Emotion regulation and cognitive function as mediating factors for the association between lifetime abuse and risky behaviors in women of color
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Abstract
Background: The relationship between lifetime abuse (i.e., childhood abuse, intimate partner violence) and risky behaviors is well established. One proposed mechanism is poor emotion regulation and executive functioning, as a potential mechanism that may explain the relationship between lifetime abuse and risky behaviors. However, research on executive functioning and emotion regulation as mediators of this relationship has been limited. In the present study, we examined this association. We hypothesized that lifetime abuse would be significantly associated with executive function and emotion regulation which in turn would be associated with greater alcohol use and risky sex. Methods: This cross-sectional study included 150 women with a history of lifetime abuse who were assessed for hazardous alcohol use using the AUDIT Score; emotion regulation was measured using the Difficulties with Emotion Regulation Scale (DERS); risky sex was measured using the question: "in the last 90 days, how many people did you have anal or vaginal sex without using a condom? Executive function was assessed using the NIH Toolbox. Results: The mediation model followed the self-regulation theory, which proposes executive function as the higher-order cognitive process. Results showed that executive function deficit and poor emotion regulation significantly mediated the relationship between lifetime abuse and hazardous alcohol use (indirect effect = .097, SE .031, 95% CI = .035 to .158). Conclusion: Our findings suggest a higher-order cognitive process with executive function promoting emotion regulation as a potential mechanism for alcohol problems in women of color who experienced lifetime abuse.
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Cites
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000) · Cognitive Psychology · doi:10.1006/cogp.1999.0734 · Cited by 15,798 · see citing works
A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse
Paolucci, E. O., Genuis, M. L., & Violato, C. (2001) · The Journal of Psychology · doi:10.1080/00223980109603677 · Cited by 1,144 · see citing works
Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.5.1067 · Cited by 1,097 · see citing works
Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2005) · Behavior Therapy · doi:10.1016/s0005-7894(05)80060-7 · Cited by 440 · see citing works
Gratz, K. L., Bornovalova, M. A., Delany-Brumsey, A., Nick, B., & Lejuez, C. W. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.08.006 · Cited by 233 · see citing works
Experiential avoidance and high-risk sexual behavior in survivors of child sexual abuse
Batten, S. V., Follette, V. M., & Aban, I. B. (2002) · Journal of Child Sexual Abuse · doi:10.1300/j070v10n02_06 · Cited by 140 · see citing works
Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. C. (2014) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.12.007 · Cited by 125 · see citing works
Cascardi, M. (2016) · Journal of Youth and Adolescence · doi:10.1007/s10964-016-0434-1 · Cited by 80 · see citing works
Silveira, S., Shah, R., Nooner, K. B., Nagel, B. J., Tapert, S. F., de Bellis, M. D., & Mishra, J. (2020) · Biological Psychiatry: Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.01.011 · Cited by 68 · cited 1× · see citing works
“Our study is partially supported by a recent study demonstrating that exposure to childhood abuse was associated with a deficit in executive function and poor emotion regulation, which predicted future alcohol use behaviors later in life [42].”
Result
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- Authors
- Villalba, K., Domenico, L. H., Cook, R. L., O’Connor, J., Michael-Samaroo, K., Espejo, M. J. D. P., Martin, P., & Dévieux, J. G.
- Affiliations
- University of Central Florida (US)
- University of Florida (US)
- Adelphi University (US)
- Florida International University (US)
- Corresponding author
- Villalba, Karina
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2023-10-30
- Volume
- 18
- Issue
- 10
- Pages
- e0279325
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC10615312
- OpenAlex
- W4388033166
- Cited by
- 5
- References
- 9
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1
- FWCI
- 1.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Minority Health and Health Disparities (2U54MD01239306)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- childhood abuse, intimate partner violence, emotion regulation, executive function, cognitive function, hazardous drinking, sexual risk behavior, women of color, mediation, self-regulation theory
- MeSH terms
- Physical Abuse, Emotional Regulation, Mediation Analysis, Ethnic and Racial Minorities, Child, Cognition, Cross-Sectional Studies, Female, Humans, Risk-Taking, Skin Pigmentation, Racial Groups, Unsafe Sex
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