Role of Developmental Timing of Childhood Adversity in Nonsuicidal Self-Injury Persistence or Desistance.

Given the high prevalence of nonsuicidal self-injury (NSSI), scientific interest is on the rise, yet its developmental course remains understudied. Factors that may influence NSSI behavior are also unclear, although early research describes it as a maladaptive form of emotion regulation. In a college student sample (N = 507), the current study examines the extent that developmental timing of, and cumulative exposure to, potentially traumatic events (PTEs) accounts for variance in NSSI frequency, duration, and desistance, as well as the role that emotion regulation difficulties (ERD) play. Of 507 participants, 411 endorsed PTE exposure and were categorized into developmental groups based on age of initial PTE exposure, with the hypothesis that initial exposure during early childhood and adolescence may represent particularly sensitive risk periods. Results revealed that cumulative PTE exposure was significantly positively associated with shorter NSSI desistance, whereas ERD were significantly negatively associated with shorter NSSI desistance. However, the interaction between cumulative PTE exposure, when coupled with current ERD significantly moderated (i.e., strengthened) the path between cumulative PTE exposure and NSSI desistance. When examined individually, this interaction was only significant for the early childhood group, suggesting that the effects of PTE exposure on NSSI persistence may vary not only as a function of emotion regulation capacities but also when in the developmental course initial PTE exposure occurs. These findings contribute to our understanding of the role of PTE and timing, as well as ERD, in predicting NSSI behavior, and can inform programs and policies to prevent and curtail self-harm.

The impact of social support and emotion dysregulation on COVID-19 depressive symptoms.

Introduction: Stress resulting from the global COVID-19 pandemic has been linked to psychological consequences, such as depressive symptoms, for individuals worldwide. Outbreaks and pandemics are known to accentuate stressors or generate new ones owing to health-related worries, reduced mobility, and social activity due to quarantine, and sudden life changes. Although post-lockdown U.S. research findings suggest a greater risk of depression among 18- to 25-year-olds, familiarity with technology and virtual socializing may offer college students some protective effect, warranting research with such groups. Methods: The current study thus explored emotion dysregulation (ED) and perceived social support (PSS) as potential mechanisms for the relationship between COVID-19 stress and depressive symptoms among students at a southern university in the United States. Participants (N = 489) completed a cross-sectional survey assessing their current levels of COVID-19 stress, ED, PSS, and depressive symptoms. Results: Path analysis showed that PSS buffered the effect of ED on depressive symptoms. The results support the explanatory role of ED in the relationship between COVID-19 stress and depressive symptoms. Discussion: The perceived social connection may be an essential factor for psychological outcomes during periods of stress and isolation, particularly for those reporting high ED.

Childhood Trauma and PTSD Symptoms: Disentangling the Roles of Emotion Regulation and Distress Tolerance.

Research documents that a history of childhood trauma increases risk for post-traumatic stress disorder (PTSD), greater emotion regulation difficulties (ERD), and reduced distress tolerance (DT). Independent lines of research implicate ERD and DT as transdiagnostic risk factors and link them to PTSD. To elucidate how such mechanisms may influence the etiology, maintenance, and treatment of PTSD, the current study investigates the distinct mediating roles of emotion regulation and DT, exploring which explains a larger indirect effect from childhood trauma to PTSD symptom severity. Participants (N = 385, aged 18-48) who endorsed a history of childhood trauma provided retrospective report of cumulative childhood trauma exposure, and of current ERD, DT, and PTSD symptom severity. Single and dual mediation analyses were used to assess indirect effects through ERD and DT in the relation between cumulative childhood trauma exposure and current PTSD symptom severity. ERD and DT were significantly and inversely related. Higher current self-ratings of PTSD symptom severity were explained by cumulative childhood trauma through ERD (B = 0.93, p < 0.001) and DT (B = 0.50, p < 0.05). The full model explained 36% of the variance in PTSD symptom severity. Current findings provide preliminary evidence of DT and emotion regulation (with specific facets identified) as distinct mechanisms in the development of PTSD. Of clinical relevance, current findings support post-trauma processing theories that contend individuals' recovery requires accepting and learning to modulate trauma-related emotional states. Implications for methods of treatment and prevention are discussed.

Can Emerging Adults' Dating Psychological Aggression be Explained by Family-of-Origin Psychological Aggression, Emotion Dysregulation, and Drinking?

Intimate partner violence (IPV) impacts the lives of millions of individuals; nearly 1 in 4 women and 1 in 7 men report experiencing IPV during their lifetime. Previous studies frequently cite family-of-origin aggression as a risk factor for later experiences with IPV. Research with adults who engage in IPV finds an association with childhood exposure to family violence, but the strength of that association may vary. Psychological aggression often pre-dates more severe IPV and college students are a particular risk group for IPV. Additionally, previous literature has revealed gender differences in response to childhood experiences of family violence. As such, the current study sought to identify factors that explain and moderate risk for dating psychological aggression (DPA) in college adults, and sex differences in those associations. Participants (464 women, 142 men), who were in a current romantic relationship lasting at least 3 months, completed measures of past psychological aggression in the family-of-origin (PAF), current emotion dysregulation, risky drinking, and DPA perpetrated in current dating relationships. Emotion dysregulation mediated the relationship between PAF and current DPA; however, differences among specific types of PAF and sex were noted. Results support an intergenerational transmission of PAF and suggest that parent-child sex dyads influence this process. The findings also provide evidence that higher levels of drinking are associated with increased emotion dysregulation. These results contrast with the alcohol expectancy for stress relief and support public messaging that alcohol use does not relieve stress. Clinical and research implications for prevention of the intergenerational transmission of aggression are discussed.

Coping with COVID-19: Testing the stress sensitization hypothesis among adults with and without a history of adverse childhood experiences.

Background: Substantial research suggests that adverse childhood experiences (ACEs) disrupt neurobiology, impacting regulatory processes (i.e., emotion regulation) that may sensitize individuals to psychopathology in response to later life stressors. Given the known increase in mental health distress related to the current ongoing global pandemic, this study investigated the extent to which COVID-related stress moderates the association between emotion regulation difficulties and psychological symptom ratings among individuals with and without exposure to ACEs. Methods: Participants (N = 315, aged 18-48) provided self-ratings of ACEs, emotion regulation difficulties, COVID-related stress, and symptoms of depression, anxiety, and PTSD. The interaction between emotion regulation difficulties and COVID-related stress on psychological symptoms was examined using path analysis. Multigroup analysis was used to examine the moderating effects of ACEs. Results: For individuals with ACEs, COVID-stress was associated positively with depression and anxiety symptoms when emotion regulation difficulties were low. Higher emotion regulation difficulties were associated with higher symptom ratings and COVID-related stress did not add a significant effect. Goal-setting difficulties, a subscale of emotion regulation difficulties, accounted for the most variance in these associations. Limitations: Cross-sectional design precludes determining causality, retrospective reports may be subject to recall bias, and participant demographics may limit generalizability. Conclusions: The current study provides support for stress sensitization theory and highlights the protective role of emotion regulation in enduring moderate stressors. Significant stressors (e.g., COVID-19), however, may warrant additional skills and supports to mitigate internalizing symptoms, particularly for individuals with a history of ACEs.

Childhood adversity associated with poorer health: Evidence from the U.S. National Survey of Children's Health.

BACKGROUND: The association between adverse childhood experiences (ACEs) and increased risk of health problems is well established. However, many studies have relied on unrepresentative or high-risk samples and have focused on a narrow range of health problems. Prior research assessing potential age differences in the ACE-health connection is also sparse. OBJECTIVE: To comprehensively examine the extent to which ACEs are associated with physical, mental, and neurodevelopmental health outcomes in childhood and assess whether these associations differ between age groups. PARTICIPANTS & SETTING: Pooled cross-sectional data from the 2016-2019 National Survey of Children's Health (N = 98,732). METHODS: We estimated age-stratified binary logistic regression models examining associations between the number of ACEs and physical, mental, and neurodevelopmental health problems net of sociodemographic and socioeconomic controls. Separate models were estimated for the total population (ages 3-17), early childhood (ages 3-5), middle childhood (ages 6-11), and adolescence (ages 12-17). RESULTS: We observed a dose-response relationship between ACE exposure and childhood physical, mental, and neurodevelopmental health problems in all age groups. The largest disparities exist between children with no ACEs and three or more ACEs. Compared to children without ACEs, children with three or more ACEs had significantly higher adjusted odds of externalizing disorders (OR = 4.40), internalizing disorders (OR = 5.13), neurodevelopmental disorders (OR = 2.40), and physical health problems (OR = 2.08). CONCLUSIONS: Our results add to evidence linking ACEs to childhood health disparities. Further, findings indicate that ACEs have persistent negative effects across age groups and that clinicians should monitor ACEs when assessing children's physical, mental, and neurodevelopmental health at any age.

Does Emotion Regulation Mediate the Relation Between Family-of-Origin Violence and Intimate Partner Violence?

Family-of-origin violence (FOV), including child maltreatment and exposure to interparental violence during childhood, is frequently cited as a risk factor for intimate partner violence (IPV) in adulthood. Emotion regulation (ER) difficulties have been linked to FOV and to IPV, but research has not identified the role of ER as a mechanism by which past exposure to FOV predicts current IPV. The current study examines whether greater FOV predicts ER difficulties, whether these difficulties can explain/mediate the relationship between FOV and IPV, and whether the process differs according to the gender of parent-child dyads. Emerging adult participants (475 women, 145 men) aged 18 to 30 years, who were in a current romantic relationship lasting at least 3 months, completed measures of past FOV, current difficulties in ER, and IPV perpetrated and experienced in current intimate relationships. ER difficulties mediated the relationship between FOV and current IPV; however, differences among specific types of FOV and gender were noted. Results support an intergenerational transmission of family violence and suggest that parent-child gender dyads influence this process.

Reconceptualization of emotion regulation: strategy use, flexibility, and emotionality.

BACKGROUND AND OBJECTIVES: Previous research has identified associations between emotion regulation strategy use patterns and emotional and behavioral functioning outcomes. The current study examined the construct of ER by integrating ER strategy use with flexibility to use strategies and overall level of experienced emotion to determine patterns of ER functioning. DESIGN: Self-report data regarding strategy use, flexibility, and affect intensity was collected from undergraduate psychology students (N = 380). METHODS: A latent profile analysis (LPA) was used to identify a profile structure of ER. Multivariate Analysis of Variance (MANOVA) was used to examine the effect of ER profile on the following outcomes: ER difficulties, internalizing problems, and externalizing behaviors. RESULTS: The LPA supported a 3-profile and a 6-profile model. MANOVA results indicated that the 3-profile model and the 6-profile model predicted outcomes of ER difficulties and internalizing and externalizing behaviors. CONCLUSIONS: The 3-profile model demonstrated greater separation of profiles than the 6-profile model, whereas the 6-profile model demonstrated more nuanced profiles than the 3-profile model. Overall, our results suggest that integrating strategy use, flexibility, and emotionality yields profiles of ER that can be used for better prediction of functioning than using strategy use alone.