Evidence map›Paper›PMID 34091237›Full record

ArticleChild abuse & neglect2021

The roles of attachment and emotion dysregulation in the association between childhood maltreatment and PTSD in an inner-city sample.

Thomas M Crow, Kenneth N Levy, Bekh Bradley, Negar Fani, Abigail Powers

Open access · greenAbstract read
In one paragraph

Article in Child abuse & neglect, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Thomas M CrowDepartment of Psychology, Pennsylvania State University, USA.
Kenneth N LevyDepartment of Psychology, Pennsylvania State University, USA.
Bekh BradleyDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, USA; Atlanta VA Medical Center, Mental Health Services, USA.
Negar FaniEmory University School of Medicine, USA.
Abigail PowersDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, USA. Electronic address: adpower@emory.edu.
Emory University · USPennsylvania State University · USAtlanta VA Medical Center · US

Funding

X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 1985 to 2007
$21.3M
Mechanisms of Intergenerational Impact of Maternal TraumaR01HD071982 · NICHD · EMORY UNIVERSITY · PI BRADLEY, BEKH · 2013 to 2017
$2.1M
Primary-Care Based Mindfulness Intervention for Chronically Traumatized IndividualsK23AT009713 · NCCIH · EMORY UNIVERSITY · PI LOTT, ABIGAIL POWERS · 2018 to 2021
$538k
The role of emotion dysregulation in PTSD symptomologyF32MH102890 · NIMH · EMORY UNIVERSITY · PI LOTT, ABIGAIL POWERS · 2014 to 2015
$102k
NCCIH NIH HHS K23 AT009713NCRR NIH HHS M01 RR000039NICHD NIH HHS R01 HD071982NIMH NIH HHS F32 MH102890
6 · The paper itself

Abstract

backgroundMost people will experience a traumatic event in their lifetime, but only a subset (<10%) will develop posttraumatic stress disorder (PTSD).

objectiveTo facilitate prevention and intervention of PTSD, it is important to understand how risk and resilience factors interact with one another to explain individual differences in risk for PTSD, especially in underprivileged groups, who often experience greater burden of trauma and PTSD.

methodThe current study utilized multiple and moderated regression to examine the relation between childhood maltreatment and adulthood PTSD risk in the context of various attachment patterns and emotion dysregulation in a sample (n = 856) of mostly low-income, African American participants.

resultsModeration analysis indicated that the strongest association between self-reported childhood maltreatment and PTSD symptoms was manifest in participants reporting the highest levels of both attachment anxiety and attachment avoidance (b = 0.22, 95% CI [0.15, 0.29], p < .001), whereas, among those low on both these dimensions (i.e., more securely attached participants), there was no significant association between childhood maltreatment and current PTSD (b = 0.07, 95% CI [-0.01, 0.14], p = .07). Separately, multiple regression predicting current PTSD symptoms revealed an effect size for the two attachment dimensions similar to that of emotion dysregulation, while controlling for childhood maltreatment.

conclusionsThese findings suggest more secure attachment may buffer against the deleterious effects of childhood maltreatment, and both attachment difficulties and emotion dysregulation serve as robust correlates of adulthood PTSD.

Indexed as

Child AbuseStress Disorders, Post-TraumaticAdultAnxietyChildHumansSelf ReportSocial EnvironmentAttachmentChildhood maltreatmentEmotion dysregulationPTSD

Identifiers

PMID34091237
PMCPMC8292198
OpenAlexW3168804468

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.