Physiological Stress Response Reactivity Mediates the Link Between Emotional Abuse and Youth Internalizing Problems.

Youth who are raised in emotionally abusive families are more likely to have poor mental health outcomes such as depression and anxiety. However, the mechanisms of this association are unclear. The present study utilized a longitudinal sample of low-SES youth (N = 101, M = 10.24) to examine stress r...

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Publicado en:Child Psychiatry & Human Development Vol. 52; no. 3; pp. 450 - 464
Autores principales: Duprey, Erinn Bernstein, Oshri, Assaf, Liu, Sihong, Kogan, Steven M., Caughy, Margaret O'Brien
Formato: Artículo
Publicado: Springer Nature Jun2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: Springer Nature
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        150259246
        10.1007/s10578-020-01033-1
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        atl: Physiological Stress Response Reactivity Mediates the Link Between Emotional Abuse and Youth Internalizing Problems.
      aug:
        au:
          Duprey, Erinn Bernstein
          Oshri, Assaf
          Liu, Sihong
          Kogan, Steven M.
          Caughy, Margaret O'Brien
        affil:
          Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Boulevard, 14642, Rochester, NY, USA
          Department of Human Development and Family Science, University of Georgia, Athens, GA, USA
          Center for Translational Neuroscience, Department of Psychology, University of Oregon, Eugene, OR, USA
      su:
        Psychological abuse
        Social problems
        Psychological child abuse
        Mental illness risk factors
        Physiological stress
        Parasympathetic nervous system
      sug:
        subj:
          Psychological abuse
          Social problems
          Psychological child abuse
          Mental illness risk factors
          Physiological stress
          Parasympathetic nervous system
      keyword:
        Child maltreatment
        Emotional abuse
        Internalizing problems
        Self-regulation
        Stress response reactivity
        Child maltreatment
        Emotional abuse
        Internalizing problems
        Self-regulation
        Stress response reactivity
      ab: Youth who are raised in emotionally abusive families are more likely to have poor mental health outcomes such as depression and anxiety. However, the mechanisms of this association are unclear. The present study utilized a longitudinal sample of low-SES youth (N = 101, M = 10.24) to examine stress response reactivity (i.e. vagal withdrawal, sympathetic activation, and hypothalamic–pituitary–adrenal [HPA] axis activation) as mediators between emotional abuse and prospective youth internalizing symptoms. Results indicated that blunted HPA reactivity to a laboratory social stress task mediated the association between emotional abuse and youth internalizing symptoms. Emotional abuse was also associated with blunted parasympathetic nervous system activity (i.e. less vagal withdrawal than average). In sum, emotional abuse is a potent risk factor for youth internalizing symptoms, and this link may be mediated via dysregulation in physiological stress response systems. Primary prevention of childhood emotional abuse and secondary prevention programs that target self-regulation skills may reduce rates of youth internalizing symptoms and disorders.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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