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2-137 - Multisystem Physiological Stress Reactivity and Psychopathology of Adolescence and Emerging Adulthood

Fri, April 7, 12:15 to 1:45pm, Hilton Austin, Governor's Ballroom Salon D

Session Type: Paper Symposium

Integrative Statement

The human stress response encompasses a dynamic orchestration of physiological systems including the hypothalamic-pituitary-adrenal (HPA) and hypothalamic-pituitary-gonadal (HPG) axes (Shirtcliff et al., 2015) and the sympathetic (SNS) and parasympathetic (PNS) branches of the autonomic nervous system (Porges, 2007). We advance an innovative multi-system developmental framework where basal physiological and stress reactivity profiles of interrelated systems are evaluated as risk factors for a variety of mental health problems during adolescence and emerging adulthood. In adults, higher basal testosterone-to-lower cortisol reactivity ratio has been associated with externalizing psychopathology (Glenn et al., 2011). However, in Talk 1, a lower basal testosterone-to-cortisol reactivity ratio predicted the emergence of externalizing problems and substance use in typically developing adolescents. In Talk 2, relational victimization was associated with heightened depressive symptoms only among emerging adults who exhibited patterns of coactivation and coinhibition of the SNS and PNS. These autonomic profiles signal physiological dysregulation (El-Sheikh et al., 2009). In Talk 3, adolescent girls who self-injure showed attenuated HPA reactivity to social evaluation, while higher baseline respiratory sinus arrhythmia (RSA) was predictive of lower rates of prospective engagement in self-injury. Longitudinal analyses (Talks 1 & 3) indicated differential predictive utility of biomarkers. We demonstrate that patterns of cross-system physiological interplay and risk profiles in adolescence sometimes differ from those of adulthood. Discussion of neural and physiological circuitries portending multisystem biopsychosocial risk for psychopathology will be anchored in ackowledgment of mechanisms instantiating environmental and social stress.

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