Conti Lorenzo, Fantasia Sara, Violi Miriam, Dell'Oste Valerio, Pedrinelli Virginia, Carmassi Claudia
Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy.
Brain Sci. 2023 Dec 18;13(12):1730. doi: 10.3390/brainsci13121730.
Emotional dysregulation (ED) has recently been conceptualized as a transnosographic entity in major mental disorders, and increasing evidence has suggested association between ED and post-traumatic stress symptoms (PTSS), though the nature of this association is unclear. The aim of the present review was to examine the possible interplay between ED and trauma exposure in the literature, as well as a possible role for the comorbidity of PTSD or PTSS in adolescents and young adults. In particular, we explored whether ED may represent a risk factor for PTSD or, conversely, a consequence of traumatic exposure. This systematic review was conducted according to PRISMA 2020 guidelines in three databases (PubMed, Scopus, and Embase). The 34 studies included showed a wide heterogeneity in terms of the populations selected and outcomes examined. Most studies used the Difficulties in Emotion Regulation Scale (DERS) and examined the relationship between ED, trauma, and psychopathological manifestations after the occurrence of trauma, with a focus on child abuse. Although current data in the literature are heterogeneous and inconclusive, this research highlights the role of ED as a mechanism that may mediate vulnerability to PTSD, but also as a predictor of severity and maintenance of typical, atypical, or associated PTSD symptoms, suggesting prevention programs for PTSD and other mental disorders should support the development of emotion regulation strategies.
情绪调节障碍（ED）最近被概念化为主要精神障碍中的一种跨诊断实体，越来越多的证据表明ED与创伤后应激症状（PTSS）之间存在关联，尽管这种关联的性质尚不清楚。本综述的目的是研究文献中ED与创伤暴露之间可能的相互作用，以及创伤后应激障碍（PTSD）或PTSS共病在青少年和年轻人中的可能作用。特别是，我们探讨了ED是否可能是PTSD的一个危险因素，或者相反，是创伤暴露的结果。本系统综述是根据PRISMA 2020指南在三个数据库（PubMed、Scopus和Embase）中进行的。纳入的34项研究在所选人群和所检查的结果方面存在很大的异质性。大多数研究使用了情绪调节困难量表（DERS），并研究了ED、创伤与创伤发生后心理病理表现之间的关系，重点是儿童虐待。尽管文献中的现有数据是异质性的且无定论，但这项研究强调了ED作为一种机制的作用，它可能介导对PTSD的易感性，同时也是典型、非典型或相关PTSD症状严重程度和持续存在的预测因素，这表明针对PTSD和其他精神障碍的预防项目应支持情绪调节策略的发展。
