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Role of Emotion Dysregulation in the Relationship Between Childhood Abuse and Probable PTSD in a Sample of Substance Abusers

NCJ Number
246969
Journal
Child Abuse and Neglect Volume: 37 Issue: 11 Dated: November 2013 Pages: 944-954
Author(s)
Nicole H. Weiss; Matthew T. Tull; Jason Lavender; Kim L. Gratz
Date Published
November 2013
Length
11 pages
Annotation
This study examined associations among childhood abuse, emotion dysregulation, and probable posttraumatic stress disorder PTSD within a sample of 93 substance use disorder SUD patients in residential treatment.
Abstract
This study examined associations among childhood abuse, emotion dysregulation, and probable posttraumatic stress disorder PTSD within a sample of 93 substance use disorder SUD patients in residential treatment. SUD patients with probable PTSD vs. non-PTSD reported a. greater severity of childhood sexual, physical, and emotional abuse and b. significantly higher levels of overall emotion dysregulation and the specific dimensions of difficulties engaging in goal-directed behavior when upset, difficulties controlling impulsive behaviors when distressed, limited access to effective emotion regulation strategies, and lack of emotional clarity. Additionally, significant positive associations were found between both childhood physical and emotional but not sexual abuse on the one hand and dimensions of emotion dysregulation on the other. Further analyses indicated that difficulties controlling impulsive behaviors when distressed accounted for the associations of both childhood physical and emotional abuse with probable PTSD status. Findings of the present study highlight a potential mechanism underlying the relationships between both childhood emotional and physical abuse and PTSD in SUD patients.