The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: does distress tolerance matter?

Viana, Andres G.; Raines, Elizabeth M.; Woodward, Emma C.; Hanna, Abigail E.; Walker, Robert; Zvolensky, Michael J.

doi:10.1080/16506073.2018.1536163

Cited by 11 publications

(5 citation statements)

References 57 publications

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“…Viana et al ( 169 ) showed that lower emotional clarity, a sub-dimension of ED, indirectly influences the severity of PTSD because of an increased sensitivity for anxiety. Viana et al ( 170 ) also found lower emotional clarity in traumatized adolescents to be related to suicidal ideation at higher (and not lower) levels of distress tolerance.…”

Section: Resultsmentioning

confidence: 95%

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

et al. 2021

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Background: Emotional dysregulation (ED) is a transdiagnostic construct defined as the inability to regulate the intensity and quality of emotions (such as, fear, anger, sadness), in order to generate an appropriate emotional response, to handle excitability, mood instability, and emotional overreactivity, and to come down to an emotional baseline. Because ED has not been defined as a clinical entity, and because ED plays a major role in child and adolescent psychopathology, we decided to summarize current knowledge on this topic based on a narrative review of the current literature.Methods: This narrative review is based on a literature search of peer-reviewed journals. We searched the databases ERIC, PsycARTICLES, PsycINFO and PSYNDEX on June 2, 2020 for peer reviewed articles published between 2000 and 2020 in English language for the preschool, school, and adolescent age (2–17 years) using the following search terms: “emotional dysregulation” OR “affect dysregulation,” retrieving 943 articles.Results: The results of the literature search are presented in the following sections: the relationship between ED and psychiatric disorders (ADHD, Mood Disorders, Psychological Trauma, Posttraumatic Stress Disorder, Non-suicidal Self-Injury, Eating Disorders, Oppositional Defiant Disorder, Conduct Disorder, Disruptive Disruptive Mood Dysregulation Disorder, Personality Disorders, Substance Use Disorder, Developmental Disorders, Autism Spectrum Disorder, Psychosis and Schizophrenia, and Gaming Disorder), prevention, and treatment of ED.Conclusion: Basic conditions of ED are genetic disposition, the experience of trauma, especially sexual or physical abuse, emotional neglect in childhood or adolescence, and personal stress. ED is a complex construct and a comprehensive concept, aggravating a number of various mental disorders. Differential treatment is mandatory for individual and social functioning.

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Section: Resultsmentioning

confidence: 95%

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

et al. 2021

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“…Distress tolerance (DT), defined as the ability to tolerate negative or aversive emotional or physical states (Leyro, Zvolensky, & Bernstein, 2010), is one such promising factor relevant to the childhood maltreatment-suicidality (i.e., suicidal ideation and/or behavior) association among persons in psychiatric inpatient units (Viana et al, 2019;Viana, Woodward, Raines, Hanna, & Zvolensky, 2018). Research indicates that childhood maltreatment may be negatively associated with perceived DT in adulthood (Berenz et al, 2018a(Berenz et al, , 2018b.…”

mentioning

confidence: 99%

Childhood maltreatment severity and suicidal ideation among adults receiving acute-care psychiatric inpatient services: The role of distress tolerance.

Bartlett¹,

Lebeaut²,

Zegel³

et al. 2021

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Persons in psychiatric inpatient hospitals represent a unique population with high rates of suicidal ideation and behavior as well as childhood maltreatment. Lower levels of perceived distress tolerance (DT) are associated with a history of childhood maltreatment and suicidal ideation and behavior in adulthood. Our study examined the association of childhood maltreatment severity with self-report and behavioral indices of suicide through perceived DT in a sample of adults in an acute-care psychiatric inpatient unit. We hypothesized that lower levels of perceived DT would account for the association between (a) childhood maltreatment severity and suicidal ideation severity and (b) childhood maltreatment severity and prehospitalization suicidality. Method: The sample was composed of 94 trauma-exposed adults (60% men; Mage = 33.43; SD = 12.06) admitted to a psychiatric acute-care inpatient hospital in a large metropolitan area in the southern United States. Approximately 55% of the sample were hospitalized due to suicidality, with an average number of 1.28 (SD = 2.42) prior suicide attempts; 3% of patients exhibited suicidality during their hospitalization. All patients reported experiencing at least one type of childhood maltreatment, with varying degrees of exposure. We conducted indirect effects analyses using PROCESS Macro for SPSS. Results: Childhood maltreatment severity was indirectly associated with both suicidal ideation severity and prehospitalization suicidality through DT. Conclusions: Findings advance our understanding of the association between childhood maltreatment and increased risk for suicidal ideation and behavior in adulthood, specifically among the psychiatric inpatient population.

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“…Zvolensky MJ was the most active author in the field, with about three times the number of articles published by the second-placed Bleijenberg G. He was also the third highest author in the h-index apart from Bleijenberg G and Knoop H. His articles focused on the role of the relationship between emotional states and psychopathology on certain human behaviors, such as smoking and suicide, and were mainly aimed at younger people ( 34 – 36 ). Although Zvolensky MJ’s research has not focused on the link between CBT and cancer, his research on the link between psychopathology and behavioral and emotional regulation was very thorough and revealed the potential mechanisms behind the development of mental health problems such as anxiety, distress and fatigue, such as distress tolerance (DT) and anxiety sensitivity (AS) ( 34 , 37 ), which could provide a basis for the role of CBT in the treatment of poor mental health caused by long-term cancer treatment. And this has greatly guided the direction of subsequent research in the field.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of cognitive behavioral therapy for cancer: A scientometric analysis

et al. 2022

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Cognitive behavioral therapy (CBT) is one of the most recognized psychological interventions to improve the overall quality of life of cancer survivors. To analyze current research trends in the field of the link between CBT and cancer and to provide potential future research directions, we conducted the scientometric analysis. The study was conducted on all documents in this field from 2012 to 2022 retrieved from Web of Science. Then Biblioshiny, VOSviewer software, and CiteSpace software were used for getting the information of article postings and citations, countries, institutions, journals, authors, and keywords. The number of documents about the link between CBT and cancer from 2012 to 19 July 2022, was 619, with 476 of articles and 143 of reviews. The number of annual publications has been fluctuating, with the highest number of publications in 2020. The country with the maximum number of publications and citations was the US. The University of Houston was the organization with the highest quantity of publications and total link strength (TLS). Psycho-Oncology was the most active journal in the field and has the highest h-index. Zvolensky MJ was the author with the highest quantity of publications. The most cited keywords were “Quality-of-life,” “Cognitive-behavioral therapy,” “Depression,” “Cognitive therapy” and “Breast-cancer.” And as evidenced by the keyword citations, the focus of this research area has gradually shifted to the mental health of patients and the underlying pathogenesis. The impact of CBT in cancer treatment is now well established and has gradually evolved toward symptom-specific treatment. However, the relationship between CBT and cancer has not been further developed. Future research is needed to be further developed in the identification of a generic formula for CBT in cancer and the exploration of mechanisms of CBT and cancer.

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The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: does distress tolerance matter?

Cited by 11 publications

References 57 publications

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review

Childhood maltreatment severity and suicidal ideation among adults receiving acute-care psychiatric inpatient services: The role of distress tolerance.

The efficacy of cognitive behavioral therapy for cancer: A scientometric analysis

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