Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities

Dvir, Yael; Ford, Julian D.; Hill, Michael; Frazier, Jean A.

doi:10.1097/hrp.0000000000000014

Cited by 698Child Abuse and TraumaChild and Adolescent Psychosocial and Emotional DevelopmentChild Welfare and Adoption

Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities

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Dvir, Yael, Ford, Julian D., Hill, Michael, Frazier, Jean A.·2014·Harvard Review of Psychiatry

DOI 10.1097/hrp.0000000000000014PMC PMC4091823

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Abstract

Affect dysregulation, defined as the impaired ability to regulate or tolerate negative emotional states, has been associated with interpersonal trauma and posttraumatic stress. Affect-regulation difficulties play a role in many psychiatric conditions, including anxiety and mood disorders, and especially major depression in youth and bipolar disorder throughout the life span. Exposure to traumatic events and interpersonal trauma in childhood is associated with wide-ranging psychosocial, developmental, and medical impairments in children, adolescents, and adults, with emotional dysregulation being a core feature that may help to account for this heightened risk. In order to understand how the developmental effects of childhood maltreatment contribute to emotional dysregulation and psychiatric sequelae, we review emotional regulation and its developmental neurobiology, and examine the research evidence of associations between childhood trauma, emotional dysregulation, and psychiatric comorbidities in children, adolescents, and adults.

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Emotion regulation is associated with childhood adversity.
“Emotion regulation, which has been associated with both childhood adversity, and psychopathology.”
From Emotion regulation as mediator between childhood adversity and psychopathology: A meta-analysis (2022) · cites this paper as Dvir et al., 2014

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Authors: Dvir, Y., Ford, J. D., Hill, M., & Frazier, J. A.
Affiliations: Ford Motor Company (United States) (US)
Corresponding author: Dvir, Yael
ORCID: Hill, Michael
Frazier, Jean A.
Venue: Harvard Review of Psychiatry
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2014-05
Volume: 22
Issue: 3
Pages: 149-161
ISSN: 1067-3229 (ISSN-L)
DOI: 10.1097/hrp.0000000000000014
PMC: PMC4091823
OpenAlex: W1967100996
Cited by: 698
References: 100
Citations by year: 2026: 77 · 2025: 87 · 2024: 75 · 2023: 69 · 2022: 83 · 2021: 75 · 2020: 61 · 2019: 54 · 2018: 48 · 2017: 30 · 2016: 19 · 2015: 15 · 2014: 2 · 2013: 1 · 2012: 1
FWCI: 3.35
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Harvard Review of Psychiatry (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD004147)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Safety Research › Child Welfare and Adoption
Keywords: child abuse, emotional dysregulation, emotion regulation, psychiatric comorbidity, interpersonal trauma, post-traumatic stress, major depressive disorder, bipolar disorder, anxiety disorders, mood disorders, developmental neuroscience, trauma exposure
MeSH terms: Adolescent, Adult, Child, Child Abuse, Child Development, Emotions, Humans, Stress Disorders, Post-Traumatic, Comorbidity, Attention Deficit and Disruptive Behavior Disorders

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Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities

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