Role of emotion dysregulation in the relationship between childhood abuse and probable PTSD in a sample of substance abusers
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.
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Increased impulsivity is a significant moderator between PTSD and substance misuse.
“Other research has identified increased impulsivity as a significant moderator between PTSD and substance misuse (85, 86) as well as the role of negative urgency within this relationship (87).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [86]
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- Authors
- Weiss, N. H., Tull, M. T., Lavender, J., & Gratz, K. L.
- Affiliations
- University of Mississippi Medical Center (US)
- Neuropsychiatric Research Institute (US)
- Corresponding author
- Weiss, Nicole H.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 37
- Issue
- 11
- Pages
- 944-954
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2004737744
- Cited by
- 93
- References
- 91
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 9 · 2021: 12 · 2020: 12 · 2019: 9 · 2018: 8 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 7
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mississippi State Department of Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- emotional dysregulation, childhood abuse, post-traumatic stress disorder, substance use disorders, child physical abuse, childhood emotional abuse, child sexual abuse, impulsive behavior, emotional clarity
- MeSH terms
- Adult, Affective Symptoms, Child, Child Abuse, Female, Humans, Male, Middle Aged, Mississippi, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Adult Survivors of Child Abuse, Drug Users, Young Adult, Checklist
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