CoChat
Sign Up
Cited by 668Posttraumatic Stress Disorder ResearchPersonality Disorders and PsychopathologyPsychoanalysis and Psychopathology Research

Emotion Regulation Difficulties in Trauma Survivors: The Role of Trauma Type and PTSD Symptom Severity

Ehring, Thomas, Quack, Dorothea·2010·Behavior Therapy
DOI 10.1016/j.beth.2010.04.004
Open this paper in CoChat — free account

Abstract

Two different hypotheses regarding the relationship between emotion regulation and PTSD are described in the literature. First, it has been suggested that emotion regulation difficulties are part of the complex sequelae of early-onset chronic interpersonal trauma and less common following late-onset or single-event traumas. Second, PTSD in general has been suggested to be related to emotion regulation difficulties. Bringing these two lines of research together, the current study aimed to investigate the role of trauma type and PTSD symptom severity on emotion regulation difficulties in a large sample of trauma survivors (N=616). In line with the hypotheses, PTSD symptom severity was significantly associated with all variables assessing emotion regulation difficulties. In addition, survivors of early-onset chronic interpersonal trauma showed higher scores on these measures than survivors of single-event and/or late-onset traumas. However, when controlling for PTSD symptom severity, the group differences only remained significant for 2 out of 9 variables. The most robust findings were found for the variable "lack of clarity of emotions." Implications for future research, theoretical models of trauma-related disorders, and their treatment will be discussed.

Integrity signals

Registry

Crossref · 10.1016/j.beth.2010.04.004

Cites

63 of 63 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Cognitive functions such as emotion regulation may be negatively impacted in individuals with PTSD, as multisensory integration of internal and external sensory information plays a pivotal role in generating adaptive emotional responses when individuals interact with the external world.

    “Here, cognitive functions such as emotion regulation may be negatively impacted in individuals with PTSD, as multisensory integration of internal and external sensory information plays a pivotal role in generating adaptive emotional responses when individuals interact with the external world (Cloitre et al., 2005; Ehring and Quack, 2010; Boden et al., 2012; Ford, 2017).”

    From How Processing of Sensory Information From the Internal and External Worlds Shape the Perception and Engagement With the World in the Aftermath of Trauma: Implications for PTSD (2021) · cites this paper as Ehring and Quack, 2010

  • Maladaptive strategies such as Catastrophising, Rumination, and Suppression have been correlated with mental health disorders including depression, anxiety disorders, PTSD, and eating disorders.

    “In general, the use of maladaptive strategies, such as, but not limited to, Catastrophising, Rumination, and Suppression, has been correlated with mental health disorders, such as depression [9,12,13], anxiety disorders [14,15], PTSD [16,17], eating disorders [18,19], etc.”

    From Cognitive Coping Strategies among Inpatient Adolescents with Depression and Psychiatric Comorbidity (2023) · cites this paper as [17]

  • In individuals with PTSD (n = 616), the severity of trauma-related symptoms is negatively associated with emotional regulation abilities.

    “A study conducted by Ehring and Quack (37) on individuals with PTSD (n = 616) demonstrated that the severity of trauma-related symptoms is negatively associated with participants’ emotional regulation abilities (i.e., greater difficulties = more severe symptomatology).”

    From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [37]

  • There are no differences between individuals with complex PTSD and those experiencing one trauma with regard to their abilities to regulate their emotions.

    “The authors of the study also point out that there are no differences between individuals with complex PTSD (i.e., repeated abuse, often starting in childhood) and those experiencing “one” trauma, with regard to their abilities to regulate their emotions.”

    From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [37]

  • A recent Granger causality analysis of a face-processing task indicated an inhibitory influence from the rostral ACC to the amygdala in humans.

    “in humans, a recent Granger causality analysis of a face-processing task indicated an inhibitory influence from the rostral ACC to the amygdala,56”

    From Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder (2012) · cites this paper as [56]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Ehring, T., & Quack, D.
Affiliations
  • University of Amsterdam (NL)
  • Bielefeld University (DE)
Corresponding author
Ehring, Thomas
ORCID
Ehring, Thomas
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2010-12
Volume
41
Issue
4
Pages
587-598
ISSN
0005-7894 (ISSN-L)
DOI
10.1016/j.beth.2010.04.004
OpenAlex
W2040281880
Semantic Scholar
5a6be17b1373afed9501695e91867bd57db441e4
Cited by
668
References
63
Citations by year
2026: 30 · 2025: 50 · 2024: 48 · 2023: 40 · 2022: 55 · 2021: 59 · 2020: 59 · 2019: 61 · 2018: 44 · 2017: 55 · 2016: 43 · 2015: 38 · 2014: 41 · 2013: 23 · 2012: 15
FWCI
14.80
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behavior Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • UvA-DARE (University of Amsterdam) (publishedVersion)
  • UvA-DARE (University of Amsterdam) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
emotional dysregulation, post-traumatic stress disorder, trauma type, PTSD symptom severity, trauma survivors
MeSH terms
Adult, Affective Symptoms, Female, Humans, Life Change Events, Male, Severity of Illness Index, Stress Disorders, Post-Traumatic, Time Factors, Wounds and Injuries, Survivors, Adult Survivors of Child Abuse, Self Report

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review