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青少年应激敏感性和内化症状轨迹的不和谐指数。

Discordance Indices of Stress Sensitivity and Trajectories of Internalizing Symptoms in Adolescence.

机构信息

University of British Columbia, Vancouver, Canada.

Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, V6T1Z4, Canada.

出版信息

Res Child Adolesc Psychopathol. 2023 Oct;51(10):1521-1533. doi: 10.1007/s10802-023-01095-4. Epub 2023 Jun 17.

Abstract

Psychiatric illness in adolescence is associated with long-term impairments, making it critical to identify predictors of adolescent psychiatric distress. Individual differences in stress sensitivity could be associated with longitudinal trajectories of internalizing symptoms. Historically, researchers have operationalized stress sensitivity by assessing either objective or subjective responses to stress. However, we posit that the relative discordance between subjective and objective responses to stress is a critical metric of stress sensitivity. We examined whether two discordance-based indices of stress sensitivity were related to one another and to trajectories of internalizing psychopathology among a sample of 101 adolescent youths (M = 12.80 at baseline; 55% males) across two successive stressors: the high school transition and the COVID-19 pandemic. Using latent growth curve modeling, we found that greater discordance between subjective (i.e., affective) and objective (i.e., cortisol) responses to a social-evaluative stressor was associated with higher internalizing symptoms at baseline and an accelerated symptom growth trajectory across the first year of the pandemic. In contrast, early life stress sensitivity was not associated with internalizing symptoms. Findings suggest that the discordance between objective and subjective experiences of social-evaluative stress predicts a pernicious growth trajectory of internalizing symptoms during adolescence. This work advances current methodologies, contributes to theoretical models of internalizing psychopathology, and with replication could have implications for policy and practice by identifying a key vulnerability factor that increases adolescents' psychiatric distress over time.

摘要

青少年期的精神疾病与长期损害有关,因此确定青少年精神困扰的预测因素至关重要。压力敏感性的个体差异可能与内化症状的纵向轨迹有关。从历史上看,研究人员通过评估对压力的客观或主观反应来操作压力敏感性。但是,我们认为,对压力的主观和客观反应之间的相对不和谐是压力敏感性的一个关键指标。我们研究了在两个连续的压力源(高中过渡和 COVID-19 大流行)中,101 名青少年(基线时的平均年龄为 12.80 岁,男性占 55%)中,两种基于不和谐的压力敏感性指标之间是否存在关联,以及与内化精神病理学轨迹之间是否存在关联。使用潜在增长曲线模型,我们发现,在对社会评价性压力源的主观(即情感)和客观(即皮质醇)反应之间存在更大的不和谐,与基线时的内化症状较高以及大流行第一年的症状加速增长轨迹相关。相比之下,早期生活压力敏感性与内化症状无关。研究结果表明,社会评价性压力的客观和主观体验之间的不和谐,预示着青少年时期内化症状的恶性增长轨迹。这项工作推进了当前的方法,为内化精神病理学的理论模型做出了贡献,如果能够复制,通过确定随着时间的推移增加青少年精神困扰的关键脆弱因素,可能会对政策和实践产生影响。

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