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1-073 - Early Risk Factors for the Development of Internalizing and Externalizing Symptomatology

Thu, April 6, 12:00 to 1:30pm, Austin Convention Center, Meeting Room 12A

Session Type: Paper Symposium

Integrative Statement

Internalizing and externalizing symptoms are common problems during childhood and adolescence. To prevent the occurrence of these symptoms, it is important to study early predisposing risk-factors. In this symposium, we approach this problem from a multidisciplinary and translational perspective. In four presentations we discuss novel insights on the relevance of reactivity in neuroendocrine and behavioral stress-systems indicating that both hypo- and hyper-reactivity in these stress-systems during childhood and adolescence may constitute important risk-factors for developing internalizing and externalizing symptoms. First, novel results from a primate model of behavioral inhibition are presented suggesting a neural network of behavioral inhibition-related brain regions that may underlie the development of internalizing symptoms. Second, by bridging to human research, recent findings in adolescents are presented, indicating that prolonged behavioral inhibition, as operationalized by poor recovery of freezing from acute stress forms a risk-factor for internalizing problems. In the last two presentations, behavioral and endocrine markers are linked to early-life-stress. New data from a traumatized adolescent sample and from the Minnesota-International-Adoption-Project are presented showing that exposure to early-life-stress contribute to both internalizing and externalizing symptoms. In all presentations, the role of Hypothalamic-Pituitary-Adrenal-axis (HPA) in the observed symptomatology and risk-markers are discussed. Finally, a comprehensive model is presented detailing when and for whom early-life-stress may result in hypo- versus hyper-reactivity of HPA-axis and how these distinct mechanisms may increase risk on internalizing and externalizing symptoms, respectively. To conclude, we present emerging evidence for the role of distinct neuroendocrine and behavioral risk-factors for developing internalizing and externalizing symptoms.

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