THE IMPACT OF CHILDHOOD EMOTIONAL NEGLECT ON EMOTIONAL FUNCTIONING IN ADULTS WITH PTSD - A NARRATIVE REVIEW
DOI:
https://doi.org/10.31435/ijitss.2(50).2026.5822Keywords:
Childhood Emotional Neglect, Post-Traumatic Stress Disorder, Emotional Regulation, Developmental Trauma, Attachment Theory, Adult Mental HealthAbstract
Background: Childhood emotional neglect is a pervasive yet often underrecognized form of developmental trauma associated with long-term impairments in emotional and interpersonal functioning. Theoretical and empirical literature suggests that early emotional deprivation contributes to difficulties in emotion regulation, insecure attachment, and increased vulnerability to psychopathology, including Post-Traumatic Stress Disorder. However, the mechanisms linking emotional neglect to adult emotional dysfunction remain insufficiently integrated within existing research.
Methods: This narrative review synthesizes findings from seminal theoretical works and empirical studies on childhood emotional neglect, attachment development, emotional regulation, and PTSD. Literature was identified through major academic databases, including peer-reviewed journal articles, clinical handbooks, and foundational texts. Key assessment tools commonly referenced in the literature include the Childhood Trauma Questionnaire (Bernstein & Fink, 1998), the PTSD Diagnostic Scale (Foa et al., 1997), and the Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2004). A thematic synthesis approach was used to integrate findings across studies.
Results: The reviewed literature consistently indicates that childhood emotional neglect is strongly associated with emotional dysregulation, insecure attachment patterns, and increased PTSD symptom severity. Studies also highlight neurodevelopmental disruptions in stress-response systems and persistent maladaptive self-beliefs, such as shame and low self-worth, which contribute to chronic emotional difficulties in adulthood.
Conclusions: Childhood emotional neglect represents a critical developmental risk factor for long-term emotional dysfunction and PTSD. The findings emphasize the importance of integrating attachment-based and emotion-focused approaches in trauma-informed care and highlight the need for further research to clarify underlying mechanisms and protective factors.
References
Anda, R. F., Butchart, A., Felitti, V. J., & Brown, D. W. (2010). Building a framework for global surveillance of adverse childhood experiences. American Journal of Preventive Medicine, 39(1), 93–98. https://doi.org/10.1016/j.amepre.2010.03.015
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Lawrence Erlbaum Associates.
Bernstein, D. P., & Fink, L. (1998). Childhood trauma questionnaire: A retrospective self-report manual. Psychological Corporation.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.
Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Review of Clinical Psychology, 7, 203–227. https://doi.org/10.1146/annurev-clinpsy-032210-104544
Courtois, C. A., & Ford, J. D. (Eds.). (2009). Treating complex traumatic stress disorders: An evidence-based guide. Guilford Press.
Courtois, C. A., & Ford, J. D. (2013). Treatment of complex trauma: A sequenced, relationship-based approach. Guilford Press.
Dvir, Y., Ford, J. D., Hill, M., & Frazier, J. A. (2014). Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities. Harvard Review of Psychiatry, 22(3), 149–161. https://doi.org/10.1097/HRP.0000000000000014
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The PTSD Diagnostic Scale. Psychological Assessment, 9(4), 445–451. https://doi.org/10.1037/1040-3590.9.4.445
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
Herman, J. L. (1992). Trauma and recovery. Basic Books.
Levine, P. A. (2010). In an unspoken voice: How the body releases trauma and restores goodness. North Atlantic Books.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.
Mikulincer, M., & Shaver, P. R. (2016). Attachment in adulthood: Structure, dynamics, and change (2nd ed.). Guilford Press.
Perry, B. D. (2009). Examining child maltreatment through a neurodevelopmental lens. Journal of Loss and Trauma, 14(4), 240–255. https://doi.org/10.1080/15325020903004350
Perry, B. D., & Szalavitz, M. (2006). The boy who was raised as a dog: And other stories from a child psychiatrist’s notebook. Basic Books.
Schiraldi, G. R. (2009). The post-traumatic stress disorder sourcebook (2nd ed.). McGraw-Hill.
Shapiro, F. (2018). Eye movement desensitization and reprocessing (EMDR) therapy: Basic principles, protocols, and procedures (3rd ed.). Guilford Press.
Shonkoff, J. P., & Garner, A. S. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. https://doi.org/10.1542/peds.2011-2663
Siegel, D. J. (2012). The developing mind: How relationships and the brain interact to shape who we are (2nd ed.). Guilford Press.
Spinazzola, J., van der Kolk, B. A., & Ford, J. D. (2018). When nowhere is safe: Interpersonal trauma and attachment adversity as antecedents of posttraumatic stress disorder and developmental trauma disorder. Journal of Traumatic Stress, 31(5), 631–642. https://doi.org/10.1002/jts.22320
Spertus, I. L., Yehuda, R., Wong, C. M., Halligan, S., & Seremetis, S. V. (2003). Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27(11), 1247–1257. https://doi.org/10.1016/j.chiabu.2003.05.001
Teicher, M. H., & Samson, J. A. (2013). Childhood maltreatment and psychopathology: A case for ecophenotypic variants as clinically and neurobiologically distinct subtypes. American Journal of Psychiatry, 170(10), 1114–1133. https://doi.org/10.1176/appi.ajp.2013.12070957
van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.
World Health Organization. (2019). International classification of diseases for mortality and morbidity statistics (11th Revision). https://icd.who.int/
Yehuda, R. (2002). Post-traumatic stress disorder. New England Journal of Medicine, 346(2), 108–114. https://doi.org/10.1056/NEJMra012941
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