Childhood Maltreatment, Emotional Dysregulation, and Psychiatric Comorbidities

doi:10.1097/HRP.0000000000000014

Paper

Childhood Maltreatment, Emotional Dysregulation, and Psychiatric Comorbidities

Published May 1, 2014 · Yael Dvir, F Lavasani, Michael A. Hill

Harvard Review of Psychiatry

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479

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10

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Abstract

AbstractAffect dysregulation, defined as the impaired ability to regulate or tolerate negative emotional states, has been associated with interpersonal trauma and posttraumatic stress. Affect-regulation difficulties play a role in many psychiatric conditions, including anxiety and mood disorders, and especially major depression in youth and bipolar disorder throughout the life span. Exposure to traumatic events and interpersonal trauma in childhood is associated with wide-ranging psychosocial, developmental, and medical impairments in children, adolescents, and adults, with emotional dysregulation being a core feature that may help to account for this heightened risk. In order to understand how the developmental effects of childhood maltreatment contribute to emotional dysregulation and psychiatric sequelae, we review emotional regulation and its developmental neurobiology, and examine the research evidence of associations between childhood trauma, emotional dysregulation, and psychiatric comorbidities in children, adolescents, and adults.

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Childhood maltreatment contributes to emotional dysregulation, which in turn increases the risk of psychiatric comorbidities in children, adolescents, and adults.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Childhood Maltreatment, Emotional Dysregulation, and Psychiatric Comorbidities

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Citations

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Childhood emotional abuse may protect against brain volume loss in adulthood, with increased sleep duration and cortical thickness potentially playing a protective role.

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Neighborhood violence and early childhood maltreatment influence sibling resilience, with protective properties of dissociation and sibling parentification.

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Better mental health in children and young people in State care in England is associated with factors such as being male, being of another ethnicity, older, living with siblings, positive school feelings, and good relationships across developmental contexts.

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