Emotion Regulation in Adults with a History of Childhood Abuse Following PTSD Treatment
Jerud, Alissa Beth
MetadataShow full item record
<bold><italic>Objective:<bold><italic> The findings that adults with a history of childhood abuse (CA) have greater emotion regulation difficulties than adult trauma survivors without a history of CA (e.g., Cloitre, Scarvalone, & Difede, 1997) has led to the hypothesis that existing PTSD treatments may not be adequate for improving the emotion regulation deficits of adults with a history of CA (Cloitre et al., 2010). This study compared changes in emotion regulation over the course of PTSD treatment with either prolonged exposure (PE) therapy or sertraline in adults with and without a history of CA. <bold><italic>Method: <bold><italic>Two hundred adults with PTSD received 10 weeks of either PE or sertraline. Emotion regulation and trait affect were assessed pre- and post-treatment with the Emotion Regulation Questionnaire (Gross & John, 2003), the Negative Mood Regulation Scale (Catanzaro & Mearns, 1990), and the Positive and Negative Affect Scale (Watson, Clark, & Tellegen, 1988). <bold><italic>Results:<bold><italic> Individuals with a history of CA did not differ from individuals without a history of CA at pre-treatment on PTSD severity, emotion regulation, or positive/negative affect. In addition, treatment was effective at improving emotion regulation and trait affect in those with and without a history of CA, and no significant differences in emotion regulation or trait affect emerged at post-treatment between adults with and without a history of CA. Furthermore, non-inferiority analyses indicated that the emotion regulation and trait affect outcomes of those with a history of CA were not inferior to the emotion regulation and trait affect outcomes of those without a history of CA. <bold><italic>Conclusion:<bold><italic> Contrary to clinical lore regarding clients presenting for PTSD treatment, the current findings suggest that those with a history of CA do not differ from those without a history of CA in terms of emotion regulation and trait affect. Further, these findings cast doubt on the assumption that CA predicts worse emotion regulation outcomes following PTSD treatment.
- Psychology