Reciprocal influences among adrenocortical activation, psychosocial processes, and the behavioral adjustment of clinic-referred children
Reciprocal influences among adrenocortical activation, psychosocial processes, and the behavioral adjustment of clinic-referred children
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DOI：
10.2307/1131777
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发表时间：
1996-12-01
影响因子：
4.6
通讯作者：
Douglas, P
中科院分区：
文献类型：
--
作者：
Granger, DA;Weisz, JR;Douglas, P
研究了认知行为、环境和生物学影响对临床转诊儿童（N = 64; 34名男孩; M年龄12.71岁）短期心理和精神适应的相互影响。在门诊和6个月后，标准化措施的调整和控制相关的信念进行了评估。在冲突导向的亲子互动任务前后，对儿童的唾液进行取样。肾上腺皮质反应（即，增加唾液皮质醇）的社会冲突任务预测儿童的内化问题行为和焦虑症的后续行动。在B个月期间，摄入和随访时一致的高肾上腺皮质反应性与社会能力下降相关。此外，儿童内化行为问题的特定不连续模式预测了他们随后肾上腺皮质反应的个体差异。具体来说，随着时间的推移，行为问题水平的上升预测更高，行为问题水平的下降预测随访时肾上腺皮质反应性较低。研究结果是第一个提出内在行为问题，肾上腺皮质对社会挑战的反应，以及临床参考儿童的短期认知行为和情绪调整之间的联系。
The reciprocal effects among cognitive-behavioral, environmental, and biological influences on clinic-referred children's (N = 64; 34 boys; M age 12.71 years) short-term psychological and psychiatric adjustment were studied. At clinic intake and 6 months later, standardized measures of adjustment and control-related beliefs were assessed. Before and after conflict-oriented parent-child interaction tasks the children's saliva was sampled. Adrenocortical responses (i.e., increases in salivary cortisol) to the social conflict task predicted children's internalizing problem behaviors and anxiety disorders at follow-up. Consistently high adrenocortical reactivity at intake and follow-up was associated with deflated social competence over the B-month period. Also, specific patterns of discontinuity in children's internalizing behavior problems predicted individual differences in their subsequent adrenocortical responsiveness. Specifically, rising behavior problem levels across time predicted higher and declining behavior problem levels predicted lower adrenocortical reactivity at follow-up. Findings are among the first to suggest links among internalizing behavior problems, adrenocortical responsiveness to social challenge, and clinic-referred children's short-term cognitive-behavioral and emotional adjustment.