refugees.

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The conceptualization of emotion regulation difficulties, and its association with posttraumatic stress symptoms in traumatized refugees

Cited by 33 publications

References 55 publications

A Functional Network Perspective on Posttraumatic Stress in Refugees: Implications for Theory, Classification, Assessment, and Intervention

A Functional Network Perspective on Posttraumatic Stress in Refugees: Implications for Theory, Classification, Assessment, and Intervention

Sexual Victimization and Sex-Related Drinking Motives: How Protective is Emotion Regulation?

Investigating the relationship between distinctive patterns of emotion regulation, trauma exposure and psychopathology among refugees resettled in Australia: a latent class analysis

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