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Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation

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Abstract

Exposure to violence during adolescence is a highly prevalent phenomenon associated with a range of deleterious outcomes. Theoretical literature suggests that emotion dysregulation is one consequence of exposure to violence associated with the manifestation of posttraumatic stress symptoms (PTSS) and borderline personality (BP) pathology. Thus, the goal of the present study was to examine the mediating role of emotion dysregulation in the relation between exposure to violence and both PTSS and BP pathology in a sample of 144 adolescents (age 10- to 17-years; 51 % male; 55 % African American) admitted to a psychiatric residential treatment center. Exposure to violence was associated with greater emotion dysregulation, which, in turn, was associated with greater PTSS and BP pathology. Furthermore, emotion dysregulation mediated the associations between exposure to violence and both PTSS and BP pathology. Findings suggest the importance of assessing and treating emotion dysregulation among violence-exposed adolescents in psychiatric residential treatment.

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Acknowledgments

The research described here was supported, in part, by a grant from the National Institutes of Health (T32DA019426).

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Authors and Affiliations

  1. Department of Psychiatry, University of Mississippi Medical Center, Jackson, MS, USA

    Kelly E. Buckholdt & Kim L. Gratz

  2. Psychology Division, G.V. (Sonny) Montgomery VAMC, 1500 E Woodrow Wilson Ave., C-154, Jackson, MS, 39216, USA

    Kelly E. Buckholdt

  3. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    Nicole H. Weiss

  4. Department of Psychology, University of Mississippi, Oxford, MS, USA

    John Young

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  1. Kelly E. Buckholdt
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Correspondence to Kelly E. Buckholdt.

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Buckholdt, K.E., Weiss, N.H., Young, J. et al. Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation. Child Psychiatry Hum Dev 46, 884–892 (2015). https://doi.org/10.1007/s10578-014-0528-5

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