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Investigation of the relationship between childhood traumas, psychological resilience, cognitive flexibility and emotion regulation skills in adults

Year 2024, Volume: 10 Issue: 2, 166 - 177, 04.03.2024
https://doi.org/10.18621/eurj.1279884

Abstract

Objectives: This paper looked into the relation between childhood traumas, resilience, cognitive flexibility, and adult emotion regulation skills in adults.

Methods: The sample, which is based on the relational screening model, includes 395 participants (female: 202, male: 193). Sociodemographic Information Form, Childhood Trauma Questionnaire, Connor-Davidson Resilience Scale, Cognitive Flexibility Scale and Cognitive Emotion Regulation Questionnaire were applied to the participants to obtain the research data. Data collection was carried out online (google forms) through convenient sampling. The t-test was used to compare the study's quantitative data, and Pearson Correlation analysis was utilized to test the relationship between the scales. Multiple Linear Regression analysis was used for predictive analysis and finally PROCESS was used for mediator role analysis.

Results: The investigation's findings revealed that there is a statistically significant difference between the scores of the two groups compared. Findings showed that there is a moderately positive correlation between acceptance and CTQ scores, a weak positive correlation between acceptance and emotional abuse scores, a weak positive correlation with physical abuse scores, a weak positive correlation with physical neglect scores, a weak positive correlation with emotional neglect scores and weak positive correlation with sexual abuse scores. A weak and negative correlation exists between Putting into Perspective and the CTQ, an even weaker and negative correlation exists between Putting into Perspective and the Emotional Neglect and Sexual Abuse scores. Rumination scores have a weak and negative relationship with emotional abuse scores.

Conclusions: In order to prevent them from serving as the foundation for difficulties with adult mental health, it is crucial to understand the relationship between traumatic childhood events and psychological resilience, cognitive flexibility, and cognitive emotion regulation techniques. In order to assist people, analyze their thoughts and feelings, be aware of negative coping mechanisms, rigid, inflexible cognitive styles, and negative thinking patterns, clinical psychology practices will benefit from research on these characteristics.

References

  • 1. Folette VM, Ruzek JI. Cognitive-behavioral therapies for trauma. 2nd ed., New York: The Guilford Press. 2006
  • 2. Nakazawa DJ. Kesintiye uğrayan çocukluk: olumsuz çocukluk deneyimleri bizi nasıl hasta eder ve nasıl iyileşebiliriz. İstanbul: Diyojen Yayıncılık. 2021.
  • 3. Levine PA, Kline M. Bir çocuğun gözünden travma. İstanbul: Butik Yayıncılık. 2021.
  • 4. Everett B, Gallop R. The link between childhood trauma and mental illness: effective interventions for mental health professionals. Thousand Oaks, CA: Sage. 2001. doi: 10.4135/9781452205533
  • 5. Heider D, Matschinger H, Bernert S, et al. Adverse parenting as a risk factor in the occurrence of anxiety disorders : a study in six European countries. Soc Psychiatry Psychiatr Epidemiol. 2008;43(4):266-272. doi: 10.1007/s00127-007-0302-0.
  • 6. Gibb BE, Chelminski I, Zimmerman M. Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Depress Anxiety. 2007;24(4):256-263. doi: 10.1002/da.20238.
  • 7. Kaplan HL, Sadock BJ. Comprehensive textbook of psychiatry. 7th ed. Philadelphia: Lippincott Williams & Wilkins. 2000: p. 2763.
  • 8. Van der Kolk BA. Beden kayıt tutar: travmanın iyileşmesinde beyin, zihin ve beden. Ankara: Nobel Yayınevi. 2018.
  • 9. Lang AJ, Aarons GA, Gearity J, et al. Direct and indirect links between childhood maltreatment, posttraumatic stress disorder, and women's health. Behav Med. 2008;33(4):125-135. doi: 10.3200/BMED.33.4.125-136.
  • 10. van der Vegt EJ, Tieman W, van der Ende J, Ferdinand RF, Verhulst FC, Tiemeier H. Impact of early childhood adversities on adult psychiatric disorders: a study of international adoptees. Soc Psychiatry Psychiatr Epidemiol. 2009;44(9):724-731. doi: 10.1007/s00127-009-0494-6.
  • 11. Klein DN, Arnow BA, Barkin JL, et al. Early adversity in chronic depression: clinical correlates and response to pharmacotherapy. Depress Anxiety. 2009;26(8):701-710. doi: 10.1002/da.20577.
  • 12. Dutra L, Bureau JF, Holmes B, Lyubchik A, Lyons-Ruth K. Quality of early care and childhood trauma: a prospective study of developmental pathways to dissociation. J Nerv Ment Dis. 2009;197(6):383-390. doi: 10.1097/NMD.0b013e3181a653b7.
  • 13. Greenfield EA, Marks NF. Profiles of physical and psychological violence in childhood as a risk factor for poorer adult health: evidence from the 1995-2005 National Survey of Midlife in the United States. J Aging Health. 2009;21(7):943-966. doi: 10.1177/0898264309343905.
  • 14. Afifi TO, Enns MW, Cox BJ, de Graaf R, ten Have M, Sareen J. Child abuse and health-related quality of life in adulthood. J Nerv Ment Dis. 2007;195(10):797-804. doi: 10.1097/NMD.0b013e3181567fdd.
  • 15. Mills KL, Teesson M, Ross J, Peters L. Trauma, PTSD, and substance use disorders: findings from the Australian National Survey of Mental Health and Well-Being. Am J Psychiatry. 2006;163(4):652-658. doi: 10.1176/ajp.2006.163.4.652.
  • 16. Dube SR, Miller JW, Brown DW, et al. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006;38(4):444.e1-10. doi: 10.1016/j.jadohealth.2005.06.006.
  • 17. Kingston S, Raghavan C. The relationship of sexual abuse, early initiation of substance use, and adolescent trauma to PTSD. J Trauma Stress. 2009;22(1):65-68. doi: 10.1002/jts.20381.
  • 18. Schwandt ML, Heilig M, Hommer DW, George DT, Ramchandani VA. Childhood trauma exposure and alcohol dependence severity in adulthood: mediation by emotional abuse severity and neuroticism. Alcohol Clin Exp Res. 2013;37(6):984-992. doi: 10.1111/acer.12053.
  • 19. Finkelhor D, Ormrod RK, Turner HA. Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007;31(1):7-26. doi: 10.1016/j.chiabu.2006.06.008.
  • 20. John PB, Russell S, Russell PS. The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu. Disaster Manag Response. 2007;5(1):3-7. doi: 10.1016/j.dmr.2006.11.001.
  • 21. McDermott BM, Lee EM, Judd M, Gibbon P. Posttraumatic stress disorder and general psychopathology in children and adolescents following a wildfire disaster. Can J Psychiatry. 2005;50(3):137-143. doi: 10.1177/070674370505000302.
  • 22. Pratchett LC, Yehuda R. Foundations of posttraumatic stress disorder: does early life trauma lead to adult posttraumatic stress disorder? Dev Psychopathol. 2011;23(2):477-491. doi: 10.1017/S0954579411000186.
  • 23. Gross JJ. The emerging field of emotion regulation: an integrative review. Rev General Psychol. 1998;2:271-299. doi: 10.1037/1089-2680.2.3.271.
  • 24. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004;26:41-54. doi: 10.1023/B:JOBA.0000007455.08539.94
  • 25. Berking M, Orth U, Wupperman P, Meier LL, Caspar F. Prospective effects of emotion-regulation skills on emotional adjustment. J Couns Psychol. 2008;55(4):485-494. doi: 10.1037/a0013589.
  • 26. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543-562. doi: 10.1111/1467-8624.00164.
  • 27. Parsons S, Kruijt AW, Fox E. A cognitive model of psychological resilience. J Exp Psychopathol. 2016;7:296-310. doi: 10.5127/jep.053415.
  • 28. Taylor SE, Kemeny ME, Reed GM, Bower JE, Gruenewald TL. Psychological resources, positive illusions, and health. Am Psychol. 2000;55(1):99-109. doi: 10.1037//0003-066x.55.1.99.
  • 29. Masten AS. Ordinary magic. Resilience processes in development. Am Psychol. 2001;56(3):227-238. doi: 10.1037//0003-066x.56.3.227.
  • 30. Salminen S, Perttula P, Puro V. Psychological resilience and occupational injuries. Psychology 2020;11(3):461-466. doi: 10.4236/psych.2020.113031.
  • 31. Cicchetti D, Rogosch FA. The role of self-organization in the promotion of resilience in maltreated children. Dev Psychopathol. 1997;9(4):797-815. doi: 10.1017/s0954579497001442.
  • 32. Masten AS. Global perspectives on resilience in children and youth. Child Dev. 2014;85(1):6-20. doi: 10.1111/cdev.12205.
  • 33. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognit Ther Res. 2010;34:241-253. doi: 10.1007/s10608-009-9276-4.
  • 34. Gabrys RL, Dixon K, Anisman H. Traumatic Life Events in Relation to Cognitive Flexibility: Moderating Role of the BDNF Val66Met Gene Polymorphism. Front Behav Neurosci. 2017;11:241. doi: 10.3389/fnbeh.2017.00241.
  • 35. Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994;151(8):1132-1136. doi: 10.1176/ajp.151.8.1132.
  • 36. Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Ankara: HYB Yayıncılık. 2012.
  • 37. Sar V, Öztürk E, Ikikardes E. [Validity and reliability of the Turkish version of childhood trauma questionnaire]. Türkiye Klinikleri. Tip Bilimleri Dergisi. 2012;32:1054-1063. doi: 10.5336/medsci.2011-26947. [Article in Turkish]
  • 38. Connor KM. Assessment of resilience in the aftermath of trauma. J Clin Psychiatry. 2006;67:46-49.
  • 39. Karaırmak, Ö. Connor-Davidson psikolojik sağlamlık ölçeğinin Türkçe versiyonunun geçerlik ve güvenirliği: Travma örnekleminde doğrulayıcı faktör analizi. IX. Ulusal Psikolojik Danışma ve Rehberlik Kongresi Kitapçığı. 2007.
  • 40. Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychol Rep. 1995;76:623-626. doi: 10.2466/pr0.1995.76.2.623.
  • 41. Altunkol F. Üniversite öğrencilerinin bilişsel esneklik algılanan stres düzeyleri arasındaki ilişkinin incelenmesi (master’s thesis on the Internet). Adana: Çukurova Üniversitesi, Sosyal Bilimler Enstitüsü. 2011.
  • 42. Garnefski N, Kraaij V. Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire: a questionnaire measuring cognitive coping strategies. Leiderdorp: DATEC. 2002.
  • 43. Onat O, Otrar, M. [Adaptation of cognitive emotion regulation questionnaire to Turkish: validity and reliability studies] MÜ. Atatürk Eğitim Fakültesi Eğitim Bilimleri Derg. 2010;31:123-143. [Article in Turkish]
  • 44. George D, Mallery M. SPSS for Windows step by step: a simple study guide and reference, 17.0 update. Boston: Allyn & Bacon. 2010.
  • 45. Groeneveld RA, Meeden G. Measuring skewness and kurtosis. Statistician. 1984;33:391-399. doi: 10.2307/2987742.
  • 46. Moors JJA. The meaning of kurtosis: Darlington reexamined. Am Stat. 1986;40:283-284.
  • 47. Hopkins KD, Weeks DL. Tests for normality and measures of skewness and kurtosis: their place in research reporting. Educ Psychol Meas. 1990;50:717-729. doi: 10.1177/0013164490504001.
  • 48. DeCarlo LT. On the meaning and use of kurtosis. Psychol Methods. 1997;2:292-307. doi: 10.1037/1082-989X.2.3.292.
  • 49. Gross JJ, Thompson RA. Emotion regulation: conceptual foundations. In: Gross JJ, ed., Handbook of emotion regulation. New York: The Guilford Press. 2007: p. 654.
  • 50. Spertus IL, Yehuda R, Wong CM, Halligan S, Seremetis SV. Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse Negl. 2003;27(11):1247-1258. doi: 10.1016/j.chiabu.2003.05.001.
  • 51. Moser DA, Suardi F, Schechter DS. (2020). PTSD During Childhood, Childhood Trauma, Childhood Maltreatment and How They Relate to Adult PTSD. In: Spalletta G, Janiri D, Piras F, Sani G. (eds), Childhood Trauma in Mental Disorders. Springer, Cham. 2020: pp. 211-229. doi: 10.1007/978-3-030-49414-8_11.
  • 52. Foa EB, Riggs DS. Posttraumatic stress disorder in rape victims. In: Oldham J, Riba MB, Tasman A, eds., American Psychiatric Press Review of Psychiatry, Washington DC: American Psychiatric Press. 1993: pp. 273-303.
  • 53. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748-766. doi: 10.1037//0022-006x.68.5.748.
  • 54. McLean CP, Foa EB. Emotions and emotion regulation in posttraumatic stress disorder. Curr Opin Psychol. 2017;14:72-77. doi: 10.1016/j.copsyc.2016.10.006.
  • 55. Clohessy S, Ehlers A. PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol. 1999;38(3):251-265. doi: 10.1348/014466599162836.
  • 56. Kumpula MJ, Orcutt HK, Bardeen JR, Varkovitzky RL. Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. J Abnorm Psychol. 2011;120(3):617-627. doi: 10.1037/a0023927.
  • 57. Frewen PA, Dozois DJ, Neufeld RW, et al. Emotional numbing in posttraumatic stress disorder: a functional magnetic resonance imaging study. J Clin Psychiatry. 2012;73(4):431-436. doi: 10.4088/JCP.10m06477.
  • 58. Powers A, Cross D, Fani N, Bradley B. PTSD, emotion dysregulation, and dissociative symptoms in a highly traumatized sample. J Psychiatr Res. 2015;61:174-179. doi: 10.1016/j.jpsychires.2014.12.011.
  • 59. Litz BT, Gray MJ. Emotional numbing in posttraumatic stress disorder: current and future research directions. Aust N Z J Psychiatry. 2002;36(2):198-204. doi: 10.1046/j.1440-1614.2002.01002.x.
  • 60. Lynch TR, Cheavens JS, Cukrowicz KC, Thorp SR, Bronner L, Beyer J. Treatment of older adults with co-morbid personality disorder and depression: a dialectical behavior therapy approach. Int J Geriatr Psychiatry. 2007;22(2):131-143. doi: 10.1002/gps.1703.
  • 61. Bernardo AB, Presbitero A. Cognitive flexibility and cultural intelligence: Exploring the cognitive aspects of effective functioning in culturally diverse contexts. Int J Intercult Relat. 2018;66:12-21. doi: 10.1016/j.ijintrel.2018.06.001.
  • 62. Sarıtaş Atalar D. Duygu düzenleme, ergenlik ve ebeveynlik. Ankara: ODTÜ Geliştirme Vakfı Yayıncılık. 2014.
  • 63. Staiger PK, Melville F, Hides L, Kambouropoulos N, Lubman DI. Can emotion-focused coping help explain the link between posttraumatic stress disorder severity and triggers for substance use in young adults? J Subst Abuse Treat. 2009;36(2):220-226. doi: 10.1016/j.jsat.2008.05.008.
  • 64. Tull MT, Barrett HM, McMillan ES, Roemer L. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther. 2007;38(3):303-313. doi: 10.1016/j.beth.2006.10.001.
  • 65. Ehring T, Quack D. Emotion regulation difficulties in trauma survivors: the role of trauma type and PTSD symptom severity. Behav Ther. 2010;41(4):587-598. doi: 10.1016/j.beth.2010.04.004.
  • 66. McDermott MJ, Tull MT, Gratz KL, Daughters SB, Lejuez CW. The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. J Anxiety Disord. 2009;23(5):591-599. doi: 10.1016/j.janxdis.2009.01.006.
  • 67. Hébert M, Langevin R, Oussaïd E. Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. J Affect Disord. 2018;225:306-312. doi: 10.1016/j.jad.2017.08.044.
  • 68. Berking M, Wupperman P. Emotion regulation and mental health: recent findings, current challenges, and future directions. Curr Opin Psychiatry. 2012;25(2):128-134. doi: 10.1097/YCO.0b013e3283503669.
  • 69. Hopfinger L, Berking M, Bockting CL, Ebert DD. Emotion regulation mediates the effect of childhood trauma on depression. J Affect Disord. 2016;198:189-197. doi: 10.1016/j.jad.2016.03.050.
  • 70. Huh HJ, Kim KH, Lee HK, Chae JH. The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. J Affect Disord. 2017;213:44-50. doi: 10.1016/j.jad.2017.02.009.
  • 71. Pechtel P, Pizzagalli DA. Effects of early life stress on cognitive and affective function: an integrated review of human literature. Psychopharmacology (Berl). 2011;214(1):55-70. doi: 10.1007/s00213-010-2009-2.
  • 72. Guinosso SA, Johnson SB, Riley AW. Multiple adverse experiences and child cognitive development. Pediatr Res. 2016;79(1-2):220-226. doi: 10.1038/pr.2015.195.
  • 73. Jones B, Müller J, Maercker A. Trauma and posttraumatic reactions in German development aid workers: prevalences and relationship to social acknowledgement. Int J Soc Psychiatry. 2006;52(2):91-100. doi: 10.1177/0020764006061248.
  • 74. Collishaw S, Pickles A, Messer J, Rutter M, Shearer C, Maughan B. Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl. 2007;31(3):211-229. doi: 10.1016/j.chiabu.2007.02.004.
  • 75. Zolli A, Healy AM. Resilience: Why things bounce back. Hachette UK. 2012.
  • 76. Levendosky AA, Huth-Bocks AC, Shapiro DL, Semel MA. The impact of domestic violence on the maternal-child relationship and preschool-age children's functioning. J Fam Psychol. 2003;17(3):275-287. doi: 10.1037/0893-3200.17.3.275.
  • 77. Santa Barbara J. The psychological effect of war on children. In: Levy BS, Sidel VW, eds., War and Public Health. Washington, DC: Oxford University Press. 2000: pp. 168-85.
  • 78. Ji S, Wang H. A study of the relationship between adverse childhood experiences, life events, and executive function among college students in China. Psicol Reflex Crit. 2018;31(1):28. doi: 10.1186/s41155-018-0107-y.
  • 79. Luby JL, Barch D, Whalen D, Tillman R, Belden A. Association Between Early Life Adversity and Risk for Poor Emotional and Physical Health in Adolescence: A Putative Mechanistic Neurodevelopmental Pathway. JAMA Pediatr. 2017;171(12):1168-1175. doi: 10.1001/jamapediatrics.2017.3009.
  • 80. McLaughlin KA. Future Directions in Childhood Adversity and Youth Psychopathology. J Clin Child Adolesc Psychol. 2016;45(3):361-382. doi: 10.1080/15374416.2015.1110823.
  • 81. Thurston H, Bell JF, Induni M. Community-level Adverse Experiences and Emotional Regulation in Children and Adolescents. J Pediatr Nurs. 2018;42:25-33. doi: 10.1016/j.pedn.2018.06.008.
Year 2024, Volume: 10 Issue: 2, 166 - 177, 04.03.2024
https://doi.org/10.18621/eurj.1279884

Abstract

References

  • 1. Folette VM, Ruzek JI. Cognitive-behavioral therapies for trauma. 2nd ed., New York: The Guilford Press. 2006
  • 2. Nakazawa DJ. Kesintiye uğrayan çocukluk: olumsuz çocukluk deneyimleri bizi nasıl hasta eder ve nasıl iyileşebiliriz. İstanbul: Diyojen Yayıncılık. 2021.
  • 3. Levine PA, Kline M. Bir çocuğun gözünden travma. İstanbul: Butik Yayıncılık. 2021.
  • 4. Everett B, Gallop R. The link between childhood trauma and mental illness: effective interventions for mental health professionals. Thousand Oaks, CA: Sage. 2001. doi: 10.4135/9781452205533
  • 5. Heider D, Matschinger H, Bernert S, et al. Adverse parenting as a risk factor in the occurrence of anxiety disorders : a study in six European countries. Soc Psychiatry Psychiatr Epidemiol. 2008;43(4):266-272. doi: 10.1007/s00127-007-0302-0.
  • 6. Gibb BE, Chelminski I, Zimmerman M. Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Depress Anxiety. 2007;24(4):256-263. doi: 10.1002/da.20238.
  • 7. Kaplan HL, Sadock BJ. Comprehensive textbook of psychiatry. 7th ed. Philadelphia: Lippincott Williams & Wilkins. 2000: p. 2763.
  • 8. Van der Kolk BA. Beden kayıt tutar: travmanın iyileşmesinde beyin, zihin ve beden. Ankara: Nobel Yayınevi. 2018.
  • 9. Lang AJ, Aarons GA, Gearity J, et al. Direct and indirect links between childhood maltreatment, posttraumatic stress disorder, and women's health. Behav Med. 2008;33(4):125-135. doi: 10.3200/BMED.33.4.125-136.
  • 10. van der Vegt EJ, Tieman W, van der Ende J, Ferdinand RF, Verhulst FC, Tiemeier H. Impact of early childhood adversities on adult psychiatric disorders: a study of international adoptees. Soc Psychiatry Psychiatr Epidemiol. 2009;44(9):724-731. doi: 10.1007/s00127-009-0494-6.
  • 11. Klein DN, Arnow BA, Barkin JL, et al. Early adversity in chronic depression: clinical correlates and response to pharmacotherapy. Depress Anxiety. 2009;26(8):701-710. doi: 10.1002/da.20577.
  • 12. Dutra L, Bureau JF, Holmes B, Lyubchik A, Lyons-Ruth K. Quality of early care and childhood trauma: a prospective study of developmental pathways to dissociation. J Nerv Ment Dis. 2009;197(6):383-390. doi: 10.1097/NMD.0b013e3181a653b7.
  • 13. Greenfield EA, Marks NF. Profiles of physical and psychological violence in childhood as a risk factor for poorer adult health: evidence from the 1995-2005 National Survey of Midlife in the United States. J Aging Health. 2009;21(7):943-966. doi: 10.1177/0898264309343905.
  • 14. Afifi TO, Enns MW, Cox BJ, de Graaf R, ten Have M, Sareen J. Child abuse and health-related quality of life in adulthood. J Nerv Ment Dis. 2007;195(10):797-804. doi: 10.1097/NMD.0b013e3181567fdd.
  • 15. Mills KL, Teesson M, Ross J, Peters L. Trauma, PTSD, and substance use disorders: findings from the Australian National Survey of Mental Health and Well-Being. Am J Psychiatry. 2006;163(4):652-658. doi: 10.1176/ajp.2006.163.4.652.
  • 16. Dube SR, Miller JW, Brown DW, et al. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006;38(4):444.e1-10. doi: 10.1016/j.jadohealth.2005.06.006.
  • 17. Kingston S, Raghavan C. The relationship of sexual abuse, early initiation of substance use, and adolescent trauma to PTSD. J Trauma Stress. 2009;22(1):65-68. doi: 10.1002/jts.20381.
  • 18. Schwandt ML, Heilig M, Hommer DW, George DT, Ramchandani VA. Childhood trauma exposure and alcohol dependence severity in adulthood: mediation by emotional abuse severity and neuroticism. Alcohol Clin Exp Res. 2013;37(6):984-992. doi: 10.1111/acer.12053.
  • 19. Finkelhor D, Ormrod RK, Turner HA. Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007;31(1):7-26. doi: 10.1016/j.chiabu.2006.06.008.
  • 20. John PB, Russell S, Russell PS. The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu. Disaster Manag Response. 2007;5(1):3-7. doi: 10.1016/j.dmr.2006.11.001.
  • 21. McDermott BM, Lee EM, Judd M, Gibbon P. Posttraumatic stress disorder and general psychopathology in children and adolescents following a wildfire disaster. Can J Psychiatry. 2005;50(3):137-143. doi: 10.1177/070674370505000302.
  • 22. Pratchett LC, Yehuda R. Foundations of posttraumatic stress disorder: does early life trauma lead to adult posttraumatic stress disorder? Dev Psychopathol. 2011;23(2):477-491. doi: 10.1017/S0954579411000186.
  • 23. Gross JJ. The emerging field of emotion regulation: an integrative review. Rev General Psychol. 1998;2:271-299. doi: 10.1037/1089-2680.2.3.271.
  • 24. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004;26:41-54. doi: 10.1023/B:JOBA.0000007455.08539.94
  • 25. Berking M, Orth U, Wupperman P, Meier LL, Caspar F. Prospective effects of emotion-regulation skills on emotional adjustment. J Couns Psychol. 2008;55(4):485-494. doi: 10.1037/a0013589.
  • 26. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543-562. doi: 10.1111/1467-8624.00164.
  • 27. Parsons S, Kruijt AW, Fox E. A cognitive model of psychological resilience. J Exp Psychopathol. 2016;7:296-310. doi: 10.5127/jep.053415.
  • 28. Taylor SE, Kemeny ME, Reed GM, Bower JE, Gruenewald TL. Psychological resources, positive illusions, and health. Am Psychol. 2000;55(1):99-109. doi: 10.1037//0003-066x.55.1.99.
  • 29. Masten AS. Ordinary magic. Resilience processes in development. Am Psychol. 2001;56(3):227-238. doi: 10.1037//0003-066x.56.3.227.
  • 30. Salminen S, Perttula P, Puro V. Psychological resilience and occupational injuries. Psychology 2020;11(3):461-466. doi: 10.4236/psych.2020.113031.
  • 31. Cicchetti D, Rogosch FA. The role of self-organization in the promotion of resilience in maltreated children. Dev Psychopathol. 1997;9(4):797-815. doi: 10.1017/s0954579497001442.
  • 32. Masten AS. Global perspectives on resilience in children and youth. Child Dev. 2014;85(1):6-20. doi: 10.1111/cdev.12205.
  • 33. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognit Ther Res. 2010;34:241-253. doi: 10.1007/s10608-009-9276-4.
  • 34. Gabrys RL, Dixon K, Anisman H. Traumatic Life Events in Relation to Cognitive Flexibility: Moderating Role of the BDNF Val66Met Gene Polymorphism. Front Behav Neurosci. 2017;11:241. doi: 10.3389/fnbeh.2017.00241.
  • 35. Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994;151(8):1132-1136. doi: 10.1176/ajp.151.8.1132.
  • 36. Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Ankara: HYB Yayıncılık. 2012.
  • 37. Sar V, Öztürk E, Ikikardes E. [Validity and reliability of the Turkish version of childhood trauma questionnaire]. Türkiye Klinikleri. Tip Bilimleri Dergisi. 2012;32:1054-1063. doi: 10.5336/medsci.2011-26947. [Article in Turkish]
  • 38. Connor KM. Assessment of resilience in the aftermath of trauma. J Clin Psychiatry. 2006;67:46-49.
  • 39. Karaırmak, Ö. Connor-Davidson psikolojik sağlamlık ölçeğinin Türkçe versiyonunun geçerlik ve güvenirliği: Travma örnekleminde doğrulayıcı faktör analizi. IX. Ulusal Psikolojik Danışma ve Rehberlik Kongresi Kitapçığı. 2007.
  • 40. Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychol Rep. 1995;76:623-626. doi: 10.2466/pr0.1995.76.2.623.
  • 41. Altunkol F. Üniversite öğrencilerinin bilişsel esneklik algılanan stres düzeyleri arasındaki ilişkinin incelenmesi (master’s thesis on the Internet). Adana: Çukurova Üniversitesi, Sosyal Bilimler Enstitüsü. 2011.
  • 42. Garnefski N, Kraaij V. Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire: a questionnaire measuring cognitive coping strategies. Leiderdorp: DATEC. 2002.
  • 43. Onat O, Otrar, M. [Adaptation of cognitive emotion regulation questionnaire to Turkish: validity and reliability studies] MÜ. Atatürk Eğitim Fakültesi Eğitim Bilimleri Derg. 2010;31:123-143. [Article in Turkish]
  • 44. George D, Mallery M. SPSS for Windows step by step: a simple study guide and reference, 17.0 update. Boston: Allyn & Bacon. 2010.
  • 45. Groeneveld RA, Meeden G. Measuring skewness and kurtosis. Statistician. 1984;33:391-399. doi: 10.2307/2987742.
  • 46. Moors JJA. The meaning of kurtosis: Darlington reexamined. Am Stat. 1986;40:283-284.
  • 47. Hopkins KD, Weeks DL. Tests for normality and measures of skewness and kurtosis: their place in research reporting. Educ Psychol Meas. 1990;50:717-729. doi: 10.1177/0013164490504001.
  • 48. DeCarlo LT. On the meaning and use of kurtosis. Psychol Methods. 1997;2:292-307. doi: 10.1037/1082-989X.2.3.292.
  • 49. Gross JJ, Thompson RA. Emotion regulation: conceptual foundations. In: Gross JJ, ed., Handbook of emotion regulation. New York: The Guilford Press. 2007: p. 654.
  • 50. Spertus IL, Yehuda R, Wong CM, Halligan S, Seremetis SV. Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse Negl. 2003;27(11):1247-1258. doi: 10.1016/j.chiabu.2003.05.001.
  • 51. Moser DA, Suardi F, Schechter DS. (2020). PTSD During Childhood, Childhood Trauma, Childhood Maltreatment and How They Relate to Adult PTSD. In: Spalletta G, Janiri D, Piras F, Sani G. (eds), Childhood Trauma in Mental Disorders. Springer, Cham. 2020: pp. 211-229. doi: 10.1007/978-3-030-49414-8_11.
  • 52. Foa EB, Riggs DS. Posttraumatic stress disorder in rape victims. In: Oldham J, Riba MB, Tasman A, eds., American Psychiatric Press Review of Psychiatry, Washington DC: American Psychiatric Press. 1993: pp. 273-303.
  • 53. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748-766. doi: 10.1037//0022-006x.68.5.748.
  • 54. McLean CP, Foa EB. Emotions and emotion regulation in posttraumatic stress disorder. Curr Opin Psychol. 2017;14:72-77. doi: 10.1016/j.copsyc.2016.10.006.
  • 55. Clohessy S, Ehlers A. PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol. 1999;38(3):251-265. doi: 10.1348/014466599162836.
  • 56. Kumpula MJ, Orcutt HK, Bardeen JR, Varkovitzky RL. Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. J Abnorm Psychol. 2011;120(3):617-627. doi: 10.1037/a0023927.
  • 57. Frewen PA, Dozois DJ, Neufeld RW, et al. Emotional numbing in posttraumatic stress disorder: a functional magnetic resonance imaging study. J Clin Psychiatry. 2012;73(4):431-436. doi: 10.4088/JCP.10m06477.
  • 58. Powers A, Cross D, Fani N, Bradley B. PTSD, emotion dysregulation, and dissociative symptoms in a highly traumatized sample. J Psychiatr Res. 2015;61:174-179. doi: 10.1016/j.jpsychires.2014.12.011.
  • 59. Litz BT, Gray MJ. Emotional numbing in posttraumatic stress disorder: current and future research directions. Aust N Z J Psychiatry. 2002;36(2):198-204. doi: 10.1046/j.1440-1614.2002.01002.x.
  • 60. Lynch TR, Cheavens JS, Cukrowicz KC, Thorp SR, Bronner L, Beyer J. Treatment of older adults with co-morbid personality disorder and depression: a dialectical behavior therapy approach. Int J Geriatr Psychiatry. 2007;22(2):131-143. doi: 10.1002/gps.1703.
  • 61. Bernardo AB, Presbitero A. Cognitive flexibility and cultural intelligence: Exploring the cognitive aspects of effective functioning in culturally diverse contexts. Int J Intercult Relat. 2018;66:12-21. doi: 10.1016/j.ijintrel.2018.06.001.
  • 62. Sarıtaş Atalar D. Duygu düzenleme, ergenlik ve ebeveynlik. Ankara: ODTÜ Geliştirme Vakfı Yayıncılık. 2014.
  • 63. Staiger PK, Melville F, Hides L, Kambouropoulos N, Lubman DI. Can emotion-focused coping help explain the link between posttraumatic stress disorder severity and triggers for substance use in young adults? J Subst Abuse Treat. 2009;36(2):220-226. doi: 10.1016/j.jsat.2008.05.008.
  • 64. Tull MT, Barrett HM, McMillan ES, Roemer L. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther. 2007;38(3):303-313. doi: 10.1016/j.beth.2006.10.001.
  • 65. Ehring T, Quack D. Emotion regulation difficulties in trauma survivors: the role of trauma type and PTSD symptom severity. Behav Ther. 2010;41(4):587-598. doi: 10.1016/j.beth.2010.04.004.
  • 66. McDermott MJ, Tull MT, Gratz KL, Daughters SB, Lejuez CW. The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. J Anxiety Disord. 2009;23(5):591-599. doi: 10.1016/j.janxdis.2009.01.006.
  • 67. Hébert M, Langevin R, Oussaïd E. Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. J Affect Disord. 2018;225:306-312. doi: 10.1016/j.jad.2017.08.044.
  • 68. Berking M, Wupperman P. Emotion regulation and mental health: recent findings, current challenges, and future directions. Curr Opin Psychiatry. 2012;25(2):128-134. doi: 10.1097/YCO.0b013e3283503669.
  • 69. Hopfinger L, Berking M, Bockting CL, Ebert DD. Emotion regulation mediates the effect of childhood trauma on depression. J Affect Disord. 2016;198:189-197. doi: 10.1016/j.jad.2016.03.050.
  • 70. Huh HJ, Kim KH, Lee HK, Chae JH. The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. J Affect Disord. 2017;213:44-50. doi: 10.1016/j.jad.2017.02.009.
  • 71. Pechtel P, Pizzagalli DA. Effects of early life stress on cognitive and affective function: an integrated review of human literature. Psychopharmacology (Berl). 2011;214(1):55-70. doi: 10.1007/s00213-010-2009-2.
  • 72. Guinosso SA, Johnson SB, Riley AW. Multiple adverse experiences and child cognitive development. Pediatr Res. 2016;79(1-2):220-226. doi: 10.1038/pr.2015.195.
  • 73. Jones B, Müller J, Maercker A. Trauma and posttraumatic reactions in German development aid workers: prevalences and relationship to social acknowledgement. Int J Soc Psychiatry. 2006;52(2):91-100. doi: 10.1177/0020764006061248.
  • 74. Collishaw S, Pickles A, Messer J, Rutter M, Shearer C, Maughan B. Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl. 2007;31(3):211-229. doi: 10.1016/j.chiabu.2007.02.004.
  • 75. Zolli A, Healy AM. Resilience: Why things bounce back. Hachette UK. 2012.
  • 76. Levendosky AA, Huth-Bocks AC, Shapiro DL, Semel MA. The impact of domestic violence on the maternal-child relationship and preschool-age children's functioning. J Fam Psychol. 2003;17(3):275-287. doi: 10.1037/0893-3200.17.3.275.
  • 77. Santa Barbara J. The psychological effect of war on children. In: Levy BS, Sidel VW, eds., War and Public Health. Washington, DC: Oxford University Press. 2000: pp. 168-85.
  • 78. Ji S, Wang H. A study of the relationship between adverse childhood experiences, life events, and executive function among college students in China. Psicol Reflex Crit. 2018;31(1):28. doi: 10.1186/s41155-018-0107-y.
  • 79. Luby JL, Barch D, Whalen D, Tillman R, Belden A. Association Between Early Life Adversity and Risk for Poor Emotional and Physical Health in Adolescence: A Putative Mechanistic Neurodevelopmental Pathway. JAMA Pediatr. 2017;171(12):1168-1175. doi: 10.1001/jamapediatrics.2017.3009.
  • 80. McLaughlin KA. Future Directions in Childhood Adversity and Youth Psychopathology. J Clin Child Adolesc Psychol. 2016;45(3):361-382. doi: 10.1080/15374416.2015.1110823.
  • 81. Thurston H, Bell JF, Induni M. Community-level Adverse Experiences and Emotional Regulation in Children and Adolescents. J Pediatr Nurs. 2018;42:25-33. doi: 10.1016/j.pedn.2018.06.008.
There are 81 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Original Articles
Authors

Kahraman Güler 0000-0002-0049-0658

Zeynep Gümüş Demir 0000-0003-4474-4813

Cansu Selin Yurtseven 0000-0002-0493-8704

Early Pub Date September 3, 2023
Publication Date March 4, 2024
Submission Date April 10, 2023
Acceptance Date July 21, 2023
Published in Issue Year 2024 Volume: 10 Issue: 2

Cite

AMA Güler K, Gümüş Demir Z, Yurtseven CS. Investigation of the relationship between childhood traumas, psychological resilience, cognitive flexibility and emotion regulation skills in adults. Eur Res J. March 2024;10(2):166-177. doi:10.18621/eurj.1279884

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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