Polyvagal Theory and developmental psychopathology: Emotion dysregulation and conduct problems from preschool to adolescence
Polyvagal Theory and developmental psychopathology: Emotion dysregulation and conduct problems from preschool to adolescence
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DOI：
10.1016/j.biopsycho.2005.08.008
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发表时间：
2007-02-01
影响因子：
2.6
通讯作者：
Mead, Hilary K.
中科院分区：
文献类型：
--
作者：
Beauchaine, Theodore P.;Gatzke-Kopp, Lisa;Mead, Hilary K.
在科学领域，理论使大量描述性信息具有连贯性。然而，当前精神病理学的诊断方法主要是无理论依据的，强调描述而非病因机制。我们阐述了迷走神经理论对于理解情绪失调（精神病理学的一个标志）的病因的重要性。当与社会强化和动机理论相结合时，迷走神经理论明确了不同精神病理学模式产生的病因机制。在本文中，我们总结了三项对4 - 18岁有行为问题的儿童的自主神经系统功能进行评估的研究。在所有年龄阶段，这些儿童对奖励的交感神经系统反应减弱，这表明趋近动机存在缺陷。到中学阶段，这种对奖励的不敏感伴随着心输出量的迷走神经调节不足，这表明在情绪调节方面存在其他缺陷。我们提出了一个行为问题的生物社会发展模型，在该模型中，遗传的冲动性通过对情绪不稳定的社会强化而被放大。文中还讨论了早期干预的意义。（c）2006爱思唯尔有限公司。保留所有权利。
In science, theories lend coherence to vast amounts of descriptive information. However, current diagnostic approaches in psychopathology are primarily atheoretical, emphasizing description over etiological mechanisms. We describe the importance of Polyvagal Theory toward understanding the etiology of emotion dysregulation, a hallmark of psychopathology. When combined with theories of social reinforcement and motivation, Polyvagal Theory specifies etiological mechanisms through which distinct patterns of psychopathology emerge. In this paper, we summarize three studies evaluating autonomic nervous system functioning in children with conduct problems, ages 4-18. At all age ranges, these children exhibit attenuated sympathetic nervous system responses to reward, suggesting deficiencies in approach motivation. By middle school, this reward insensitivity is met with inadequate vagal modulation of cardiac output, suggesting additional deficiencies in emotion regulation. We propose a biosocial developmental model of conduct problems in which inherited impulsivity is amplified through social reinforcement of emotional lability. Implications for early intervention are discussed. (c) 2006 Elsevier B.V. All rights reserved.