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            <front>

                <journal-meta>
                                                                <journal-id>eur res j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>The European Research Journal</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2149-3189</issn>
                                                                                            <publisher>
                    <publisher-name>Prusa Medical Publishing</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.18621/eurj.1279884</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Psychiatry</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Psikiyatri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                                                            <article-title>Investigation of the relationship between childhood traumas, psychological resilience, cognitive flexibility and emotion regulation skills in adults</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-0049-0658</contrib-id>
                                                                <name>
                                    <surname>Güler</surname>
                                    <given-names>Kahraman</given-names>
                                </name>
                                                                    <aff>Department of Psychology, Dogus University, Faculty of Arts and Sciences, Istanbul, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-4474-4813</contrib-id>
                                                                <name>
                                    <surname>Gümüş Demir</surname>
                                    <given-names>Zeynep</given-names>
                                </name>
                                                                    <aff>Department of Psychology, Uskudar University, Istanbul, Turkey</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-0493-8704</contrib-id>
                                                                <name>
                                    <surname>Yurtseven</surname>
                                    <given-names>Cansu Selin</given-names>
                                </name>
                                                                    <aff>Department of Clinical Psychology, Istanbul Aydın University Istanbul, Turkey</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20240304">
                    <day>03</day>
                    <month>04</month>
                    <year>2024</year>
                </pub-date>
                                        <volume>10</volume>
                                        <issue>2</issue>
                                        <fpage>166</fpage>
                                        <lpage>177</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20230410">
                        <day>04</day>
                        <month>10</month>
                        <year>2023</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230721">
                        <day>07</day>
                        <month>21</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2015, The European Research Journal</copyright-statement>
                    <copyright-year>2015</copyright-year>
                    <copyright-holder>The European Research Journal</copyright-holder>
                </permissions>
            
                                                                                                                        <abstract><p>Objectives:  This paper looked into the relation between childhood traumas, resilience, cognitive flexibility, and adult emotion regulation skills in adults.Methods:  The sample, which is based on the relational screening model, includes 395 participants (female: 202, male: 193). Sociodemographic Information Form, Childhood Trauma Questionnaire, Connor-Davidson Resilience Scale, Cognitive Flexibility Scale and Cognitive Emotion Regulation Questionnaire were applied to the participants to obtain the research data. Data collection was carried out online (google forms) through convenient sampling. The t-test was used to compare the study&#039;s quantitative data, and Pearson Correlation analysis was utilized to test the relationship between the scales. Multiple Linear Regression analysis was used for predictive analysis and finally PROCESS was used for mediator role analysis.Results:  The investigation&#039;s findings revealed that there is a statistically significant difference between the scores of the two groups compared. Findings showed that there is a moderately positive correlation between acceptance and CTQ scores, a weak positive correlation between acceptance and emotional abuse scores, a weak positive correlation with physical abuse scores, a weak positive correlation with physical neglect scores, a weak positive correlation with emotional neglect scores and weak positive correlation with sexual abuse scores. A weak and negative correlation exists between Putting into Perspective and the CTQ, an even weaker and negative correlation exists between Putting into Perspective and the Emotional Neglect and Sexual Abuse scores. Rumination scores have a weak and negative relationship with emotional abuse scores. Conclusions:  In order to prevent them from serving as the foundation for difficulties with adult mental health, it is crucial to understand the relationship between traumatic childhood events and psychological resilience, cognitive flexibility, and cognitive emotion regulation techniques. In order to assist people, analyze their thoughts and feelings, be aware of negative coping mechanisms, rigid, inflexible cognitive styles, and negative thinking patterns, clinical psychology practices will benefit from research on these characteristics.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Childhood traumas</kwd>
                                                    <kwd>  psychological resilience</kwd>
                                                    <kwd>  cognitive flexibility</kwd>
                                                    <kwd>  emotion regulation skills</kwd>
                                            </kwd-group>
                            
                                                                                                                                                    </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1. Folette VM, Ruzek JI. Cognitive-behavioral therapies for trauma. 2nd ed., New York: The Guilford Press. 2006</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2. Nakazawa DJ. Kesintiye uğrayan çocukluk: olumsuz çocukluk deneyimleri bizi nasıl hasta eder ve nasıl iyileşebiliriz. İstanbul: Diyojen Yayıncılık. 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3. Levine PA, Kline M. Bir çocuğun gözünden travma. İstanbul: Butik Yayıncılık. 2021.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4. Everett B, Gallop R. The link between childhood trauma and mental illness: effective interventions for mental health professionals. Thousand Oaks, CA: Sage. 2001. doi: 10.4135/9781452205533</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5. Heider D, Matschinger H, Bernert S, et al. Adverse parenting as a risk factor in the occurrence of anxiety disorders : a study in six European countries. Soc Psychiatry Psychiatr Epidemiol. 2008;43(4):266-272. doi: 10.1007/s00127-007-0302-0.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6. Gibb BE, Chelminski I, Zimmerman M. Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Depress Anxiety. 2007;24(4):256-263. doi: 10.1002/da.20238.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7. Kaplan HL, Sadock BJ. Comprehensive textbook of psychiatry. 7th ed. Philadelphia: Lippincott Williams &amp; Wilkins. 2000: p. 2763.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8. Van der Kolk BA. Beden kayıt tutar: travmanın iyileşmesinde beyin, zihin ve beden. Ankara: Nobel Yayınevi. 2018.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9. Lang AJ, Aarons GA, Gearity J, et al. Direct and indirect links between childhood maltreatment, posttraumatic stress disorder, and women&#039;s health. Behav Med. 2008;33(4):125-135. doi: 10.3200/BMED.33.4.125-136.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10. van der Vegt EJ, Tieman W, van der Ende J, Ferdinand RF, Verhulst FC, Tiemeier H. Impact of early childhood adversities on adult psychiatric disorders: a study of international adoptees. Soc Psychiatry Psychiatr Epidemiol. 2009;44(9):724-731. doi: 10.1007/s00127-009-0494-6.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11. Klein DN, Arnow BA, Barkin JL, et al. Early adversity in chronic depression: clinical correlates and response to pharmacotherapy. Depress Anxiety. 2009;26(8):701-710. doi: 10.1002/da.20577.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12. Dutra L, Bureau JF, Holmes B, Lyubchik A, Lyons-Ruth K. Quality of early care and childhood trauma: a prospective study of developmental pathways to dissociation. J Nerv Ment Dis. 2009;197(6):383-390. doi: 10.1097/NMD.0b013e3181a653b7.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13. Greenfield EA, Marks NF. Profiles of physical and psychological violence in childhood as a risk factor for poorer adult health: evidence from the 1995-2005 National Survey of Midlife in the United States. J Aging Health. 2009;21(7):943-966. doi: 10.1177/0898264309343905.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14. Afifi TO, Enns MW, Cox BJ, de Graaf R, ten Have M, Sareen J. Child abuse and health-related quality of life in adulthood. J Nerv Ment Dis. 2007;195(10):797-804. doi: 10.1097/NMD.0b013e3181567fdd.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15. Mills KL, Teesson M, Ross J, Peters L. Trauma, PTSD, and substance use disorders: findings from the Australian National Survey of Mental Health and Well-Being. Am J Psychiatry. 2006;163(4):652-658. doi: 10.1176/ajp.2006.163.4.652.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16. Dube SR, Miller JW, Brown DW, et al. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006;38(4):444.e1-10. doi: 10.1016/j.jadohealth.2005.06.006.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17. Kingston S, Raghavan C. The relationship of sexual abuse, early initiation of substance use, and adolescent trauma to PTSD. J Trauma Stress. 2009;22(1):65-68. doi: 10.1002/jts.20381.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18. Schwandt ML, Heilig M, Hommer DW, George DT, Ramchandani VA. Childhood trauma exposure and alcohol dependence severity in adulthood: mediation by emotional abuse severity and neuroticism. Alcohol Clin Exp Res. 2013;37(6):984-992. doi: 10.1111/acer.12053.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19. Finkelhor D, Ormrod RK, Turner HA. Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007;31(1):7-26. doi: 10.1016/j.chiabu.2006.06.008.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20. John PB, Russell S, Russell PS. The prevalence of posttraumatic stress disorder among children and adolescents affected by tsunami disaster in Tamil Nadu. Disaster Manag Response. 2007;5(1):3-7. doi: 10.1016/j.dmr.2006.11.001.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21. McDermott BM, Lee EM, Judd M, Gibbon P. Posttraumatic stress disorder and general psychopathology in children and adolescents following a wildfire disaster. Can J Psychiatry. 2005;50(3):137-143. doi: 10.1177/070674370505000302.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22. Pratchett LC, Yehuda R. Foundations of posttraumatic stress disorder: does early life trauma lead to adult posttraumatic stress disorder? Dev Psychopathol. 2011;23(2):477-491. doi: 10.1017/S0954579411000186.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23. Gross JJ. The emerging field of emotion regulation: an integrative review. Rev General Psychol. 1998;2:271-299. doi: 10.1037/1089-2680.2.3.271.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004;26:41-54. doi: 10.1023/B:JOBA.0000007455.08539.94</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25. Berking M, Orth U, Wupperman P, Meier LL, Caspar F. Prospective effects of emotion-regulation skills on emotional adjustment. J Couns Psychol. 2008;55(4):485-494. doi: 10.1037/a0013589.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000;71(3):543-562. doi: 10.1111/1467-8624.00164.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27. Parsons S, Kruijt AW, Fox E. A cognitive model of psychological resilience. J Exp Psychopathol. 2016;7:296-310. doi: 10.5127/jep.053415.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28. Taylor SE, Kemeny ME, Reed GM, Bower JE, Gruenewald TL. Psychological resources, positive illusions, and health. Am Psychol. 2000;55(1):99-109. doi: 10.1037//0003-066x.55.1.99.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29. Masten AS. Ordinary magic. Resilience processes in development. Am Psychol. 2001;56(3):227-238. doi: 10.1037//0003-066x.56.3.227.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30. Salminen S, Perttula P, Puro V. Psychological resilience and occupational injuries. Psychology 2020;11(3):461-466. doi: 10.4236/psych.2020.113031.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31. Cicchetti D, Rogosch FA. The role of self-organization in the promotion of resilience in maltreated children. Dev Psychopathol. 1997;9(4):797-815. doi: 10.1017/s0954579497001442.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32. Masten AS. Global perspectives on resilience in children and youth. Child Dev. 2014;85(1):6-20. doi: 10.1111/cdev.12205.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognit Ther Res. 2010;34:241-253. doi: 10.1007/s10608-009-9276-4.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34. Gabrys RL, Dixon K, Anisman H. Traumatic Life Events in Relation to Cognitive Flexibility: Moderating Role of the BDNF Val66Met Gene Polymorphism. Front Behav Neurosci. 2017;11:241. doi: 10.3389/fnbeh.2017.00241.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35. Bernstein DP, Fink L, Handelsman L, et al. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994;151(8):1132-1136. doi: 10.1176/ajp.151.8.1132.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36. Aydemir Ö, Köroğlu E. Psikiyatride kullanılan klinik ölçekler. Ankara: HYB Yayıncılık. 2012.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37. Sar V, Öztürk E, Ikikardes E. [Validity and reliability of the Turkish version of childhood trauma questionnaire]. Türkiye Klinikleri. Tip Bilimleri Dergisi. 2012;32:1054-1063. doi: 10.5336/medsci.2011-26947. [Article in Turkish]</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38. Connor KM. Assessment of resilience in the aftermath of trauma. J Clin Psychiatry. 2006;67:46-49.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39. Karaırmak, Ö. Connor-Davidson psikolojik sağlamlık ölçeğinin Türkçe versiyonunun geçerlik ve güvenirliği: Travma örnekleminde doğrulayıcı faktör analizi. IX. Ulusal Psikolojik Danışma ve Rehberlik Kongresi Kitapçığı. 2007.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40. Martin MM, Rubin RB. A new measure of cognitive flexibility. Psychol Rep. 1995;76:623-626. doi: 10.2466/pr0.1995.76.2.623.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41. Altunkol F. Üniversite öğrencilerinin bilişsel esneklik algılanan stres düzeyleri arasındaki ilişkinin incelenmesi (master’s thesis on the Internet). Adana: Çukurova Üniversitesi, Sosyal Bilimler Enstitüsü. 2011.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42. Garnefski N, Kraaij V. Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire: a questionnaire measuring cognitive coping strategies. Leiderdorp: DATEC. 2002.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">43. Onat O, Otrar, M. [Adaptation of cognitive emotion regulation questionnaire to Turkish: validity and reliability studies] MÜ. Atatürk Eğitim Fakültesi Eğitim Bilimleri Derg. 2010;31:123-143. [Article in Turkish]</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">44. George D, Mallery M. SPSS for Windows step by step: a simple study guide and reference, 17.0 update. Boston: Allyn &amp; Bacon. 2010.</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">45. Groeneveld RA, Meeden G. Measuring skewness and kurtosis. Statistician. 1984;33:391-399. doi: 10.2307/2987742.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">46. Moors JJA. The meaning of kurtosis: Darlington reexamined. Am Stat. 1986;40:283-284.</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">47. Hopkins KD, Weeks DL. Tests for normality and measures of skewness and kurtosis: their place in research reporting. Educ Psychol Meas. 1990;50:717-729. doi: 10.1177/0013164490504001.</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">48. DeCarlo LT. On the meaning and use of kurtosis. Psychol Methods. 1997;2:292-307. doi: 10.1037/1082-989X.2.3.292.</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">49. Gross JJ, Thompson RA. Emotion regulation: conceptual foundations. In: Gross JJ, ed., Handbook of emotion regulation. New York: The Guilford Press. 2007: p. 654.</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">50. Spertus IL, Yehuda R, Wong CM, Halligan S, Seremetis SV. Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse Negl. 2003;27(11):1247-1258. doi: 10.1016/j.chiabu.2003.05.001.</mixed-citation>
                    </ref>
                                    <ref id="ref51">
                        <label>51</label>
                        <mixed-citation publication-type="journal">51. Moser DA, Suardi F, Schechter DS. (2020). PTSD During Childhood, Childhood Trauma, Childhood Maltreatment and How They Relate to Adult PTSD. In: Spalletta G, Janiri D, Piras F, Sani G. (eds), Childhood Trauma in Mental Disorders. Springer, Cham. 2020: pp. 211-229. doi: 10.1007/978-3-030-49414-8_11.</mixed-citation>
                    </ref>
                                    <ref id="ref52">
                        <label>52</label>
                        <mixed-citation publication-type="journal">52. Foa EB, Riggs DS. Posttraumatic stress disorder in rape victims. In: Oldham J, Riba MB, Tasman A, eds., American Psychiatric Press Review of Psychiatry, Washington DC: American Psychiatric Press. 1993: pp. 273-303.</mixed-citation>
                    </ref>
                                    <ref id="ref53">
                        <label>53</label>
                        <mixed-citation publication-type="journal">53. Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748-766. doi: 10.1037//0022-006x.68.5.748.</mixed-citation>
                    </ref>
                                    <ref id="ref54">
                        <label>54</label>
                        <mixed-citation publication-type="journal">54. McLean CP, Foa EB. Emotions and emotion regulation in posttraumatic stress disorder. Curr Opin Psychol. 2017;14:72-77. doi: 10.1016/j.copsyc.2016.10.006.</mixed-citation>
                    </ref>
                                    <ref id="ref55">
                        <label>55</label>
                        <mixed-citation publication-type="journal">55. Clohessy S, Ehlers A. PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Br J Clin Psychol. 1999;38(3):251-265. doi: 10.1348/014466599162836.</mixed-citation>
                    </ref>
                                    <ref id="ref56">
                        <label>56</label>
                        <mixed-citation publication-type="journal">56. Kumpula MJ, Orcutt HK, Bardeen JR, Varkovitzky RL. Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. J Abnorm Psychol. 2011;120(3):617-627. doi: 10.1037/a0023927.</mixed-citation>
                    </ref>
                                    <ref id="ref57">
                        <label>57</label>
                        <mixed-citation publication-type="journal">57. Frewen PA, Dozois DJ, Neufeld RW, et al. Emotional numbing in posttraumatic stress disorder: a functional magnetic resonance imaging study. J Clin Psychiatry. 2012;73(4):431-436. doi: 10.4088/JCP.10m06477.</mixed-citation>
                    </ref>
                                    <ref id="ref58">
                        <label>58</label>
                        <mixed-citation publication-type="journal">58. Powers A, Cross D, Fani N, Bradley B. PTSD, emotion dysregulation, and dissociative symptoms in a highly traumatized sample. J Psychiatr Res. 2015;61:174-179. doi: 10.1016/j.jpsychires.2014.12.011.</mixed-citation>
                    </ref>
                                    <ref id="ref59">
                        <label>59</label>
                        <mixed-citation publication-type="journal">59. Litz BT, Gray MJ. Emotional numbing in posttraumatic stress disorder: current and future research directions. Aust N Z J Psychiatry. 2002;36(2):198-204. doi: 10.1046/j.1440-1614.2002.01002.x.</mixed-citation>
                    </ref>
                                    <ref id="ref60">
                        <label>60</label>
                        <mixed-citation publication-type="journal">60. Lynch TR, Cheavens JS, Cukrowicz KC, Thorp SR, Bronner L, Beyer J. Treatment of older adults with co-morbid personality disorder and depression: a dialectical behavior therapy approach. Int J Geriatr Psychiatry. 2007;22(2):131-143. doi: 10.1002/gps.1703.</mixed-citation>
                    </ref>
                                    <ref id="ref61">
                        <label>61</label>
                        <mixed-citation publication-type="journal">61. Bernardo AB, Presbitero A. Cognitive flexibility and cultural intelligence: Exploring the cognitive aspects of effective functioning in culturally diverse contexts. Int J Intercult Relat. 2018;66:12-21. doi: 10.1016/j.ijintrel.2018.06.001.</mixed-citation>
                    </ref>
                                    <ref id="ref62">
                        <label>62</label>
                        <mixed-citation publication-type="journal">62. Sarıtaş Atalar D. Duygu düzenleme, ergenlik ve ebeveynlik. Ankara: ODTÜ Geliştirme Vakfı Yayıncılık. 2014.</mixed-citation>
                    </ref>
                                    <ref id="ref63">
                        <label>63</label>
                        <mixed-citation publication-type="journal">63. Staiger PK, Melville F, Hides L, Kambouropoulos N, Lubman DI. Can emotion-focused coping help explain the link between posttraumatic stress disorder severity and triggers for substance use in young adults? J Subst Abuse Treat. 2009;36(2):220-226. doi: 10.1016/j.jsat.2008.05.008.</mixed-citation>
                    </ref>
                                    <ref id="ref64">
                        <label>64</label>
                        <mixed-citation publication-type="journal">64. Tull MT, Barrett HM, McMillan ES, Roemer L. A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behav Ther. 2007;38(3):303-313. doi: 10.1016/j.beth.2006.10.001.</mixed-citation>
                    </ref>
                                    <ref id="ref65">
                        <label>65</label>
                        <mixed-citation publication-type="journal">65. Ehring T, Quack D. Emotion regulation difficulties in trauma survivors: the role of trauma type and PTSD symptom severity. Behav Ther. 2010;41(4):587-598. doi: 10.1016/j.beth.2010.04.004.</mixed-citation>
                    </ref>
                                    <ref id="ref66">
                        <label>66</label>
                        <mixed-citation publication-type="journal">66. McDermott MJ, Tull MT, Gratz KL, Daughters SB, Lejuez CW. The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. J Anxiety Disord. 2009;23(5):591-599. doi: 10.1016/j.janxdis.2009.01.006.</mixed-citation>
                    </ref>
                                    <ref id="ref67">
                        <label>67</label>
                        <mixed-citation publication-type="journal">67. Hébert M, Langevin R, Oussaïd E. Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. J Affect Disord. 2018;225:306-312. doi: 10.1016/j.jad.2017.08.044.</mixed-citation>
                    </ref>
                                    <ref id="ref68">
                        <label>68</label>
                        <mixed-citation publication-type="journal">68. Berking M, Wupperman P. Emotion regulation and mental health: recent findings, current challenges, and future directions. Curr Opin Psychiatry. 2012;25(2):128-134. doi: 10.1097/YCO.0b013e3283503669.</mixed-citation>
                    </ref>
                                    <ref id="ref69">
                        <label>69</label>
                        <mixed-citation publication-type="journal">69. Hopfinger L, Berking M, Bockting CL, Ebert DD. Emotion regulation mediates the effect of childhood trauma on depression. J Affect Disord. 2016;198:189-197. doi: 10.1016/j.jad.2016.03.050.</mixed-citation>
                    </ref>
                                    <ref id="ref70">
                        <label>70</label>
                        <mixed-citation publication-type="journal">70. Huh HJ, Kim KH, Lee HK, Chae JH. The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. J Affect Disord. 2017;213:44-50. doi: 10.1016/j.jad.2017.02.009.</mixed-citation>
                    </ref>
                                    <ref id="ref71">
                        <label>71</label>
                        <mixed-citation publication-type="journal">71. Pechtel P, Pizzagalli DA. Effects of early life stress on cognitive and affective function: an integrated review of human literature. Psychopharmacology (Berl). 2011;214(1):55-70. doi: 10.1007/s00213-010-2009-2.</mixed-citation>
                    </ref>
                                    <ref id="ref72">
                        <label>72</label>
                        <mixed-citation publication-type="journal">72. Guinosso SA, Johnson SB, Riley AW. Multiple adverse experiences and child cognitive development. Pediatr Res. 2016;79(1-2):220-226. doi: 10.1038/pr.2015.195.</mixed-citation>
                    </ref>
                                    <ref id="ref73">
                        <label>73</label>
                        <mixed-citation publication-type="journal">73. Jones B, Müller J, Maercker A. Trauma and posttraumatic reactions in German development aid workers: prevalences and relationship to social acknowledgement. Int J Soc Psychiatry. 2006;52(2):91-100. doi: 10.1177/0020764006061248.</mixed-citation>
                    </ref>
                                    <ref id="ref74">
                        <label>74</label>
                        <mixed-citation publication-type="journal">74. Collishaw S, Pickles A, Messer J, Rutter M, Shearer C, Maughan B. Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl. 2007;31(3):211-229. doi: 10.1016/j.chiabu.2007.02.004.</mixed-citation>
                    </ref>
                                    <ref id="ref75">
                        <label>75</label>
                        <mixed-citation publication-type="journal">75. Zolli A, Healy AM. Resilience: Why things bounce back. Hachette UK. 2012.</mixed-citation>
                    </ref>
                                    <ref id="ref76">
                        <label>76</label>
                        <mixed-citation publication-type="journal">76. Levendosky AA, Huth-Bocks AC, Shapiro DL, Semel MA. The impact of domestic violence on the maternal-child relationship and preschool-age children&#039;s functioning. J Fam Psychol. 2003;17(3):275-287. doi: 10.1037/0893-3200.17.3.275.</mixed-citation>
                    </ref>
                                    <ref id="ref77">
                        <label>77</label>
                        <mixed-citation publication-type="journal">77. Santa Barbara J. The psychological effect of war on children. In: Levy BS, Sidel VW, eds.,  War and Public Health. Washington, DC: Oxford University Press. 2000: pp. 168-85.</mixed-citation>
                    </ref>
                                    <ref id="ref78">
                        <label>78</label>
                        <mixed-citation publication-type="journal">78. Ji S, Wang H. A study of the relationship between adverse childhood experiences, life events, and executive function among college students in China. Psicol Reflex Crit. 2018;31(1):28. doi: 10.1186/s41155-018-0107-y.</mixed-citation>
                    </ref>
                                    <ref id="ref79">
                        <label>79</label>
                        <mixed-citation publication-type="journal">79. Luby JL, Barch D, Whalen D, Tillman R, Belden A. Association Between Early Life Adversity and Risk for Poor Emotional and Physical Health in Adolescence: A Putative Mechanistic Neurodevelopmental Pathway. JAMA Pediatr. 2017;171(12):1168-1175. doi: 10.1001/jamapediatrics.2017.3009.</mixed-citation>
                    </ref>
                                    <ref id="ref80">
                        <label>80</label>
                        <mixed-citation publication-type="journal">80. McLaughlin KA. Future Directions in Childhood Adversity and Youth Psychopathology. J Clin Child Adolesc Psychol. 2016;45(3):361-382. doi: 10.1080/15374416.2015.1110823.</mixed-citation>
                    </ref>
                                    <ref id="ref81">
                        <label>81</label>
                        <mixed-citation publication-type="journal">81. Thurston H, Bell JF, Induni M. Community-level Adverse Experiences and Emotional Regulation in Children and Adolescents. J Pediatr Nurs. 2018;42:25-33. doi: 10.1016/j.pedn.2018.06.008.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
