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Child Psychiatry & Human Development

, Volume 46, Issue 6, pp 884–892 | Cite as

Exposure to Violence, Posttraumatic Stress Symptoms, and Borderline Personality Pathology Among Adolescents in Residential Psychiatric Treatment: The Influence of Emotion Dysregulation

  • Kelly E. Buckholdt
  • Nicole H. Weiss
  • John Young
  • Kim L. Gratz
Original Article

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.

Keywords

Exposure to violence Posttraumatic stress symptoms Borderline personality pathology Emotion dysregulation Residential treatment 

Notes

Acknowledgments

The research described here was supported, in part, by a grant from the National Institutes of Health (T32DA019426).

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Kelly E. Buckholdt
    • 1
    • 2
  • Nicole H. Weiss
    • 3
  • John Young
    • 4
  • Kim L. Gratz
    • 1
  1. 1.Department of PsychiatryUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Psychology DivisionG.V. (Sonny) Montgomery VAMCJacksonUSA
  3. 3.Department of PsychiatryYale University School of MedicineNew HavenUSA
  4. 4.Department of PsychologyUniversity of MississippiOxfordUSA

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