Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: Mediating effects of emotion regulation

Choi, Ji Young; Oh, Kyung Ja

doi:10.1016/j.chiabu.2013.09.009

Cited by 53 publications

(32 citation statements)

References 29 publications

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“…In line with our hypotheses and with results of past studies, cumulative childhood trauma was associated with higher levels of emotional dysregulation, dissociation, and behavior problems (Briere, 2006;Choi and Oh, 2014;Hodges et al, 2015;Horan and Widom, 2015). Furthermore, descriptive analyses revealed CSA rarely occurs alone.…”

Section: Discussionsupporting

confidence: 91%

“…Our results are in line with those of Choi and Oh (2014), but they also further our understanding of the associations between cumulative childhood trauma and behavior problems by including dissociation symptoms into the models tested. While the association between dissociation and behavior problems was less documented than the link with emotion regulation, our results converge with those of Hagan et al (2015), Kisiel andLyons (2001), andRoss-Gower et al (1998), showing that this is a relevant variable to explore when aiming to understand the mechanisms linking cumulative childhood trauma and behavior problems in childhood.…”

Section: Discussionsupporting

confidence: 88%

“…Number of trauma types experienced was also associated with self-reported and caregiverreported symptom complexity (i.e., clinical elevations in a variety of symptom clusters) in a clinical sample of school-aged children (Hodges et al, 2013). Finally, a study of sexually abused children found that cumulative childhood trauma was positively associated with emotional dysregulation and internalized and externalized behavior problems (Choi and Oh, 2014). Overall, studies tend to indicate that cumulative childhood trauma leads to more severe behavioral and psychological consequences than single experiences of trauma, both in adults and youth samples.…”

Section: Cumulative Childhood Traumamentioning

confidence: 90%

“…In one of these studies, the mediation effect was only found in insecurely attached children (Alink et al, 2009). In another study of school-age children, emotion regulation mediated the association between cumulative childhood trauma and internalized and externalized behavior problems in sexually abused children (Choi and Oh, 2014). Finally, a study indicated that, even in the preschool period, emotion regulation mediated the association between CSA and parental reports of child behavior problems (Langevin et al, 2015).…”

Section: Mediational Analysis With Emotion Regulation and Dissociationmentioning

confidence: 92%

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Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims

Hébert

Langevin

Oussaïd

2018

Journal of Affective Disorders

105

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Background-Child sexual abuse is associated with a plethora of devastating repercussions. A significant number of sexually abused children are likely to experience other forms of maltreatment that can seriously affect their emotion regulation abilities and impede on their development. The aim of the study was to test emotion regulation and dissociation as mediators in the association between cumulative childhood trauma and internalized and externalized behavior problems in child victims of sexual abuse.Methods-Participants were 309 sexually abused children (203 girls and 106 boys; Mean age = 9.07) and their non-offending parent. Medical and clinical files were coded for cumulative childhood trauma. At initial evaluation (T1), parents completed measures assessing children's emotion regulation abilities and dissociation. At Time 2 (T2), parents completed a measure assessing children's behavior problems. Mediation analyses were conducted with emotion regulation and dissociation as sequential mediators using Mplus software.Results-Findings revealed that cumulative childhood trauma affects both internalized and externalized behavior problems through three mediation paths: emotion regulation alone, dissociation alone, and through a path combining emotion regulation and dissociation.Limitations-Both emotion regulation and dissociation were assessed at T1 and thus the temporal sequencing of mediators remains to be ascertained through a longitudinal design. All measures were completed by the parents.Conclusions-Clinicians should routinely screen for other childhood trauma in vulnerable clienteles. In order to tackle behavior problems, clinical interventions for sexually abused youth need to address emotion regulation competencies and dissociation.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Section: Cumulative Childhood Traumamentioning

confidence: 90%

Section: Mediational Analysis With Emotion Regulation and Dissociationmentioning

confidence: 92%

See 2 more Smart Citations

Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims

Hébert

Langevin

Oussaïd

2018

Journal of Affective Disorders

105

View full text Add to dashboard Cite

show abstract

“…Recent studies have examined the mediating role of emotion regulation in a sample of polyvictimized children. These studies found that emotion regulation mediated the relationship between cumulative trauma and dissociation (Hébert, Langevin, & Oussaïd, ), or behavior problems (Choi & Oh, ). In sum, emotion regulation may represent a key mechanism linking child maltreatment to negative outcomes.…”

Section: Emotion Regulation and Traumamentioning

confidence: 99%

Child victims of sexual abuse: Teachers' evaluation of emotion regulation and social adaptation in school

Amédée

Tremblay‐Perreault

Hébert

et al. 2019

Psychology in the Schools

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This study assessed the social adaptation of sexually abused children and tested whether children's emotion regulation competencies mediated the association between child sexual abuse (CSA) and two outcomes of the social domain (i.e. withdrawal and social difficulties). A group of 283 child victims of sexual abuse and a comparison group composed of 60 nonabused children was recruited. Teachers completed questionnaires assessing the children's emotion regulation competencies, withdrawal, and social difficulties exhibited in the school context. Results showed that sexually abused children displayed poorer emotion regulation skills and higher levels of both withdrawal and social difficulties relative to nonabused children. CSA was associated with social difficulties and withdrawn behavior through the mediation of emotion regulation competencies. Teachers and school psychologists should be assisted in identifying children at risk of social difficulties and emotional dysregulation and schools be encouraged to adopt a trauma‐informed approach.

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The impact of age‐related differences in emotion dysregulation on refugee mental health and social outcomes

Byrow,

Nickerson,

Specker

et al. 2024

Journal of Traumatic Stress

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The refugee experience is typically characterized by exposure to numerous premigration traumatic events and postmigration stress in the resettlement environment. Refugees’ experiences can lead to elevated rates of psychopathology, including posttraumatic stress disorder (PTSD) and depression. Emotion regulation is a key mechanism contributing to mental health outcomes among refugees. This study examined the impact of age on the association between emotion regulation and critical social outcomes relevant to refugee resettlement, such as social engagement and functional impairment. Participants were 1,081 Arabic‐, Farsi‐, Tamil‐ and English‐speaking adult refugees. Premigration trauma exposure, postmigration stressors, PTSD symptoms, depressive symptoms, emotion regulation, social engagement, and functional impairment were measured. A series of hierarchical regression and Poisson regression analyses revealed emotion dysregulation as a significant predictor of functional impairment, β = .36, p < .001, and social engagement, Exp B = 0.99, p = .002. A significant interaction between age and emotion dysregulation was associated with both PTSD, β = .05, p = .048 and depressive symptoms, β = .06, p = .010, suggesting a stronger positive association between emotion dysregulation and both PTSD and depressive symptom severity for older individuals. Postmigration stressor exposure, emotion dysregulation, and older age are important factors that may negatively impact social engagement and functional impairment in the resettlement environment. Additionally, higher levels of trauma exposure may negatively impact social engagement. These findings have implications for public health and social services in the context of resettled refugee communities.

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Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: Mediating effects of emotion regulation

Cited by 53 publications

References 29 publications

Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims

Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims

Child victims of sexual abuse: Teachers' evaluation of emotion regulation and social adaptation in school

The impact of age‐related differences in emotion dysregulation on refugee mental health and social outcomes

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