Stress, cortisol, and externalizing behavior in adolescent males: an examination in the context of multisystemic therapy.
Stress, cortisol, and externalizing behavior in adolescent males: an examination in the context of multisystemic therapy.
复制标题
青春期男性的压力、皮质醇和外化行为：多系统治疗背景下的检查。
DOI：
10.1007/s10802-012-9612-0
复制
发表时间：
2012
影响因子：
3.6
通讯作者：
Whitmore,Elizabeth
中科院分区：
文献类型：
--
作者：
Schechter,JuliaC;Brennan,PatriciaA;Cunningham,PhillippeB;Foster,SharonL;Whitmore,Elizabeth
压力和下丘脑-垂体-肾上腺（HPA）轴失调与青春期的外化行为有关，但很少有研究在治疗背景下检查这些因素。本研究调查了120名接受多系统治疗（MST）的青春期男性（平均年龄= 15岁）的压力、皮质醇和外化行为之间的关系。为了检验皮质醇与各种类型的压力源之间的差异关系，自我报告测量评估了终生压力、当前偶发压力和日常烦恼。收集上午和下午的皮质醇样本，以检验压力和治疗结果之间的关系是否取决于青年的生物压力水平。回归分析表明，觉醒的皮质醇水平调节了治疗后日常争吵和外化行为之间的关系。更具体地说，只有在早晨皮质醇水平高的青少年中，日常争吵的水平越高，结果越糟糕。此外，终生压力源和下午皮质醇测量相互作用，预测治疗后看护人外化问题报告和青少年逮捕的变化；当青少年下午皮质醇水平较低时，终生压力源与外化行为呈正相关。讨论了循证治疗的理论意义和未来发展方向。
Stress and hypothalamic–pituitary–adrenal (HPA) axis dysregulation have been associated with externalizing behavior in adolescence, but few studies have examined these factors in a treatment context. This study investigated the relationship between stress, cortisol, and externalizing behavior among 120 adolescent males (mean age = 15) receiving Multisystemic Therapy (MST). To examine the differential relationship of cortisol with various types of stressors, self-report measures assessed lifetime stress, current episodic stress, and daily hassles. Morning and afternoon cortisol samples were collected to examine whether the relationship between stress and treatment outcome depended on the youth’s biological stress levels. Regression analyses indicated that awakening cortisol levels moderated the relationship between daily hassles and externalizing behaviors at post-treatment. More specifically, higher levels of daily hassles predicted worse outcomes only among adolescents with high levels of morning cortisol. In addition, lifetime stressors and afternoon measures of cortisol interacted to predict changes in caretaker reports of externalizing problems and youth arrests following treatment; lifetime stressors were positively associated with externalizing behavior when adolescents had low levels of afternoon cortisol. Implications for theory and future directions for evidence-based treatment are discussed.