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While it commonly refers to a clinical phenotype where intense anger leads to behavioral dyscontrol, the term implies etiology because anything that is dysregulated requires an impaired regulatory mechanism. Many cognitive, affective, behavioral, neural, and social processes have been studied to improve understanding of emotion dysregulation. Nevertheless, the defective regulatory mechanism that might underlie it remains unclear. This systematic review of research on processes that affect emotion dysregulation endeavors to develop an integrative framework for the wide variety of factors investigated. It seeks to ascertain which, if any, constitutes an impaired regulatory mechanism. Based on this review, we propose a framework organizing emotion\u2010relevant processes into categories pertaining to stimulus processing, response selection and control, emotion generation, closed\u2010 or open\u2010loop feedback\u2010based regulation, and experiential influences. Our review finds scant evidence for closed\u2010loop (automatic) mechanisms to downregulate anger arousal rapidly. Open\u2010loop (deliberate) regulatory strategies seem effective for low\u2010to\u2010moderate arousal. More extensive evidence supports roles for aspects of stimulus processing (sensory sensitivity, salience, appraisal, threat processing, and reward expectancy). Response control functions, such as inhibitory control, show robust associations with emotion dysregulation. Processes relating to emotion generation highlight aberrant features in autonomic, endocrine, reward functioning, and tonic mood states. A large literature on adverse childhood experiences and family interactions shows the unique and joint effects of interpersonal with child\u2010level risks. We conclude that the defective closed\u2010loop regulatory mechanisms that emotion dysregulation implies require further specification. Integrating research on emotion\u2010relevant mechanisms along an axis from input factors through emotion generation to corrective feedback may promote research on (a) heterogeneity in pathogenesis, (b) interrelationships between these factors, and (c) the derivation of better\u2010targeted treatments that address specific pathogenic processes of affected youth.<\/jats:p>","DOI":"10.1111\/jcpp.14126","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T09:34:54Z","timestamp":1739957694000},"page":"516-546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Annual Research Review: What processes are dysregulated among emotionally dysregulated youth? \u2013 a systematic review"],"prefix":"10.1111","volume":"66","author":[{"given":"Joseph C.","family":"Blader","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science 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