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评估青春期心理生物学应激反应的稳定性:皮质醇对实验室应激源反应的混合效应模型

Assessing the stability of psychobiological stress reactivity during adolescence: mixed-effect modelling of cortisol responses to laboratory stressors.

作者信息

O'Shea Jen, Dockray Samantha, Susman Elizabeth

机构信息

School of Applied Psychology, University College Cork, Cork, County Cork, T12 K8AF, Ireland.

Department of Biobehavioral Health, The Pennsylvania State University - University Park Campus, University Park, Pennsylvania, PA 16802, USA.

出版信息

HRB Open Res. 2025 Jan 24;7:26. doi: 10.12688/hrbopenres.13874.2. eCollection 2024.

Abstract

BACKGROUND

Puberty has been historically considered as a time of risk and vulnerability for young people. It is associated with rapid development in the hypothalamus, which is central in the production of both stress and sex steroids. While patterns of stress reactivity are calibrated in early life, this time of rapid development may provide a means for these patterns to change. This purpose of this study was to examine whether patterns of cortisol reactivity remained stable across one year of pubertal development, and whether variations in pubertal development impacted on this stability.

METHODS

This study used a secondary dataset comprised of 102 adolescent-aged children and adolescents. Children and adolescents took part in the Trier Social Stress Test to elicit a physiological stress response. Cortisol reactivity was measured as the increase in salivary cortisol concentration taken at five time points throughout the session. Pubertal stage was measured by nurse report where possible, and parent/self-report otherwise and was used to calculate pubertal timing and tempo relative to peers. Measures of anxiety, BMI, and socio-economic status were taken and included in analysis.

RESULTS

Results of a linear mixed-effect model found there to be a significant difference in cortisol reactivity over time, indicating that cortisol stress reactivity did not remain stable during this time (Estimate= 3.39, t=3.67, p<.001, CI[1.56, 5.22]). Additionally, results show children and adolescents who developed slower/quicker than peers displayed decreased stress reactivity (Estimate= -3.59, t=-2.13. p=.03, CI[-6.92, -0.25]).

CONCLUSIONS

This research contributes to a relatively small but consistent body of research noting pattern of increased cortisol reactivity during pubertal development. While a significant effect was found for pubertal tempo, this finding should not be considered indicative of any true effect.

摘要

背景

从历史上看,青春期一直被认为是年轻人面临风险和易受伤害的时期。它与下丘脑的快速发育有关,下丘脑在应激激素和性激素的产生中起着核心作用。虽然应激反应模式在生命早期就已校准,但这个快速发育时期可能为这些模式的改变提供了一种途径。本研究的目的是检验皮质醇反应模式在一年的青春期发育过程中是否保持稳定,以及青春期发育的差异是否会影响这种稳定性。

方法

本研究使用了一个由102名青少年儿童组成的二次数据集。儿童和青少年参加了特里尔社会应激测试,以引发生理应激反应。皮质醇反应性通过在整个测试过程中的五个时间点采集的唾液皮质醇浓度的增加来测量。青春期阶段尽可能由护士报告测量,否则由父母/自我报告测量,并用于计算相对于同龄人的青春期时间和节奏。还测量了焦虑、BMI和社会经济地位,并纳入分析。

结果

线性混合效应模型的结果发现,随着时间的推移,皮质醇反应性存在显著差异,表明在此期间皮质醇应激反应性并不稳定(估计值 = 3.39,t = 3.67,p <.001,置信区间[1.56, 5.22])。此外,结果显示,发育比同龄人慢/快的儿童和青少年的应激反应性降低(估计值 = -3.59,t = -2.13,p =.03,置信区间[-6.92, -0.25])。

结论

本研究为相对较少但一致的研究做出了贡献,这些研究指出了青春期发育过程中皮质醇反应性增加的模式。虽然发现青春期节奏有显著影响,但这一发现不应被视为任何真实影响的指标。

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Puberty and the Evolution of Developmental Science.青春期与发展科学的演进。
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