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Heart rate variability moderates the effects of COVID-19-related stress and family adversity on emotional problems in adolescents: Testing models of differential susceptibility and diathesis stress
Development and Psychopathology ( IF 5.317 ) Pub Date : 2021-06-08 , DOI: 10.1017/s095457942100033x
Jonas G Miller 1 , Rajpreet Chahal 1 , Jaclyn S Kirshenbaum 1 , Tiffany C Ho 1, 2 , Anthony J Gifuni 1, 3 , Ian H Gotlib 1
Affiliation  

The COVID-19 pandemic is a unique period of stress, uncertainty, and adversity that will have significant implications for adolescent mental health. Nevertheless, stress and adversity related to COVID-19 may be more consequential for some adolescents’ mental health than for others. We examined whether heart rate variability (HRV) indicated differential susceptibility to mental health difficulties associated with COVID-19 stress and COVID-19 family adversity. Approximately 4 years prior to the pandemic, we assessed resting HRV and HRV reactivity to a well-validated stress paradigm in 87 adolescents. During the pandemic, these adolescents (ages 13–19) reported on their health-related stress and concerns about COVID-19, family adversity related to COVID-19, and their recent emotional problems. The association between COVID-19 stress and emotional problems was significantly stronger for adolescents who previously exhibited higher resting HRV or higher HRV reactivity. For adolescents who exhibited lower resting HRV or HRV augmentation, COVID-19 stress was not associated with emotional problems. Conversely, lower resting HRV indicated vulnerability to the effect of COVID-19 family adversity on emotional problems. Different patterns of parasympathetic functioning may reflect differential susceptibility to the effects of COVID-19 stress versus vulnerability to the effects of COVID-19 family adversity on mental health during the pandemic.



中文翻译:

心率变异性缓和 COVID-19 相关压力和家庭逆境对青少年情绪问题的影响:差异易感性和素质压力测试模型

COVID-19 大流行是一个充满压力、不确定性和逆境的独特时期,将对青少年心理健康产生重大影响。然而,与 COVID-19 相关的压力和逆境对某些青少年的心理健康可能比对其他青少年的影响更大。我们检查了心率变异性 (HRV) 是否表明对与 COVID-19 压力和 COVID-19 家庭逆境相关的心理健康困难的不同易感性。在大流行前大约 4 年,我们评估了 87 名青少年的静息 HRV 和 HRV 对经过充分验证的压力范式的反应性。在大流行期间,这些青少年(13-19 岁)报告了他们与健康相关的压力和对 COVID-19 的担忧、与 COVID-19 相关的家庭逆境以及他们最近的情绪问题。对于之前表现出较高静息 HRV 或较高 HRV 反应性的青少年,COVID-19 压力与情绪问题之间的关联明显更强。对于表现出较低静息 HRV 或 HRV 增加的青少年,COVID-19 压力与情绪问题无关。相反,较低的静息 HRV 表明容易受到 COVID-19 家庭逆境对情绪问题的影响。副交感神经功能的不同模式可能反映了在大流行期间对 COVID-19 压力影响的易感性与对 COVID-19 家庭逆境对心理健康影响的脆弱性的不同。COVID-19 压力与情绪问题无关。相反,较低的静息 HRV 表明容易受到 COVID-19 家庭逆境对情绪问题的影响。副交感神经功能的不同模式可能反映了在大流行期间对 COVID-19 压力影响的易感性与对 COVID-19 家庭逆境对心理健康影响的脆弱性的不同。COVID-19 压力与情绪问题无关。相反,较低的静息 HRV 表明容易受到 COVID-19 家庭逆境对情绪问题的影响。副交感神经功能的不同模式可能反映了在大流行期间对 COVID-19 压力影响的易感性与对 COVID-19 家庭逆境对心理健康影响的脆弱性的不同。

更新日期:2021-06-08
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