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European Child & Adolescent Psychiatry

, Volume 27, Issue 4, pp 527–544 | Cite as

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

  • L. Villalta
  • P. Smith
  • N. Hickin
  • A. Stringaris
Original Contribution

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.

Keywords

Emotion regulation Anger Post-traumatic stress disorder Meta-analysis Review Childhood 

Notes

Acknowledgements

L. Villalta was financially supported by the Alicia Koplowitz Foundation while working on this manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

787_2018_1105_MOESM1_ESM.docx (202 kb)
Supplementary material 1 (DOCX 201 kb)
787_2018_1105_MOESM2_ESM.docx (64 kb)
Supplementary material 2 (DOCX 63 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • L. Villalta
    • 1
  • P. Smith
    • 2
  • N. Hickin
    • 2
  • A. Stringaris
    • 3
  1. 1.Child and Adolescent Psychiatry DepartmentHospital Sant Joan de DeuBarcelonaSpain
  2. 2.Institute of Psychiatry, Psychology and NeuroscienceKing’s College LondonLondonUK
  3. 3.Mood Brain & Development Unit, Emotion and Development BranchNational Institute of Mental HealthBethesdaUSA

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