The Relationship between Childhood Maltreatment and Difficulties in Emotion Regulation according to the Mediating Role of Attachment Components (Anxious, Avoidant, and Disorganized)

Document Type : Original Article

Authors

1 Master's degree in Clinical Psychology, Department of Psychology, Islamic Azad University, South Tehran Branch, Tehran, Iran.

2 Assistant Professor, Department of Psychology, School of Medical Sciences, Islamic Azad University, South Tehran Branch, Tehran, Iran.

Abstract

Introduction
In recent years, knowing the factors influencing the creation of adolescent difficulties in emotion regulation (as an important stage between childhood and adulthood) has always become a very important issue. Research conducted on difficulties in regulating emotions indicate that difficulties in regulating emotions are caused by childhood abuse and that teenagers who have problems in regulating their emotions are a reflection of their parents' abuse. Maltreatment in childhood directly and indirectly causes difficulties in regulating emotions. Children whose parents/caregivers misbehaved with them in childhood face emotional problems and disordered attachments in adolescence. Disorganized individuals lack a coherent attachment strategy for dealing with distress. There is very little research on maladaptive attachment in childhood and its effects in adulthood, which is particularly concerning because attachment behaviors in adulthood often stem from childhood behaviors. According to what was mentioned, in order to know the factors affecting the difficulties in emotion regulation, the current research has investigated the relationship between childhood maltreatment and difficulties in adolescent emotion regulation, considering the mediating role of attachment components (anxious, avoidant, and disorganized).
Method
The current research was fundamental in terms of its purpose and in terms of the research method, it was a correlational research. According to the definition of the World Health Organization (WHO), adolescence consists of three periods: the initial period (10 to 13 years old), the middle period (14 to 17 years old) and the final period (18 to 21 years old). In the current research, the people in the final period of adolescence were selected as the statistical population. Therefore, students of the Islamic Azad University of South Tehran branch who met the age criterum were selected as the sample through the convenience sampling method (N = 340). The questionnaires were virtually distributed through the social media groups of students in the university. They were then asked to fill out the study questionnaires including the Adverse Childhood Experiences (Whittington, 2023), Experiences in Close Relationships-Revised questionnaire (Fraley et al., 2000), Adult Disorganized Attachment scale (Paetzold et al., 2015) and Difficulties in Emotion Regulation Scale (Kaufman et al., 2016). Correlation matrix and structural equation modeling method (path analysis) were used to analyze the research data using Smart PLS3.
Results
Using the results of the structural model, the results of the research showed that childhood maltreatment is correlated with difficulties in emotion regulation through the mediating role of avoidant attachment (0.091) and anxious attachment (0.367). Moreover, childhood maltreatment is directly associated with anxious (0.554), avoidant (0.489) and disorganized (0.492) attachment components. Anxious (0.663) and avoidant (0.186) attachment components are related to difficulties in emotion regulation.
Discussion & Conclusion
The present study sought to ascertain the role of attachment components (anxious, avoidant, and disorganized) in the relationship between childhood maltreatment and adolescent emotion regulation difficulties. The findings of this study indicated that childhood maltreatment, mediated by avoidant attachment, exerted a positive influence on emotion regulation difficulties. This finding aligns with the research of Whittington (2023). Conversely, childhood maltreatment mediated by disorganized attachment demonstrated no significant impact on difficulties in emotion regulation. However, childhood maltreatment mediated by anxious attachment exhibited a positive influence on difficulties in emotion regulation. The findings of this study align with the research of Whittington (2023) and Alvani Lavasani and Ahmadi Tahor Soltani (2017) on the impact of childhood maltreatment on attachment. Avoidant attachment has been shown to have a positive effect on difficulties in emotion regulation. This phenomenon occurs through the avoidance of interaction with caregivers by denying their needs and minimizing the display of emotions, as evidenced by the research of Ghasempour et al. (2019). Conversely, anxious attachment has been shown to positively impact emotion regulation. Anxiously attached children may exhibit resistance to exaggerated calm and discomfort. This finding aligns with the observations reported by Withington (2023). Consequently, it can be posited that childhood maltreatment can lead to emotional regulation difficulties in adolescence by fostering avoidant and anxious attachments. Consequently, the utilization of family therapy has been proposed as a method to address anxious attachment, thereby recognizing the challenges and aberrant behaviors characteristic of childhood as well. This approach aims to facilitate the management of anxious attachment, leading to the development of effective emotional regulation in individuals. Writing techniques have been identified as a means of reducing avoidant attachment in students. This approach involves fostering the development of writing skills that facilitate the expression of emotions in diverse contexts.

Keywords

Main Subjects


Aldao, A., Sheppes, G., Gross, J. J. J. C. T., & Research. (2015). Emotion regulation flexibility. 39, 263-278. doi: https://doi.org/10.1007/s10608-014-9662-4
Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L. G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L. (2016). Development and Validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16. Journal of psychopathology and behavioral assessment, 38(2), 284–296. https://doi.org/10.1007/s10862-015-9514-x
Bowlby, J. J. N. Y. (1969). Attachment basic books.
Brennan, K. A., Clark, C. L., Shaver, P. R. J. A. t., & relationships, c. (1998). Self-report measurement of adult attachment: An integrative overview. 46, 76.
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect, 27(2), 169–190. https://doi.org/10.1016/s0145-2134(02)00541-0
Byun, S., Brumariu, L. E., Lyons-Ruth, K. J. J. o. T., & Dissociation. (2016). Disorganized attachment in young adulthood as a partial mediator of relations between severity of childhood abuse and dissociation. 17(4), 460-479. doi:https://doi.org/10.1080/15299732.2016.1141149
Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., Van Ijzendoorn, M. H. J. D., & psychopathology. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. 22(1), 87-108. doi:https://doi.org/10.1017/S0954579409990289
Duschinsky, R. J. I. M. H. J. (2018). Disorganization, fear and attachment: Working towards clarification. 39(1), 17-29. doi:https://doi.org/10.1002/imhj.21689.
Farhang Esfahani, Mitra. (2021). The Role of Childhood Abuse Experience with Aggression,the Mediating Effect of Early Maladaptive Schemas and Difficulty in Regulating Emotion in Students., 28(9), 204-214. SID. https://sid.ir/paper/1004984/en(In Persian)
Fraley, R. C., Brumbaugh, C. C., & Marks, M. J. (2005). The evolution and function of adult attachment: a comparative and phylogenetic analysis. Journal of personality and social psychology, 89(5), 731–746. https://doi.org/10.1037/0022-3514.89.5.751
Ghaempour, Z., Esmailian, M., & SARAFRAZ, M. (2019). Emotion regulation in adolescents: the predicting role of family function and attachment. JOURNAL OF THOUGHT & BEHAVIOR IN CLINICAL PSYCHOLOGY, 13(51 ), 7-16. SID. https://sid.ir/paper/366401/en(In Persian)
Gholami, A., Farokhi, N., & Borjali, A. J. C. P. s. (2019). Structural Equation Model of Students Coping Strategies Based on Attachment Styles the Mediating Effect of Perceived Parenting Style, Childhood Trauma, and Early Maladaptive Schemas. 9(35), 41-69. doi:https://doi.org/10.22054/jcps.2019.43138.2144(In Persian)
Granqvist, P., Sroufe, L. A., Dozier, M., Hesse, E., Steele, M., van Ijzendoorn, M., Solomon, J., Schuengel, C., Fearon, P., Bakermans-Kranenburg, M., Steele, H., Cassidy, J., Carlson, E., Madigan, S., Jacobvitz, D., Foster, S., Behrens, K., Rifkin-Graboi, A., Gribneau, N., ... Duschinsky, R. (2017). Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers. Attachment and Human Development19(6), 534-558. https://doi.org/10.1080/14616734.2017.1354040
Jafari,A., Baiani,B., Shafiabadi,A., Hossenian,S. (2023). The prediction model of OCD personality based on complex trauma and object relation with mediating role of ego strength in conflicting couples, The Women and Families Cultural-Educational Journal, 18(64), 55-77. (In Persian)
Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., Crowell, S. E. J. J. o. P., & Assessment, B. (2016). The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): Validation and replication in adolescent and adult samples. 38, 443-455. doi:https://doi.org/10.1007/s10862-015-9529-3
Khujasteh Mehr, Reza. (2005). Investigating personality traits, social skills, styles Attachment, and demographic characteristics as predictors of success and failure of marital relationship in couples applying for divorce and normal in Ahvaz city. PhD thesis in psychology, Shahid Chamran University of Ahvaz. (In Persian)
Reza Khojasteh Mehr, Amin Koraei, Zabiholh Abbaspour, Rahim Koochaki, (2012). The Role of Anxiety and Avoidance Attachment and Attribution in Marital Forgiveness: Testing a Mediation Model, Journal of Applied Counseling, 1(2), 51-72. (In Persian)
Lavasani, A., & Soltani, A. T. (2017). Association between Maltreatment in Childhood and Emotional Divorce: Mediating Role of Attachment Styles, Early Maladaptive Schemas and Difficulty in Emotional Regulation. . Journal of Health Promotion Management, 6(4), 49-58. doi:http://dx.doi.org/10.21859/jhpm-07027(In Persian)
Lyons-Ruth, K., Brumariu, L. E., Bureau, J.-F., Hennighausen, K., & Holmes, B. J. J. o. p. d. (2015). Role confusion and disorientation in young adult-parent interaction among individuals with borderline symptomatology. 29(5), 641-662. doi:https://doi.org/10.1521/pedi201428165
Main, M., Solomon, J. J. A. i. t. p. y. T., research,, & intervention. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. 1, 121-160.
Meyers, L. S., Gamst, G., & Guarino, A. J. (2012). Applied multivariate research (design and interpretation) (H. Pasha Sharifi, V. Farzad, S. Rezakhani, H. R. Hassanabadi, B. Izanlo, & M. Habibi, Trans). Tehran: Roshd (Original work published 2006).
Obsuth, I., Hennighausen, K., Brumariu, L. E., & Lyons‐Ruth, K. J. C. d. (2014). Disorganized behavior in adolescent–parent interaction: Relations to attachment state of mind, partner abuse, and psychopathology. 85(1), 370-387. doi:https://doi.org/10.1111/cdev.12113
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 disorders174, 287–295. https://doi.org/10.1016/j.jad.2014.11.028
Paetzold, R. L., Rholes, W. S., Andrus, J. L. J. P., & Differences, I. (2017). A Bayesian analysis of the link between adult disorganized attachment and dissociative symptoms. 107, 17-22. doi:https://doi.org/10.1016/j.paid.2016.11.031
Sheinbaum, T., Racioppi, A., Kwapil, T. R., & Barrantes-Vidal, N. J. S. R. (2020). Attachment as a mechanism between childhood maltreatment and subclinical psychotic phenomena: Results from an eight-year follow-up study. 220, 261-264. doi: https://doi.org/10.1016/j.schres.2020.03.023
Skutch, J. M., Wang, S. B., Buqo, T., Haynos, A. F., Papa, A. J. J. o. P., & Assessment, B. (2019). Which brief is best? Clarifying the use of three brief versions of the difficulties in emotion regulation scale. 41, 485-494. doi:https://doi.org/10.1007/s10862-019-09736-z
Vahl, P., Van Damme, L., Doreleijers, T., Vermeiren, R., Colins, O. J. C. a., & neglect. (2016). The unique relation of childhood emotional maltreatment with mental health problems among detained male and female adolescents. 62, 142-150. doi:https://doi.org/10.1016/j.chiabu.2016.10.008
Weissman, D. G., Bitran, D., Miller, A. B., Schaefer, J. D., Sheridan, M. A., McLaughlin, K. A. J. D., & psychopathology. (2019). Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology. 31(3), 899-915. doi: https://doi.org/10.1017/S0954579419000348
Whittington, D. Disorganized attachment in emerging adulthood: Measurement comparisons and relations to childhood maltreatment and emotion dysregulation. n/a(n/a). doi:https://doi.org/10.1111/famp.12866
Zeegers, M. A., Colonnesi, C., Stams, G.-J. J., & Meins, E. J. P. b. (2017). Mind matters: A meta-analysis on parental mentalization and sensitivity as predictors of infant–parent attachment. 143(12), 1245. doi:https://doi.org/10.1037/bul0000114
CAPTCHA Image