Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
Department of Psychiatry, UNC School of Medicine, Chapel Hill, NC, USA.
Anxiety Stress Coping. 2022 Sep;35(5):592-608. doi: 10.1080/10615806.2021.1982912. Epub 2021 Oct 10.
Though correspondence across the affective experience and physiologic arousal levels of the stress response is thought to support efficacious coping and buffer against internalizing problems, little evidence has demonstrated such correspondence. Using a community sample of preadolescents (N=151, Mage=10.33 years, Minage=8.92, Maxage=12.00, 51.7% male), this person-centered study examined internalizing problem and coping-linked variability in psychobiological stress response correspondence. Preadolescents were exposed to the Trier Social Stress Test and self-reported negative affect (NA) and salivary cortisol (SC) levels were assessed. Multitrajectory modeling revealed four subgroups. Relative to In-Touch (i.e., Moderate NA-Moderate SC; n=65), Unmindful (i.e., Moderate NA-Low SC; n=49) were more likely to present with parent-reported but not self-reported internalizing problems; Vigilant (i.e., High NA-Low SC; n=13) were more likely to present with self- and parent-reported internalizing problems, less likely to use engagement coping, and more likely to use wishful thinking (e.g., "I wish problems would just go away."); Denial (i.e., Low NA-High SC; n=24) self-reported similarly low internalizing problems, but were also more likely to report reliance on denial (e.g., "I pretend problems don't exist."). Findings illustrate meaningful heterogeneity in preadolescent psychobiological correspondence with implications for multimodal assessment and outcome monitoring in coping-based preventative interventions.
虽然人们认为情感体验和应激反应的生理唤醒水平之间的对应关系可以支持有效的应对方式,并缓冲内化问题,但很少有证据表明存在这种对应关系。本项以社区样本为基础的青少年研究(N=151,Mage=10.33 岁,Minage=8.92 岁,Maxage=12.00 岁,51.7%为男性)使用个体中心研究方法,考察了心理生物应激反应对应关系中的内化问题和应对相关的可变性。青少年接受了特里尔社会应激测试,并自我报告了负性情绪(NA)和唾液皮质醇(SC)水平。多轨迹建模显示了四个亚组。与 In-Touch(即中等 NA-中等 SC;n=65)相比,Unmindful(即中等 NA-低 SC;n=49)更有可能出现父母报告的但不是自我报告的内化问题;警惕(即高 NA-低 SC;n=13)更有可能出现自我和父母报告的内化问题,不太可能使用参与应对,更有可能使用如意思维(例如,“我希望问题会消失。”);否认(即低 NA-高 SC;n=24)自我报告的内化问题相似,但也更有可能依赖否认(例如,“我假装问题不存在。”)。这些发现说明了青少年心理生物对应关系的显著异质性,这对基于应对的预防性干预措施中的多模态评估和结果监测具有重要意义。