Children were evaluated by their parents on emotion regulation using the Emotion Regulation Checklist and internalizing and externalizing behavior problems using the Korean-Child Behavior Checklist. Cumulative childhood traumas were defined on the basis of number of traumas (physical abuse, witnessing domestic violence, neglect, traumatic separation from parent, and sexual abuse) and the severity and duration of traumas. Data were collected on 171 children (ages 6-13 years) referred to a public counseling center for sexual abuse in Seoul, Korea. The purpose of the present study was to identify the mediating effects of emotion regulation on the association between cumulative childhood trauma and behavior problems in sexually abused children in Korea, using structural equation modeling (SEM). These results suggest that deficits in conflict regulation for emotional material may underlie heightened risk for psychopathology in individuals that endure early-life trauma.Ĭumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: mediating effects of emotion regulation. ![]() Aberrant amygdala response to emotional conflict was related to diminished reward sensitivity that is emerging as a critical stress-susceptibility trait that may contribute to the emergence of mental illness during adolescence. These data point to a trauma-related deficit in automatic regulation of emotional processing, and increase in sensitivity to emotional conflict in neural systems implicated in threat detection. In addition, trauma-exposed youth showed greater conflict-related amygdala reactivity that was associated with diminished levels of trait reward sensitivity. Results showed that trauma-exposed youth failed to dampen dorsolateral prefrontal cortex activity and engage amygdala-pregenual cingulate inhibitory circuitry during the regulation of emotional conflict, and were less able to regulate emotional conflict. Engagement of the conflict regulation system was evaluated at neural and behavioral levels. A total of 14 trauma-exposed and 16 age-, sex-, and IQ-matched comparison youth underwent functional MRI while performing an emotional conflict task that involved categorizing facial affect while ignoring an overlying emotion word. ![]() This study examined whether automatic regulation of emotional conflict is perturbed in a high-risk urban sample of trauma-exposed children and adolescents. Although research in adults highlights that childhood trauma predicts deficits in emotion regulation that persist decades later, it is unknown whether neural and behavioral changes that may precipitate illness are evident during formative, developmental years. Marusak, Hilary A Martin, Kayla R Etkin, Amit Thomason, Moriah EĮarly-life trauma is one of the strongest risk factors for later emotional psychopathology. All rights reserved.Ĭhildhood trauma exposure disrupts the automatic regulation of emotional processing. The possible maintaining role of emotion regulation processes should also be considered in the treatment of eating disorders. They indicate that multiple forms of childhood trauma should be assessed for individuals with eating disorders. Findings support previous research linking childhood trauma to eating psychopathology. A specific indirect effect was observed between childhood emotional abuse and eating psychopathology through emotion dysregulation. Additionally, both emotion dysregulation and dissociation were found to be significant mediators between childhood trauma and eating psychopathology. Results revealed that the multiple mediation model significantly predicted eating psychopathology. Multiple mediation analysis was conducted to investigate the study's proposed model. ![]() Participants completed measures of childhood trauma ( emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect), eating psychopathology, dissociation and emotion dysregulation. 142 female undergraduate psychology students studying at two British Universities participated in this cross-sectional study. The present study examined the relationship between different forms of childhood trauma and eating psychopathology using a multiple mediation model that included emotion dysregulation and dissociation as hypothesised mediators. Moulton, Stuart J Newman, Emily Power, Kevin Swanson, Vivien Day, Kenny Childhood trauma and eating psychopathology: a mediating role for dissociation and emotion dysregulation?
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