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同伴侵害可预测认知脆弱青少年对社会压力的炎症反应增强。

Peer victimization predicts heightened inflammatory reactivity to social stress in cognitively vulnerable adolescents.

机构信息

Department of Developmental Psychology, Tilburg University, Tilburg, The Netherlands.

Department of Psychiatry and Biobehavioral Sciences, Cousins Center for Psychoneuroimmunology, University of California, Los Angeles, CA, USA.

出版信息

J Child Psychol Psychiatry. 2018 Feb;59(2):129-139. doi: 10.1111/jcpp.12804. Epub 2017 Sep 11.

Abstract

BACKGROUND

During adolescence, peer victimization is a potent type of social stressor that can confer enduring risk for poor mental and physical health. Given recent research implicating inflammation in promoting a variety of serious mental and physical health problems, this study examined the role that peer victimization and cognitive vulnerability (i.e. negative cognitive styles and hopelessness) play in shaping adolescents' pro-inflammatory cytokine responses to an acute social stressor.

METHODS

Adolescent girls at risk for psychopathology (n = 157; M = 14.73 years; SD = 1.38) were exposed to a laboratory-based social stressor before and after which we assessed salivary levels of three key pro-inflammatory cytokines - interleukin-6 (IL-6), interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α).

RESULTS

As hypothesized, adolescents with greater peer victimization exposure exhibited greater increases in IL-6 and IL1-β in response to the laboratory-based social stressor. Moreover, for all three cytokines individually, as well as for a combined latent factor of inflammation, peer victimization predicted enhanced inflammatory responding most strongly for adolescents with high levels of hopelessness.

CONCLUSIONS

The findings reveal a biological pathway by which peer victimization may interact with cognitive vulnerability to influence health in adolescence.

摘要

背景

在青春期,同伴侵害是一种强烈的社会压力源,会给身心健康带来持久的风险。鉴于最近的研究表明炎症会促进各种严重的精神和身体健康问题,本研究探讨了同伴侵害和认知脆弱性(即消极的认知方式和绝望感)在塑造青少年对急性社会压力源的促炎细胞因子反应中的作用。

方法

本研究纳入了 157 名有精神病理学风险的青春期女孩(M = 14.73 岁,SD = 1.38 岁),在实验室基础的社会压力源暴露前后,我们评估了三种关键的促炎细胞因子——白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)的唾液水平。

结果

正如假设的那样,暴露于更多同伴侵害的青少年在应对实验室社会压力源时,IL-6 和 IL1-β 的增加幅度更大。此外,对于所有三种细胞因子以及炎症的综合潜在因素,对于那些有较高绝望感的青少年来说,同伴侵害对增强炎症反应的预测作用最强。

结论

这些发现揭示了一种生物学途径,即同伴侵害可能与认知脆弱性相互作用,从而影响青春期的健康。

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