Targeting the Proximal Mechanisms of Stress Adaptation in Early Adolescence to Prevent Mental Health Problems in Youth in Poverty.
Targeting the Proximal Mechanisms of Stress Adaptation in Early Adolescence to Prevent Mental Health Problems in Youth in Poverty.
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针对青春期早期压力适应的近端机制，以防止贫困青年的心理健康问题。
DOI：
10.1080/15374416.2022.2073235
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发表时间：
2022-05
影响因子：
4.2
通讯作者：
Genaro, Breana
中科院分区：
文献类型：
--
作者：
Wadsworth, Martha E.;Ahlkvist, Jarl A.;Jones, Damon E.;Pham, Holly;Rajagopalan, Adithi;Genaro, Breana
本研究采用随机临床试验设计，以评估建立一个强大的身份和应对技能干预（BaSICS）从事贫困相关的压力对生活在高度贫困背景下的青少年的心理社会功能和心理健康的影响的近端机制的成功。来自极低收入家庭的129名青少年被随机分配接受32小时基于小组的干预或无治疗对照-其中16个家庭在干预组开始前退出。其余113名11-12岁的青少年（53%分配到干预组; 54%为女性; 40%为西班牙裔，63%为黑人，20%为白色）参加了这项研究，其中包括四个评估波：前测试，后测试，6个月随访和12个月随访评估。初级控制，二级控制，脱离应对通过家长和青年的报告相结合，以及通过访谈和问卷调查进行了评估。下丘脑-垂体-肾上腺轴（HPA）的反应性通过唾液皮质醇反应发生在实验室为基础的压力诱导（特里尔社会压力测试）。在受试者中嵌套重复测量的多水平回归模型显示，与对照组相比，干预青年在他们对主要控制应对的知识方面持续显着增加（例如，问题解决，情绪调节），辅助控制的知识和利用（例如，认知重建）应对，以及减少对脱离应对的依赖。与对照青少年相比，干预青少年的皮质醇反应性下降。这些研究结果支持，在神经发育可塑性青春期期间，BaSICS参与了几种与贫困相关的压力对早期青少年心理健康的影响的近端机制-应对技能和HPA反应性。
This study used a randomized clinical trial design to evaluate the success with which The Building a Strong Identity and Coping Skills intervention (BaSICS) engaged the proximal mechanisms of poverty-related stress’s impact on the psychosocial functioning and mental health of young adolescents living in high poverty contexts. 129 youth from very low-income families were randomized to receive the 32-hour group-based intervention or no-treatment control—16 of these families withdrew before the intervention groups began. The remaining 113 youth aged 11–12 (53% assigned to intervention; 54% female; 40% Hispanic, 63% Black, 20% White) participated in the study, which included four assessment waves: pretest, posttest, 6-month follow-up and 12-month follow-up assessments. Primary control, secondary control, and disengagement coping were assessed via a combination of parent and youth reports as well as via interviews and questionnaires. Hypothalamic-pituitary-adrenal axis (HPA) reactivity was assessed via salivary cortisol responses occurring during a lab-based stress induction (Trier Social Stress Test). Multilevel regression models with repeated measures nested within subjects revealed that in comparison to controls, intervention youth had sustained significant increases in their knowledge about primary control coping (e.g., problem solving, emotion modulation), knowledge and utilization of secondary control (e.g., cognitive restructuring) coping, as well as decreased reliance on disengagement coping. These were accompanied by decreased cortisol reactivity in intervention versus control youth. These findings support that BaSICS engages several proximal mechanisms of poverty-related stress’ impact on early adolescent mental health—coping skills and HPA reactivity—during the neurodevelopmentally plastic pubertal period.
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DOI：
10.1111/jcpp.12992
发表时间：
2019-05
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
DePasquale CE;Donzella B;Gunnar MR
通讯作者：
Gunnar MR
影响因子：
3.3
作者：
Edlynn, Emily S.;Gaylord-Harden, Noni K.;Miller, Steven A.
通讯作者：
Miller, Steven A.
影响因子：
3.7
作者：
Booij, Sanne H.;Bouma, Esther M. C.;Oldehinkel, Albertine J.
通讯作者：
Oldehinkel, Albertine J.
影响因子：
3.2
作者：
KIRSCHBAUM, C;PIRKE, KM;HELLHAMMER, DH
通讯作者：
HELLHAMMER, DH
影响因子：
3.8
作者：
Landis, Dana;Gaylord-Harden, Noni K.;Ford, Rebecca E.
通讯作者：
Ford, Rebecca E.