Improvements in Negative Parenting Mediate Changes in Children's Autonomic Responding Following a Preschool Intervention for ADHD
Improvements in Negative Parenting Mediate Changes in Children's Autonomic Responding Following a Preschool Intervention for ADHD
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DOI：
10.1177/2167702617727559
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发表时间：
2018-01-01
影响因子：
4.8
通讯作者：
Beauchaine, Theodore P.
中科院分区：
文献类型：
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作者：
Bell, Ziv;Shader, Tiffany;Beauchaine, Theodore P.
在外在儿童中观察到交感神经和副交感神经连接的心脏活动和反应性的异常模式，并标志着中枢神经系统对行为和情绪调节的缺陷。虽然在治疗后观察到了这些生物标志物的变化，但机制仍不清楚。我们使用MEMORE-一种分析干预变量效应的新方法-来评估父母教养方式的改善，作为交感神经系统(SNS)和副交感神经系统(PNS)相关心脏活动和反应性变化的中介，99名患有注意力缺陷多动障碍的学龄前儿童接受了经验支持的干预治疗。从干预前到干预后，消极养育方式(批评、消极命令、身体干预)的减少与静息性呼吸性窦性心律失常(RSA)和射血前期(PEP)反应性的增加有关。积极养育方式的增加与自主神经功能的变化无关。这些发现表明，行为和情绪调节的外周生物标记物具有社会诱导的可塑性，并强调了在治疗外化行为时减少父母和孩子之间令人厌恶的互动的重要性。
Abnormal patterns of sympathetic-and parasympathetic-linked cardiac activity and reactivity are observed among externalizing children and mark deficiencies in central nervous system regulation of behavior and emotion. Although changes in these biomarkers have been observed following treatment, mechanisms remain unexplored. We used MEMORE-a new approach to analyzing intervening variable effects-to evaluate improvements in parenting as mediators of changes in sympathetic nervous system (SNS)- and parasympathetic nervous system (PNS)-linked cardiac activity and reactivity among 99 preschoolers with attention-deficit hyperactivity disorder who were treated using an empirically supported intervention. Decreases in negative parenting (criticism, negative commands, physical intrusions) were associated with increases in resting respiratory sinus arrhythmia (RSA) and pre-ejection period (PEP) reactivity to incentives from pre- to postintervention. Increases in positive parenting were not associated with changes in autonomic function. These findings suggest socially induced plasticity in peripheral biomarkers of behavior and emotion regulation and underscore the importance of reducing aversive interactions between parents and children when treating externalizing behavior.