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呼吸性窦性心律失常发展的广泛影响:社区样本中与儿童精神病理学症状的关联

Broad implications for respiratory sinus arrhythmia development: associations with childhood symptoms of psychopathology in a community sample.

作者信息

Patriquin Michelle A, Lorenzi Jill, Scarpa Angela, Calkins Susan D, Bell Martha Ann

机构信息

Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas; The Menninger Clinic, Houston, Texas.

出版信息

Dev Psychobiol. 2015 Jan;57(1):120-30. doi: 10.1002/dev.21269. Epub 2014 Dec 12.

Abstract

Replicating the group-based developmental trajectory methodology from our prior study (Patriquin, Lorenzi, Scarpa, & Bell. 2014. Developmental Psychobiology, 56, 317-326), the current study examines the development of baseline respiratory sinus arrhythmia (RSA) across a new, larger cohort of typically developing children at 5, 10, 24, 36, and 48 months of age and examines the trajectory relationship with symptoms of childhood psychopathology. Group-based developmental trajectory modeling replicated our prior findings of a two-group model fit: a "High RSA" and "Low RSA" group. The "Low RSA" group, which demonstrated lower baseline RSA across all time points, had significantly more childhood problems at 48 months, namely increased withdrawal, aggressive behavior, pervasive developmental problems, and oppositional defiant problems. All participants for whom there were developmental or autism spectrum concerns (n = 6; based on maternal report at 48 months) were allocated to the Low RSA trajectory group. These results suggest that consistent developmental trajectories of RSA may point to protective factors (i.e., high RSA) against developing symptoms of childhood psychopathology.

摘要

本研究采用了我们之前研究(Patriquin, Lorenzi, Scarpa, & Bell. 2014. 《发展性心理生物学》,56, 317 - 326)中基于群体的发展轨迹方法,对一组新的、规模更大的5、10、24、36和48个月大的正常发育儿童的基线呼吸性窦性心律不齐(RSA)的发展情况进行了研究,并考察了其与儿童精神病理学症状的轨迹关系。基于群体的发展轨迹模型重现了我们之前两组模型拟合的结果:一个“高RSA”组和一个“低RSA”组。“低RSA”组在所有时间点的基线RSA都较低,在48个月时出现的儿童问题显著更多,即退缩行为增加、攻击性行为、广泛性发育问题和对立违抗问题。所有存在发育或自闭症谱系问题的参与者(n = 6;基于48个月时母亲的报告)都被分配到了低RSA轨迹组。这些结果表明,RSA一致的发展轨迹可能指向预防儿童精神病理学症状的保护因素(即高RSA)。

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