The Mediating Role of Emotional Dysregulation in the Relationship between Emotional Misbehavior and Symptoms of Emotional Disorders in Adolescents

Document Type : Research Paper

Authors

1 Ph.D. student, Department of Psychology, Qom branch, Islamic Azad University, Qom, Iran.

2 Professor, Department of clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

3 Professor, Department of Educational Psychology, Kharazmi University, Tehran, Iran.

Abstract

Emotional disorders affect people's mental and physical health and cause physical and mental problems and interpersonal problems. The aim of the present study was to investigate the mediating role of emotional dysregulation in the relationship between emotional misbehavior and emotional disorder symptoms in adolescents. The research method was descriptive-correlation and structural equation modeling. The statistical population included all adolescents of Tehran, from among whom 530 people were selected by purposive sampling. Gratz and Romer Emotional Dysregulation Questionnaire (DER-2004), Childhood Trauma Questionnaire (CTQ-1998), Brief Symptoms Scale (SCL-90-R-1973) were used to collect data. SPSS23 software and LISREL8.8 software were used for data analysis. Structural equation modeling showed that emotional abuse both directly and indirectly (through emotional dysregulation) affects the symptoms of emotional disorders in adolescents. The evaluation of the hypothetical research model using fit indices showed that the hypothetical model fits the measurement model (CFI=0.87, NFI=0.98, RMSEA=0.058). In line with McLaughlin's model, the results of this research showed that emotional abuse has an effect on the symptoms of emotional disorders in women. Also, these findings emphasize that emotional abuse causes emotional problems through emotional mechanisms.

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محمد خانی، پروانه ؛ محمدی،محمدرضا ؛ رضایی دوگاهه ، ابراهیم؛نظری ، محمدعلی (1382).نشانگان روانشناختی اثر ضربه در کودکان آزاردیده. مجله توانبخشی . تهران . دانشگاه علوم بهزیستی و توانبخشی .27
خانزاده، مصطفی؛ سعیدیان، محسن؛ حسین­چاری، مسعود و ادریسی، فروغ (1391).  ساختار عاملی و ویژگی­های روانسنجی مقیاس دشوار در نظم­بخشی هیجانی، مجله علوم رفتاری، 6 (1). 24-33.
Austin, A. E., Shanahan, M. E., & Zvara, B. J. (2018). Association of childhood abuse and prescription opioid use in early adulthood. Addictive Behaviors, 76, 265-269.
Bornovalova, M. A., Gratz, K. L., Delany-Brumsey, A., Paulson, A., & Lejuez, C. W. (2006). Temperamental and environmental risk factors for borderline personality disorder among inner-city substance users in residential treatment. Journal of personality disorders, 20(3), 218-231.
Brown, G. W., & Harris, T. O. (1993). Aetiology of anxiety and depressive disorders in an inner-city population. 1. Early adversity. Psychological medicine, 23(1), 143-154.
Carvalho Fernando, S., Beblo, T., Schlosser, N., Terfehr, K., Otte, C., Löwe, B., ... & Wingenfeld, K. (2014). The impact of self-reported childhood trauma on emotion regulation in borderline personality disorder and major depression. Journal of Trauma & Dissociation15(4), 384-401.
Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., ... & Moffitt, T. E. (2014). The p factor: one general psychopathology factor in the structure of psychiatric disorders?. Clinical psychological science, 2(2), 119-137.
Christ, C., De Waal, M. M., Dekker, J. J., van Kuijk, I., Van Schaik, D. J., Kikkert, M. J., ... & Messman-Moore, T. L. (2019). Linking childhood emotional abuse and depressive symptoms: The role of emotion dysregulation and interpersonal problems. PloS one14(2), e0211882.
Fonagy, P., & Bateman, A. (2008). The development of borderline personality disorder—A mentalizing model. Journal of personality disorders, 22(1), 4-21.
Green, J. G., McLaughlin, K. A., Berglund, P. A., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2010). Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders. Archives of general psychiatry, 67(2), 113-123.
Hein, T. C., & Monk, C. S. (2017). Research Review: Neural response to threat in children, adolescents, and adults after child maltreatment–a quantitative meta‐analysis. Journal of child psychology and psychiatry, 58(3), 222-230.
Huh, H. J., Kim, K. H., Lee, H. K., & Chae, J. H. (2017). The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. Journal of affective disorders213, 44-50.
Iwaniec, D. (2006). The emotionally abused and neglected child: Identification, assessment and intervention: A practice handbook. John Wiley & Sons.
Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M., ... & Williams, D. R. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British journal of psychiatry, 197(5), 378-385.
Keyes, K. M., Eaton, N. R., Krueger, R. F., McLaughlin, K. A., Wall, M. M., Grant, B. F., & Hasin, D. S. (2012). Childhood maltreatment and the structure of common psychiatric disorders. The British Journal of Psychiatry, 200(2), 107-115.
Khosravani, V., Messman-Moore, T. L., Mohammadzadeh, A., Ghorbani, F., & Amirinezhad, A. (2019). Effects of childhood emotional maltreatment on depressive symptoms through emotion dysregulation in treatment-seeking patients with heroin-dependence. Journal of affective disorders256, 448-457.
Kim, J., & Cicchetti, D. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. Journal of child psychology and psychiatry, 51(6), 706-716.
Kuo, J. R., Khoury, J. E., Metcalfe, R., Fitzpatrick, S., & Goodwill, A. (2015). An examination of the relationship between childhood emotional abuse and borderline personality disorder features: The role of difficulties with emotion regulation. Child abuse & neglect, 39, 147-155.
Lewis, S. J., Arseneault, L., Caspi, A., Fisher, H. L., Matthews, T., Moffitt, T. E., ... & Danese, A. (2019). The epidemiology of trauma and post-traumatic stress disorder in a representative cohort of young people in England and Wales. The Lancet Psychiatry, 6(3), 247-256.
Li, Q., Guo, L., Zhang, S., Wang, W., Li, W., Chen, X., ... & McIntyre, R. S. (2021). The relationship between childhood emotional abuse and depressive symptoms among Chinese college students: The multiple mediating effects of emotional and behavioral problems. Journal of affective disorders288, 129-135.
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. Guilford press.
Liu, R. T., Choi, J. Y., Boland, E. M., Mastin, B. M., & Alloy, L. B. (2013). Childhood abuse and stress generation: The mediational effect of depressogenic cognitive styles. Psychiatry Research, 206(2-3), 217-222.
Lök, N., Bademli, K., & Canbaz, M. (2018). The effects of anger management education on adolescents' manner of displaying anger and self-esteem: A randomized controlled trial. Archives of psychiatric nursing, 32(1), 75-81.
McLaughlin, K. A., & Sheridan, M. A. (2016). Beyond cumulative risk: A dimensional approach to childhood adversity. Current directions in psychological science, 25(4), 239-245.
McLaughlin, K. A., Colich, N. L., Rodman, A. M., & Weissman, D. G. (2020). Mechanisms linking childhood trauma exposure and psychopathology: a transdiagnostic model of risk and resilience. BMC medicine, 18(1), 1-11.
McLaughlin, K. A., DeCross, S. N., Jovanovic, T., & Tottenham, N. (2019). Mechanisms linking childhood adversity with psychopathology: Learning as an intervention target. Behaviour research and therapy, 118, 101-109.
Riggs, S. A., & Kaminski, P. (2019). Childhood emotional abuse, adult attachment, and depression as predictors of relational adjustment and psychological aggression. In The Effect of Childhood Emotional Maltreatment on Later Intimate Relationships (pp. 75-104). Routledge.
Roberton, T., Daffern, M., & Bucks, R. S. (2012). Emotion regulation and aggression. Aggression and Violent Behavior, 17(1), 72-82.
Shadrina, M., Bondarenko, E. A., & Slominsky, P. A. (2018). Genetics factors in major depression disease. Frontiers in psychiatry9, 334.
Southgate, K. (2016). A Potential Space: Discovering a Place for DW Winnicott in the Psychoanalytic Literature on Drug Addiction (Doctoral dissertation, The Chicago School of Professional Psychology).
Weissman, D. G., Bitran, D., Miller, A. B., Schaefer, J. D., Sheridan, M. A., & McLaughlin, K. A. (2019). Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology. Development and psychopathology, 31(3), 899-915.
Weissman, D. G., Nook, E. C., Dews, A. A., Miller, A. B., Lambert, H. K., Sasse, S. F., ... & McLaughlin, K. A. (2020). Low emotional awareness as a transdiagnostic mechanism underlying psychopathology in adolescence. Clinical psychological science, 8(6), 971-988.
Westbrook, J., & Berenbaum, H. (2017). Emotional awareness moderates the relationship between childhood abuse and borderline personality disorder symptom factors. Journal of clinical psychology, 73(7), 910-921.
Wingenfeld, K., Schaffrath, C., Rullkoetter, N., Mensebach, C., Schlosser, N., Beblo, T., ... & Meyer, B. (2011). Associations of childhood trauma, trauma in adulthood and previous-year stress with psychopathology in patients with major depression and borderline personality disorder. Child abuse & neglect35(8), 647-654.
Zanarini, M. C., & Frankenburg, F. R. (1997). Pathways to the development of borderline personality disorder. Journal of personality disorders, 11(1), 93-104