“…Finally, the CAPS study will test for PCIT-driven positive effects on children’s developing self-regulation skills in addition to the previously well-documented gains achieved in child behavior outcomes. CM-exposed children are doubly challenged by (a) stress overload through exposure to specific acts of CM and (b) heightened environmental and biological risk for poor self-regulation that is inextricably linked to their parents’ own self-regulation difficulties ( 24 ). Research has documented the detrimental effects of CM exposure on children’s developing capacities to regulate emotion, cognition, physiology, and behaviour ( 25 , 26 ), including heightened autonomic responding to interpersonal hostility, dysregulated emotion, enhanced event-related potential (ERP) responses to negative emotion ( 27 , 28 ), problems with cortisol regulation ( 29 ), and impairments in inhibitory control ( 19 , 30 ).…”