Adolescent cortisol and DHEA responses to stress as prospective predictors of emotional and behavioral difficulties: A person-centered approach

Autor: Bonnie Klimes-Dougan, Jason José Bendezú, Michelle Thai, Kristine Marceau, Mariann A. Howland, Elizabeth A. Shirtcliff, Paul D. Hastings, Carolyn Zahn-Waxler
Rok vydání: 2021
Předmět:
Male
Coping (psychology)
Hydrocortisone
Adolescent
Endocrinology
Diabetes and Metabolism
Emotions
Context (language use)
Stress
Basic Behavioral and Social Science
Medical and Health Sciences
Article
Cortisol
Person-centered therapy
Endocrinology
Clinical Research
2.3 Psychological
Distraction
Adaptation
Psychological
Behavioral and Social Science
Stress (linguistics)
Humans
Adaptation
DHEA
Aetiology
Biological Psychiatry
Pediatric
Psychiatry
Depression
Endocrine and Autonomic Systems
Internalizing
Psychology and Cognitive Sciences
Stressor
Dehydroepiandrosterone
Adolescence
Externalizing
Psychiatry and Mental health
Mental Health
Good Health and Well Being
Psychological
Normative
Female
Coping
social and economic factors
Psychology
Mind and Body
Stress
Psychological
Psychopathology
Clinical psychology
Zdroj: Psychoneuroendocrinology
ISSN: 0306-4530
DOI: 10.1016/j.psyneuen.2021.105365
Popis: BackgroundWell-orchestrated cortisol and DHEA stress responsivity is thought to support efficacious stressor management (i.e., coping) and reduce risk for psychopathology during adolescence. Evidence of these relations, however, is lacking empirically. This longitudinal investigation had three aims: 1) to identify within-adolescent profiles of joint cortisol-DHEA responsivity, 2) examine profiles as prospective predictors of adolescents' later emotional and behavioral difficulties, and 3) examine whether distraction coping helped buffer such prospective risk in each profile.MethodAt Time 1, boys (n=110) and girls (n=105) between 11 and 16 years of age with varied levels of risk for psychopathology completed a lab-based socio-evaluative stressor and questionnaires (e.g., coping, internalizing and externalizing problems). Emotional and behavioral adjustment was assessed again at Time 2 (2 years later).ResultsMulti-trajectory modeling of adolescents' cortisol and DHEA within the context of the stressor revealed three groups: Normative (n=107; 49.8%), Hyperresponsive (n=64; 29.8%), Hyporesponsive (n=44; 20.5%). Relative to Normative, Hyperresponsive and Hyporesponsive adolescents were more and less advanced in pubertal status, respectively. Hyperresponsive adolescents, but not Hyporesponsive, reported greater emotional and behavioral problems at Time 2, relative to Normative adolescents. Links between distraction coping and Time 2 adjustment varied across the groups. Specifically, distraction coping was associated with fewer Time 2 emotional and behavioral problems for Normative adolescents. However, the converse was true for Hyporesponsive adolescents, with distraction associated with greater Time 2 emotional and behavioral problems. Distraction was not associated with Time 2 emotional and behavioral problems for Hyperresponsive adolescents (i.e., elevated levels irrespective of distraction coping utilization).ConclusionOur results strengthen inference about the role neuroendocrine coordination plays in risk for psychopathology. Findings also help to clarify inconsistent distraction coping-psychopathology linkages, illustrating different patterns of cortisol-DHEA responsivity that support as well as thwart the use of this potentially efficacious strategy.
Databáze: OpenAIRE
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