Emotion regulation strategies in trauma-related disorders: pathways linking neurobiology and clinical manifestations
Abstract
Emotion regulation impairments with traumatic origins have mainly been studied from posttraumatic stress disorder (PTSD) models by studying cases of adult onset and single-incident trauma exposure. The effects of adverse traumatic experiences, however, go beyond the PTSD. Different authors have proposed that PTSD, borderline personality, dissociative, conversive and somatoform disorders constitute a full spectrum of trauma-related conditions. Therefore, a comprehensive review of the neurobiological findings covering this posttraumatic spectrum is needed in order to develop an all-encompassing model for trauma-related disorders with emotion regulation at its center. The present review has sought to link neurobiology findings concerning cortico-limbic function to the field of emotion regulation. In so doing, trauma-related disorders have been placed in a continuum between under- and over-regulation of affect strategies. Under-regulation of affect was predominant in borderline personality disorder, PTSD with re-experiencing symptoms and positive psychoform and somatoform dissociative symptoms. Over-regulation of affect was more prevalent in somatoform disorders and pathologies characterized by negative psychoform and somatoform symptoms. Throughout this continuum, different combinations between under- and over-regulation of affect strategies were also found.
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BPD is primarily associated with under-regulation of emotion associated with a fear of abandonment, while cPTSD (as defined by DESNOS) involves alternating states of under-regulation of emotion combined with trauma-related positive dissociative symptoms or over-regulated emotion combined with negative dissociative symptoms.
“BPD was found to be primarily associated with under-regulation of emotion associated with a fear of abandonment, while cPTSD (as defined by DESNOS) involved alternating states of under-regulation of emotion combined with trauma-related positive dissociative symptoms (i.e., flashbacks, identity fragmentation) or over-regulated emotion combined with negative dissociative symptoms (i.e., derealiz”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [29]
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Flagged first, then by citations
Cited by
Sorted by citations
Complex PTSD and borderline personality disorder
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“, derealization, depersonalization, fugue states, physical conversion reactions [29, 176, 178, 180].”
BackgroundEsteban-Serna, C., Loewenberger, A., Pick, S., & Cope, S. R. (2024) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2024.2356591 · Cited by 3 · see citing works
“In their literature review, Del Río-Casanova et al. (2016) found evidence for the model proposed by Lanius et al. (2010) describing two types of emotional regulation in trauma-related disorders.”
Background
- Authors
- del Río-Casanova, L., González, A., Páramo, M., Van Dijke, A., & Brenlla, J.
- Affiliations
- 1Department of Psychiatry, Santiago de Compostela University Hospital–Hospital de Conxo, E-15706 Santiago de Compostela, Spain
- 2Department of Psychiatry, A Coruña University Hospital–Hospital de Oza, Hospital de día, E-15006 A Coruña, Spain
- 4Department of Psychiatry, Santiago de Compostela University Hospital–Hospital Gil Casares, E-15706 Santiago de Compostela, Spain
- ORCID
- Páramo, Mario
- Venue
- Reviews in the Neurosciences
- Publisher
- Walter de Gruyter GmbH
- Published
- 2016-06-01
- Volume
- 27
- Issue
- 4
- Pages
- 385-395
- ISSN
- 0334-1763 (ISSN-L)
- 2191-0200
- OpenAlex
- W2404954574
- Cited by
- 32
- References
- 128
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 2
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Reviews in the Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- emotion regulation, trauma-related disorders, post-traumatic stress disorder, borderline personality disorder, dissociative disorders, conversion disorder, somatoform disorders, neurobiology of trauma
- MeSH terms
- Animals, Dissociative Disorders, Emotions, Humans, Neurobiology, Neurons, Somatoform Disorders, Stress Disorders, Post-Traumatic
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.
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