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Distinct emotion regulation skills explain psychopathology and problems in social relationships following childhood emotional abuse and neglect

Published online by Cambridge University Press:  22 March 2018

Sara R. Berzenski*
Affiliation:
California State University, Northridge
*
Address correspondence and reprint requests to: Sara R. Berzenski, Department of Psychology, California State University, Northridge, 18111 Nordhoff St., Northridge, CA 91330; E-mail: sara.berzenski@csun.edu.

Abstract

Efforts to differentiate between the developmental sequelae of childhood emotional abuse and childhood emotional neglect are critical to both research and practice efforts. As an oft-identified mechanism of the effects of child maltreatment on later adjustment, emotion dysregulation represents a key potential pathway. The present study explored a higher order factor model of specific emotion regulation skills, and the extent to which these skill sets would indicate distinct developmental pathways from unique emotional maltreatment experiences to multidomain adjustment. A sample of 500 ethnoracially diverse college students reported on their experiences. A two-factor model of emotion regulation skills based on subscales of the Difficulties in Emotion Regulation Scale was revealed. Significant indirect effects of childhood emotional abuse on psychopathology and problems in social relationships were found through response-focused difficulties in emotion regulation, whereas a significant indirect effect of childhood emotional neglect on problems in social relationships was found through antecedent-focused difficulties in emotion regulation. These results are consistent with theoretical models and empirical evidence suggesting differential effects of childhood emotional abuse and emotional neglect, and provide an important indication for developing targeted interventions focusing on specific higher order emotion dysregulation skill clusters.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2018 

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References

Adrian, M., Zeman, J., Erdley, C., Lisa, L., & Sim, L. (2011). Emotional dysregulation and interpersonal difficulties as risk factors for nonsuicidal self-injury in adolescent girls. Journal of Abnormal Child Psychology, 39, 389400. doi:10.1007/s10802-010-9465-3Google Scholar
Afifi, A. A., Kotlerman, J. B., Ettner, S. L., & Cowan, M. (2007). Methods for improving regression analysis for skewed continuous or counted responses. Annual Review of Public Health, 28, 95111. doi:10.1146/annurev.publhealth.28.082206.094100Google Scholar
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217237. doi:10.1016/j.cpr.2009.11.004Google Scholar
Alegre, A. (2011). Parenting styles and children's emotional intelligence: What do we know? Family Journal, 19, 5662.Google Scholar
Aust, S., Härtwig, E. A., Heuser, I., & Bajbouj, M. (2013). The role of early emotional neglect in alexithymia. Psychological Trauma: Theory, Research, Practice, and Policy, 5, 225232. doi:10.1037/a0027314Google Scholar
Bariola, E., Gullone, E., & Hughes, E. K. (2011). Child and adolescent emotion regulation: The role of parental emotion regulation and expression. Clinical Child and Family Psychology Review, 14, 198212. doi:10.1007/s10567-011-0092-5Google Scholar
Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165, 969977. doi:10.1176/appi.ajp.2008.08050721Google Scholar
Bellmore, A. D., & Cillessen, A. H. N. (2006). Reciprocal influences of victimization, perceived social preference, and self-concept in adolescence. Self and Identity, 5, 209229. doi:10.1080/15298860600636647Google Scholar
Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46, 12301237. doi:10.1016/j.brat.2008.08.005Google Scholar
Bernstein, D., & Fink, L. (1998). Manual for the Childhood Trauma Questionnaire. New York: Psychological Corporation.Google Scholar
Bernstein, D., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., … Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27, 169190. doi:10.1016/S0145-2134(02)00541-0Google Scholar
Berzenski, S. R., & Yates, T. M. (2010). A developmental process analysis of the contribution of childhood emotional abuse to relationship violence. Journal of Aggression, Maltreatment & Trauma, 19, 180203. doi:10.1080/10926770903539474Google Scholar
Borelli, J. L., & Prinstein, M. J. (2006). Reciprocal, longitudinal associations among adolescents' negative feedback-seeking, depressive symptoms, and peer relations. Journal of Abnormal Child Psychology, 34, 154164. doi:10.1007/s10802-005-9010-yGoogle Scholar
Brown, S., Fite, P. J., Stone, K., & Bortolato, M. (2016). Accounting for the associations between child maltreatment and internalizing problems: The role of alexithymia. Child Abuse & Neglect, 52, 2028. doi:10.1016/j.chiabu.2015.12.008Google Scholar
Burns, E. E., Jackson, J. L., & Harding, H. G. (2010). Child maltreatment, emotion regulation, and posttraumatic stress: The impact of emotional abuse. Journal of Aggression, Maltreatment & Trauma, 19, 801819. doi:10.1080/10926771.2010.522947Google Scholar
Calkins, S. D., & Hill, A. (2007). Caregiver influences on emerging emotion regulation: Biological and environmental transactions in early development. In Gross, J. J. (Ed.), Handbook of emotion regulation (pp. 229248). New York: Guilford Press.Google Scholar
Carpenter, L., & Chung, M. C. (2011). Childhood trauma in obsessive compulsive disorder: The roles of alexithymia and attachment. Psychology and Psychotherapy: Theory, Research and Practice, 84, 367388. doi:10.1111/j.2044-8341.2010.02003.xGoogle Scholar
Cicchetti, D., & Schneider-Rosen, K. (1986). An organizational approach to childhood depression. In Rutter, M., Izard, C. E., & Read, P. B. (Eds.), Depression in young people: Developmental and clinical perspectives (pp. 71134). New York: Guilord Press.Google Scholar
Cicchetti, D., & Valentino, K. (2006). An ecological-transactional perspective on child maltreatment: Failure of the average expectable environment and its influence on child development. In Cicchetti, D. & Cohen, D. (Eds.), Handbook of developmental psychopathology (2nd ed., Vol. 1, pp. 129201). Hoboken, NJ: Wiley.Google Scholar
Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse & Neglect, 15, 518.Google Scholar
Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70, 10671074. doi:10.1037/0022-006x.70.5.1067Google Scholar
Coates, A. A., & Messman-Moore, T. L. (2014). A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse & Neglect, 38, 103113. doi:10.1016/j.chiabu.2013.10.005Google Scholar
Corstorphine, E., Waller, G., Lawson, R., & Ganis, C. (2007). Trauma and multi-impulsivity in the eating disorders. Eating Behaviors, 8, 2330. doi:10.1016/j.eatbeh.2004.08.009Google Scholar
Derogatis, L. R. (1993). BSI, Brief Symptom Inventory: Administration, scoring and procedures manual. Piscataway, NJ: National Computer Systems.Google Scholar
Dodge Reyome, N. (Ed.) (2010). Journal of aggression, maltreatment, and trauma, Special Section: The effect of childhood emotional maltreatment on the health and functioning of later intimate relationships—Part 2 (Vol. 19). New York: Routledge.Google Scholar
Dube, S. R., Williamson, D. F., Thompson, T., Felitti, V. J., & Anda, R. F. (2004). Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic. Child Abuse & Neglect, 28, 729737. doi:10.1016/j.chiabu.2003.08.009Google Scholar
Dubo, E. D., Zanarini, M. C., Lewis, R. E., & Williams, A. A. (1997). Childhood antecedents of self-destructiveness in borderline personality disorder. Canadian Journal of Psychiatry, 42, 6369.Google Scholar
Edwards, A., Shipman, K., & Brown, A. (2005). The socialization of emotional understanding: A comparison of neglectful and nonneglectful mothers and their children. Child Maltreatment, 10, 293304. doi:10.1177/1077559505278452Google Scholar
Egeland, B., Sroufe, L. A., & Erickson, M. (1983). The developmental consequence of different patterns of maltreatment. Child Abuse & Neglect, 7, 459469. doi:10.1016/0145-2134(83)90053-4Google Scholar
Eisenberg, N., Gershoff, E. T., Fabes, R. A., Shepard, S. A., Cumberland, A. J., Losoya, S. H., … Murphy, B. C. (2001). Mother's emotional expressivity and children's behavior problems and social competence: Mediation through children's regulation. Developmental Psychology, 37, 475490. doi:10.1037/0012-1649.37.4.475Google Scholar
Erickson, M. F., & Egeland, B. (2002). Child neglect. In Briere, J., Berliner, L., Bulkley, J. A., Jenny, C., & Reid, T. (Eds.), The APSAC handbook on child maltreatment (Vol. 2, pp. 320). Thousand Oaks, CA: Sage.Google Scholar
Fox, H. C., Hong, K. A., & Sinha, R. (2008). Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addictive Behaviors, 33, 388394. doi:10.1016/j.addbeh.2007.10.002Google Scholar
Frewen, P. A., Dozois, D. J., Neufeld, R. W., & Lanius, R. A. (2012). Disturbances of emotional awareness and expression in posttraumatic stress disorder: Meta-mood, emotion regulation, mindfulness, and interference of emotional expressiveness. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 152.Google Scholar
Friborg, O., Hjemdal, O., Rosenvinge, J. H., & Martinussen, M. (2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research, 12, 6576. doi:10.1002/mpr.143Google Scholar
Garber, J., Braafladt, N., & Zeman, J. (1991). The regulation of sad affect: An information-processing perspective. In Garber, J. & Dodge, K. A. (Eds.), The development of emotion regulation and dysregulation (pp. 208240). New York: Cambridge University Press.Google Scholar
Gibb, B. E., Benas, J. S., Crossett, S. E., & Uhrlass, D. J. (2007). Emotional maltreatment and verbal victimization in childhood: Relation to adults' depressive cognitions and symptoms. Journal of Emotional Abuse, 7, 5973. doi: 10.1300/J135v07n02_04Google Scholar
Grabe, H. J., Spitzer, C., & Freyberger, H. J. (2004). Alexithymia and personality in relation to dimensions of psychopathology. American Journal of Psychiatry, 161, 12991301. doi:10.1176/appi.ajp.161.7.1299Google Scholar
Gratz, K. L., Conrad, S. D., & Roemer, L. (2002). Risk factors for deliberate self-harm among college students. American Journal of Orthopsychiatry, 72, 128140. doi:10.1037/0002-9432.72.1.128Google Scholar
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37, 2535. doi:10.1016/j.beth.2005.03.002Google Scholar
Gratz, K. L., Latzman, R. D., Tull, M. T., Reynolds, E. K., & Lejuez, C. W. (2011). Exploring the association between emotional abuse and childhood borderline personality features: The moderating role of personality traits. Behavior Therapy, 42, 493508. doi:10.1016/j.beth.2010.11.003Google Scholar
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 4154. doi: 10.1023/B:JOBA.0000007455.08539.94Google Scholar
Gross, A. B., & Keller, H. R. (1992). Long-term consequences on childhood physical and psychological maltreatment. Aggressive Behavior, 18, 171185. doi:10.1002/1098-2337(1992)18:3<171::AID-AB2480180302>3.0.CO;2-I3.0.CO;2-I>Google Scholar
Gross, J. J. (1998). Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74, 224237. doi:10.1037/0022-3514.74.1.224Google Scholar
Güleç, M. Y., Altintaş, M., İnanç, L., Bezgin, Ç. H., Koca, E. K., & Güleç, H. (2013). Effects of childhood trauma on somatization in major depressive disorder: The role of alexithymia. Journal of Affective Disorders, 146, 137141. doi:10.1016/j.jad.2012.06.033Google Scholar
Hager, A. D., & Runtz, M. G. (2012). Physical and psychological maltreatment in childhood and later health problems in women: An exploratory investigation of the roles of perceived stress and coping strategies. Child Abuse & Neglect, 36, 393403. doi:10.1016/j.chiabu.2012.02.002Google Scholar
Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260273.Google Scholar
Hardy, D. F., Power, T. G., & Jaedicke, S. (1993). Examining the relation of parenting to children's coping with everyday stress. Child Development, 64, 18291841. doi:10.2307/1131472Google Scholar
Hart, S. N., Binggeli, N. J., & Brassard, M. R. (1997). Evidence for the effects of psychological maltreatment. Journal of Emotional Abuse, 1, 2758. doi:10.1300/J135v01n01_03Google Scholar
Hildyard, K. L., & Wolfe, D. A. (2002). Child neglect: Developmental issues and outcomes. Child Abuse & Neglect, 26, 679695. doi:10.1016/S0145-2134(02)00341-1Google Scholar
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 155. doi:10.1080/10705519909540118Google Scholar
IBM Corporation. (2011). SPSS statistics for Windows (Version 20). Armonk, NY: Author.Google Scholar
Jessar, A. J., Hamilton, J. L., Flynn, M., Abramson, L. Y., & Alloy, L. B. (2015). Emotional clarity as a mechanism linking emotional neglect and depressive symptoms during early adolescence. Journal of Early Adolescence. Advance online publication. doi:10.1177/0272431615609157Google Scholar
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and Individual Differences, 49, 645650. doi:10.1016/j.paid.2010.05.041Google Scholar
Krause, E. D., Mendelson, T., & Lynch, T. R. (2003). Childhood emotional invalidation and adult psychological distress: The mediating role of emotional inhibition. Child Abuse & Neglect, 27, 199213. doi: 10.1016/S0145-2134(02)00536-7Google Scholar
Lemerise, E. A., & Arsenio, W. F. (2000). An integrated model of emotion processes and cognition in social information processing. Child Development, 71, 107118.Google Scholar
Little, R. J. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 11981202. doi:10.1080/01621459.1988.10478722Google Scholar
Mahady Wilton, M. M., Craig, W. M., & Pepler, D. J. (2000). Emotional regulation and display in classroom victims of bullying: Characteristic expressions of affect, coping styles and relevant contextual factors. Social Development, 9, 226245. doi:10.1111/1467-9507.00121Google Scholar
Manly, J. T., Kim, J. E., Rogosch, F. A., & Cicchetti, D. (2001). Dimensions of child maltreatment and children's adjustment: Contributions of developmental timing and subtype. Development and Psychopathology, 13, 759782.Google Scholar
Martini, T. S., Root, C. A., & Jenkins, J. M. (2004). Low and middle income mothers’ regulation of negative emotion: Effects of children's temperament and situational emotional responses. Social Development, 13, 515530. doi:10.1111/j.1467-9507.2004.00281.xGoogle Scholar
McGee, R. A., & Wolfe, D. A. (1991). Psychological maltreatment: Toward an operational definition. Development and Psychopathology, 3, 318. doi:10.1017/S0954579400005034Google Scholar
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16, 361388. doi:10.1111/j.1467-9507.2007.00389.xGoogle Scholar
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1996). The long-term impact of the physical, emotional, and sexual abuse of children: A community study. Child Abuse & Neglect, 20, 721. doi:10.1016/0145-2134(95)00112-3Google Scholar
Muthen, L. K., & Muthen, B. O. (1998–2011). Mplus user's guide. (6th ed.). Los Angeles: Author.Google Scholar
Ney, P. G., Fung, T., & Wickett, A. R. (1994). The worst combinations of child abuse and neglect. Child Abuse & Neglect, 18, 705714. doi:10.1016/0145-2134(94)00037-9Google Scholar
Ometto, M., de Oliveira, P. A., Milioni, A. L., dos Santos, B., Scivoletto, S., Busatto, G. F., … Cunha, P. J. (2016). Social skills and psychopathic traits in maltreated adolescents. European Child and Adolescent Psychiatry, 25, 397405. doi:10.1007/s00787-015-0744-yGoogle Scholar
Paivio, S. C., & Cramer, K. M. (2004). Factor structure and reliability of the Childhood Trauma Questionnaire in a Canadian undergraduate student sample. Child Abuse & Neglect, 28, 889904. doi:10.1016/j.chiabu.2004.01.011Google Scholar
Paivio, S. C., & McCulloch, C. R. (2004). Alexithymia as a mediator between childhood trauma and self-injurious behaviors. Child Abuse & Neglect, 28, 339354. doi:10.1016/j.chiabu.2003.11.018Google Scholar
Paradis, A., & Boucher, S. (2010). Child maltreatment history and interpersonal problems in adult couple relationships. Journal of Aggression, Maltreatment & Trauma, 19, 138158. doi:10.1080/10926770903539433Google Scholar
Penela, E. C., Walker, O. L., Degnan, K. A., Fox, N. A., & Henderson, H. A. (2015). Early behavioral inhibition and emotion regulation: Pathways toward social competence in middle childhood. Child Development. Advance online publication. doi:10.1111/cdev.12384Google Scholar
Perry, A. R., DiLillo, D., & Peugh, J. (2007). Childhood psychological maltreatment and quality of marriage: The mediating role of psychological distress. Journal of Emotional Abuse, 7, 117142. doi:10.1300/J135v07n02_07Google Scholar
Pollak, S. D., Cicchetti, D., Hornung, K., & Reed, A. (2000). Recognizing emotion in faces: Developmental effects of child abuse and neglect. Developmental Psychology, 36, 679688. doi:10.1037/0012-1649.36.5.679Google Scholar
Rosenthal, M. Z., Polusny, M. A., & Follette, V. M. (2006). Avoidance mediates the relationship between perceived criticism in the family of origin and psychological distress in adulthood. Journal of Emotional Abuse, 6, 87102. doi:10.1300/J135v06n01_05Google Scholar
Roy, A. (2005). Childhood trauma and impulsivity: Possible relevance to suicidal behavior. Archives of Suicide Research, 9, 147151. doi:10.1080/13811110590903990Google Scholar
Scher, C. D., Stein, M. B., Asmundson, G. J. G., McCreary, D. R., & Forde, D. R. (2001). The Childhood Trauma Questionnaire in a community sample: Psychometric properties and normative data. Journal of Traumatic Stress, 14, 843857. doi:10.1023/a:1013058625719Google Scholar
Shields, A., & Cicchetti, D. (1998). Reactive aggression among maltreated children: The contributions of attention and emotion dysregulation. Journal of Clinical Child Psychology, 27, 381395. doi:10.1207/s15374424jccp2704_2Google Scholar
Shipman, K., Edwards, A., Brown, A., Swisher, L., & Jennings, E. (2005). Managing emotion in a maltreating context: A pilot study examining child neglect. Child Abuse & Neglect, 29, 10151029.Google Scholar
Shipman, K., Schneider, R., Fitzgerald, M. M., Sims, C., Swisher, L., & Edwards, A. (2007). Maternal emotion socialization in maltreating and non-maltreating families: Implications for children's emotion regulation. Social Development, 16, 268285. doi: 10.1111/j.1467-9507.2007.00384.xGoogle Scholar
Shipman, K., & Zeman, J. (2001). Socialization of children's emotion regulation in mother–child dyads: A developmental psychopathology perspective. Development and Psychopathology, 13, 317336. doi:10.1017/S0954579401002073Google Scholar
Silk, J. S., Shaw, D. S., Forbes, E. E., Lane, T. L., & Kovacs, M. (2006). Maternal depression and child internalizing: The moderating role of child emotion regulation. Journal of Clinical Child and Adolescent Psychology, 35, 116126. doi:10.1207/s15374424jccp3501_10Google Scholar
Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27, 12471258. doi:10.1016/j.chiabu.2003.05.001Google Scholar
Spinazzola, J., Hodgdon, H., Liang, L.-J., Ford, J. D., Layne, C. M., Pynoos, R., … Kisiel, C. (2014). Unseen wounds: The contribution of psychological maltreatment to child and adolescent mental health and risk outcomes. Psychological Trauma: Theory, Research, Practice, and Policy, 6, S18. doi:10.1037/a0037766Google Scholar
Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van Ijzendoorn, M. H. (2012). The universality of childhood emotional abuse: A meta-analysis of worldwide prevalence. Journal of Aggression, Maltreatment & Trauma, 21, 870890. doi:10.1080/10926771.2012.708014Google Scholar
Sullivan, M. W., Bennett, D. S., Carpenter, K., & Lewis, M. (2008). Emotion knowledge in young neglected children. Child Maltreatment, 13, 301306. doi:10.1177/1077559507313725Google Scholar
Sung, M. Y. (2014). Effects of behavioral and emotional regulation on preschool children's peer play behavior: Focusing on gender differences. Family and Environment Research, 52, 541549. doi:10.6115/fer.2014.046Google Scholar
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Needham Height, MA: Allyn & Bacon.Google Scholar
Taillieu, T. L., Brownridge, D. A., Sareen, J., & Afifi, T. O. (2016). Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abuse & Neglect, 59, 112. doi:10.1016/j.chiabu.2016.07.005Google Scholar
Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 250283. doi:10.2307/1166137Google Scholar
Thompson, R. A., Lewis, M. D., & Calkins, S. D. (2008). Reassessing emotion regulation. Child Development Perspectives, 2, 124131. doi:10.1111/j.1750-8606.2008.00054.xGoogle Scholar
Trickett, P. K., & McBride-Chang, C. (1995). The developmental impact of different forms of child abuse and neglect. Developmental Review, 15, 311337. doi:10.1006/drev.1995.1012Google Scholar
Waldinger, R. J., Toth, S. L., & Gerber, A. (2001). Maltreatment and internal representations of relationships: Core relationship themes in the narratives of abused and neglected preschoolers. Social Development, 10, 4158. doi:10.1111/1467-9507.00147Google Scholar
White, M. G., Bogdan, R., Fisher, P. M., Muñoz, K. E., Williamson, D. E., & Hariri, A. R. (2012). FKBP5 and emotional neglect interact to predict individual differences in amygdala reactivity. Genes, Brain and Behavior, 11, 869878. doi:10.1111/j.1601-183X.2012.00837.xGoogle Scholar
Wright, M. O. D., Crawford, E., & Del Castillo, D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33, 5968.Google Scholar