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Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders

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Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders. / Kahl, Johanna; Holl, Julia; Grundmann, Johanna; Lotzin, Annett; Hiller, Philipp; Schroeder, Katrin; Schulte, Bernd; Barnow, Sven; Schäfer, Ingo.

in: SUBST USE MISUSE, Jahrgang 55, Nr. 13, 2020, S. 2184-2193.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Kahl, J, Holl, J, Grundmann, J, Lotzin, A, Hiller, P, Schroeder, K, Schulte, B, Barnow, S & Schäfer, I 2020, 'Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders', SUBST USE MISUSE, Jg. 55, Nr. 13, S. 2184-2193. https://doi.org/10.1080/10826084.2020.1797805

APA

Kahl, J., Holl, J., Grundmann, J., Lotzin, A., Hiller, P., Schroeder, K., Schulte, B., Barnow, S., & Schäfer, I. (2020). Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders. SUBST USE MISUSE, 55(13), 2184-2193. https://doi.org/10.1080/10826084.2020.1797805

Vancouver

Kahl J, Holl J, Grundmann J, Lotzin A, Hiller P, Schroeder K et al. Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders. SUBST USE MISUSE. 2020;55(13):2184-2193. https://doi.org/10.1080/10826084.2020.1797805

Bibtex

@article{c940d2ff91564f9785eafd2f22009af9,
title = "Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders",
abstract = "OBJECTIVE: A history of childhood abuse and neglect (CAN) is significantly associated with psychopathologies in adulthood, including comorbid posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Difficulties in emotion regulation (ER) might influence the association between CAN and PTSD. The aim of this study was to examine the relationship between CAN and PTSD symptom severity in women with SUD and to investigate the mediating role of general difficulties in ER and its specific dimensions. Method: We examined 320 women, with a current diagnosis of at least subsyndromal PTSD and SUD, using self-report measures of CAN, PTSD symptom severity, and ER difficulties. We conducted both simple and multiple bootstrapping-enhanced mediation analysis to investigate whether general difficulties in ER and its specific dimensions mediate the relationship between CAN and PTSD symptom severity. Results: General difficulties in ER mediated the association between CAN and PTSD symptom severity. CAN significantly predicted adult PTSD symptom severity, directly and indirectly, through ER difficulties. Difficulties engaging in goal directed behavior when distressed was the only ER dimension, which mediated the effect of CAN on PTSD symptoms. Conclusions: Our results suggest that difficulties in ER and specifically difficulties engaging in goal directed behavior when distressed might constitute an influential factor in the relationship between CAN and PTSD symptom severity in a sample of SUD patients, and highlight the importance of targeting ER as a potential treatment focus for patients with comorbid PTSD and SUD.",
author = "Johanna Kahl and Julia Holl and Johanna Grundmann and Annett Lotzin and Philipp Hiller and Katrin Schroeder and Bernd Schulte and Sven Barnow and Ingo Sch{\"a}fer",
year = "2020",
doi = "10.1080/10826084.2020.1797805",
language = "English",
volume = "55",
pages = "2184--2193",
journal = "SUBST USE MISUSE",
issn = "1082-6084",
publisher = "informa healthcare",
number = "13",

}

RIS

TY - JOUR

T1 - Emotion Regulation as a Mediator between Childhood Abuse and Neglect and Posttraumatic Stress Disorder in Women with Substance Use Disorders

AU - Kahl, Johanna

AU - Holl, Julia

AU - Grundmann, Johanna

AU - Lotzin, Annett

AU - Hiller, Philipp

AU - Schroeder, Katrin

AU - Schulte, Bernd

AU - Barnow, Sven

AU - Schäfer, Ingo

PY - 2020

Y1 - 2020

N2 - OBJECTIVE: A history of childhood abuse and neglect (CAN) is significantly associated with psychopathologies in adulthood, including comorbid posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Difficulties in emotion regulation (ER) might influence the association between CAN and PTSD. The aim of this study was to examine the relationship between CAN and PTSD symptom severity in women with SUD and to investigate the mediating role of general difficulties in ER and its specific dimensions. Method: We examined 320 women, with a current diagnosis of at least subsyndromal PTSD and SUD, using self-report measures of CAN, PTSD symptom severity, and ER difficulties. We conducted both simple and multiple bootstrapping-enhanced mediation analysis to investigate whether general difficulties in ER and its specific dimensions mediate the relationship between CAN and PTSD symptom severity. Results: General difficulties in ER mediated the association between CAN and PTSD symptom severity. CAN significantly predicted adult PTSD symptom severity, directly and indirectly, through ER difficulties. Difficulties engaging in goal directed behavior when distressed was the only ER dimension, which mediated the effect of CAN on PTSD symptoms. Conclusions: Our results suggest that difficulties in ER and specifically difficulties engaging in goal directed behavior when distressed might constitute an influential factor in the relationship between CAN and PTSD symptom severity in a sample of SUD patients, and highlight the importance of targeting ER as a potential treatment focus for patients with comorbid PTSD and SUD.

AB - OBJECTIVE: A history of childhood abuse and neglect (CAN) is significantly associated with psychopathologies in adulthood, including comorbid posttraumatic stress disorder (PTSD) and substance use disorders (SUD). Difficulties in emotion regulation (ER) might influence the association between CAN and PTSD. The aim of this study was to examine the relationship between CAN and PTSD symptom severity in women with SUD and to investigate the mediating role of general difficulties in ER and its specific dimensions. Method: We examined 320 women, with a current diagnosis of at least subsyndromal PTSD and SUD, using self-report measures of CAN, PTSD symptom severity, and ER difficulties. We conducted both simple and multiple bootstrapping-enhanced mediation analysis to investigate whether general difficulties in ER and its specific dimensions mediate the relationship between CAN and PTSD symptom severity. Results: General difficulties in ER mediated the association between CAN and PTSD symptom severity. CAN significantly predicted adult PTSD symptom severity, directly and indirectly, through ER difficulties. Difficulties engaging in goal directed behavior when distressed was the only ER dimension, which mediated the effect of CAN on PTSD symptoms. Conclusions: Our results suggest that difficulties in ER and specifically difficulties engaging in goal directed behavior when distressed might constitute an influential factor in the relationship between CAN and PTSD symptom severity in a sample of SUD patients, and highlight the importance of targeting ER as a potential treatment focus for patients with comorbid PTSD and SUD.

U2 - 10.1080/10826084.2020.1797805

DO - 10.1080/10826084.2020.1797805

M3 - SCORING: Journal article

C2 - 32835585

VL - 55

SP - 2184

EP - 2193

JO - SUBST USE MISUSE

JF - SUBST USE MISUSE

SN - 1082-6084

IS - 13

ER -