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The Influence of Internalizing Symptoms and Emotion Dysregulation on the Association Between Witnessed Community Violence and Aggression Among Urban Adolescents

  • John L. CooleyEmail author
  • Lorie A. RitschelEmail author
  • Andrew L. FrazerEmail author
  • Jennifer B. BlossomEmail author
Original Article

Abstract

The current cross-sectional study examined whether internalizing (i.e. anxiety and depressive) symptoms and/or emotion dysregulation moderated the association between witnessed community violence and aggressive behavior. Participants were 180 predominantly African American adolescents (62% girls; M age = 15.87 years, SD = 1.19 years) from a high school located in an urban community in the United States. Approximately 95% of adolescents reported having witnessed at least one violent act during their lifetimes, with many endorsing repeated exposure to severe acts of community violence. Results indicated that emotion dysregulation exacerbated the association between witnessed community violence and aggression. A quadratic effect of anxiety symptoms also moderated this association, such that witnessed community violence was linked to aggression at low and high, but not moderate, levels of anxiety symptoms. In contrast, a quadratic effect of depressive symptoms was uniquely related to aggression, regardless of witnessed community violence. Directions for future research and implications for practice are reviewed.

Keywords

Witnessed community violence Anxiety symptoms Depressive symptoms Emotion dysregulation Aggression Adolescence 

Notes

Acknowledgements

This research was supported by a grant from the Emory Office of University-Community Partnerships and by the Brock Family Foundation. John Cooley was supported in part by a training fellowship from NIMH, T32 MH015442. The authors would like to thank all students, teachers, and school administrators who gave their time to participate in this study. We would also like to thank Dr. Margaret Anton for her thoughtful feedback on the manuscript. Finally, we are grateful to the many individuals involved with the Child and Adolescent Mood Program at the Emory University School of Medicine who assisted with this study.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no potential conflicts of interest.

Ethical Approval

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Youth violence: a report of the surgeon general (2001) U.S. Department of Health and Human Services, Washington D.CGoogle Scholar
  2. 2.
    Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R (2002) World report on violence and health. World Health Organization, GenevaGoogle Scholar
  3. 3.
    Fowler PJ, Tompsett CJ, Braciszewski JM, Jacques-Tiura AJ, Baltes BB (2009) Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Dev Psychopathol 21:227–259Google Scholar
  4. 4.
    Busby DR, Lambert SF, Ialongo NS (2013) Psychological symptoms linking exposure to community violence and academic functioning in African American adolescents. J Youth Adolesc 42:250–262Google Scholar
  5. 5.
    Vermeiren R, Schwab-Stone M, Deboutte D, Leckman PE, Ruchkin V (2003) Violence exposure and substance use in adolescents: findings from three countries. Pediatrics 111:535–540Google Scholar
  6. 6.
    Lambert SF, Copeland-Linder N, Ialongo NS (2008) Longitudinal associations between community violence exposure and suicidality. J Adolesc Health 43:380–386Google Scholar
  7. 7.
    Farver JAM, Xu Y, Eppe S, Fernandez A, Schwartz D (2005) Community violence, family conflict, and preschoolers’ socioemotional functioning. Dev Psychol 41:160–170Google Scholar
  8. 8.
    Guerra NG, Huesmann LR, Spindler A (2003) Community violence exposure, social cognition, and aggression among urban elementary school children. Child Dev 74:1561–1576Google Scholar
  9. 9.
    Schwartz D, Proctor LJ (2000) Community violence exposure and children’s social adjustment in the school peer group: the mediating roles of emotion regulation and social cognition. J Consult Clin Psychol 68:670–683Google Scholar
  10. 10.
    Bradshaw CP, Rodgers CRR, Ghandour LA, Garbarino J (2009) Social-cognitive mediators of the association between community violence exposure and aggressive behavior. Sch Psychol Q 24:199–210Google Scholar
  11. 11.
    McMahon SD, Felix ED, Halpert JA, Petropoulos LAN (2009) Community violence exposure and aggression among urban adolescents: testing a cognitive mediator model. J Commun Psychol 37:895–910Google Scholar
  12. 12.
    Uniform crime reports. Federal Bureau of Investigation; 2010–2014Google Scholar
  13. 13.
    Farver JAM, Natera LX, Frosch DL (1999) Effects of community violence on inner-city preschoolers and their families. J Appl Dev Psychol 20(1):143–158Google Scholar
  14. 14.
    Shahinfar A, Fox NA, Leavitt LA (2000) Preschool children’s exposure to violence: relation of behavior problems to parent and child reports. Am J Orthopsychiatry 70:115–125Google Scholar
  15. 15.
    Stein BD, Jaycox LH, Kataoka S, Rhodes HJ, Vestal KD (2003) Prevalence of child and adolescent exposure to community violence. Clin Child Fam Psychol Rev 6:247–264Google Scholar
  16. 16.
    Gaylord-Harden NK, Bai GJ, Simic D (2017) Examining a dual-process model of desensitization and hypersensitization to community violence in African American male adolescents. J Trauma Stress 30(5):463–471Google Scholar
  17. 17.
    Crick NR, Dodge KA (1994) A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychol Bull 115:74–101Google Scholar
  18. 18.
    Colder CR, Mott J, Levy S, Flay B (2000) The relation of perceived neighborhood danger to childhood aggression: a test of mediating mechanisms. Am J Commun Psychol 28:83–103Google Scholar
  19. 19.
    Shahinfar A, Kupersmidt JB, Matza LS (2001) The relation between exposure to violence and social information processing among incarcerated adolescents. J Abnorm Psychol 110(1):136–141Google Scholar
  20. 20.
    Bubier JL, Drabick DAG (2009) Co-occurring anxiety and disruptive behavior disorders: the roles of anxious symptoms, reactive aggression, and shared risk processes. Clin Psychol Rev 29:658–669Google Scholar
  21. 21.
    Granic I (2014) The role of anxiety in the development, maintenance, and treatment of childhood aggression. Dev Psychopathol 26:1515–1530Google Scholar
  22. 22.
    Gray JA (1987) Perspectives on anxiety and impulsivity: a commentary. J Res Personal 21:493–509Google Scholar
  23. 23.
    Yang J, Zhang S, Lou Y et al (2018) The increased sex differences in susceptibility to emotional stimuli during adolescence: an event-related potential study. Front Hum Neurosci 11:660Google Scholar
  24. 24.
    Loeber R, Keenan K (1994) Interaction between conduct disorder and its comorbid conditions: effects of age and gender. Clin Psychol Rev 14(6):497–523Google Scholar
  25. 25.
    Foley DL, Pickles A, Maes HM, Silberg JL, Eaves LJ (2004) Course and short-term outcomes of separation anxiety disorder in a community sample of twins. J Am Acad Child Adolesc Psychiatry 43(9):1107–1114Google Scholar
  26. 26.
    Cooley JL, Frazer AL, Fite PJ, Brown S, DiPierro M (2017) Anxiety symptoms as a moderator of the reciprocal links between forms of aggression and peer victimization in middle childhood. Aggress Behav 43(5):450–459Google Scholar
  27. 27.
    Dutton DG, Karakanta C (2013) Depression as a risk marker for aggression: a critical review. Aggress Violent Behav 18:310–319Google Scholar
  28. 28.
    Knox M, King C, Hanna GL, Logan D, Ghaziuddin N (2000) Aggressive behavior in clinically depressed adolescents. J Am Acad Child Adolesc Psychiatry 39:611–618Google Scholar
  29. 29.
    Robinson WL, Paxton KC, Jonen LP (2011) Pathways to aggression and violence among African American adolescent males: the influence of normative beliefs, neighborhood, and depressive symptomatology. J Prev Interv Commun 39:132–148Google Scholar
  30. 30.
    Benarous X, Hassler C, Falissard B, Consoli A, Cohen D (2015) Do girls with depressive symptoms exhibit more physical aggression than boys? A cross sectional study in a national adolescent sample. Child Adolesc Psychiatry Ment Health 9:1–8Google Scholar
  31. 31.
    Compas BE, Orosan PG, Grant KE (1993) Adolescent stress and coping: implications for psychopathology during adolescence. J Adolesc 16(3):331–349Google Scholar
  32. 32.
    Gomez-Baya D, Mendoza R, Paino S, Sanchez A, Romero N (2017) Latent growth curve analysis of gender differences in response styles and depressive symptoms during mid-adolescence. Cogn Ther Res 41(2):289–303Google Scholar
  33. 33.
    Jose PE, Brown I (2008) When does the gender difference in rumination begin? Gender and age differences in the use of rumination by adolescents. J Youth Adolesc 37(2):180–192Google Scholar
  34. 34.
    Stringaris A, Maughan B, Copeland WS, Costello EJ, Angold A (2013) Irritable mood as a symptom of depression in youth: prevalence, developmental, and clinical correlates in the great smoky mountains study. J Am Acad Child Adolesc Psychiatry 52(8):831–840Google Scholar
  35. 35.
    Stringaris A, Zavos H, Leibenluft E, Maughan B, Eley TC (2012) Adolescent irritability: phenotypic associations and genetic links with depressed mood. Am J Psychiatry 169(1):47–54Google Scholar
  36. 36.
    Kofler MJ, McCart MR, Zajac K, Ruggiero KJ, Saunders BE, Kilpatrick DG (2011) Depression and delinquency covariation in an accelerated longitudinal sample of adolescents. J Consult Clin Psychol 79:458–469Google Scholar
  37. 37.
    Röll J, Koglin U, Petermann F (2012) Emotion regulation and childhood aggression: longitudinal associations. Child Psychiatry Hum Dev 43:909–923Google Scholar
  38. 38.
    Cooley JL, Fite PJ (2016) Peer victimization and forms of aggression during middle childhood: the role of emotion regulation. J Abnorm Child Psychol 44(3):535–546Google Scholar
  39. 39.
    Helmsen J, Koglin U, Petermann F (2012) Emotion regulation and aggressive behavior in preschoolers: the mediating role of social information processing. Child Psychiatry Hum Dev 43(1):87–101Google Scholar
  40. 40.
    Roberton T, Daffern M, Bucks RS (2012) Emotion regulation and aggression. Aggress Violent Behav 17:72–82Google Scholar
  41. 41.
    Cole PM, Michel M, O’Donnell Teti L (1994) The development of emotion regulation and dysregulation: a clinical perspective. Monogr Soc Res Child Dev 59:73–100Google Scholar
  42. 42.
    Bushman BJ, Baumeister RF, Phillips CM (2001) Do people aggress to improve their mood? Catharsis beliefs, affect regulation opportunity, and aggressive responding. J Pers Soc Psychol 81:17–32Google Scholar
  43. 43.
    Gardner FL, Moore ZE (2008) Understanding clinical anger and violence: the anger avoidance model. Behav Modif 32:897–912Google Scholar
  44. 44.
    Bowie BH (2010) Understanding the gender differences in pathways to social deviancy: relational aggression and emotion regulation. Arch Psychiatr Nurs 24:27–37Google Scholar
  45. 45.
    Herts KL, McLaughlin KA, Hatzenbuehler ML (2012) Emotion dysregulation as a mechanism linking stress exposure to adolescent aggressive behavior. J Abnorm Child Psychol 40:1111–1122Google Scholar
  46. 46.
    McLaughlin KA, Hatzenbuehler ML, Hilt LM (2009) Emotion dysregulation as a mechanism linking peer victimization to internalizing symptoms in adolescents. J Consult Clin Psychol 77:894–904Google Scholar
  47. 47.
    Crockenberg SC, Leerkes EM, Jó PSB (2008) Predicting aggressive behavior in the third year from infant reactivity and regulation as moderated by maternal behavior. Dev Psychopathol 20:37–54Google Scholar
  48. 48.
    Hill AL, Degnan KA, Calkins SD, Keane SP (2006) Profiles of externalizing behavior problems for boys and girls across preschool: the roles of emotion regulation and inattention. Dev Psychol 42:913–928Google Scholar
  49. 49.
    Wong TKY, Konishi C, Zhao K (2018) Anger and anger regulation among adolescents: a consideration of sex and age differences. Can J Behav Sci 50(1):1–8Google Scholar
  50. 50.
    Chaplin TM, Aldao M (2013) Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull 139:735–765Google Scholar
  51. 51.
    Stroud LR, Salovey P, Epel ES (2002) Sex differences in stress responses: social rejection versus achievement stress. Biol Psychiat 52(4):318–327Google Scholar
  52. 52.
    Glover EM, Jovanovic T, Mercer KB et al (2012) Estrogen levels are associated with extinction deficits in women with posttraumatic stress disorder. Biol Psychiatry 72(1):19–24Google Scholar
  53. 53.
    Blossom JB, Fite PJ, Frazer AL, Cooley JL, Evans SC (2016) Parental psychological control and aggression in youth: moderating effect of emotion dysregulation. J Appl Dev Psychol 44:12–20Google Scholar
  54. 54.
    Community Facts (2011) US Census Bureau. http://factfinder.census.gov
  55. 55.
    March JS (1997) MASC: multidimensional anxiety scale for children. Multi-Health Systems Inc, New YorkGoogle Scholar
  56. 56.
    Beck AT, Steer RA, Brown GK (1996) Manual for the beck depression inventory-II. Psychological Corporation, San AntonioGoogle Scholar
  57. 57.
    Uslu RI, Kapci EG, Oncu B, Ugurlu M, Turkcapar H (2008) Psychometric properties and cut-off scores of the beck depression inventory-II in Turkish adolescents. J Clin Psychol Med Settings 15:225–233Google Scholar
  58. 58.
    Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54Google Scholar
  59. 59.
    Neumann A, van Lier PAC, Gratz KL, Koot HM (2010) Multidimensional assessment of emotion regulation difficulties in adolescents using the difficulties in emotion regulation scale. Assessment 17:138–149Google Scholar
  60. 60.
    De Los Reyes A, Prinstein MJ (2004) Applying depression-distortion hypotheses to the assessment of peer victimization in adolescents. J Clin Child Adolesc Psychol 33:325–335Google Scholar
  61. 61.
    Prinstein MJ, Boergers J, Vernberg EM (2001) Overt and relational aggression in adolescents: social–psychological adjustment of aggressors and victims. J Clin Child Psychol 30:479–491Google Scholar
  62. 62.
    SAS® University Edition. 2014Google Scholar
  63. 63.
    Muthén LK, Muthén BO (1998) Mplus user’s guide, 7th edn. Muthén & Muthén, Los AngelesGoogle Scholar
  64. 64.
    Aiken L, West SG (1991) Multiple regression: testing and interpreting interactions. Sage, Newbury ParkGoogle Scholar
  65. 65.
    Kline RB (2011) Principles and practice of structural equation modeling, 3rd edn. Guilford Press, New YorkGoogle Scholar
  66. 66.
    Bauer DJ, Curran PJ (2005) Probing interactions in fixed and multilevel regression: inferential and graphical techniques. Multivar Behav Res 40:373–400Google Scholar
  67. 67.
    Qouta S, Punamäki R-L, Miller T, El-Sarraj E (2008) Does war beget child aggression? Military violence, gender, age and aggressive behavior in two Palestinian samples. Aggress Behav 34:231–244Google Scholar
  68. 68.
    Ozer EJ, Lavi I, Douglas D, Wolf JP (2017) Protective factors for youth exposed to violence in their communities: a review of family, school, and community moderators. J Clin Child Adolesc Psychol 46:353–378Google Scholar
  69. 69.
    Scarpa A, Haden SC (2006) Community violence victimization and aggressive behavior: the moderating effects of coping and social support. Aggress Behav 32:502–515Google Scholar
  70. 70.
    Buka SL, Stichick TL, Birdthistle I, Earls FJ (2001) Youth exposure to violence: prevalence, risks, and consequences. Am J Orthopsychiatry 71:298–310Google Scholar
  71. 71.
    Cooley-Strickland M, Quille TJ, Griffin RS, Stuart EA, Bradshaw CP, Furr-Holden D (2009) Community violence and youth: affect, behavior, substance use, and academics. Clin Child Fam Psychol Rev 12:127–156Google Scholar
  72. 72.
    Zinzow HM, Ruggiero KJ, Resnick H et al (2009) Prevalence and mental health correlates of witnessed parental and community violence in a national sample of adolescents. J Child Psychol Psychiatry 50(4):441–450Google Scholar
  73. 73.
    Berman SL, Kurtines WM, Silverman WK, Serafini LT (1996) The impact of exposure to crime and violence on urban youth. Am J Orthopsychiatry 66(3):329–336Google Scholar
  74. 74.
    Dempsey M, Overstreet S, Moely B (2000) “Approach” and “avoidance” coping and PTSD symptoms in inner-city youth. Curr Psychol 19(1):28–45Google Scholar
  75. 75.
    Farrell AD, Bruce SE (1997) Impact of exposure to community violence on violent behavior and emotional distress among urban adolescents. J Clin Child Psychol 26(1):2–14Google Scholar
  76. 76.
    Horowitz K, Weine S, Jekel J (1995) PTSD symptoms in urban adolescent girls: compounded community trauma. J Am Acad Child Adolesc Psychiatry 34(10):1353–1361Google Scholar
  77. 77.
    Jenkins EJ (1993) Community violence and children on Chicago’s southside. Psychiatry 56(1):46–54Google Scholar
  78. 78.
    Jenkins EJ, Bell CC (1994) Violence among inner city high school students and post-traumatic stress disorder. In: Friedman S (ed) Anxiety disorders in African Americans. Springer, New York, pp 76–88Google Scholar
  79. 79.
    Overstreet S, Braun S (2000) Exposure to community violence and post-traumatic stress symptoms: mediating factors. Am J Orthopsychiatry 70(2):263–271Google Scholar
  80. 80.
    Fitzpatrick KM (1997) Aggression and environmental risk among low-income African-American youth. J Adolesc Health 21(3):172–178Google Scholar
  81. 81.
    Boyd RC, Cooley MR, Lambert SF, Ialongo NS (2003) First-grade child risk behaviors for community violence exposure in middle school. J Commun Psychol 31(3):297–314Google Scholar
  82. 82.
    Lambert SF, Ialongo NS, Boyd RC, Cooley MR (2005) Risk factors for community violence exposure in adolescence. Am J Commun Psychol 36(1–2):29–48Google Scholar
  83. 83.
    Overstreet S (2000) Exposure to community violence: defining the problem and understanding the consequences. J Child Fam Stud 9:7–25Google Scholar
  84. 84.
    Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232Google Scholar
  85. 85.
    Vitaro F, Brendgen M, Tremblay RE (2002) Reactively and proactively aggressive children: antecedent and subsequent characteristics. J Child Psychol Psychiatry 43:495–506Google Scholar
  86. 86.
    Lochman JE, Wells KC (2004) The coping power program for preadolescent aggressive boys and their parents: outcome effects at the 1-year follow-up. J Consult Clin Psychol 72:571–578Google Scholar
  87. 87.
    Eron L, Huesmann R, Spindler A, Guerra N, Henry D, Tolan P (2002) A cognitive-ecological approach to preventing aggression in urban settings: initial outcomes for high-risk children. J Consult Clin Psychol 70:179–194Google Scholar

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Authors and Affiliations

  1. 1.Developmental Psychobiology Research Group, Department of PsychiatryUniversity of Colorado Anschutz Medical CampusAuroraUSA
  2. 2.Department of PsychiatryUniversity of North Carolina Chapel Hill School of MedicineChapel HillUSA
  3. 3.Clinical Child Psychology ProgramUniversity of KansasLawrenceUSA
  4. 4.Department of Psychiatry & Behavioral SciencesUniversity of Washington School of Medicine/Seattle Children’s HospitalSeattleUSA

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