title: Emotion dysregulation and adolescent psychopathology: a prospective study.
abstract: BACKGROUND
  Emotion regulation deficits have been consistently linked to psychopathology in cross-sectional studies. However, the direction of the relationship between emotion regulation and psychopathology is unclear. This study examined the longitudinal and reciprocal relationships between emotion regulation deficits and psychopathology in adolescents.
  
  
  METHODS
  Emotion dysregulation and symptomatology (depression, anxiety, aggressive behavior, and eating pathology) were assessed in a large, diverse sample of adolescents (N=1065) at two time points separated by seven months. Structural equation modeling was used to examine the longitudinal and reciprocal relationships between emotion dysregulation and symptoms of psychopathology.
  
  
  RESULTS
  The three distinct emotion processes examined here (emotional understanding, dysregulated expression of sadness and anger, and ruminative responses to distress) formed a unitary latent emotion dysregulation factor. Emotion dysregulation predicted increases in anxiety symptoms, aggressive behavior, and eating pathology after controlling for baseline symptoms but did not predict depressive symptoms. In contrast, none of the four types of psychopathology predicted increases in emotion dysregulation after controlling for baseline emotion dysregulation.
  
  
  CONCLUSIONS
  Emotion dysregulation appears to be an important transdiagnostic factor that increases risk for a wide range of psychopathology outcomes in adolescence. These results suggest targets for preventive interventions during this developmental period of risk.
authors: Division of General Pediatrics, Children's Hospital Boston, Harvard Medical School, MA 02115, USA. katie.mclaughlin@childrens.harvard.edu
authors: Katie A
authors: KA
authors: McLaughlin
authors: Mark L
authors: ML
authors: Hatzenbuehler
authors: Douglas S
authors: DS
authors: Mennin
authors: Susan
authors: S
authors: Nolen-Hoeksema
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D056348:Emotional Intelligence; D004644:Emotions; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008960:Models, Psychological; D000297:Psychology, Adolescent; D011599:Psychopathology; D012307:Risk Factors; D012927:Social Control, Informal