The ontogeny of chronic distress: emotion dysregulation across the life span and its implications for psychological and physical health

Crowell, Sheila E.; Puzia, Megan E.; Yaptangco, Mona

doi:10.1016/j.copsyc.2015.03.023

Cited by 63 publications

(60 citation statements)

References 100 publications

(4 reference statements)

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“…Specifically, findings highlight the particular relevance of lack of access to effective emotion regulation strategies and lack of emotional clarity to this relation. These findings add to the growing body of research on the negative consequences of emotion dysregulation both in and outside the context of BPD (e.g., Axelrod, Perepletchikova, Holtzman, & Sinha, 2011; Crowell, Puzia, & Yaptangco, 2015; Gratz et al, 2010; Selby, Ward, & Joiner, 2010; Weiss, Sullivan, & Tull, 2015) and highlight physical health as an important outcome in need of further examination. Specifically, research is needed to examine the ways in which emotion dysregulation may contribute to the development of physical health symptoms among women with BPD pathology.…”

Section: Discussionmentioning

confidence: 59%

Emotion Dysregulation Mediates the Relation Between Borderline Personality Disorder Symptoms and Later Physical Health Symptoms

Gratz

Weiss

McDermott

et al. 2017

Journal of Personality Disorders

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Despite evidence of a relation between borderline personality disorder (BPD) pathology and physical health problems, the mechanisms underlying this relation remain unclear. Given evidence that emotion dysregulation may affect physical health by altering physiological functioning, one mechanism that warrants examination is emotion dysregulation. This study examined BPD symptoms as a prospective predictor of physical health symptoms 8-months later and the mediating role of emotion dysregulation in this relation. Participants completed three assessments over an 8-month period, including a BPD diagnostic interview. Results of analyses examining baseline predictors of later physical health symptoms revealed a significant unique association between baseline BPD symptom severity and physical health symptoms 8-months later, above and beyond baseline physical health symptoms, depression and anxiety symptoms, and emotion dysregulation. Moreover, structural equation modeling revealed a significant indirect relation of BPD symptoms at Wave 1 to physical health symptoms at Wave 3 through emotion dysregulation at Wave 2.

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Section: Discussionmentioning

confidence: 59%

Emotion Dysregulation Mediates the Relation Between Borderline Personality Disorder Symptoms and Later Physical Health Symptoms

Gratz

Weiss

McDermott

et al. 2017

Journal of Personality Disorders

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“…However, although their work has included behaviors related to irritability (e.g., [25]), the range of depressive behaviors in young children have received relatively less attention. Emerging evidence points to the sizable frequency of problematic mood difficulties in children [31–33] and the long-term problems associated with chronic distress [34]. Therefore, mood difficulties can be early-emerging, impairing and chronic, and more attention should be devoted to these behaviors in young children.…”

Section: Introductionmentioning

confidence: 99%

Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children

Bufferd

Dougherty

Olino

2017

Child Psychiatry Hum Dev

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Depressive emotions and behaviors, such as sadness, irritability, and sleep difficulties, are often early-emerging, impairing, and persistent. However, these behaviors are normative in early development, so it is critical to identify the spectrum of behaviors that may be relevant to the development of depression. This study characterizes the frequency and severity of depressive behaviors and impairment in preschool-aged children using a novel daily diary method with 291 parents. A coherent depression dimension was identified, and the specific frequency at which individual behaviors were identified as severe is reported. Behaviors such as sadness, irritability, and tearfulness/sensitivity were found to be relatively normative, whereas other behaviors (e.g., low interest/pleasure, low self-worth) were less normative. These are the first known data to delineate empirical information about the frequency and severity of behaviors that may be relevant to the development of depression; such data provide quantitative information for child practitioners to make distinctions between developmentally typical and problematic behavior, which is essential for improving assessment and minimizing impairing developmental trajectories.

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“…However, the authors also note that many of the studies included were cross-sectional and that more longitudinal studies are needed that can analyze the impact of psychological symptoms on the course of physical health problems. Psychiatric disorders may also predict physical health difficulties in children 31 . For example, a recent meta-analysis found that clinically depressed adolescents have lower resting state heart rate variability than healthy adolescents, an indictor of a poorly functioning anti-inflammatory reflex and physical health problems 32 .…”

Section: Introductionmentioning

confidence: 99%

Early Adversity, Psychopathology, and Latent Class Profiles of Global Physical Health From Preschool Through Early Adolescence

Whalen¹,

Belden²,

Tillman³

et al. 2016

Psychosom Med

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Objective The purpose of the present report was to describe the longitudinal trajectories of physical health beginning during preschool and continuing into early adolescence, explore whether these trajectories were predicted by psychosocial adversity, family income-to-needs ratio, and psychiatric disorders occurring during the preschool period, and determine whether psychiatric disorders mediated these relations. Methods Participants included 296 children participating in a longitudinal study of early-onset psychopathology spanning ten years. Semi-structured clinical interviews were conducted with caregivers to determine children’s psychiatric diagnoses between ages 3–6. Caregivers also completed annual assessments of their child’s physical health problems (ages 3–13), as well as reported on the family’s income and indicators of psychosocial adversity. Results Growth mixture modeling revealed two trajectories of physical health problems: a stable, low group (n = 199) and a high, increasing group (n = 57) indicating linear increases in physical health problems from ages 3–13. Preschool psychiatric diagnoses (Est= 0.05, p<.001), family income-to-needs ratio (Est= −0.01, p=.012), and psychosocial adversity (Est=0.02, p=.015) predicted membership in the high, increasing trajectory of physical health problems. Early-onset psychopathology mediated relations between psychosocial adversity and physical health problems (αβ= 0.31, p=.050) and between income-to-needs ratio and physical health problems (αβ= −0.29, p<.021). Conclusions These findings indicate the importance of early indicators of risk: low income-to-needs ratios, high psychosocial adversity, and psychiatric disorders occurring during the preschool period for contributing to increasing physical health problems from preschool through early adolescence. Early-onset psychiatric disorders also mediated relations between psychosocial adversity, income-to-needs ratio, and physical health problems.

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The ontogeny of chronic distress: emotion dysregulation across the life span and its implications for psychological and physical health

Cited by 63 publications

References 100 publications

Emotion Dysregulation Mediates the Relation Between Borderline Personality Disorder Symptoms and Later Physical Health Symptoms

Emotion Dysregulation Mediates the Relation Between Borderline Personality Disorder Symptoms and Later Physical Health Symptoms

Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children

Early Adversity, Psychopathology, and Latent Class Profiles of Global Physical Health From Preschool Through Early Adolescence

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