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17-06-2023

Discordance Indices of Stress Sensitivity and Trajectories of Internalizing Symptoms in Adolescence

Auteurs: Ellen Jopling, Katerina Rnic, Taylyn Jameson, Alison Tracy, Joelle LeMoult

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 10/2023

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Abstract

Psychiatric illness in adolescence is associated with long-term impairments, making it critical to identify predictors of adolescent psychiatric distress. Individual differences in stress sensitivity could be associated with longitudinal trajectories of internalizing symptoms. Historically, researchers have operationalized stress sensitivity by assessing either objective or subjective responses to stress. However, we posit that the relative discordance between subjective and objective responses to stress is a critical metric of stress sensitivity. We examined whether two discordance-based indices of stress sensitivity were related to one another and to trajectories of internalizing psychopathology among a sample of 101 adolescent youths (Mage = 12.80 at baseline; 55% males) across two successive stressors: the high school transition and the COVID-19 pandemic. Using latent growth curve modeling, we found that greater discordance between subjective (i.e., affective) and objective (i.e., cortisol) responses to a social-evaluative stressor was associated with higher internalizing symptoms at baseline and an accelerated symptom growth trajectory across the first year of the pandemic. In contrast, early life stress sensitivity was not associated with internalizing symptoms. Findings suggest that the discordance between objective and subjective experiences of social-evaluative stress predicts a pernicious growth trajectory of internalizing symptoms during adolescence. This work advances current methodologies, contributes to theoretical models of internalizing psychopathology, and with replication could have implications for policy and practice by identifying a key vulnerability factor that increases adolescents’ psychiatric distress over time.
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The main analyses were repeated after replacing latent factor scores with summed standardized symptom scores. An identical pattern of findings emerged: social-evaluative stress sensitivity was associated with higher levels of internalizing symptoms at baseline, and with a nonlinear symptom trajectory with an initial downward trend and greater quadratic growth in symptoms over time (ps ≤ 0.05). Early life stress sensitivity was not associated significantly either with symptoms at baseline or with longitudinal symptom trajectories.
 
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Metagegevens
Titel
Discordance Indices of Stress Sensitivity and Trajectories of Internalizing Symptoms in Adolescence
Auteurs
Ellen Jopling
Katerina Rnic
Taylyn Jameson
Alison Tracy
Joelle LeMoult
Publicatiedatum
17-06-2023
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 10/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-023-01095-4