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01-04-2018 | Original Contribution

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Authors: L. Villalta, P. Smith, N. Hickin, A. Stringaris

Published in: European Child & Adolescent Psychiatry | Issue 4/2018

Abstract

This article provides a quantitative and conceptual review of emotion regulation difficulties in trauma-exposed young people, and informs future directions in the field. Despite long-standing interest in the influence of emotion regulation difficulties on different internalizing and externalizing psychiatric disorders in childhood, several questions remain unresolved with respect to children and adolescents with PTSD (post-traumatic stress disorder). Meta-analytic data from adult victims suggest that emotion regulation problems are associated with PTSD, but this has never been studied in children and young people. We therefore provide a conceptual review of features related to the phenomenology, assessment, severity and treatment of emotion regulation difficulties in trauma-exposed children and young people. We combine this with a meta-analysis of published literature. We searched studies in Medline, PsychINFO, and Embase databases based on pre-selected criteria. Eight hundred and eighty-six papers were identified and 41 were included. We found that children and adolescents with a diagnosis of PTSD reported more emotion regulation difficulties than those who did not develop PTSD, and that the overall association between the two symptom dimensions was moderately strong. We identify a number of research priorities: the development of instruments to assess emotion regulation difficulties in children, the design of studies that describe its prevalence in young epidemiological traumatized samples, its predictive role in the onset, severity and persistence of post-traumatic symptoms, and its relevance as a moderator, outcome or treatment target for young survivors.

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Title: Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review
Authors: L. Villalta
P. Smith
N. Hickin
A. Stringaris
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: European Child & Adolescent Psychiatry / Issue 4/2018
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-018-1105-4

At a glance: The STEP trials

Springer Medicine

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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