Childhood adversity and adult health-risk behaviors: Examining the roles of emotion dysregulation and urgency |
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| Affiliation: | 1. University of California, San Diego, Department of Psychiatry, United States;2. University of California, San Diego, Department of Radiology, United States;3. San Diego State University, Sociology Department, United States;4. King''s College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Basic and Clinical Neuroscience, United Kingdom;1. Psychosocial Injuries Research Centre, Ilam University of Medical Sciences, Ilam, Iran;2. Toxicological Research Center, Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;3. University Technology Malaysia (UTM), Johor Bahru, Malaysia;1. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 100 Stokes Street, 3rd Floor, Toronto, Ontario M6J 1H4, Canada;2. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada;3. Department of Psychology, University of Toronto, Toronto, Ontario, Canada |
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| Abstract: | Adverse childhood experiences (ACEs) are important public health concerns, with links to higher prevalence rates of both health-risk behaviors and physical health difficulties in adulthood. Research has demonstrated an association between early adversity and long-term health-risk behavior development. The current study assessed the role of emotion dysregulation and facets of impulsivity as potential mediators in the relation between ACEs and general health-risk behaviors, including alcohol-related consequences and risky sexual behavior. College students (N = 668) completed online questionnaires that assessed history of ACEs, emotion regulation difficulties, impulsivity under extreme affect, and current engagement in health-risk behaviors. Emotion dysregulation and impulsivity under extreme positive emotion, but not negative emotion, demonstrated a significant serial mediation between ACEs and alcohol-related consequences. Results also suggest that emotion dysregulation mediates the relation between early adversity and all three outcomes (i.e., overall engagement in maladaptive behavior, alcohol-related consequences, and risky sexual behavior). Impulsivity under positive or negative affect did not demonstrate a mediation effect on the three outcomes. Results of this study highlight the importance of assessing for emotion regulation skills when working with young adults with histories of adversity. |
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| Keywords: | Adverse childhood experiences ACEs Emotion dysregulation Urgency |
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