儿童反刍风险的神经认知相关因素:在临床异质性样本中比较竞争模型预测。

Sherelle L Harmon, Janet A Kistner, Michael J Kofler
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引用次数: 3

摘要

目前的研究考察了青春期前青少年反刍和执行功能困难之间的联系,使用了在注意力范围和反刍的多系统模型中概述的预测。本研究旨在(a)将目前的反刍概念模型扩展到年轻人,(b)澄清关于工作记忆更新(“更新”)、抑制和转移能力的不同模型预测,以及(c)检查悲伤和愤怒两种反刍形式之间的不同神经认知预测。159名青少年进行了ADHD和其他形式的与执行功能障碍相关的儿童精神病理的过度抽样(8-13岁;男性53.5%;59.1%(白种人)完成了一系列的评估,包括反刍的自我报告测量和计算机化的神经认知任务。通过多元回归分析评估反刍与各执行功能之间的关系,控制悲伤和愤怒反刍以评估它们之间的独特关联。悲伤反刍与较差的更新能力(β = -0.18, p = 0.046)和转移能力(β = 0.20, p = 0.03)相关,但与抑制能力(β = -0.04, p = 0.62)无关,这为注意范围和多系统模型提供了部分支持。相比之下,愤怒反刍与更好的更新能力(β = 0.20, p = 0.03)有关,但与转移(β = -0.15, p = 0.11)或抑制(β = 0.08, p = 0.35)无关。综上所述,这些结果表明:(a)与成人文献的发现相比,青少年反刍风险相关的神经认知方面的发育差异;(b)儿童对负面情绪反应的执行功能相关的执行功能是特定于情感的,例如悲伤反刍与替换负面思想和在心理集之间转换的困难有关。而愤怒反刍则与更好地保持消极思想的能力有关。
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Neurocognitive Correlates of Rumination Risk in Children: Comparing Competing Model Predictions in a Clinically Heterogeneous Sample.

The current study examined associations between rumination and executive function difficulties in preadolescent youth, using predictions outlined in the attentional scope and multiple systems models of rumination. This study aimed to (a) extend current conceptual models of rumination to youth, (b) clarify disparate model predictions regarding working memory updating ("updating"), inhibition, and shifting abilities, and (c) examine differential neurocognitive predictions between two forms of rumination, sadness and anger. One hundred and fifty-nine youths oversampled for ADHD and other forms of child psychopathology associated with executive dysfunction (aged 8-13; 53.5% male; 59.1% Caucasian) completed a battery of assessments, including self-report measures of rumination and computerized neurocognitive tasks. Multiple regression analyses were conducted assessing relations between rumination and each executive function, controlling for both sadness and anger rumination to assess their unique associations. Sadness rumination was associated with poorer updating (β = -0.18, p = 0.046) and shifting abilities (β = 0.20, p = 0.03) but not inhibition (β = -0.04, p = 0.62), offering partial support to the attentional scope and multiple systems models. In contrast, anger rumination was associated with better updating abilities (β = 0.20, p = 0.03) but not shifting (β = -0.15, p = 0.11) or inhibition (β = 0.08, p = 0.35). Together, these results suggest (a) developmental differences in the neurocognitive correlates associated with rumination risk in youth compared to findings from the adult literature, and (b) that the executive function correlates of children's responses to negative emotions are affect-specific, such that sadness rumination is associated with difficulties replacing negative thoughts and shifting between mental sets, while anger rumination is associated with a better ability to maintain negative thoughts.

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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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