Adolescent girls' stress responses as prospective predictors of self-injurious thoughts and behaviors: A person-centered, multilevel study.
Adolescent girls' stress responses as prospective predictors of self-injurious thoughts and behaviors: A person-centered, multilevel study.
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DOI：
10.1017/s0954579420002229
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发表时间：
2022-10
影响因子：
3.3
通讯作者：
Prinstein MJ
中科院分区：
文献类型：
--
作者：
Bendezú JJ;Calhoun CD;Patterson MW;Findley A;Rudolph KD;Hastings P;Nock MK;Prinstein MJ
青少年自伤思想和行为(STB)的风险涉及跨多个系统的干扰(例如，情感配价、唤醒调节、认知和社会过程)。然而，缺乏对跨这些系统的信息进行整合的研究。利用多层次的分析方法，这项以个人为中心的研究确定了心理生物应激反应特征，并将它们与认知过程、人际行为和性传播障碍联系起来。在基线时，有性传播疾病风险的青春期女孩(N=241，MAGE=14.68岁，范围=12-17)完成了特里尔社会压力测试(TSST)、问卷调查和性传播疾病访谈。在TSST前后评定积极情感(PA)、消极情感(NA)和唾液皮质醇(SC)。在3个月、6个月和9个月的随访期间再次评估STB。对女孩的PA、NA和SC的多轨迹建模显示了四个轮廓，并在认知和行为相关性以及STB结果方面进行了比较。与常模相比，情绪困扰、高反应和低反应亚组的女孩在基线时更有可能报告消极的认知风格(所有三组)和过度的安抚寻求(仅低反应)，以及在后续行动中报告非自杀性自我伤害(所有三组)和自杀意念和尝试(仅低反应)。女孩的亲密友谊特征缓和了几个个人资料-STB链接。总结了这些发现，并对以人为中心的干预工作提出了建议。
Adolescent risk for self-injurious thoughts and behaviors (STBs) involves disturbance across multiple systems (e.g., affective valence, arousal regulatory, cognitive and social processes). However, research integrating information across these systems is lacking. Utilizing a multiple-levels-of-analysis approach, this person-centered study identified psychobiological stress response profiles and linked them to cognitive processes, interpersonal behaviors, and STBs. At baseline, adolescent girls (N = 241, Mage = 14.68 years, Range = 12–17) at risk for STBs completed the Trier Social Stress Test (TSST), questionnaires, and STB interviews. Positive affect (PA), negative affect (NA), and salivary cortisol (SC) were assessed before and after the TSST. STBs were assessed again during 3, 6, and 9 month follow-up interviews. Multitrajectory modeling of girls’ PA, NA, and SC revealed four profiles, which were compared on cognitive and behavioral correlates as well as STB outcomes. Relative to normative, girls in the affective distress, hyperresponsive, and hyporesponsive subgroups were more likely to report negative cognitive style (all three groups) and excessive reassurance seeking (hyporesponsive only) at baseline, as well as nonsuicidal self-injury (all three groups) and suicidal ideation and attempt (hyporesponsive only) at follow-up. Girls’ close friendship characteristics moderated several profile–STB links. A synthesis of the findings is presented alongside implications for person-centered tailoring of intervention efforts.