关键词: adolescence aggression depression dissociation family hair cortisol concentration physical abuse resilience

来  源:   DOI:10.3389/fpsyt.2024.1345844   PDF(Pubmed)

Abstract:
UNASSIGNED: To understand the family\'s role in adolescents\' mental health development and the connection to neurodevelopmental disorders related to experienced parental physical abuse, we first explored resilience pathways longitudinally and secondly, connected the identified patterns to adolescents\' hair cortisol levels that are rooted in the hypothalamic-pituitary-adrenal axis as the main stress response system and connected brain structure alterations.
UNASSIGNED: We analyzed longitudinal online questionnaire data for three consecutive high school years (from seventh to ninth grade) and four survey waves from a representative sample of n = 1609 high school students in Switzerland on violence-resilience pathways. Furthermore, we collected students\' hair samples from a subsample of n = 229 at survey wave 4. About 30% of the participating adolescents had been physically abused by their parents. Out of the overall sample, we drew a subsample of adolescents with parental abuse experiences (survey wave 1 n = 509; survey wave 2 n = 506; survey wave 3 n = 561; survey wave 4 n = 560).
UNASSIGNED: Despite the odds, about 20-30% of adolescents who have experienced parental physical abuse escaped the family violence cycle and can be called resilient. By applying a person-oriented analytical approach via latent class and transition analysis, we longitudinally identified and compared four distinct violence-resilience patterns. We identified violence resilience as a multidimensional latent construct, which includes hedonic and eudaimonic protective and risk indicators. Because resilience should not solely be operationalized based on the lack of psychopathology, our latent construct included both feeling good (hedonic indicators such as high levels of self-esteem and low levels of depression/anxiety and dissociation) and doing well (eudaimonic indicators such as high levels of self-determination and self-efficacy as well as low levels of aggression toward peers).
UNASSIGNED: The present study confirmed that higher cortisol levels significantly relate to the comorbid pattern (internalizing and externalizing symptoms), and further confirmed the presence of lasting alterations in brain structures. In this way, we corroborated the insight that when studying the resilience pathways and trajectories of abused adolescents, biological markers such as hair cortisol significantly enhance and deepen the understanding of the longitudinal mechanisms of psychological markers (e.g., self-determination, self-esteem, self-efficacy) that are commonly applied in questionnaires.
摘要:
了解家庭在青少年心理健康发展中的作用以及与经历过的父母身体虐待相关的神经发育障碍的联系,我们首先纵向探索弹性路径,其次,将确定的模式与青少年的头发皮质醇水平联系起来,这些皮质醇水平根植于下丘脑-垂体-肾上腺轴,作为主要的应激反应系统和相关的大脑结构改变。
我们分析了连续三个高中(从七年级到九年级)的纵向在线问卷调查数据以及来自瑞士n=1609名高中生的代表性样本的四个调查波。此外,在第4波调查中,我们从n=229的子样本中收集了学生的头发样本。参与的青少年中约有30%受到父母的身体虐待。在整个样本中,我们抽取了有父母虐待经历的青少年的子样本(调查波1n=509;调查波2n=506;调查波3n=561;调查波4n=560).
尽管困难重重,经历过父母身体虐待的青少年中约有20-30%逃脱了家庭暴力周期,可以称为弹性。通过潜在类和过渡分析应用以人为本的分析方法,我们纵向确定并比较了四种不同的暴力-复原模式.我们将暴力复原力确定为多维潜在结构,其中包括享乐主义和eudaimonic保护性和风险指标。因为复原力不应该仅仅基于缺乏心理病理学来运作,我们的潜在结构包括感觉良好(享乐指标,例如高自尊水平和低抑郁/焦虑和解离水平)和良好(Eudaimonic指标,例如高自决水平和自我效能感以及对同伴的低攻击性)。
本研究证实,较高的皮质醇水平与共病模式(内化和外化症状)显着相关,并进一步证实了大脑结构的持久改变。这样,我们证实了在研究受虐待青少年的复原途径和轨迹时,诸如头发皮质醇之类的生物标志物显着增强和加深了对心理标志物纵向机制的理解(例如,自决,自尊,自我效能感),常用于问卷中。
公众号