Abstract
Recent evidence suggests a significant and unique effect of child abuse experiences on attachment-related anxiety and avoidance in adult romantic relationships, although mechanisms underlying this relationship have yet to be identified. The current study examined the relation between three forms of child abuse (sexual, physical, and psychological) severity, emotion dysregulation, and attachment-related anxiety and avoidance among 830 college women. Results indicated that emotion dysregulation significantly mediated the relationship between child abuse severity and attachment-related anxiety and avoidance. Future directions for research and implications for intervention are discussed.
Similar content being viewed by others
References
Adrian, M., Zeman, J., Erdley, C., Lisa, L., & Sim, L. (2011). Emotion dysregulation and interpersonal difficulties as risk factors for nonsuicidal self-injury in adolescent girls. Journal of Abnormal Child Psychology, 39, 389–400.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of Attachment: A Psychological Study of the Strange Situation. Hillsdale NJ: Erlbaum.
Bryant, C. M., & Conger, R. D. (2002). An intergenerational model of romantic relationship development. In A.L Vangelisti, H.T. Reis, & M.A. Fitzpatrick (Eds.), Stability and change in relationships (pp. 57–82). New York: Cambridge University Press.
Bacon, H., & Richardson, S. (2001). Attachment theory and child abuse: An overview of the literature for practitioners. Child Abuse Review, 10, 377–397.
Beaudoin, G., Herbet, M., & Bernier, A. (2013). Contribution of attachment security to the prediction of internalizing and externalizing behavior problems in preschoolers victims of sexual abuse. Revue Europeenne de Psychologie Appliquee, 63, 147–157.
Bender, P. K., Reinholdt-Dunne, M. L., Esbjorn, B. H., & Pons, F. (2012). Emotion dysregulation and anxiety in children and adolescents: Gender differences. Personality and Individual Differences, 53, 284–288.
Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire manual. San Antonia, TX: The Psychological Corporation.
Berthelot, N., Godbout, N., Hebert, M., Goulet, M., & Bergeron, S. (2014). Prevalence and correlates of childhood sexual abuse in adults consulting for sexual problems. Journal of Sex and Marital Therapy, 40, 434–443.
Bowlby, J. (1969). Attachment and loss, volume i: Attachment. New York: Basic Books.
Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.
Bowlby, J. (1982). Attachment and loss: Vol. 1. Attachment. New York: Basic Books (Original work published 1969).
Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation and romantic relationship functioning. Personality and Social Psychology Bulletin, 21, 267–283.
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). New York: Guilford Press.
Burns, E. E., Fischer, S., Jackson, J. L., & Harding, H. G. (2012). Deficits in emotion regulation mediate the relationship between childhood abuse and later eating disorder symptoms. Child Abuse & Neglect, 36, 32–39.
Caldwell, J. G., Shaver, P. R., Li, C., & Minzenberg, M. J. (2011). Childhood maltreatment, adult attachment, and depression as predictors of parental self-efficacy in at-risk mothers. Journal of Aggression, Maltreatment & Trauma, 20, 595–616.
Cameron, A. C. (2004). Kurtosis. The Sage encyclopedia of social science research methods doi:10.4135/9781412950589.
Charania, M. R., & Ickes, W. (2007). Predicting marital satisfaction: Social absorption and individuation versus attachment anxiety and avoidance. Personal Relationships, 14, 187–208.
Clemmons, J. C., Walsh, K., DiLillo, D., & Messman-Moore, T. (2007). Unique and combined contributions of multiple child abuse types and abuse severity to adult trauma symptomatology. Child Maltreatment, 12, 172–181.
Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2002). Beyond PTSD: Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36, 119–124.
Coates, A. A., & Messman-Moore, T. L. (2014). A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse and Neglect .2013, in press
Cummings, M. E., Davies, P. T., & Campbell, S. B. (2000). Developmental psychopathology and family process: Theory, research, and clinical implications. New York: Guilford Press.
Davis, D., Shaver, P. R., & Vernon, M. L. (2003). Physical, emotional, and behavioral reactions to breaking up: The roles of gender, age, emotional involvement, and attachment style. Personality and Social Psychology Bulletin, 29, 871–884.
DiLillo, D., Hayes, S., Fortier, M. A., Perry, A. R., Evans, S., Messman-Moore, T. L., et al. (2010). Development and initial psychometric properties of the computer assisted maltreatment inventory (CAMI): A comprehensive self-report measure of child maltreatment history. Child Abuse & Neglect, 21, 789–802.
Fergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes: Findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37, 664–674.
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.
Graham, J. W., Olchowski, A. E., & Gilreath, T. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Prevention Science, 8(3), 206–213.
Gratz, K. L. (2007). Targeting emotion dysregulation in the treatment of self-injury. Journal of Clinical Psychology, 63, 1091–1103.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.
Gratz, K. L., & Roemer, L. (2008). The relationship between emotion dysregulation and deliberate self-harm among female undergraduate students at an urban commuter university. Cognitive Behaviour Therapy, 37(1), 14–25.
Hayes, A. F. (2009). Beyond baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
Kim, J., & Cicchetti, D. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. The Journal of Child Psychology and Psychiatry, 51, 706–716.
Kim, J., Talbot, N. L., & Cicchetti, D. (2009). Childhood abuse and current family conflict: The role of shame. Child Abuse and Neglect, 33, 362–371.
Kinsfogel, K. M., & Grych, J. H. (2004). Interparental conflict and adolescent dating relationships: Integrating cognitive, emotional, and peer influences. Journal of Family Psychology, 18, 505–515.
Liang, B., Williams, L. M., & Siegel, J. A. (2006). Relational outcomes of childhood sexual trauma in female survivors: A longitudinal study. Journal of Interpersonal Violence, 21, 42–57.
Linehan, M. M., Bohus, M., & Lynch, T. R. (2007). Dialectical behavior therapy for pervasive emotion dysregulation. In J. Gross (Ed.), Handbook of emotion regulation (pp. 581–605). NY: Guliford Press.
McCarthy, G., & Taylor, A. (1999). Avoidant/ambivalent attachment style as a mediator between abusive childhood experiences and adult relationship difficulties. Journal of Child Psychology and Psychiatry, 40, 465–477.
Messman-Moore, T. L., & Coates, A. A. (2007). The impact of childhood psychological abuse on adult interpersonal conflict: The role of early maladaptive schemas and patterns of interpersonal behavior. Journal of Emotional Abuse, 7, 75–92.
Messman-Moore, T. L., Walsh, K. L., & DiLillo, D. (2010). Emotion dysregulation and risky sexual behavior in revictimization. Child Abuse & Neglect, 34, 967–976.
Pereda, N., Guilera, G., Forns, M., & Gómez-Benito, J. (2009). The international epidemiology of child sexual abuse: A continuation of Finkelhor (1994). Child Abuse & Neglect, 33, 331–342.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731.
Reichmann-Decker, A., DePrince, A., & McIntosh, D. N. (2009). Affective responsiveness, betrayal, and child abuse. Journal of Trauma & Dissociation, 10, 276–296.
Riggs, S. A. (2014). Childhood emotional abuse and the attachment system across the life cycle: What theory and research tell us. Journal of Aggression, Maltreatment & Trauma, 19, 5–51.
Riggs, S. A., & Kaminski, P. (2010). Childhood emotional abuse, adult attachment and depression as predictors of relational adjustment and psychological aggression. Journal of Aggression, Maltreatment & Trauma, 19, 75–104.
Riggs, S. A., Cusimano, A. M., & Benson, K. M. (2011). Childhood emotional abuse and attachment processes in the dyadic adjustment of dating couples. Journal of Counseling Psychology, 58, 126–138.
Simpson, J. A. (1990). Influence of attachment styles on romantic relationships. Journal of Personality and Social Psychology, 59, 971–980.
Soenke, M., Hahn, K. S., Tull, M. T., & Gratz, K. L. (2009). Exploring the relationship between childhood abuse and analogue generalized anxiety disorder: The mediating role of emotion dysregulation. Cognitive Therapy and Research, 34, 401–412.
Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2007). Long-term physical and mental health consequences from childhood physical abuse: Results from a large population-sample of men and women. Child Abuse & Neglect, 31, 517–530.
Stevens, N. R., Gerhart, J., Goldsmith, R. E., Heath, N. M., Chesney, S. A., & Hobfoll, S. E. (2013). Emotion regulation difficulties, low social support, and interpersonal violence mediates the link between childhood abuse and posttraumatic stress symptoms. Behavior Therapy, 44, 152–161.
Unger, J. M., & De Luca, R. V. (2014). The relationship between childhood physical abuse and adult attachment styles. Journal of Family Violence, 29, 223–234.
Van der Kolk, B. A. (2005). Developmental trauma disorder. Psychiatric Annals, 35(5), 401–408.
Wei, M., Vogel, D. L., Ku, T., & Zakalik, R. A. (2005). Adult attachment, affect regulation, negative mood, and interpersonal problems: The mediating roles of emotional reactivity and emotional cutoff. Journal of Counseling Psychology, 52, 14–24.
Wright, M. O. D., Crawford, E., & Del Castillo, D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33, 59–68.
Acknowledgments
Dr. Messman-Moore would like to acknowledge the support of the O’Toole Family whose endowment provided support for this research.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Espeleta, H.C., Palasciano-Barton, S. & Messman-Moore, T.L. The Impact of Child Abuse Severity on Adult Attachment Anxiety and Avoidance in College Women: The Role of Emotion Dysregulation. J Fam Viol 32, 399–407 (2017). https://doi.org/10.1007/s10896-016-9816-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10896-016-9816-0