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Journal of Clinical Psychology in Medical Settings
Erschienen in: Journal of Clinical Psychology in Medical Settings 3/2020

12.06.2019

Adverse Childhood Experiences and Chronic Medical Conditions: Emotion Dysregulation as a Mediator of Adjustment

verfasst von: Hannah C. Espeleta, Christina M. Sharkey, Dana M. Bakula, Kaitlyn L. Gamwell, Camille Archer, Megan N. Perez, Caroline M. Roberts, John M. Chaney, Larry L. Mullins

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 3/2020

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Abstract

Adverse childhood experiences (ACEs) are known to contribute to long-term harmful effects on mental health in young adults. Research has demonstrated that having a chronic medical condition (CMC) can also be conceptualized as being a potentially traumatic experience, and that young adults with a CMC are also at risk for negative adjustment. Emotion dysregulation, or difficulty identifying and regulating one’s emotions, is common among individuals with ACEs, and is a predictor of young adult adjustment. Given the mediational link between ACEs, emotion dysregulation, and young adult adjustment, it is likely that emotion dysregulation may demonstrate a similar linkage to adjustment in individuals with a CMC. The current study compared the effects of ACEs and having a CMC on depressive and anxious symptoms, while also examining emotion dysregulation as a possible mediator for both ACEs and CMC on adjustment outcomes, specifically depressive and anxious symptoms. College students (N = 1911) completed online questionnaires that assessed history of ACEs, emotion regulation difficulties, adjustment, and chronic illness status. Path analyses demonstrated a significant correlation between ACEs and depressive and anxious symptoms, as well as having a CMC and depressive and anxious symptoms. Furthermore, emotion dysregulation demonstrated a significant mediation between ACEs and negative adjustment, as well as between having a CMC and negative adjustment. This study highlights the importance of emotion dysregulation in understanding outcomes for individuals with a CMC and/or ACEs.
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Metadaten
Titel
Adverse Childhood Experiences and Chronic Medical Conditions: Emotion Dysregulation as a Mediator of Adjustment
verfasst von
Hannah C. Espeleta
Christina M. Sharkey
Dana M. Bakula
Kaitlyn L. Gamwell
Camille Archer
Megan N. Perez
Caroline M. Roberts
John M. Chaney
Larry L. Mullins
Publikationsdatum
12.06.2019
Verlag
Springer US
Erschienen in
Journal of Clinical Psychology in Medical Settings / Ausgabe 3/2020
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-019-09639-x

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