Poon Jennifer A, Turpyn Caitlin C, Hansen Amysue, Jacangelo Juliana, Chaplin Tara M
Youth Emotion Lab, Department of Psychology, George Mason University, 10340 Democracy Lane Suite 301, Fairfax, VA 22030, USA.
Cognit Ther Res. 2016 Jun;40(3):368-380. doi: 10.1007/s10608-015-9729-x. Epub 2015 Oct 28.
How are emotional processes associated with the increased rates of substance use and psychological disorders commonly observed during adolescence? An index of emotion-related physiological arousal-cortisol reactivity-and subjective emotion regulation have both been linked to substance use and psychological difficulties among youth. The current study ( = 134 adolescents) sought to elucidate the effects of cortisol reactivity following a stressful parent-child interaction task and self-reported emotion regulation ability on adolescents' substance use and externalizing and internalizing behavior problems. Results revealed that adolescents with levels of cortisol reactivity and emotion regulation difficulties were more likely to use substances, and also had the highest parent-reported symptoms of oppositional defiant disorder. With respect to internalizing symptoms, emotion-related physiological reactivity coupled with emotion regulation difficulties were associated with higher self-reported major depression symptoms among youth. Findings reveal that different profiles of HPA axis arousal and emotion regulation are associated with substance use and symptoms of psychopathology among adolescents.
情绪过程与青春期常见的物质使用增加率和心理障碍是如何关联的？与情绪相关的生理唤醒指标——皮质醇反应性——以及主观情绪调节都与青少年的物质使用和心理困扰有关。当前这项研究（n = 134名青少年）试图阐明在一项紧张的亲子互动任务后皮质醇反应性以及自我报告的情绪调节能力对青少年物质使用、外化和内化行为问题的影响。结果显示，皮质醇反应性水平高且情绪调节困难的青少年更有可能使用物质，并且在家长报告的对立违抗障碍症状方面也最为严重。关于内化症状，情绪相关的生理反应性高且情绪调节困难与青少年自我报告的重度抑郁症状较多有关。研究结果表明，下丘脑-垂体-肾上腺（HPA）轴唤醒和情绪调节的不同特征与青少年的物质使用和精神病理学症状有关。
