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. 2023 Dec 18;13(12):1730. doi: 10.3390/brainsci13121730

Table 1.

Characteristics of the studies included in the systematic review. PTSD: post-traumatic stress disease; DEP: depression; IPV: intimate partner violence; ED: emotional dysregulation; RSB: risky sexual behavior; NSSI: non-suicidal self-injury; CSA: child sexual abuse; ASA: adult sexual abuse.

Study Date Country Quality Rating Sample Size Population Mean Age ED Scale Trauma/PTSD
Scale
Another Psychopathological
Scale
Main Findings
Marsee et al. [24] 2008 USA Good 166 61% Female and 3% Caucasian 14.97 ADI HURTE PCS
RI
Specific types of aggressive responses, particularly those that involve poorly regulated emotion, thus may be especially common following a traumatic event such as a hurricane.
Lilly et al. [25] 2013 USA Good 404 Undergraduate: n = 290; and IPV: n = 114 22.37 DERS PDS
TLEQ
ECR-R
WAS
SOM
DEP
Disruption in the ability to regulate emotions is the most consistent predictor of mental health in survivors of interpersonal trauma.
Valdez et al. [26] 2014 USA Good 406 Female: n = 228; Male: n = 178 16.99 AD DIS-IV D-ARK Emotion dysregulation was a stronger predictor of depressive symptoms for females than males.
Tull et al. [27] 2015 USA Fair 151 100% Women
n = 106;
76.7% African American; 21.4% White; 2.8% Multiracial; 1.9% Latina
21.9 DERS
PASAT-C
LEC
PCL
PANAS-NA
DUQ
Emotion dysregulation may increase risk for substance use among women experiencing PTS symptoms.
Bennett et al. [28] 2015 USA Good 225 Female: n = 83; Male: n = 142 16.23 DERS PTSD-RI PDEQ-C
A-DES
ENS
The presence of peritraumatic dissociation at the time of trauma may contribute to the continuation of dissociative symptoms as a more generalized pattern.
Tripp et al. [29] 2015 USA Good 240 Female: n = 168 21.43 DERS PCL-S DDQ
PANAS
Gender-specific interventions targeting emotion dysregulation may be effective in reducing alcohol-related consequences in individuals with PTSD.
Chaplo et al. [30] 2015 USA Good 525 Male: n = 392; Female n = 133 16.11 DERS PTSD-RI-AV A-DES
SASI-C
Dissociation and emotion dysregulation play in the relation between sexual abuse and self-injury.
Klanecky et al. [31] 2016 USA Good 213 Male: n = 135; Female n = 78 19.56 DERS ETI-SR-SF
PCL-C
AUDIT
DES-II
Drinking increased as dissociative tendencies increased and relations between the vulnerability factors (including emotional dysregulation).
Modrowski and Kerig [32] 2017 USA Good 842 Female: n = 219; Male: n = 623 16.10 DERS UCLA
PTSD-RI
BBTS
PDEQ-C
Dissociative subtype (with ED) membership may
be more common in youth, particularly among those youths involved in the justice system.
Viana et al. [33] 2018 USA Fair 74 52.0% Female 15.1 DERS CPSS CASI Difficulties recognizing and accurately understanding emotions may increase risk for PTSD symptoms among trauma-exposed youth.
Charak et al. [34] 2018 USA Good 809 MA: n = 327; VE: n = 337;
PV: n = 145
16.08 DERS PTSD-RI MAY SI-2 Most justice-involved youths have experienced substantial adversity and evidence the most severe problems in emotion dysregulation and PTSD, internalizing and externalizing symptoms.
Weiss et al. [35] 2019 USA Good 491 100% Women;
60.0% White; 36.2% Black/African American; 5.6% Latina; 4.5% American Indian; 4.3% Asian; 2.7% Other
21.80 DERS LEC
PCL
RSB Provide support for the mediating roles of nonacceptance of negative emotions and difficulties controlling behaviors when distressed in the relation between PTSD symptoms and later RSB.
Trent et al. [36] 2019 USA Fair 50 52.0% Female 15.5 DERS CPSS PTI
CDI
Exposure to maternal threatening behaviors is related to more severe depressive symptoms among children with greater deficits in emotional clarity.
Raudales et al. [37] 2020 USA Fair 60 Young Adult: n = 32;
Undergraduate Research: n = 28
20.52 DERS PCL-5 SCID-5
RSDI
PANAS-NA
Emotion dysregulation is one mechanism which may confer vulnerability to PTSD symptomology.
Walker et al. [38] 2021 USA Good 567 81.1% Female; 56.6% White 20.84 DERS PCL-5 LSC-R
DAR-5
CSA and ASA increase several factors that may be linked with increased risk for sexual victimization.
Andersson et al. [39] 2022 Sweden Good 3169 43.6% Male; 55.6% Female 18.10 DERS TSCC SITBI Increased levels of emotional dysregulation and
trauma symptoms in relation to childhood abuse contribute to the increased risk of NSSI.