Matching Items (12)
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- All Subjects: Adolescence
- All Subjects: Chronic Pain
- Creators: Doane, Leah
Description
Accumulating evidence implicates exposure to adverse childhood experiences in the development of hypocortisolism in the long-term, and researchers are increasingly examining individual-level mechanisms that may underlie, exacerbate or attenuate this relation among at-risk populations. The current study takes a developmentally and theoretically informed approach to examining episodic childhood stressors, inherent and voluntary self-regulation, and physiological reactivity among a longitudinal sample of youth who experienced parental divorce. Participants were drawn from a larger randomized controlled trial of a preventive intervention for children of divorce between the ages of 9 and 12. The current sample included 159 young adults (mean age = 25.5 years; 53% male; 94% Caucasian) who participated in six waves of data collection, including a 15-year follow-up study. Participants reported on exposure to negative life events (four times over a 9-month period) during childhood, and mothers rated child temperament. Six years later, youth reported on the use of active and avoidant coping strategies, and 15 years later, they participated in a standardized psychosocial stress task and provided salivary cortisol samples prior to and following the task. Path analyses within a structural equation framework revealed that a multiple mediation model best fit the data. It was found that children with better mother-rated self-regulation (i.e. low impulsivity, low negative emotionality, and high attentional focus) exhibited lower total cortisol output 15 years later. In addition, greater self-regulation in childhood predicted greater use of active coping in adolescence, whereas a greater number of negative life events predicted increased use of avoidant coping in adolescence. Finally, a greater number of negative events in childhood predicted marginally lower total cortisol output, and higher levels of active coping in adolescence were associated with greater total cortisol output in young adulthood. Findings suggest that children of divorce who exhibit better self-regulation evidence lower cortisol output during a standardized psychosocial stress task relative to those who have higher impulsivity, lower attentional focus, and/or higher negative emotionality. The conceptual significance of the current findings, including the lack of evidence for hypothesized relations, methodological issues that arose, and issues in need of future research are discussed.
ContributorsHagan, Melissa (Author) / Luecken, Linda (Thesis advisor) / MacKinnon, David (Committee member) / Wolchik, Sharlene (Committee member) / Doane, Leah (Committee member) / Arizona State University (Publisher)
Created2013
Description
Chronic or recurrent pain in childhood is a common and costly health problem, and increases the likelihood of experiencing chronic pain in adulthood. Existing evidence suggests that internalizing symptoms are a risk factor for the development of chronic pain in children and adults. Findings from a small body of research also points to a flattened diurnal cortisol profile, alone and in combination with internalizing symptoms, as a risk factor for future chronic pain among adults. The present study aimed to evaluate whether internalizing, a flattened diurnal cortisol profile, and their combination prospectively predict chronic pain in middle childhood. It was hypothesized that: 1) both internalizing and a flattened diurnal cortisol profile at age 8 would independently predict acquisition of chronic pain at age 9, controlling for age 8 pain; and 2) the combination of high internalizing and a flattened diurnal cortisol rhythm would predict greater risk of increased pain over time. Multilevel models of longitudinal data collected from a sample of 748 twin children revealed that internalizing symptoms and a flattened cortisol slope independently acted as prospective risk factors for increased chronic pain in childhood one year later. However, the interaction between internalizing and diurnal cortisol did not predict future increases in pain. Exploratory analyses evaluating symptoms of overanxiousness demonstrated that the interaction between overanxiousness and a flattened cortisol profile emerged as a marginally significant predictor of future pain. The current findings point to the role of psychological and physiological risk factors for the development of chronic pediatric pain, and may help to identify early targets for prevention efforts.
ContributorsEltze, Lara Malin (Author) / Davis, Mary (Thesis director) / Doane, Leah (Committee member) / School of International Letters and Cultures (Contributor) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
Description
Family influences are known predictors of adolescent health and well-being trajectories, yet little research has investigated how adolescents’ orientation to family may be associated with their physiological stress responses. Influenced by the strength-based approach to culture, this study evaluated 418 Hispanic adolescents' familism values and perceived life stress in family, school, and peer domains to investigate prospective associations with hypothalamic-pituitary-adrenal axis stress responses to the Group Public Speaking Task for Adolescents (GPST-A). Prior growth-mixture modeling on this sample revealed a five-class solution of cortisol responding to the GPST-A that was used here as the dependent variable: one class showed a more pronounced pattern of reactivity, potentially indicative of hyper-responsivity to the stress task; two classes showed evidence of a low to moderate cortisol response, potentially indicative of an adaptive physiological response to the challenge; and two classes showed patterns of non-responsivity, potentially indicative of hypo-responsivity. Results demonstrate that the role of familism is nuanced in the context of stressors, potentially offering both promotive and risk-amplifying effects for the physiological stress response system. This study offered several novel findings in the relation between cultural factors, salient stressors of adolescence, and HPA activity.
ContributorsSmola, Xochitl Arlene (Author) / Gonzales, Nancy (Thesis director) / Presson, Clark (Committee member) / Doane, Leah (Committee member) / Department of Psychology (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Cultural beliefs and behaviors can serve as both risk and protective processes for Latino adolescents, with some recent empirical work suggesting the important protective role of bicultural values (e.g., endorsing high levels of both mainstream culture and culture of origin). We expanded on past research to explore whether bicultural values were associated with internalizing (depressive, anxiety, stress) symptoms and externalizing (alcohol use) symptoms among a sample of Latino adolescents preparing to begin college. We hypothesized biculturalism to protect against all negative outcomes. Our sample consisted of 209 college-bound Latino adolescents (65% female; 85.1% Mexican descent; 10.6% 1st generation, 62% 2nd generation) who were enrolled in university for the coming fall. All multivariate models included sex, ethnicity, parent education, and immigrant generation status as covariates. Correlations and multivariate analyses revealed that higher bicultural values were associated with lower depressive symptoms, lower anxiety symptoms, lower stress, and greater alcohol use. Gender was shown to moderate the relationship between biculturalism and alcohol use. Overall, findings suggested that greater bicultural values were associated with lower endorsement of internalizing symptoms for all participants, but higher endorsement of alcohol use over the last year for the highly bicultural females. Biculturalism may be particularly protective for Latino adolescents who are preparing to attend college given the need for them to transition into an environment with high acculturative demands. However, our results also highlight that these bicultural females may be at greater risk for alcohol use and related problems.
ContributorsDilgert, Janice (Author) / Doane, Leah (Thesis director) / Thompson, Daisy (Committee member) / Department of Psychology (Contributor) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
Background: Unintentional injury has been the leading cause of death for children and teenagers in the United States for the past 2 decades. Its health outcomes are often studied, but it may also relate to psychological concepts such as emotion dysregulation, which may also result in severe outcomes for individuals, families, and societies. There is no consensus on a conceptual definition of emotion dysregulation, and little prior literature on the specific relation between dysregulation and injury in the transition to adolescence. Methods: The current study aims to identify latent factors of emotion dysregulation using exploratory factor analyses. Subsequently, multilevel regressions illuminate relations between dysregulation and injury at 2 late childhood and early adolescence time points in a large ethnically, socioeconomically, and regionally representative sample of Arizona twins recruited from birth records and ongoing efforts. Results: 6 total factors representing emotion dysregulation at 2 ages were created. Factors were valid when tested against temperament and psychopathology constructs. No significant longitudinal or cross-sectional associations between emotion dysregulation factors and unintentional injury were found. Sex and rurality differences were found in factor scores and dysregulation outcomes. Discussion: The current study highlights new avenues of research and funding. Future research on this topic should reflect a concentrated and nuanced focus on injury. Concordant age 9 and age 11 factors loaded differently, which urges the field to strive toward developing a standardized definition for emotion dysregulation. Covariate differences highlight target populations for interventions in unintentional injury and emotion dysregulation, which remain independent areas of concern.
ContributorsHummel, Haley (Author) / Lemery-Chalfant, Kathryn (Thesis director) / Davis, Mary (Thesis director) / Doane, Leah (Committee member) / Meier, Madeline (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2022-12
Description
Pediatric chronic pain is common and predicts risk for psychological and pain problems into adulthood. Biopsychosocial risk factors for the development of chronic pediatric pain have been examined, but the key health behavior of caloric consumption has not been explored. Adult and animal data suggest that caloric intake is positively related to chronic pain, and that adiposity and stress-related biological factors may serve as potential mediators. This study predicted that among children: 1) adiposity, flattened diurnal cortisol slopes, and caloric consumption are related to chronic pain, and 2) the caloric consumption—pain relation is mediated by elevated adiposity and/or flattened diurnal cortisol slopes. Methods: Twin children (N = 733) were drawn from the Arizona Twin Project sample. Measures included caregiver-reported caloric intake via five daily food diaries (Age-8); adiposity (composite of waist circumference, body mass index, body fat percentage) and diurnal cortisol slopes via three days of salivary cortisol sampling (Age-9); and caregiver-reported monthly chronic pain (Age-10). Results: Multilevel models (accounting for clustering within families) with sex, age, socioeconomic status, puberty, race/ethnicity as covariates, showed that caloric intake predicted greater waist circumference, which in turn predicted elevated chronic pain. However, adiposity, waist circumference, and diurnal cortisol slopes did not mediate the caloric intake-chronic pain relation. Discussion: Consistent with the literature, caloric intake predicted adiposity, and adiposity predicted pain in a diverse sample of children. More comprehensive assessment of behavioral (sleep, diet quality) and biopsychosocial factors (e.g. inflammation, cortisol; injury; catastrophizing) may aid efforts to prevent pediatric chronic pain.
ContributorsFishbach, Jaclyn (Author) / Davis, Mary (Thesis director) / Doane, Leah (Committee member) / Lemery, Kathryn (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2022-12
Description
The present study contributed an investigation of prosocial peers, a prospective promotive factor, and its association with depressive symptoms, an internalizing outcome. The study utilized six waves of panel data from 2,002 youth in the control condition of the Community Youth Development Study (mean age 13.12 at Grade 7; 52% male; 66.1% White; 26.6% Hispanic). A series of time-varying effect models (TVEM) illustrated the associations between prosocial peers and depressive symptoms over developmental time from Grades 7 through 12. It was hypothesized that prosocial peers and depressive symptoms would have a negative association for both males and females, and that the association would be moderated by gender at the time of transition to high school. It was expected that females would display a significantly stronger negative association than males between prosocial peers and depressive symptoms at this juncture, particularly due to gender-based differences in socialization that are compounded by transition. To strengthen conclusions about prosocial peers being a promotive factor, secondary analyses included covariates measuring previous levels of depressive symptoms; these models accounted either for baseline depressive symptoms or year-prior symptoms. Results showed, overall, prosocial peers had a significant negative association with depressive symptoms over time, for both males and females. When controlling for baseline depressive symptoms, this was still the case. When controlling for year-prior depressive symptoms, prosocial peers was no longer significantly associated with depressive symptoms for males across Grades 10 through 12. Gender moderated the association between prosocial peers and depressive symptoms at the time of transition to high school as well as other grades. When controlling for baseline depressive symptoms, it was again found that gender moderated the association between prosocial peers and depressive symptoms at the time of transition to high school (Grades 8 and 9) but also at Grade 12. When controlling for year-prior depressive symptoms, gender did not moderate the association at the time of transition to high school, but it did at Grades 10, 11, and 12. Overall, results support the possibility of prosocial peers as a prospective promotive factor for youth mental health.
ContributorsMendes, Skyler H. (Author) / Oesterle, Sabrina (Thesis advisor) / Doane, Leah (Thesis advisor) / Perez La Mar, Marisol (Committee member) / Arizona State University (Publisher)
Created2021
Description
Guided by the Risky Families model and Daily Process methods, the present study examined how daily stressors are related to emotional well-being at the between- and within-person levels among adolescent grandchildren raised by grandmothers. This study also examined whether risk (i.e., adverse childhood experiences/ACES) and resilience (i.e., socio-emotional skills) factors were linked to differences in daily well-being, stressor exposure, and emotional reactivity, and evaluated the efficacy of an online social intelligence training (SIT) program on daily stressor-emotion dynamics. Data came from a subsample (n = 188) of custodial adolescents who participated in an attention-controlled randomized clinical trial and completed 14-day daily surveys prior to and following intervention. Analyses were conducted with dynamic structural equation modeling. Daily stressors, on average, and experiencing above average stressors, were associated with higher negative emotions and lower positive emotions and social connection. Those with more ACEs, on average, reported higher daily stressors and worse well-being, whereas those with higher socio-emotional skills, on average, reported lower daily stressors and better well-being. At the within-person level, more ACEs were associated with higher daily negative emotions. Nonverbal processing was linked to higher daily positive emotions and social connection. Conversational skills were associated with higher daily positive emotions and social connection, and lower, more inert daily negative emotions. Neither ACEs nor socio-emotional skills were associated with within-person reactivity to stressors. Also, the SIT program did not demonstrate efficacy for any outcome. My discussion focused on how findings extend the literature on custodial adolescents by showing that daily stressors impact well-being, offer knowledge of how ACEs and socio-emotional skills shape daily stressor-emotion dynamics, and considers reasons why the online, self-guided SIT program failed to show efficacy on key outcomes.
ContributorsCastro, Saul (Author) / Infurna, Frank (Thesis advisor) / Doane, Leah (Committee member) / Davis, Mary (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2023
Description
Current models of pain coping typically focus on how pain contributes to poor physical and psychological functioning. Researchers have argued that this focus on the negative consequences is too narrow and does not account for times when individuals are able to maintain meaningful functioning despite their pain. Thus, the current study sought to investigate the day-to-day processes that both help and hinder recovery from pain and persistence towards daily goals. Specifically, the present study tested: a) a two-factor model of risk and resilience “factors” that capture key processes across affective, cognitive and social dimensions of functioning, and b) whether the relation between morning pain and end-of-day physical disability is mediated by increases in these afternoon risk and resilience factors. Within-day study measures were collected for 21 days via an automated phone system from 220 participants with Fibromyalgia. The results of multi-level confirmatory factor analysis indicated that, consistent with prediction, risk and resilience do constitute two factors. Findings from multilevel structural equation models also showed resilience factor mediated the link between late morning increases in pain and end-of-day disability, in line with hypotheses. Although the vulnerability factor as a whole did not mediate the within-day link between pain and disability, pain-catastrophizing individually did serve as a significant mediator of this relation. This study was the first to empirically test a within-day latent factor model of resilience and vulnerability and the first to capture the multidimensional nature of the pain experience by examining mechanisms across affective, cognitive and social domains of functioning. The findings of the current study suggest that in addition to studying the processes by which pain has a negative influence on the lives of pain sufferers, our understanding of the pain adaptation process can be further improved by concurrently examining mechanisms that motivate individuals to overcome the urge to avoid pain and to function meaningfully despite it.
ContributorsThummala, Kirti (Author) / Davis, Mary C. (Thesis advisor) / Doane, Leah (Committee member) / Karoly, Paul (Committee member) / Barrera, Manuel (Committee member) / Arizona State University (Publisher)
Created2018
Description
The transition out of high school is a major milestone for adolescents as they earn greater autonomy and responsibilities. An estimated 69.2% of adolescents enroll in higher education immediately following high school completion, including increasing numbers of Latino adolescents (National Center for Education Statistics, 2016). Integrative model (García Coll et al., 1996) suggests a need for research on promotive and protective contextual factors for ethnic minority children and adolescents. Guided by the model, the proposed research will explore a salient Latino cultural value, familism, and family communication as predictors of changes in depressive symptoms from high school to university among Latino adolescents (N = 209; 35.6% male; Mage=17.59, SD=.53). Furthermore, sleep, a key bioregulatory mechanism, was explored as a potential moderator of these processes (Dahl & El-Sheikh, 2007). On average, familism values were not associated with college depressive symptoms, but family communication was significantly negatively associated with college depressive symptoms. Neither sleep duration nor sleep problems significantly moderated the association between familism values and college depressive symptom. Patterns were similar for family communication. The interaction between sleep problems and familism-support values were significantly associated with college depressive symptoms. However, when simple slopes were probed, none were significant.
ContributorsPark, HyeJung (Author) / Doane, Leah (Thesis advisor) / Infurna, Frank (Committee member) / Updegraff, Kimberly (Committee member) / Arizona State University (Publisher)
Created2019