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Li X, Einfeld S, Stancliffe R, Hodge A. Executive function is associated with behaviour problems in children and adolescents with cerebral palsy and intellectual disability. JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY 2025:1-14. [PMID: 39819150 DOI: 10.3109/13668250.2024.2446215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 12/19/2024] [Indexed: 01/19/2025]
Abstract
BACKGROUND Children and adolescents with cerebral palsy (CP) commonly have behaviour problems. The present study aimed to determine which of the most common clinical features experienced by children and adolescents with CP and intellectual disability are associated with behaviour problems. METHOD We investigated 11 possible associated variables including epilepsy, visual and hearing impairments, motor difficulties, communication and speech difficulties, pain, sleep disturbance, executive function (EF) deficits, type of CP, and parent stress. Thirty-eight parents or guardians of children aged 6 to 17 years with CP and intellectual disability (parent informed) completed proxy and self-report standardised questionnaires. RESULTS EF deficits and parent stress were significantly associated with behavioural problems. CONCLUSION For children and adolescents with CP and intellectual disability, the present study suggests close attention should be placed on specific clinical features including EF deficits and parent stress when considering variables associated with behaviour problems.
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Affiliation(s)
- Xun Li
- Centre for Disability and Research Policy, The University of Sydney, Sydney, Australia
| | - Stewart Einfeld
- Brain and Mind Centre, The University of Sydney, Camperdown, Australia
| | - Roger Stancliffe
- Centre for Disability and Research Policy, The University of Sydney, Sydney, Australia
- Sydney School of Health Sciences, The University of Sydney, Sydney, Australia
| | - Antoinette Hodge
- Child Development Unit, Children's Hospital at Westmead, Westmead, Australia
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2
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Machlin L, Sheridan MA, Lurie LA, Kasparek SW, Kim SG, Peverill M, France JM, Robertson MM, Jovanovic T, Lengua LJ, McLaughlin KA. Alterations in fear learning as a mechanism linking childhood exposure to violence with PTSD symptoms: a longitudinal study. Psychol Med 2024:1-9. [PMID: 39245946 DOI: 10.1017/s0033291724001569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/10/2024]
Abstract
BACKGROUND Fear learning is a core component of conceptual models of how adverse experiences may influence psychopathology. Specifically, existing theories posit that childhood experiences involving childhood trauma are associated with altered fear learning processes, while experiences involving deprivation are not. Several studies have found altered fear acquisition in youth exposed to trauma, but not deprivation, although the specific patterns have varied across studies. The present study utilizes a longitudinal sample of children with variability in adversity experiences to examine associations among childhood trauma, fear learning, and psychopathology in youth. METHODS The sample includes 170 youths aged 10-13 years (M = 11.56, s.d. = 0.47, 48.24% female). Children completed a fear conditioning task while skin conductance responses (SCR) were obtained, which included both acquisition and extinction. Childhood trauma and deprivation severity were measured using both parent and youth report. Symptoms of anxiety, externalizing problems, and post-traumatic stress disorder (PTSD) were assessed at baseline and again two-years later. RESULTS Greater trauma-related experiences were associated with greater SCR to the threat cue (CS+) relative to the safety cue (CS-) in early fear acquisition, controlling for deprivation, age, and sex. Deprivation was unrelated to fear learning. Greater SCR to the threat cue during early acquisition was associated with increased PTSD symptoms over time controlling for baseline symptoms and mediated the relationship between trauma and prospective changes in PTSD symptoms. CONCLUSIONS Childhood trauma is associated with altered fear learning in youth, which may be one mechanism linking exposure to violence with the emergence of PTSD symptoms in adolescence.
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Affiliation(s)
- Laura Machlin
- Department of Psychology, Harvard University, Cambridge, MA, USA
| | - Margaret A Sheridan
- Department of Psychology & Neuroscience, University of North Carolina, Chapel Hill, NC, USA
| | - Lucy A Lurie
- Department of Psychology & Neuroscience, University of North Carolina, Chapel Hill, NC, USA
| | | | - Stephanie Gyuri Kim
- Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Matthew Peverill
- Department of Psychology, University of Washington, Seattle, WA, USA
| | - John McClellan France
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA
| | - Madeline M Robertson
- Department of Psychology & Neuroscience, University of North Carolina, Chapel Hill, NC, USA
| | - Tanja Jovanovic
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA
| | - Liliana J Lengua
- Department of Psychology, University of Washington, Seattle, WA, USA
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3
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Lee S, Bernstein R, Ip KI, Olson SL. Developmental cascade models linking contextual risks, parenting, and internalizing symptoms: A 17-year longitudinal study from early childhood to emerging adulthood. Dev Psychopathol 2024; 36:144-160. [PMID: 36453121 PMCID: PMC10232681 DOI: 10.1017/s0954579422001043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Although internalizing problems are the most common forms of psychological distress among adolescents and young adults, they have precursors in multiple risk domains established during childhood. This study examined cascading risk pathways leading to depression and anxiety symptoms in emerging adulthood by integrating broad contextual (i.e., multiple contextual risks), parental (i.e., negative parenting), and child (i.e., internalizing behaviors) characteristics in early and middle childhood. We also compared common and differential pathways to depression and anxiety symptoms depending on the conceptualization of symptom outcomes (traditional symptom dimension vs. bifactor dimensional model). Participants were 235 children (109 girls) and their families. Data were collected at 3, 6, 10, and 19 years of child age, using multiple informants and contexts. Results from a symptom dimension approach indicated mediation pathways from early childhood risk factors to depression and anxiety symptoms in emerging adulthood, suggesting common and distinct risk processes between the two disorders. Results from a bifactor modeling approach indicated several indirect pathways leading to a general internalizing latent factor, but not to symptom-specific (i.e., depression, anxiety) latent factors. Our findings highlighted comparative analytic approaches to examining transactional processes associated with later internalizing symptoms and shed light on issues of early identification and prevention.
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Affiliation(s)
- Sujin Lee
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Rachel Bernstein
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Ka I Ip
- Department of Psychology, Yale University, New Haven, CT, USA
| | - Sheryl L Olson
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
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Elsayed NM, Luby JL, Barch DM. Contributions of socioeconomic status and cognition to emotion processes and internalizing psychopathology in childhood and adolescence: A systematic review. Neurosci Biobehav Rev 2023; 152:105303. [PMID: 37414378 DOI: 10.1016/j.neubiorev.2023.105303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 06/27/2023] [Accepted: 07/02/2023] [Indexed: 07/08/2023]
Abstract
This systematic review evaluated evidence from 25 manuscripts regarding three possible relationships of socioeconomic disadvantage (SESD) and cognition to emotion knowledge (EK), emotion regulation (ER), and internalizing psychopathology (IP) across development; a) independent contributions of disadvantage and cognition; b) cognition mediates relations of disadvantage; or c) cognition moderates' relations of disadvantage. Results support associations between SESD and cognition to emotion that differ by cognitive domain and developmental epoch. For EK, in early and middle childhood language and executive functions contribute to EK independent of SESD, and early childhood executive functions may interact with socioeconomic status (SES) to predict prospective EK. Regarding ER, language contributes to ER independent of SES across development and may mediate associations between SES and ER in adolescence. Regarding IP, SES, language, executive function, and general ability have independent contributions to IP across development; in adolescence executive function may mediate or moderate associations between SES and IP. Findings highlight the need for nuanced and developmentally sensitive research on the contributions of SESD and domains of cognition to emotion.
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Affiliation(s)
| | - Joan L Luby
- Washington University School of Medicine in St. Louis, MO, USA
| | - Deanna M Barch
- Washington University School of Medicine in St. Louis, MO, USA; Washington University in St. Louis, MO, USA
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Lecarie EK, Doane LD, Stroud CB, Walter D, Davis MC, Grimm KJ, Lemery-Chalfant K. Does stress predict the development of internalizing symptoms in middle childhood? An examination of additive, mediated, and moderated effects of early family stress, daily interpersonal stress, and physiological stress. Dev Psychol 2022; 58:1849-1862. [PMID: 35816590 PMCID: PMC9615637 DOI: 10.1037/dev0001400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Early life stress, daily life experiences, and the stress responsive hypothalamic-pituitary-adrenal (HPA) axis have each been examined as predictors of the development of psychopathology. Rarely have researchers attempted to understand the covariation or interaction among these stress domains using a longitudinal design in the prediction of symptoms of internalizing psychopathology, particularly during childhood. This study examined early family stress, daily interpersonal stress, indicators of diurnal cortisol, and internalizing symptoms in a racially/ethnically and socioeconomically diverse sample of twins (N = 970 children; Mage at outcome = 9.73; 52% female; 23.7% Hispanic/Latino, 58.8% White; 30% below middle class; Lemery-Chalfant et al., 2019). An additive model of stress, a stress mediation model, and a stress sensitization framework model each delineated potential pathways linking stress and internalizing symptoms. Supporting additive pathways, multilevel models showed that all 3 stress indicators uniquely predicted internalizing symptoms. There was a significant indirect path from early family stress to 9 year internalizing symptoms through interpersonal stress, supporting stress mediation. Family stress moderated the association between interpersonal stress and internalizing symptoms, though not in the direction that would support stress sensitization. Child stress, including daily interpersonal stress and HPA axis activity, and internalizing symptoms are prevalent and family stress is a significant precursor to child internalizing symptoms across child development. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
| | - Leah D Doane
- Department of Psychology, Arizona State University
| | | | - Devan Walter
- Department of Psychology, Arizona State University
| | - Mary C Davis
- Department of Psychology, Arizona State University
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Winebrake DA, Almeida CF, Tuladhar CT, Kao K, Meyer JS, Tarullo AR. Social Fear in US Infants: The Roles of Hair and Salivary Cortisol. THE YALE JOURNAL OF BIOLOGY AND MEDICINE 2022; 95:71-85. [PMID: 35370495 PMCID: PMC8961713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Elevated social fear in infancy poses risk for later social maladjustment and psychopathology. Hair cortisol concentration (HCC), an index of cumulative cortisol exposure, and diurnal salivary cortisol slope, a biomarker of acute stress regulation, have been associated with social fear behaviors in childhood; however, no research has addressed their relations in infancy. Elucidating potential biomarkers of infant social fear behaviors, as well as environmental factors associated with these biomarkers, may grant insights into the ontogeny of fear behaviors that increase risk for internalizing and externalizing psychopathologies later in life. The current study used multiple linear regression to examine if infant HCC, infant diurnal cortisol slope, and income-to-needs ratios (ITN) were differentially associated with observed social fear responses to a Stranger Approach task at 12 months. Using a sample of 90 infants (M age = 12.26m, SD = 0.81m, 50% female), results indicated that increased infant HCC was associated with increased distress vocalizations during the Stranger Approach task, while steeper diurnal cortisol slope was associated with fewer distress vocalizations. Ordinary least squares path analyses did not reveal group differences between economically strained and non-strained infants in how cortisol measures and social fear responses related. Findings underscore very early psychobiological correlates of fearfulness that may increase risk for fear-related disorders and adverse mental health symptomology across childhood.
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Affiliation(s)
- Deaven A. Winebrake
- Department of Psychological & Brain Sciences,
Boston University, Boston, MA, USA,To whom all correspondence should be addressed:
Deaven A. Winebrake, Department of Psychological & Brain Sciences, Boston
University, Boston, MA; ; ORCID iD:
https://orcid.org/0000-0003-4279-7305
| | - Carlos F. Almeida
- Department of Psychological & Brain Sciences,
Boston University, Boston, MA, USA
| | - Charu T. Tuladhar
- Department of Psychological & Brain Sciences,
Boston University, Boston, MA, USA
| | - Katie Kao
- Department of Developmental Medicine, Harvard Medical
School, Boston, MA, USA
| | - Jerrold S. Meyer
- Department of Psychological & Brain Sciences,
University of Massachusetts, Amherst, MA, USA
| | - Amanda R. Tarullo
- Department of Psychological & Brain Sciences,
Boston University, Boston, MA, USA
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Developmental Consequences of Early Life Stress on Risk for Psychopathology: Longitudinal Associations with Children's Multisystem Physiological Regulation and Executive Functioning. Dev Psychopathol 2021; 33:1759-1773. [PMID: 34949903 DOI: 10.1017/s0954579421000730] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The etiology of psychopathology is multifaceted and warrants consideration of factors at multiple levels and across developmental time. Although experiences of adversity in early life have been associated with increased risk of developing psychopathology, pathways toward maladaptation or resilience are complex and depend upon a variety of factors, including individuals' physiological regulation and cognitive functioning. Therefore, in a longitudinal cohort of 113 mother-child dyads, we explored associations from early adverse experiences to physiological co-regulation across multiple systems and subsequent variations in executive functioning. Latent profile analysis derived multisystem profiles based on children's heart rate, respiratory sinus arrhythmia, pre-ejection period, and cortisol measured during periods of rest and reactivity throughout a developmentally challenging protocol. Three distinct profiles of multisystem regulation emerged: heightened multisystem baseline activity (Anticipatory Arousal/ANS Responder), typically adaptive patterns across all systems (Active Copers/Mobilizers) and heightened HPA axis activity (HPA Axis Responders). Path models revealed that children exposed to adversity before 18-months were more likely to evidence an Anticipatory Arousal/ANS Responders response at 36-months, and children in this profile had lower executive functioning scores than the Active Copers/Mobilizers. In sum, these findings provide important information about potential physiological associations linking early adversity to variations in children's task-based executive functioning.
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Cao Y, Chen G, Ji L, Zhang W. Inhibitory Control Mediates the Associations Between Parenting Practices and Depressive Symptoms in Adolescents: The Moderating Role of Catechol-O-Methyltransferase (COMT) Gene. J Youth Adolesc 2021; 50:2079-2095. [PMID: 34259955 DOI: 10.1007/s10964-021-01466-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 06/21/2021] [Indexed: 12/30/2022]
Abstract
Ample evidence suggested that parental responsiveness, demandingness, and autonomy granting protect adolescents from depressive symptoms. However, what is less well understood is how parenting practices reduce the risk of depressive symptoms. This study tested the protective effects of parenting practices and inhibitory control on depressive symptoms, along with the mediating role of inhibitory control and the moderating role of the COMT gene in linking parenting practices to depressive symptoms. The study utilized cross-sectional data from a community sample of Chinese Han adolescents (N = 943, Mage = 15.25 years, SD = 0.70 years; 51.9% girls). Results showed that parental responsiveness and autonomy granting promoted higher inhibitory control, which in turn was associated with lower depressive symptoms. Further, the mediation effects were moderated by the COMT gene. For adolescents with ValVal homozygotes, both responsiveness and autonomy granting were related to higher levels of inhibitory control, which reduced risk for depressive symptoms, but the mediation effects were not observed among Met allele carriers. The mediating role of inhibitory control did not hold in the parental demandingness model. Findings support the cognitive theory that inhibitory control is a proximal factor linking parenting practices to depressive symptoms exclusively in ValVal homozygotes. These results also suggested that differentiating different dimensions of parenting practices may help to further clarify the processes by which parenting practices eventuate depressive symptoms.
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Affiliation(s)
- Yanmiao Cao
- Department of Psychology, Shandong Normal University, No. 88 East Wenhua Road, Jinan, 250014, Shandong Province, China
| | - Guanghui Chen
- Department of Psychology, Shandong Normal University, No. 88 East Wenhua Road, Jinan, 250014, Shandong Province, China.
| | - Linqin Ji
- Department of Psychology, Shandong Normal University, No. 88 East Wenhua Road, Jinan, 250014, Shandong Province, China
| | - Wenxin Zhang
- Department of Psychology, Shandong Normal University, No. 88 East Wenhua Road, Jinan, 250014, Shandong Province, China
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9
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Pathways from early adversity to later adjustment: Tests of the additive and bidirectional effects of executive control and diurnal cortisol in early childhood - Corrigendum. Dev Psychopathol 2021; 33:1140-1141. [PMID: 33766173 DOI: 10.1017/s0954579421000110] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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10
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Goulter N, Roubinov DS, McMahon RJ, Boyce WT, Bush NR. Externalizing and Internalizing Problems: Associations with Family Adversity and Young Children's Adrenocortical and Autonomic Functioning. Res Child Adolesc Psychopathol 2021; 49:629-642. [PMID: 33442783 DOI: 10.1007/s10802-020-00762-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2020] [Indexed: 01/15/2023]
Abstract
The development of child mental health problems has been associated with experiences of adversity and dysregulation of stress response systems; however, past research has largely focused on externalizing or internalizing problems (rather than their co-occurrence) and single physiological systems in high-risk adolescent samples. The present study examined whether cumulative family adversity, functioning in the hypothalamic-pituitary-adrenal axis (i.e., cortisol) and the parasympathetic nervous system (i.e., respiratory sinus arrhythmia [RSA]), and their interactions, predicted trajectories of co-occurring externalizing and internalizing problems among young children. Participants included 338 socioeconomically and racially diverse children (M age = 5.32 years, SD = .32; male = 51.8%) from a community sample. Family adversity (assessed with six measures) and child daily cortisol output and resting RSA were assessed in kindergarten. Parents, teachers, and children reported on children's externalizing and internalizing psychopathology up to three times from kindergarten to grade 1. Latent class growth analyses identified stable trajectories of externalizing and internalizing psychopathology. Trajectories were combined to create groups: co-occurring externalizing and internalizing (13.1%), externalizing-only (14.0%), internalizing-only (11.3%), and low problems (61.3%). Family adversity and resting RSA significantly positively predicted co-occurring group membership. Tests for interactions showed adversity did not significantly interact with physiological indicators to predict group membership. However, the two physiological systems interacted, such that higher and lower daily cortisol predicted internalizing group membership for children with lower and higher resting RSA, respectively. Findings support the importance of considering family context and multiple physiological systems to inform understanding of the development of mental health problems, and their co-occurrence, in early childhood.
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Affiliation(s)
- Natalie Goulter
- Simon Fraser University, Burnaby; BC Children's Hospital Research Institute, Vancouver, BC, Canada.
| | | | - Robert J McMahon
- Simon Fraser University, Burnaby; BC Children's Hospital Research Institute, Vancouver, BC, Canada
| | - W Thomas Boyce
- University of California San Francisco, San Francisco, CA, USA
| | - Nicole R Bush
- University of California San Francisco, San Francisco, CA, USA
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Yu D, O'Brien Caughy M, Smith EP, Oshri A, Tresch M. Severe Poverty and Growth in Behavioral Self-Regulation: The Mediating Role of Parenting. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2020; 68. [PMID: 34621101 DOI: 10.1016/j.appdev.2020.101135] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study examined how exposure to severe poverty related to behavioral self-regulation growth during early childhood as mediated by parenting practices. Ethnic differences were tested. Data were collected across 4 waves from 359 low-income African American and Latino families. The frequency of exposure to severe poverty was indicated by how many times family income fell below 50% of the federal poverty line across 4 waves. Behavioral self-regulation was assessed when children were 3½, 6, and 7 years old (Wave 2-4), and parenting was observed when children were age 2½ years old (Wave 1). More frequent exposure to severe poverty was associated with slower behavioral self-regulation growth, and the effect was partially mediated through less sensitive and supportive parenting practices for Latino families. The mediation was not observed for African American families. Targeting the promotion of sensitive and supportive parenting practices may be an effective strategy for accelerating self-regulation development.
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