Relación entre el maltrato infantil y las habilidades de regulación emocional en adolescentes:una revisión sistemática

  1. Cristina Bonet 1
  2. Carol Palma 1
  3. Mercè Gimeno-Santos 1
  1. 1 Universitat Ramon Llull
    info

    Universitat Ramon Llull

    Barcelona, España

    ROR https://ror.org/04p9k2z50

Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Año de publicación: 2020

Volumen: 7

Número: 2

Páginas: 63-76

Tipo: Artículo

Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes

Resumen

Las habilidades de regulación emocional constituyen un factor transdiagnóstico de psicopatologías y pueden verse especialmente afectadas en individuos con historia de maltrato, y la adolescencia es una etapa crítica para su desarrollo y prevención. Sin embargo, la heterogeneidad conceptual y metodológica en la evaluación de las habilidades de regulación emocional y las formas de maltrato dificultan comprender su relación. La presente revisión analizó la relación entre el maltrato infantil y las habilidades de regulación emocional de los adolescentes entre 12 y 18 años a través de los estudios que la exploraron, incidiendo en la relación diferencial entre las distintas tipologías de maltrato (maltrato físico, abuso sexual, maltrato emocional y negligencia) y las habilidades de regulación emocional (regulación o disregulación emocional e inteligencia emocional), así como en el papel que estas últimas ejercen sobre las problemáticas asociadas al maltrato. Se realizaron búsquedas en PsycINFO, MedLine y PsicoDoc. De los 191 estudios encontrados, 28 cumplieron los criterios de inclusión. Se hallaron relaciones significativas y consistentes entre las medidas globales de maltrato y de disregulación emocional. Sin embargo, cuando se analizan tipos de maltrato o estrategias específicas, los resultados son dispares. Asimismo, las habilidades de regulación emocional influyen en la aparición de problemáticas asociadas al maltrato, siendo la sintomatología internalizada y las autolesiones las más exploradas. La heterogeneidad conceptual y metodológica de los estudios revisados dificultó la extracción de conclusiones sólidas respecto a las tendencias identificadas, por lo que se debe continuar explorando en esta relación.

Referencias bibliográficas

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
  • Balan, R., Dobrean, A., Roman, G. D., & Balazsi, R. (2016). Indirect effects of parenting practices on internalizing problems among adolescents: The role of expressive suppression. Journal of Child and Family Studies, 26, 40–47. https://doi.org/10.1007/s10826-016-0532-4
  • Baldry, A. C., & Winkel, F. (2004). Mental and physical health of italian youngsters directly and indirectly victimized at school and at home. International Journal of Forensic Mental Health, 3(1), 77–91. https:// doi.org/10.1080/14999013.2004.10471198
  • Barahmand, U., Khazaee, A., & Hashjin, G. S. (2016). Emotion dysregulation mediates between childhood emotional abuse and motives for substance use. Archives of Psychiatric Nursing, 30(6), 653–659. https://doi.org/10.1016/j.apnu.2016.02.007
  • Barbosa, J. T., Quarti, T., Werlang, B., Tiellet, M. L., & De Lima, I. I. (2013). Childhood maltreatment and psychological adjustment: A systematic review. Psicologia: Reflexão e Crítica, 27(4), 815–824. https://doi.org/10.1590/1678-7153.201427422
  • Beauchaine, T. P. (2015). Future directions in emotion dysregulation and youth psychopathology. Journal of Clinical Child and Adolescent Psychology, 44(5), 875–896. https://doi.org/10.1080/15374416.2015.1038827
  • Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., & Landsverk, J. (2004). Mental health need and access to mental health services by youths involved with child welfare: a national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43(8), 960–970. https://doi.org/10.1097/01. chi.0000127590.95585.65
  • Camps-Pons, S., Castillo-Garayoa, J. A., & Cifré, I. (2014). Apego y psicopatología en adolescentes y jóvenes que han sufrido maltrato: Implicaciones clínicas. Clínica y Salud, 25(1), 67–74. https://doi. org/10.1016/S1130-5274(14)70028-3
  • Cha, C. B., & Nock, M. K. (2009). Emotional intelligence is a protective factor for suicidal behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 422–430. https://doi. org/10.1097/CHI.0b013e3181984f44
  • Chaplo, S. D., Kerig, P. K., Bennett, D. C., & Modrowski, C. A. (2015). The roles of emotion dysregulation and dissociation in the association between sexual abuse and self-injury among juvenile justice– involved youth. Journal of Trauma and Dissociation, 16(3), 272–285. https://doi.org/10.1080/15299732.2015.989647
  • Cicchetti, D., & Toth, S. L. (2005). Child Maltreatment. Annual Reviews of Clinical Psychology, 1, 409–438. https://doi.org/10.1146/annurev. clinpsy.1.102803.144029
  • Cicchetti, Dante, & Rogosch, F. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70(1), 6–20. https://doi.org/10.1037/0022-006X.70.1.6
  • Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75(2), 317–333. https://doi.org/10.1111/j.1467-8624.2004.00673.x
  • Compas, B. E., Jaser, S. S., Bettis, A. H., Watson, K. H., Gruhn, M. A., Dunbar, J. P., … Thigpen, J. C. (2017). Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review. Psychological Bulletin, 143(9), 939–991. https:// doi.org/10.1037/bul0000110
  • Davies, C. D., Niles, A. N., Pittig, A., Arch, J. J., & Craske, M. G. (2015). Physiological and behavioral indices of emotion dysregulation as predictors of outcome from cognitive behavioral therapy and acceptance and commitment therapy for anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 46, 35–43. https://doi. org/10.1016/j.jbtep.2014.08.002
  • Duprey, E. B., Oshri, A., & Liu, S. (2019). Developmental pathways from child maltreatment to adolescent suicide-related behaviors: The internalizing and externalizing comorbidity hypothesis. Development and Psychopathology, 1–15. https://doi.org/10.1017/ S0954579419000919
  • Ernst, M., & Fudge, J. L. (2009). A developmental neurobiological model of motivated behavior: Anatomy, connectivity and ontogeny of the triadic nodes. Neuroscience and Biobehavioral Reviews, 33(3), 367–382. https://doi.org/10.1016/j.neubiorev.2008.10.009
  • Goulter, N., Moretti, M. M., del Casal, J. M., & Dietterle, P. (2019). Attachment insecurity accounts for the relationship between maternal and paternal maltreatment and adolescent health. Child Abuse and Neglect, 96. https://doi.org/10.1016/j.chiabu.2019.104090
  • 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(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi. org/10.1037/1089-2680.2.3.271
  • Guérin-Marion, C., Martin, J., Lafontaine, M. F., & Bureau, J. F. (2020). Invalidating caregiving environments, specific emotion regulation deficits, and non-suicidal self-injury. Child Psychiatry and Human Development, 51(1), 39–47. https://doi.org/10.1007/s10578-019-00908-2
  • Heleniak, C., Jenness, J. L., Vander Stoep, A., McCauley, E., & McLaughlin, K. A. (2016). Childhood maltreatment exposure and disruptions in emotion regulation: A transdiagnostic pathway to adolescent internalizing and externalizing psychopathology. Cognitive Therapy and Research, 40(3), 394–415. https://doi.org/10.1007/ s10608-015-9735-z
  • Herzog, J. I., & Schmahl, C. (2018). Adverse childhood experiences and the consequences on neurobiological, psychosocial, and somatic conditions across the lifespan. Frontiers in Psychiatry, Vol. 9, pp. 1–8. https://doi.org/10.3389/fpsyt.2018.00420
  • Howard, R., Karatzias, T., Power, K., & Mahoney, A. (2017). From childhood trauma to self-harm: An investigation of theoretical pathways among female prisoners. Clinical Psychology and Psychotherapy, 24(4), 942–951. https://doi.org/10.1002/cpp.2058
  • Ibarra-Alcantar, M. C., Ortiz-Guzmán, J. A., Alvarado-Cruz, F. J., Graciano-Morales, H., & Jiménez-Genchi, A. (2010). Correlatos del maltrato físico en la infancia en mujeres adultas con trastorno distímico o depresión mayor. Salud Mental, 33(4), 317–324.
  • Jaffee, S. R. (2017). Child maltreatment and risk for psychopathology in childhood and adulthood. Annual Review of Clinical Psychology, 13(1), 525–551. https://doi.org/10.1146/annurev-clinpsy-032816-045005
  • John, S. G., Cisler, J. M., & Sigel, B. A. (2017). Emotion regulation mediates the relationship between a history of child abuse and current PTSD/ depression severity in adolescent females. Journal of Family Violence, 32(6), 565–575. https://doi.org/10.1007/s10896-017-9914-7
  • Johnson, E. J., & James, C. (2016). Effects of child abuse and neglect on adult survivors. Early Child Development and Care, 186(11), 1836–1845. https://doi.org/10.1080/03004430.2015.1134522
  • Keyes, K. M., Eaton, N. R., Krueger, R. F., McLaughlin, K. A., Wall, M. M., Grant, B. F., & Hasin, D. S. (2012). Childhood maltreatment and the structure of common psychiatric disorders. The British Journal of Psychiatry : The Journal of Mental Science, 200(2), 107–115. https://doi.org/10.1192/bjp.bp.111.093062
  • Kim, J., & Cicchetti, D. (2010). Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology. The Journal of Child Psychology and Psychiatry, 51(6), 706–716. https://doi.org/10.1111/j.1469-7610.2009.02202.x.Longitudinal
  • Kwok, S. Y. C. L., Yeung, J. W. K., Low, A. Y. T., Lo, H. H. M., & Tam, C. H. L. (2015). The roles of emotional competence and social problem-solving in the relationship between physical abuse and adolescent suicidal ideation in China. Child Abuse and Neglect, 44, 117–129. https://doi.org/10.1016/j. chiabu.2015.03.020
  • LeMoult, J., Humphreys, K. L., King, L. S., Colich, N. L., Price, A. N., Ordaz, S. J., & Gotlib, I. H. (2018). Associations among early life stress, rumination, symptoms of psychopathology, and sex in youth in the early stages of puberty: A moderated mediation analysis. Journal of Abnormal Child Psychology, 199–207. https://doi.org/10.1007/s10802-018-0430-x
  • Lüdtke, J., In-Albon, T., Michel, C., & Schmid, M. (2016). Predictors for DSM-5 nonsuicidal self-injury in female adolescent inpatients: The role of childhood maltreatment, alexithymia, and dissociation. Psychiatry Research, 239, 346–352. https://doi.org/10.1016/j.psychres.2016.02.026
  • McLaughlin, K. A., Peverill, M., Gold, A. L., Alves, S., & Sheridan, M. A. (2015). Child maltreatment and neural systems underlying emotion regulation. Journal of the American Academy of Child and Adolescent Psychiatry, 54(9), 753–762. https://doi.org/10.1016/j.jaac.2015.06.010
  • Mills, P., Newman, E. F., Cossar, J., & Murray, G. (2015). Emotional maltreatment and disordered eating in adolescents: Testing the mediating role of emotion regulation. Child Abuse and Neglect, 39, 156–166. https://doi. org/10.1016/j.chiabu.2014.05.011
  • Milojevich, H. M., Levine, L. J., Cathcart, E. J., & Quas, J. A. (2018). The role of maltreatment in the development of coping strategies. Journal of Applied Developmental Psychology, 54, 23–32. https://doi.org/10.1016/j. appdev.2017.10.005
  • Milojevich, H. M., Norwalk, K. E., & Sheridan, M. A. (2019). Deprivation and threat, emotion dysregulation, and psychopathology: Concurrent and longitudinal associations. Development and Psychopathology, 31(3), 847–857. https://doi.org/10.1017/S0954579419000294
  • Moretti, M. M., & Craig, S. G. (2013). Maternal versus paternal physical and emotional abuse, affect regulation and risk for depression from adolescence to early adulthood. Child Abuse and Neglect, 37(1), 4–13. https://doi. org/10.1016/j.chiabu.2012.09.015
  • Moretti, M. M., & Peled, M. (2004). Adolescent-parent attachment: Bonds that support healthy development. Paediatrics and Child Health, 9(8), 551–555. https://doi.org/10.1093/pch/9.8.551
  • Nederlof, E., van der Ham, A., Dingemans, P., & Oei, K. (2010). The relation between dimensions of personality and personality pathology and offence type and severity in juvenile delinquents. Journal of Forensic Psychiatry and Psychology, 21(5), 711–720. https://doi.org/10.1080/14789949.2010.483284
  • Newbury, J. B., Arseneault, L., Moffitt, T. E., Caspi, A., Danese, A., Baldwin, J. R., & Fisher, H. L. (2018). Measuring childhood maltreatment to predict early-adult psychopathology: Comparison of prospective informant-reports and retrospective self-reports. Journal of Psychiatric Research, 96, 57–64. https://doi.org/10.1016/j.jpsychires.2017.09.020
  • O’Mahen, H. A., Karl, A., Moberly, N., & Fedock, G. (2015). The association between childhood maltreatment and emotion regulation: Two different mechanisms contributing to depression? Journal of Affective Disorders, 174, 287–295. https://doi.org/10.1016/j.jad.2014.11.028
  • Oriol, X., Sala-Roca, J., & Filella, G. (2014). Emotional competences of adolescents in residential care: Analysis of emotional difficulties for intervention. Children and Youth Services Review, 44, 334–340. https:// doi.org/10.1016/j.childyouth.2014.06.009
  • Petrenko, C. L. M., Friend, A., Garrido, E. F., Taussig, H. N., & Culhane, S. E. (2012). Does subtype matter? Assessing the effects of maltreatment on functioning in preadolescent youth in out-of-home care. Child Abuse and Neglect, 36(9), 633–644. https://doi.org/10.1161/CIRCULATIONAHA.110.956839
  • Schäfer, J. Ö., Naumann, E., Holmes, E. A., Tuschen-Caffier, B., & Samson, A. C. (2017). Emotion regulation strategies in depressive and anxiety symptoms in youth: A meta-analytic review. Journal of Youth and Adolescence, 46(2), 261–276. https://doi.org/10.1007/s10964-016-0585-0
  • Spear, L. P. (2000). The adolescent brain and age-related behavioral manifestations. Neuroscience and Biobehavioral Reviews, 24(4), 417–463. https:// doi.org/10.1016/S0149-7634(00)00014-2
  • Sundermann, J. M., & DePrince, A. P. (2015). Maltreatment characteristics and emotion regulation (ER) difficulties as predictors of mental health symptoms: Results from a community-recruited sample of female adolescents. Journal of Family Violence, 30(3), 329–338. https://doi.org/10.1007/ s10896-014-9656-8
  • Thomassin, K., Shaffer, A., Madden, A., & Londino, D. L. (2016). Specificity of childhood maltreatment and emotion deficit in nonsuicidal self-injury in an inpatient sample of youth. Psychiatry Research, 244, 103–108. https:// doi.org/10.1016/j.psychres.2016.07.050
  • Thompson, R. A. (1994). Emotion regulation: A theme in search of definition, the development of emotion regulation. Monographs of the Society for Research in Child Development, 59(2–3), 25–52. https://doi. org/10.1111/j.1540-5834.1994.tb01276.x
  • Waller, G., Corstorphine, E., & Mountford, V. (2007). The role of emotional abuse in the eating disorders: Implications for treatment. Eating Disorders, 15(4), 317–331. https://doi.org/10.1080/10640260701454337
  • Weissman, D. G., Bitran, D., Miller, A. B., Schaefer, J. D., Sheridan, M. A., & McLaughlin, K. A. (2019). Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology. Development and Psychopathology, 31(3), 899–915. https://doi.org/10.1017/S0954579419000348
  • Zárate-Alva, N. E., & Sala-Roca, J. (2019). Socio-emotional skills of girls and young mothers in foster care. Children and Youth Services Review, 100, 50–56. https://doi.org/10.1016/j.childyouth.2019.02.036