Maternal Trauma History, Reflective Functioning, and Parental Sensitivity as Predictors of Emotional Dysregulation in Children: An Applied Learning Approach
Keywords:
maternal trauma, reflective functioning, parental sensitivity, emotional dysregulation, children, intergenerational transmissionAbstract
Objective: The aim of this study was to examine whether maternal trauma history, reflective functioning, and parental sensitivity significantly predict emotional dysregulation in children using an integrated model combining traditional statistical methods and applied learning approaches.
Methods and Materials: This cross-sectional correlational study was conducted on 240 mother–child dyads in Tehran selected through multistage cluster sampling. Inclusion criteria included mothers with children aged 6–12 years and absence of severe neurodevelopmental disorders in children. Data were collected using standardized instruments, including the Childhood Trauma Questionnaire, Reflective Functioning Questionnaire, Maternal Behavior Q-Sort, and Emotion Regulation Checklist. Data analysis was performed using SPSS-27 for descriptive statistics, correlation, and multiple regression analysis, alongside machine learning techniques (random forest and gradient boosting) implemented in Python to enhance predictive modeling. Model performance was evaluated using R², mean squared error, and cross-validation procedures.
Findings: Results indicated that maternal trauma history significantly and positively predicted child emotional dysregulation (β = 0.36, p < 0.001). Reflective functioning uncertainty was also a significant positive predictor (β = 0.24, p < 0.001), whereas reflective functioning certainty showed a significant negative effect (β = -0.19, p = 0.001). Parental sensitivity emerged as the strongest negative predictor (β = -0.44, p < 0.001). The regression model explained 52% of the variance in emotional dysregulation (R² = 0.52, p < 0.001). Among machine learning models, gradient boosting demonstrated superior predictive performance (R² = 0.67), outperforming both random forest and linear regression models.
Conclusion: The findings highlight the critical role of maternal trauma, reflective functioning, and parental sensitivity in shaping children’s emotional regulation, with parental sensitivity serving as the most influential protective factor. The integration of applied learning approaches provides enhanced predictive accuracy and supports the complexity of intergenerational processes, suggesting that interventions targeting maternal mentalization and caregiving behaviors may effectively reduce emotional dysregulation in children.
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Cotter, G., Morreale, K., Valdegas, A., Fish, M., Beebe, R., Grasso, D. J., Stover, C. S., & Tseng, W. L. (2024). Associations Between Trauma Exposure and Irritability Within the Family Unit: A Network Approach. Journal of Child Psychology and Psychiatry, 65(11), 1501-1512. https://doi.org/10.1111/jcpp.13998
Dollberg, D. G., & Hanetz‐Gamliel, K. (2023). Therapeutic Work to Enhance Parental Mentalizing for Parents With ACEs to Support Their Children's Mental Health: A Theoretical and Clinical Review. Frontiers in Child and Adolescent Psychiatry, 2. https://doi.org/10.3389/frcha.2023.1094206
Ensink, K., Fonagy, P., Normandin, L., Rozenberg, A., Marquez, C., Godbout, N., & Borelli, J. L. (2021). Post-Traumatic Stress Disorder in Sexually Abused Children: Secure Attachment as a Protective Factor. Frontiers in psychology, 12. https://doi.org/10.3389/fpsyg.2021.646680
Fatehi, M., Miller, S. E., Fatehi, L., & Mowbray, O. (2021). A Scoping Study of Parents With a History of Childhood Sexual Abuse and a Theoretical Framework for Future Research. Trauma Violence & Abuse, 23(4), 1134-1156. https://doi.org/10.1177/1524838020987822
Finzi‐Dottan, R., & Gewirtz‐Meydan, A. (2024). Children Under Fire: The Role of Maternal Caregiving, Reflection Functioning, and Posttraumatic Stress Disorder. Psychological Trauma Theory Research Practice and Policy, 16(Suppl 1), S88-S96. https://doi.org/10.1037/tra0001205
Glaus, J., Moser, D. A., Serpa, S. R., Jouabli, S., Turri, F., Plessen, K. J., & Schechter, D. S. (2022). Families With Violence Exposure and the Intergenerational Transmission of Somatization. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.820652
Hanetz‐Gamliel, K., & Dollberg, D. G. (2022). Links Between Mothers’ ACEs, Their Psychopathology and Parenting, and Their Children’s Behavior Problems–A Mediation Model. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1064915
Harden, B. J., Martoccio, T. L., Lee, K. A., & Jaramillo, M. (2026). Intergenerational Trauma, Parenting, and Child Behavior Among African American Families Living in Poverty. Psychological Trauma Theory Research Practice and Policy, 18(2), 269-279. https://doi.org/10.1037/tra0001899
Idsøe, T., Vaillancourt, T., Dyregrov, A., Hagen, K. A., Ogden, T., & Nærde, A. (2021). Bullying Victimization and Trauma. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.480353
Langevin, R., Gagné, M. E., Brassard, A., & Fernet, M. (2023). Intergenerational Continuity of Child Maltreatment: The Role of Maternal Emotional Dysregulation and Mother–child Attachment. Psychology of violence, 13(1), 1-12. https://doi.org/10.1037/vio0000409
Langevin, R., Kern, A., Fernet, M., & Brassard, A. (2022). Emerging Adults’ Adverse Life Events and Psychological Functioning: A Comparison Based on Intergenerational Trajectories of Child Maltreatment. Journal of interpersonal violence, 38(7-8), 5774-5804. https://doi.org/10.1177/08862605221127214
Lapointe, G., Drouin‐Maziade, C., Garon‐Bissonnette, J., Bordeleau, F., Lemieux, R., & Berthelot, N. (2025). Psychological Functioning in Pregnant Women Who Experienced Complex Trauma. Frontiers in Global Women S Health, 6. https://doi.org/10.3389/fgwh.2025.1611034
Lotto, C. R., Altafim, E. R. P., & Linhares, M. B. M. (2021). Maternal History of Childhood Adversities and Later Negative Parenting: A Systematic Review. Trauma Violence & Abuse, 24(2), 662-683. https://doi.org/10.1177/15248380211036076
Mattheß, J., Koch, G., Keil, T., Roll, S., Berghöfer, A., Ludwig‐Körner, C., Schlensog‐Schuster, F., Sprengeler, M. K., Klitzing, K. v., & Kuchinke, L. (2023). Past Attachment Experiences, the Potential Link of Mentalization and the Transmission of Behavior to the Child by Mothers With Mental Health Problems: Cross-Sectional Analysis of a Clinical Sample. European Child & Adolescent Psychiatry, 33(6), 1883-1894. https://doi.org/10.1007/s00787-023-02291-9
Mooren, T., Ee, E. v., Hein, I. M., & Bala, J. (2023). Combatting Intergenerational Effects of Psychotrauma With Multifamily Therapy. Frontiers in Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.867305
Olsavsky, A. K., Chirico, I. S., Ali, D., Christensen, H., Boggs, B., Svete, L. J., Ketcham, K., Hutchison, K. E., Zeanah, C. H., Tottenham, N., Riggs, P., & Epperson, C. N. (2023). Maternal Childhood Maltreatment, Internal Working Models, and Perinatal Substance Use: Is There a Role for Hyperkatifeia? A Systematic Review. Substance Abuse Research and Treatment, 17. https://doi.org/10.1177/11782218231186371
Paivio, S. C., & Pascual‐Leone, A. (2023). Trauma and Its Effects. 15-32. https://doi.org/10.1037/0000336-002
Paris, R. (2025). Trauma and Mental Health: Examining Psychosocial Changes for Latin American Immigrant Mothers and Young Children Participating in Child–parent Psychotherapy. Psychological Trauma Theory Research Practice and Policy. https://doi.org/10.1037/tra0002071
Paris, R., Herriott, A. L., & Holt, M. K. (2023). Parenting Stress and Competence Among Mothers of Young Children With Substance Use Disorders: The Roles of Trauma and Reflective Functioning. Infant Mental Health Journal, 44(2), 228-239. https://doi.org/10.1002/imhj.22040
Paulus, F. W., Ohmann, S., Möhler, E., Plener, P. L., & Popow, C. (2021). Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.628252
Powers, A., Stevens, J. S., O’Banion, D., Stenson, A. F., Kaslow, N. J., Jovanović, T., & Bradley, B. (2022). Intergenerational Transmission of Risk for PTSD Symptoms in African American Children: The Roles of Maternal and Child Emotion Dysregulation. Psychological Trauma Theory Research Practice and Policy, 14(7), 1099-1106. https://doi.org/10.1037/tra0000543
Ribaudo, J., Lawler, J. M., Jester, J. M., Riggs, J., Erickson, N. L., Stacks, A. M., Brophy‐Herb, H. E., Muzik, M., & Rosenblum, K. L. (2022). Maternal History of Adverse Experiences and Posttraumatic Stress Disorder Symptoms Impact Toddlers’ Early Socioemotional Wellbeing: The Benefits of Infant Mental Health-Home Visiting. Frontiers in psychology, 12. https://doi.org/10.3389/fpsyg.2021.792989
Riser, M., Trentacosta, C. J., & Jovanović, T. (2025). Weaving Invisible Threads: The Impact of Caregiver Trauma on Parenting and Child Brain Development. Brain Sciences, 15(7), 726. https://doi.org/10.3390/brainsci15070726
Rodrigues, E. (2024). Investigating Maternal Mental Health and Emotion Regulation Among Mothers With Problematic Substance Use Participating in Attachment and Biobehavioral Catch-Up. https://doi.org/10.32920/26052892.v1
Smith, J. A., Zhang, J., Urusov, A., Colucci, L., Sloss, I. M., Eckert, L., Price‐Cameron, M., & Browne, D. T. (2024). Exploring Networks of Complex Developmental Trauma Symptomatology Among Children and Adolescents Involved in Child Welfare. JCPP Advances, 4(2). https://doi.org/10.1002/jcv2.12224
Spearman, K. J., Hoppe, E., & Jagasia, E. (2023). A Systematic Literature Review of Protective Factors Mitigating Intimate Partner Violence Exposure on Early Childhood Health Outcomes. Journal of Advanced Nursing, 79(5), 1664-1677. https://doi.org/10.1111/jan.15638
Swales, D. A., Davis, E. P., Mahrer, N. E., Guardino, C. M., Shalowitz, M. U., Ramey, S. L., & Schetter, C. D. (2022). Preconception Maternal Posttraumatic Stress and Child Negative Affectivity: Prospectively Evaluating the Intergenerational Impact of Trauma. Development and Psychopathology, 35(2), 619-629. https://doi.org/10.1017/s0954579421001760
Tohme, P., Grey, I., & Abi-Habib, R. (2025). Editorial: Trauma, Attachment and Culture. Frontiers in psychology, 16. https://doi.org/10.3389/fpsyg.2025.1688970
Tomoda, A., Nishitani, S., Takiguchi, S., Fujisawa, T. X., Sugiyama, T., & Teicher, M. H. (2024). The Neurobiological Effects of Childhood Maltreatment on Brain Structure, Function, and Attachment. European Archives of Psychiatry and Clinical Neuroscience, 275(7), 1939-1958. https://doi.org/10.1007/s00406-024-01779-y
Wang, C., Barrie, D. L. L., Powers, A., Stenson, A. F., Rooij, S. J. v., Stevens, J. S., Jovanović, T., Bradley, B., McGee, R. E., & Fani, N. (2022). Associations of Maternal Emotion Regulation With Child White Matter Connectivity in Black American Mother–child Dyads. Developmental Psychobiology, 64(7). https://doi.org/10.1002/dev.22303
Zitzmann, J., Rombold-George, L., Rosenbach, C., & Renneberg, B. (2023). Emotion Regulation, Parenting, and Psychopathology: A Systematic Review. Clinical Child and Family Psychology Review, 27(1), 1-22. https://doi.org/10.1007/s10567-023-00452-5

