童年不良经历与内化症状:神经对威胁反应的调节作用
Adverse childhood experiences and internalizing symptoms: the moderating role of neural responses to threat.
作者信息
Dell'Acqua Carola, Imperatori Claudio, Ardito Rita B, Farina Benedetto, Adenzato Mauro, Carbone Giuseppe, Lo Presti Aurelia, Palomba Daniela, Messerotti Benvenuti Simone
机构信息
Department of General Psychology, University of Padua, Padua, Italy.
Experimental and Applied Psychology Laboratory, Department of Human Sciences, European University of Rome, Rome, Italy.
出版信息
Neurobiol Stress. 2025 Jun 10;37:100740. doi: 10.1016/j.ynstr.2025.100740. eCollection 2025 Jul.
Adverse childhood experiences (ACEs) increase vulnerability to internalizing symptoms, namely symptoms characterized primarily by processes within the self, such as anxiety and depression, but the underlying processes are still unclear. One possible mechanism is that ACEs alter the neural correlates responsible for the preferential processing unpleasant stimuli, a key feature of anxiety. Another mechanism could be a stress-induced disruption in the processing of pleasant stimuli, which is mostly linked with depressive symptoms. In this study, we examined how ACEs and neural correlates of different emotional processing stages (affective engagement, anticipation, elaboration) interact in the association with internalizing symptoms in a sample of university students ( = 46, 28 females). Participants completed the Adverse Childhood Experiences Questionnaire (ACE-Q), and the anxiety and depression subscale of the Brief Symptoms Inventory Checklist to assess depression and anxiety. An S1-S2 paradigm, a task in which a cue (S1) anticipates the valence of a succeeding emotional image (S2), was used during an electroencephalographic (EEG) recording. Three event-related potentials (ERPs) reflecting different stages of emotional processing were assessed: the Cue-P300 (reflecting cue-evaluation and affective engagement), the Stimulus Preceding Negativity (SPN; reflecting outcome anticipation), and the P300/late positive potential (LPP) complex (reflecting affective processing). ACEs were linked to greater P300/LPP for unpleasant stimuli, suggesting that childhood adversities may be related to increased elaboration of threatening information. Moreover, ACEs were associated with dampened engagement (Cue-P300) and processing (P300/LPP) of pleasant content. Interestingly, the interaction between the P300/LPP to unpleasant stimuli and ACEs was significantly associated with greater symptoms of anxiety, whereas there was no effect in the link with depression. Specifically, individuals exposed to ACEs only reported heightened anxiety symptoms when their P300/LPP complex to unpleasant stimuli was larger. No significant effect emerged for the other ERPs components. Taken together, these findings suggest that an increased sensitivity to unpleasant content in adulthood might moderate the association between ACEs and anxiety symptoms.
童年不良经历(ACEs)会增加出现内化症状的易感性,内化症状主要表现为自我内部的一些过程所特有的症状,如焦虑和抑郁,但其潜在机制仍不清楚。一种可能的机制是,ACEs改变了负责优先处理不愉快刺激的神经关联,而这是焦虑的一个关键特征。另一种机制可能是压力导致对愉快刺激的处理中断,这主要与抑郁症状有关。在本研究中,我们调查了在一组大学生样本(n = 46,28名女性)中,ACEs与不同情绪处理阶段(情感参与、预期、 elaboration)的神经关联如何在与内化症状的关联中相互作用。参与者完成了童年不良经历问卷(ACE-Q),以及简易症状清单中的焦虑和抑郁分量表,以评估抑郁和焦虑。在脑电图(EEG)记录过程中,使用了S1-S2范式,即一个线索(S1)预测后续情绪图像(S2)效价的任务。评估了反映情绪处理不同阶段的三个事件相关电位(ERP):线索P300(反映线索评估和情感参与)、刺激前负波(SPN;反映结果预期)和P300/晚期正电位(LPP)复合体(反映情感处理)。ACEs与不愉快刺激的更大P300/LPP相关,表明童年逆境可能与威胁信息的更多 elaboration有关。此外,ACEs与愉快内容的参与度降低(线索P300)和处理(P300/LPP)有关。有趣的是,P300/LPP对不愉快刺激的反应与ACEs之间的相互作用与更严重的焦虑症状显著相关,而与抑郁的关联中没有这种效应。具体而言,仅经历过ACEs的个体在其对不愉快刺激的P300/LPP复合体较大时,才报告有更高的焦虑症状。其他ERP成分未出现显著效应。综上所述,这些发现表明,成年后对不愉快内容的敏感性增加可能会缓和ACEs与焦虑症状之间的关联。