Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function / Rachel A. VAUGHN-COAXUM in Development and Psychopathology, 32-3 (August 2020)  

Public ISBD [article]  inDevelopment and Psychopathology > 32-3 (August 2020) . - p.817-830 Titre : Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function Type de document : Texte imprimé et/ou numérique Auteurs : Rachel A. VAUGHN-COAXUM, Auteur ; Neha DHAWAN, Auteur ; Margaret A. SHERIDAN, Auteur ; Mackenzie J. HART, Auteur ; John R. WEISZ, Auteur Article en page(s) : p.817-830 Langues : Anglais (eng) Mots-clés : childhood adversity  depression  deprivation  psychophysiology  threat Index. décimale : PER Périodiques Résumé : Exposure to adverse events is prevalent among youths and robustly associated with risk for depression, particularly during adolescence. The Dimensional Model of Adversity and Psychopathology (DMAP) distinguishes between adverse events that expose youths to deprivation versus threat, positing unique mechanisms of risk (cognitive functioning deficits for deprivation, and altered fear and emotion learning for threat) that may require different approaches to intervention. We examined whether deprivation and threat were distinctly associated with behavioral measures of cognitive processes and autonomic nervous system function in relation to depression symptom severity in a community sample of early adolescents (n = 117; mean age 12.73 years; 54.7% male). Consistent with DMAP, associations between threat and depression symptoms, and between economic deprivation and depression symptoms, were distinctly moderated by physiological and cognitive functions, respectively, at baseline but not follow-up. Under conditions of greater cognitive inhibition, less exposure to deprivation was associated with lower symptom severity. Under conditions of blunted resting-state autonomic response (electrodermal activity and respiratory sinus arrhythmia), greater exposure to threat was associated with higher symptom severity. Our findings support the view that understanding risk for youth depression requires parsing adversity: examining distinct roles played by deprivation and threat, and the associated cognitive and biological processes. En ligne : http://dx.doi.org/10.1017/s0954579419001172 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] Dimensions of adversity in association with adolescents' depression symptoms: Distinct moderating roles of cognitive and autonomic function [Texte imprimé et/ou numérique] / Rachel A. VAUGHN-COAXUM, Auteur ; Neha DHAWAN, Auteur ; Margaret A. SHERIDAN, Auteur ; Mackenzie J. HART, Auteur ; John R. WEISZ, Auteur . - p.817-830. Langues : Anglais (eng) in Development and Psychopathology > 32-3 (August 2020) . - p.817-830 Mots-clés : childhood adversity  depression  deprivation  psychophysiology  threat Index. décimale : PER Périodiques Résumé : Exposure to adverse events is prevalent among youths and robustly associated with risk for depression, particularly during adolescence. The Dimensional Model of Adversity and Psychopathology (DMAP) distinguishes between adverse events that expose youths to deprivation versus threat, positing unique mechanisms of risk (cognitive functioning deficits for deprivation, and altered fear and emotion learning for threat) that may require different approaches to intervention. We examined whether deprivation and threat were distinctly associated with behavioral measures of cognitive processes and autonomic nervous system function in relation to depression symptom severity in a community sample of early adolescents (n = 117; mean age 12.73 years; 54.7% male). Consistent with DMAP, associations between threat and depression symptoms, and between economic deprivation and depression symptoms, were distinctly moderated by physiological and cognitive functions, respectively, at baseline but not follow-up. Under conditions of greater cognitive inhibition, less exposure to deprivation was associated with lower symptom severity. Under conditions of blunted resting-state autonomic response (electrodermal activity and respiratory sinus arrhythmia), greater exposure to threat was associated with higher symptom severity. Our findings support the view that understanding risk for youth depression requires parsing adversity: examining distinct roles played by deprivation and threat, and the associated cognitive and biological processes. En ligne : http://dx.doi.org/10.1017/s0954579419001172 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

Leveraging the developmental science of psychosocial risk to strengthen youth psychotherapy / Rachel A. VAUGHN-COAXUM in Development and Psychopathology, 33-2 (May 2021)  

Public ISBD [article]  inDevelopment and Psychopathology > 33-2 (May 2021) . - p.670-683 Titre : Leveraging the developmental science of psychosocial risk to strengthen youth psychotherapy Type de document : Texte imprimé et/ou numérique Auteurs : Rachel A. VAUGHN-COAXUM, Auteur ; John R. WEISZ, Auteur Année de publication : 2021 Article en page(s) : p.670-683 Langues : Anglais (eng) Mots-clés : child  childhood adversity  psychopathology  psychotherapy outcomes  risk factors Index. décimale : PER Périodiques Résumé : More than 50 years of randomized clinical trials for youth psychotherapies have resulted in moderate effect sizes for treatments targeting the most common mental health problems in children and adolescents (i.e., anxiety, depression, conduct problems, and attention disorders). Despite having psychotherapies that are effective for many children, there has been a dearth of progress in identifying the contextual factors that likely influence who will respond to a given psychotherapy, and under what conditions. The developmental psychopathology evidence base consistently demonstrates that psychosocial risk exposures (e.g., childhood adversities, interpersonal stressors, family dysfunction) significantly influence the onset and course of youth psychopathology. However, the developmental psychopathology framework remains to be well integrated into treatment development and psychotherapy research. We argue that advances in basic developmental psychopathology research carry promising implications for the design and content of youth psychotherapies. Research probing the effects of psychosocial risks on youth development can enrich efforts to identify contextual factors in psychotherapy effectiveness and to personalize treatment. In this article we review empirically supported and hypothesized influences of individual- and family-level risk factors on youth psychotherapy outcomes, and we propose a framework for leveraging developmental psychopathology to strengthen psychotherapies. En ligne : http://dx.doi.org/10.1017/s0954579420002035 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Leveraging the developmental science of psychosocial risk to strengthen youth psychotherapy [Texte imprimé et/ou numérique] / Rachel A. VAUGHN-COAXUM, Auteur ; John R. WEISZ, Auteur . - 2021 . - p.670-683. Langues : Anglais (eng) in Development and Psychopathology > 33-2 (May 2021) . - p.670-683 Mots-clés : child  childhood adversity  psychopathology  psychotherapy outcomes  risk factors Index. décimale : PER Périodiques Résumé : More than 50 years of randomized clinical trials for youth psychotherapies have resulted in moderate effect sizes for treatments targeting the most common mental health problems in children and adolescents (i.e., anxiety, depression, conduct problems, and attention disorders). Despite having psychotherapies that are effective for many children, there has been a dearth of progress in identifying the contextual factors that likely influence who will respond to a given psychotherapy, and under what conditions. The developmental psychopathology evidence base consistently demonstrates that psychosocial risk exposures (e.g., childhood adversities, interpersonal stressors, family dysfunction) significantly influence the onset and course of youth psychopathology. However, the developmental psychopathology framework remains to be well integrated into treatment development and psychotherapy research. We argue that advances in basic developmental psychopathology research carry promising implications for the design and content of youth psychotherapies. Research probing the effects of psychosocial risks on youth development can enrich efforts to identify contextual factors in psychotherapy effectiveness and to personalize treatment. In this article we review empirically supported and hypothesized influences of individual- and family-level risk factors on youth psychotherapy outcomes, and we propose a framework for leveraging developmental psychopathology to strengthen psychotherapies. En ligne : http://dx.doi.org/10.1017/s0954579420002035 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

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