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受欺凌和被侵害青少年的生理应激反应迟钝与抑郁症状的关联。

Blunted Physiological Stress Reactivity among Youth with a History of Bullying and Victimization: Links to Depressive Symptoms.

机构信息

Department of Psychology, Queen's University, 62 Arch St, Kingston, ON, K7L 3N6, Canada.

出版信息

J Abnorm Child Psychol. 2019 Dec;47(12):1981-1993. doi: 10.1007/s10802-019-00565-y.

Abstract

Bullying and peer victimization are stressful experiences for youth, and are associated with increased risk for psychopathology. Physiological differences in the body's stress response system may help us to understand vulnerability for depressive symptoms among youth involved with bullying. The current study examined both sympathetic and parasympathetic activity using skin conductance (SCL) and respiratory sinus arrhythmia (RSA) at a neutral baseline and during Cyberball, a stressful social exclusion paradigm. Participants consisted of 175 youth in grades 6-11 (mean age 13.6 years, 51% girls). Multilevel modeling was used to examine changes in both positive and negative affect, and physiological stress reactivity over time. Logistic regression was used to examine the associations between bullying, victimization, and RSA on depressive symptoms. Peer victimization was negatively associated with resting RSA. Bullying others was negatively associated with SCL during Cyberball. Additionally, RSA reactivity during acute stress moderated the link between victimization and depressive symptoms. Victimization was more strongly associated with depressive symptoms when youth also demonstrated blunted RSA reactivity. These results suggest that both victimized youth and those who bully others have differences in their autonomic responses to acute stress. Individual differences in stress physiology may help us to understand vulnerability and resilience to depressive symptoms in the context of bullying and victimization.

摘要

欺负和同伴受害是青少年面临的压力体验,与心理病理学风险增加有关。身体应激反应系统的生理差异可能有助于我们理解受欺负的青少年出现抑郁症状的脆弱性。本研究在中性基线和 Cyberball(一种有压力的社交排斥范式)期间使用皮肤电导(SCL)和呼吸窦性心律失常(RSA)来检查交感和副交感活动。参与者由 6-11 年级的 175 名青少年组成(平均年龄 13.6 岁,51%为女孩)。多级模型用于随时间检查积极和消极情绪以及生理应激反应的变化。逻辑回归用于检查欺负、受害和 RSA 与抑郁症状之间的关联。同伴受害与静息 RSA 呈负相关。欺负他人与 Cyberball 期间的 SCL 呈负相关。此外,急性应激期间 RSA 反应性的变化调节了受害与抑郁症状之间的联系。当青少年的 RSA 反应性也减弱时,受害与抑郁症状的关联更为强烈。这些结果表明,受欺负的青少年和欺负他人的青少年在对急性应激的自主反应方面存在差异。应激生理学的个体差异可能有助于我们理解在欺负和受害背景下抑郁症状的脆弱性和恢复力。

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