title: Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation.
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.
authors.affiliation: Department of Psychiatry, University of Mississippi Medical Center, Jackson, MS, USA. kbckhldt@memphis.edu.|Psychology Division, G.V. (Sonny) Montgomery VAMC, 1500 E Woodrow Wilson Ave., C-154, Jackson, MS, 39216, USA. kbckhldt@memphis.edu.
authors.forename: Kelly E
authors.initials: KE
authors.lastname: Buckholdt
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. nhweiss7@gmail.com.
authors.forename: Nicole H
authors.initials: NH
authors.lastname: Weiss
authors.affiliation: Department of Psychology, University of Mississippi, Oxford, MS, USA.
authors.forename: John
authors.initials: J
authors.lastname: Young
authors.affiliation: Department of Psychiatry, University of Mississippi Medical Center, Jackson, MS, USA.
authors.forename: Kim L
authors.initials: KL
authors.lastname: Gratz
mesh_terms: D000293:Adolescent; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D004644:Emotions / Q000502:physiology*; D000069581:Exposure to Violence / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010551:Personality / Q000502:physiology; D012114:Residential Treatment; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology
keywords: Borderline personality pathology; Emotion dysregulation; Exposure to violence; Posttraumatic stress symptoms; Residential treatment