Adolescent Conflict, Physiological Stress, and Risky Health Behaviors

青少年冲突、生理压力和危险健康行为

• 批准号: 8433398
• 负责人: Lauren Anne Spies Shapiro
• 金额: $ 1.53万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-25 至 2014-08-24
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8433398
• 关键词: Adolescence; Adolescent; Adolescent Development; Adolescent Risk Behavior; Affect; Aggressive behavior; Alcohol consumption; Attention; Automobile Driving; Behavior; Biological; Biological Assay; Collection; Conflict (Psychology); Data; Electronics; Emotional disorder; Esthesia; Family; Female Adolescents; Future; Goals; Health; Health behavior; Healthy People 2010; Hydrocortisone; Hypothalamic structure; Immune system; Interpersonal Relations; Investigation; Lead; Link; Literature; Male Adolescents; Measurement; Mental Health; Modeling; Nature; Parents; Pattern; Physical aggression; Physiological; Pituitary Gland; Play; Prevalence; Preventive Intervention; Puberty; Quality of life; Reaction; Research; Risk Behaviors; Risk-Taking; Role; Saliva; Sampling; Self Medication; Series; Severities; Sex Behavior; Sorting - Cell Movement; Stress; Symptoms; Testing; Time; Tobacco use; Unsafe Sex; Youth; attenuation; base; behavior change; behavior influence; experience; high risk behavior; indexing; interpersonal conflict; parent project; pediatric trauma; peer; prospective; psychologic; public health relevance; response; social; stressor; young adult

DESCRIPTION (provided by applicant): The proposed study applies social-interactional and biological perspectives to better understand how interpersonal conflict (IC) relates to physiological stress, engagement in health risk behaviors, and internalizing symptoms in adolescents. Despite considerable evidence that IC is a stressor for adolescents and relates to their overall adjustment, little is known about the interrelationships among IC, physiological stress, health risk behaviors, and internalizing symptoms. The overarching goal of this study is to advance understanding of how adolescents' experiences of IC with parents, peers, and dating partners are linked separately and cumulatively with diurnal patterns of physiological stress, engagement in a variety of dangerous health risk behaviors, and adolescents' internalizing symptoms. The proposed study aims to (a) examine the relation between current experiences of IC, previous IC, and diurnal patterns of hypothalamic-pituitary- adrenocortical (HPA) axis activity as indexed by cortisol; (b) examine how IC and health risk behaviors, including both sensation-seeking behaviors (e.g., reckless driving) and stress-dampening behaviors (e.g. alcohol use), relate to diurnal HPA axis activity; and (c) explore the associations among IC, HPA axis activity, health risk behaviors, and internalizing symptoms to gain a more thorough understanding of how to integrate these constructs within the context of adolescent development. The proposed study builds on an ongoing longitudinal project that provides multiple waves of data of IC across adolescence in addition to prospective daily measurements for 10 consecutive days. This study goes beyond the parent project by assessing diurnal patterns of HPA activity through a series of saliva samples, assayed for cortisol, on 3 of the 10 days of daily data, and by assessing IC immediately preceding the saliva collections. The proposed study also provides an assessment of wide-ranging health risk behaviors 6 months following the other assessments. The proposed project will better delineate the nature and impact of different types of IC (physical, psychological, and electronic forms of aggression) in different relationships (parents, peers, and dating partners) for female and male adolescents. With attention to bi-directional effects, analyses will explore additive and interactive influences among IC, health risk behaviors, HPA activity, and internalizing symptoms. Analyses also explore competing hypotheses about sensitization versus attenuation in response to IC as manifested in physiological activity. With IC relatively commonplace in the lives of adolescents, the question here is whether IC alone or in combination with various patterns of physiological activity helps explain adolescents' engagement in dangerous or health compromising behaviors and adolescents' development of internalizing symptoms. PUBLIC HEALTH RELEVANCE: Health risk behaviors and internalizing symptoms, which are common among adolescents, can result in serious and sometimes fatal consequences and lead to a lower quality of life. Healthy People 2010 Health Objectives include the reduction of adolescents' health risk behaviors, such as tobacco use and unprotected sex, and increase their overall quality of life and access to mental health treatment. Understanding how interpersonal relations, in combination with biological reactions such as diurnal HPA activity, affect adolescents' engagement in risk behaviors and experience of internalizing symptoms would inform prevention and intervention practices, reducing the harm caused by these common behaviors and psychological symptoms.

描述（由申请人提供）：拟议的研究应用社会干预和生物学的观点，以更好地了解人际冲突（IC）如何与生理压力，参与健康风险行为和青少年的内化症状。尽管有相当多的证据表明，IC是青少年的压力源，并涉及到他们的整体调整，很少有人知道IC，生理压力，健康风险行为和内化症状之间的相互关系。本研究的总体目标是进一步了解青少年与父母，同龄人和约会伙伴的IC经历如何与生理压力的昼夜模式，参与各种危险的健康风险行为以及青少年的内化症状单独和累积联系起来。本研究的目的是：（a）检查IC的当前经历、先前IC和下丘脑-垂体-肾上腺皮质（HPA）轴活动（以皮质醇为指标）的昼夜模式之间的关系;（B）检查IC和健康风险行为，包括感觉寻求行为（例如，鲁莽驾驶）和压力阻尼行为（如饮酒），涉及到昼夜HPA轴活动;（c）探讨IC，HPA轴活动，健康风险行为，和内化症状之间的关联，以获得更透彻的了解如何整合这些结构的青少年发展的背景下。拟议的研究建立在一个正在进行的纵向项目上，该项目除了连续10天的前瞻性每日测量外，还提供了青春期IC的多波数据。这项研究超越了母项目，通过一系列唾液样本评估HPA活动的昼夜模式，测定皮质醇，在10天的每日数据中的3天，并通过评估IC之前立即收集唾液。拟议的研究还提供了一个广泛的健康风险行为的评估6个月后，其他评估。拟议的项目将更好地描述不同类型的IC（身体，心理和电子形式的攻击）的性质和影响，在不同的关系（父母，同龄人和约会伙伴）的女性和男性青少年。注意双向效应，分析将探索IC，健康危险行为，HPA活性和内化症状之间的添加剂和交互作用的影响。分析还探讨了有关敏感性与衰减的竞争性假设，以响应IC表现在生理活动。由于IC在青少年的生活中相对常见，这里的问题是IC单独或与各种生理活动模式相结合是否有助于解释青少年参与危险或损害健康的行为以及青少年内化症状的发展。 公共卫生关系：健康风险行为和内化症状在青少年中很常见，可能导致严重的，有时是致命的后果，并导致生活质量下降。《2010年健康人健康目标》包括减少青少年的健康风险行为，如吸烟和无保护性行为，提高他们的整体生活质量和获得心理健康治疗的机会。了解人际关系如何与生物反应（如HPA的昼夜活动）相结合，影响青少年参与危险行为和内化症状的经历，将为预防和干预措施提供信息，减少这些常见行为和心理症状造成的伤害。