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Auteur Stephanie D. STEPP |
Documents disponibles écrits par cet auteur (17)



An interaction between early threat exposure and the oxytocin receptor in females: Disorder-specific versus general risk for psychopathology and social–emotional mediators / Amy L. BYRD in Development and Psychopathology, 33-4 (October 2021)
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[article]
Titre : An interaction between early threat exposure and the oxytocin receptor in females: Disorder-specific versus general risk for psychopathology and social–emotional mediators Type de document : Texte imprimé et/ou numérique Auteurs : Amy L. BYRD, Auteur ; Irene TUNG, Auteur ; Stephen D. MANUCK, Auteur ; Vera VINE, Auteur ; Michelle HORNER, Auteur ; Alison E. HIPWELL, Auteur ; Stephanie D. STEPP, Auteur Article en page(s) : p.1248-1263 Langues : Anglais (eng) Mots-clés : callousness emotion dysregulation maltreatment oxytocin psychopathology Index. décimale : PER Périodiques Résumé : Early threat exposure is a transdiagnostic risk factor for psychopathology, and evidence suggests that genetic variation in the oxytocin receptor (OXTR) moderates this association. However, it is unclear if this gene-by-environment (G×E) interaction is tied to unique risk for disorder-specific outcomes or instead increases shared risk for general psychopathology. Moreover, little is known about how this G×E interaction increases risk. The current study utilized a prospective, longitudinal sample of females (n = 2,020) to examine: (a) whether the interaction between early threat exposure and OXTR variation (rs53576, rs2254298) confers risk for disorder-specific outcomes (depression, anxiety, borderline and antisocial personality disorders) and/or general psychopathology in early adulthood; and (b) whether social–emotional deficits (emotion dysregulation, callousness, attachment quality) during adolescence constitute mediating mechanisms. Consistent with hypotheses, the interactive effects of early threat exposure and OXTR variation (rs53576) predicted general psychopathology, with threat-exposed women carrying at least one copy of the rs53576 A-allele at greatest risk. This interaction was mediated via emotional dysregulation in adolescence, with threat-exposed A-allele carriers demonstrating greater emotion dysregulation, and greater emotion dysregulation predicting general psychopathology in early adulthood. Findings suggest that this G×E places women at risk for a broad range of psychopathology via effects on emotion dysregulation. En ligne : http://dx.doi.org/10.1017/S0954579420000462 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457
in Development and Psychopathology > 33-4 (October 2021) . - p.1248-1263[article] An interaction between early threat exposure and the oxytocin receptor in females: Disorder-specific versus general risk for psychopathology and social–emotional mediators [Texte imprimé et/ou numérique] / Amy L. BYRD, Auteur ; Irene TUNG, Auteur ; Stephen D. MANUCK, Auteur ; Vera VINE, Auteur ; Michelle HORNER, Auteur ; Alison E. HIPWELL, Auteur ; Stephanie D. STEPP, Auteur . - p.1248-1263.
Langues : Anglais (eng)
in Development and Psychopathology > 33-4 (October 2021) . - p.1248-1263
Mots-clés : callousness emotion dysregulation maltreatment oxytocin psychopathology Index. décimale : PER Périodiques Résumé : Early threat exposure is a transdiagnostic risk factor for psychopathology, and evidence suggests that genetic variation in the oxytocin receptor (OXTR) moderates this association. However, it is unclear if this gene-by-environment (G×E) interaction is tied to unique risk for disorder-specific outcomes or instead increases shared risk for general psychopathology. Moreover, little is known about how this G×E interaction increases risk. The current study utilized a prospective, longitudinal sample of females (n = 2,020) to examine: (a) whether the interaction between early threat exposure and OXTR variation (rs53576, rs2254298) confers risk for disorder-specific outcomes (depression, anxiety, borderline and antisocial personality disorders) and/or general psychopathology in early adulthood; and (b) whether social–emotional deficits (emotion dysregulation, callousness, attachment quality) during adolescence constitute mediating mechanisms. Consistent with hypotheses, the interactive effects of early threat exposure and OXTR variation (rs53576) predicted general psychopathology, with threat-exposed women carrying at least one copy of the rs53576 A-allele at greatest risk. This interaction was mediated via emotional dysregulation in adolescence, with threat-exposed A-allele carriers demonstrating greater emotion dysregulation, and greater emotion dysregulation predicting general psychopathology in early adulthood. Findings suggest that this G×E places women at risk for a broad range of psychopathology via effects on emotion dysregulation. En ligne : http://dx.doi.org/10.1017/S0954579420000462 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation / Amy L. BYRD in Development and Psychopathology, 33-5 (December 2021)
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Titre : Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation Type de document : Texte imprimé et/ou numérique Auteurs : Amy L. BYRD, Auteur ; Angela H. LEE, Auteur ; Olivia A. FRIGOLETTO, Auteur ; Maureen ZALEWSKI, Auteur ; Stephanie D. STEPP, Auteur Article en page(s) : p.1821-1836 Langues : Anglais (eng) Mots-clés : dialectical behavior therapy emotion regulation externalizing problems intergenerational transmission longitudinal trajectory preschool Index. décimale : PER Périodiques Résumé : While the Research Domain Criteria (RDoC) acknowledges that environmental and developmental influences represent important elements of the RDoC framework, there is little specificity regarding how and when to systematically examine the impact of these dimensions on domains of function. The primary aims of this paper are to demonstrate the ways in which the RDoC can be expanded to include an explicit emphasis on (a) assessing within-individual change in developmental processes over time and (b) evaluating the extent to which selective and measurable environmental influences drive meaningful change during key developmental periods. We provide data from an ongoing randomized control trial as a proof of concept to highlight how repeated assessments within an experimental intervention design affords the unique opportunity to test the impact of environmental influences on within-individual change. Using preliminary data from 77 mother–child dyads repeatedly assessed across 12 months during the sensitive preschool period, we demonstrate the impact of change in maternal emotion regulation (ER) on within-individual growth in child ER and link that growth to fewer teacher-reported externalizing problems. In line with this Special Issue, findings are discussed within the context of expanding and clarifying the existing RDoC framework to explicitly incorporate environmental and developmental dimensions. En ligne : http://dx.doi.org/10.1017/S0954579421000948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458
in Development and Psychopathology > 33-5 (December 2021) . - p.1821-1836[article] Applying new RDoC dimensions to the development of emotion regulation: Examining the influence of maternal emotion regulation on within-individual change in child emotion regulation [Texte imprimé et/ou numérique] / Amy L. BYRD, Auteur ; Angela H. LEE, Auteur ; Olivia A. FRIGOLETTO, Auteur ; Maureen ZALEWSKI, Auteur ; Stephanie D. STEPP, Auteur . - p.1821-1836.
Langues : Anglais (eng)
in Development and Psychopathology > 33-5 (December 2021) . - p.1821-1836
Mots-clés : dialectical behavior therapy emotion regulation externalizing problems intergenerational transmission longitudinal trajectory preschool Index. décimale : PER Périodiques Résumé : While the Research Domain Criteria (RDoC) acknowledges that environmental and developmental influences represent important elements of the RDoC framework, there is little specificity regarding how and when to systematically examine the impact of these dimensions on domains of function. The primary aims of this paper are to demonstrate the ways in which the RDoC can be expanded to include an explicit emphasis on (a) assessing within-individual change in developmental processes over time and (b) evaluating the extent to which selective and measurable environmental influences drive meaningful change during key developmental periods. We provide data from an ongoing randomized control trial as a proof of concept to highlight how repeated assessments within an experimental intervention design affords the unique opportunity to test the impact of environmental influences on within-individual change. Using preliminary data from 77 mother–child dyads repeatedly assessed across 12 months during the sensitive preschool period, we demonstrate the impact of change in maternal emotion regulation (ER) on within-individual growth in child ER and link that growth to fewer teacher-reported externalizing problems. In line with this Special Issue, findings are discussed within the context of expanding and clarifying the existing RDoC framework to explicitly incorporate environmental and developmental dimensions. En ligne : http://dx.doi.org/10.1017/S0954579421000948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 Criterion validity of the general factor of psychopathology in a prospective study of girls / Benjamin B. LAHEY in Journal of Child Psychology and Psychiatry, 56-4 (April 2015)
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Titre : Criterion validity of the general factor of psychopathology in a prospective study of girls Type de document : Texte imprimé et/ou numérique Auteurs : Benjamin B. LAHEY, Auteur ; Paul J. RATHOUZ, Auteur ; Kate KEENAN, Auteur ; Stephanie D. STEPP, Auteur ; Rolf LOEBER, Auteur ; Alison E. HIPWELL, Auteur Article en page(s) : p.415-422 Langues : Anglais (eng) Mots-clés : Validity psychopathology factor analysis Index. décimale : PER Périodiques Résumé : Background The best-fitting model of the structure of common psychopathology often includes a general factor on which all dimensions of psychopathology load. Such a general factor would be important if it reflects etiologies and mechanisms shared by all dimensions of psychopathology. Nonetheless, a viable alternative explanation is that the general factor is partly or wholly a result of common method variance or other systematic measurement biases. Methods To test this alternative explanation, we extracted general, externalizing, and internalizing factor scores using mother-reported symptoms across 5–11 years of age in confirmatory factor analyses of data from a representative longitudinal study of 2,450 girls. Independent associations between the three psychopathology factor scores and teacher-reported criterion variables were estimated in multiple regression, controlling intelligence, and demographic covariates. Results The model including the general factor fit significantly better than a correlated two-factor (internalizing/externalizing) model. The general factor was robustly and independently associated with all measures of teacher-reported school functioning concurrently during childhood and prospectively during adolescence. Conclusions These findings weaken the hypothesis that the general factor of psychopathology in childhood is solely a measurement artifact and support further research on the substantive meaning of the general factor. En ligne : http://dx.doi.org/10.1111/jcpp.12300 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260
in Journal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.415-422[article] Criterion validity of the general factor of psychopathology in a prospective study of girls [Texte imprimé et/ou numérique] / Benjamin B. LAHEY, Auteur ; Paul J. RATHOUZ, Auteur ; Kate KEENAN, Auteur ; Stephanie D. STEPP, Auteur ; Rolf LOEBER, Auteur ; Alison E. HIPWELL, Auteur . - p.415-422.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.415-422
Mots-clés : Validity psychopathology factor analysis Index. décimale : PER Périodiques Résumé : Background The best-fitting model of the structure of common psychopathology often includes a general factor on which all dimensions of psychopathology load. Such a general factor would be important if it reflects etiologies and mechanisms shared by all dimensions of psychopathology. Nonetheless, a viable alternative explanation is that the general factor is partly or wholly a result of common method variance or other systematic measurement biases. Methods To test this alternative explanation, we extracted general, externalizing, and internalizing factor scores using mother-reported symptoms across 5–11 years of age in confirmatory factor analyses of data from a representative longitudinal study of 2,450 girls. Independent associations between the three psychopathology factor scores and teacher-reported criterion variables were estimated in multiple regression, controlling intelligence, and demographic covariates. Results The model including the general factor fit significantly better than a correlated two-factor (internalizing/externalizing) model. The general factor was robustly and independently associated with all measures of teacher-reported school functioning concurrently during childhood and prospectively during adolescence. Conclusions These findings weaken the hypothesis that the general factor of psychopathology in childhood is solely a measurement artifact and support further research on the substantive meaning of the general factor. En ligne : http://dx.doi.org/10.1111/jcpp.12300 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 Determining the key childhood and adolescent risk factors for future BPD symptoms using regularized regression: comparison to depression and conduct disorder / Joseph E. BEENEY in Journal of Child Psychology and Psychiatry, 62-2 (February 2021)
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Titre : Determining the key childhood and adolescent risk factors for future BPD symptoms using regularized regression: comparison to depression and conduct disorder Type de document : Texte imprimé et/ou numérique Auteurs : Joseph E. BEENEY, Auteur ; Erika E. FORBES, Auteur ; Alison E. HIPWELL, Auteur ; Melissa NANCE, Auteur ; Alexis MATTIA, Auteur ; Joely M. LAWLESS, Auteur ; Layla BANIHASHEMI, Auteur ; Stephanie D. STEPP, Auteur Année de publication : 2021 Article en page(s) : p.223-231 Langues : Anglais (eng) Mots-clés : Risk factors borderline personality disorder comorbidity longitudinal studies machine learning Index. décimale : PER Périodiques Résumé : OBJECTIVE: Research has yielded factors considered critical to risk for borderline personality disorder (BPD). Yet, these factors overlap and are relevant to other disorders, like depression and conduct disorder (CD). Regularized regression, a machine learning approach, was developed to allow identification of the most important variables in large datasets with correlated predictors. We aimed to identify critical predictors of BPD symptoms in late adolescence (ages 16-18) and determine the specificity of factors to BPD versus disorders with putatively similar etiology. METHOD: We used a prospective longitudinal dataset (n = 2,450) of adolescent girls assessed on a range of clinical, psychosocial, and demographic factors, highlighted by previous research on BPD. Predictors were grouped by developmental periods: late childhood (8-10) and early (11-13) and mid-adolescence (14-15), yielding 128 variables from 41 constructs. The same variables were used in models predicting depression and CD symptoms. RESULTS: The best-fitting model for BPD symptoms included 19 predictors and explained 33.2% of the variance. Five constructs - depressive and anxiety symptoms, self-control, harsh punishment, and poor social and school functioning - accounted for most of the variance explained. BPD was differentiated from CD by greater problems with mood and anxiety in BPD and differences in parenting risk factors. Whereas the biggest parenting risk for BPD was a punitive style of parenting, CD was predicted by both punitive and disengaged styles. BPD was differentiated from MDD by greater social problems and poor behavioral control in BPD. CONCLUSIONS: The best predictors of BPD symptoms in adolescence are features suggesting complex comorbidity, affective activation, and problems with self-control. Though some risk factors were non-specific (e.g., inattention), the disorders were distinguished in clinically significant ways. En ligne : http://dx.doi.org/10.1111/jcpp.13269 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440
in Journal of Child Psychology and Psychiatry > 62-2 (February 2021) . - p.223-231[article] Determining the key childhood and adolescent risk factors for future BPD symptoms using regularized regression: comparison to depression and conduct disorder [Texte imprimé et/ou numérique] / Joseph E. BEENEY, Auteur ; Erika E. FORBES, Auteur ; Alison E. HIPWELL, Auteur ; Melissa NANCE, Auteur ; Alexis MATTIA, Auteur ; Joely M. LAWLESS, Auteur ; Layla BANIHASHEMI, Auteur ; Stephanie D. STEPP, Auteur . - 2021 . - p.223-231.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-2 (February 2021) . - p.223-231
Mots-clés : Risk factors borderline personality disorder comorbidity longitudinal studies machine learning Index. décimale : PER Périodiques Résumé : OBJECTIVE: Research has yielded factors considered critical to risk for borderline personality disorder (BPD). Yet, these factors overlap and are relevant to other disorders, like depression and conduct disorder (CD). Regularized regression, a machine learning approach, was developed to allow identification of the most important variables in large datasets with correlated predictors. We aimed to identify critical predictors of BPD symptoms in late adolescence (ages 16-18) and determine the specificity of factors to BPD versus disorders with putatively similar etiology. METHOD: We used a prospective longitudinal dataset (n = 2,450) of adolescent girls assessed on a range of clinical, psychosocial, and demographic factors, highlighted by previous research on BPD. Predictors were grouped by developmental periods: late childhood (8-10) and early (11-13) and mid-adolescence (14-15), yielding 128 variables from 41 constructs. The same variables were used in models predicting depression and CD symptoms. RESULTS: The best-fitting model for BPD symptoms included 19 predictors and explained 33.2% of the variance. Five constructs - depressive and anxiety symptoms, self-control, harsh punishment, and poor social and school functioning - accounted for most of the variance explained. BPD was differentiated from CD by greater problems with mood and anxiety in BPD and differences in parenting risk factors. Whereas the biggest parenting risk for BPD was a punitive style of parenting, CD was predicted by both punitive and disengaged styles. BPD was differentiated from MDD by greater social problems and poor behavioral control in BPD. CONCLUSIONS: The best predictors of BPD symptoms in adolescence are features suggesting complex comorbidity, affective activation, and problems with self-control. Though some risk factors were non-specific (e.g., inattention), the disorders were distinguished in clinically significant ways. En ligne : http://dx.doi.org/10.1111/jcpp.13269 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440 Impact of oppositional defiant disorder dimensions on the temporal ordering of conduct problems and depression across childhood and adolescence in girls / Alison E. HIPWELL in Journal of Child Psychology and Psychiatry, 52-10 (October 2011)
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Titre : Impact of oppositional defiant disorder dimensions on the temporal ordering of conduct problems and depression across childhood and adolescence in girls Type de document : Texte imprimé et/ou numérique Auteurs : Alison E. HIPWELL, Auteur ; Stephanie D. STEPP, Auteur ; Xin FENG, Auteur ; Jeff BURKE, Auteur ; Deena BATTISTA, Auteur ; Rolf LOEBER, Auteur ; Kate KEENAN, Auteur Année de publication : 2011 Article en page(s) : p.1099-1108 Langues : Anglais (eng) Mots-clés : Conduct Disorder depression oppositional defiant disorder comorbidity girls longitudinal Index. décimale : PER Périodiques Résumé : Background: Little is known about the role of oppositional defiant disorder (ODD) dimensions on the temporal unfolding of conduct disorder (CD) and depression in girls between childhood and adolescence.
Method: The year-to-year associations between CD and depressive symptomatology were examined using nine waves of annually collected data (ages 8 through 16 years) from 1215 participants of the Pittsburgh Girls Study. A series of autoregressive path models were tested that included ODD-Emotion Dysregulation (ODD-ED) and ODD-Defiance, as time-varying covariates on CD predicting depression severity in the following year, and vice versa.
Results: Conduct problems, depression, and ODD dimensions were relatively stable throughout childhood and adolescence, and a moderate degree of covariance was observed between these variables. Path analyses showed that CD often preceded depression across this developmental period, although the effect sizes were small. There was less consistent prediction from depression to CD. The overlap between ODD-ED and CD partially explained the prospective relations from CD to depression, whereas these paths were fully explained by the overlap between ODD-ED and depression. The overlap between ODD-Defiance and CD did not account for the prospective relations from CD to depression. In contrast, the overlap between ODD-Defiance and depression accounted for virtually all paths from CD to depression. Accounting for the overlap between ODD dimensions and both CD and depression eliminated all significant predictive paths.
Conclusions: Symptoms of CD tend to precede depression in girls during childhood and adolescence. However, covariance between depression and both ODD-ED and ODD-Defiance accounts for these prospective relations. ODD dimensions should be assessed when evaluating risk for comorbid depression in girls with conduct problems, and emotion dysregulation and defiance aspects of ODD should be identified as targets for treatment in order to prevent depression in the future.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02448.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=142
in Journal of Child Psychology and Psychiatry > 52-10 (October 2011) . - p.1099-1108[article] Impact of oppositional defiant disorder dimensions on the temporal ordering of conduct problems and depression across childhood and adolescence in girls [Texte imprimé et/ou numérique] / Alison E. HIPWELL, Auteur ; Stephanie D. STEPP, Auteur ; Xin FENG, Auteur ; Jeff BURKE, Auteur ; Deena BATTISTA, Auteur ; Rolf LOEBER, Auteur ; Kate KEENAN, Auteur . - 2011 . - p.1099-1108.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 52-10 (October 2011) . - p.1099-1108
Mots-clés : Conduct Disorder depression oppositional defiant disorder comorbidity girls longitudinal Index. décimale : PER Périodiques Résumé : Background: Little is known about the role of oppositional defiant disorder (ODD) dimensions on the temporal unfolding of conduct disorder (CD) and depression in girls between childhood and adolescence.
Method: The year-to-year associations between CD and depressive symptomatology were examined using nine waves of annually collected data (ages 8 through 16 years) from 1215 participants of the Pittsburgh Girls Study. A series of autoregressive path models were tested that included ODD-Emotion Dysregulation (ODD-ED) and ODD-Defiance, as time-varying covariates on CD predicting depression severity in the following year, and vice versa.
Results: Conduct problems, depression, and ODD dimensions were relatively stable throughout childhood and adolescence, and a moderate degree of covariance was observed between these variables. Path analyses showed that CD often preceded depression across this developmental period, although the effect sizes were small. There was less consistent prediction from depression to CD. The overlap between ODD-ED and CD partially explained the prospective relations from CD to depression, whereas these paths were fully explained by the overlap between ODD-ED and depression. The overlap between ODD-Defiance and CD did not account for the prospective relations from CD to depression. In contrast, the overlap between ODD-Defiance and depression accounted for virtually all paths from CD to depression. Accounting for the overlap between ODD dimensions and both CD and depression eliminated all significant predictive paths.
Conclusions: Symptoms of CD tend to precede depression in girls during childhood and adolescence. However, covariance between depression and both ODD-ED and ODD-Defiance accounts for these prospective relations. ODD dimensions should be assessed when evaluating risk for comorbid depression in girls with conduct problems, and emotion dysregulation and defiance aspects of ODD should be identified as targets for treatment in order to prevent depression in the future.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02448.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=142 Momentary borderline personality disorder symptoms in youth as a function of parental invalidation and youth-perceived support / S. VANWOERDEN in Journal of Child Psychology and Psychiatry, 63-2 (February 2022)
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PermalinkNegative emotional reactivity as a marker of vulnerability in the development of borderline personality disorder symptoms / Stephanie D. STEPP in Development and Psychopathology, 28-1 (February 2016)
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PermalinkPolice contacts, arrests and decreasing self-control and personal responsibility among female adolescents / A. E. HIPWELL in Journal of Child Psychology and Psychiatry, 59-12 (December 2018)
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PermalinkPupillary and affective responses to maternal feedback and the development of borderline personality disorder symptoms / Lori N. SCOTT in Development and Psychopathology, 29-3 (August 2017)
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PermalinkReciprocal effects of parenting and borderline personality disorder symptoms in adolescent girls / Stephanie D. STEPP in Development and Psychopathology, 26-2 (May 2014)
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PermalinkTesting an equifinality model of nonsuicidal self-injury among early adolescent girls / Kate KEENAN in Development and Psychopathology, 26-3 (August 2014)
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PermalinkThe general psychopathology factor (p) from adolescence to adulthood: Exploring the developmental trajectories of p using a multi-method approach / Marina A. BORNOVALOVA ; Alison E. HIPWELL ; Tammy CHUNG ; Stephanie D. STEPP in Development and Psychopathology, 35-4 (October 2023)
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PermalinkThe interaction between monoamine oxidase A (MAOA) and childhood maltreatment as a predictor of personality pathology in females: Emotional reactivity as a potential mediating mechanism / Amy L. BYRD in Development and Psychopathology, 31-1 (February 2019)
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PermalinkThe interaction between monoamine oxidase A (MAOA) and childhood maltreatment as a predictor of personality pathology in females: Emotional reactivity as a potential mediating mechanism – ERRATUM / Amy L. BYRD in Development and Psychopathology, 31-1 (February 2019)
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PermalinkThe moderating effects of traumatic stress on vulnerability to emotional distress during pregnancy / Irene TUNG in Development and Psychopathology, 32-2 (May 2020)
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