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Emotional Reactivity and Risk for Psychopathology Among Adolescents

Published online by Cambridge University Press:  07 November 2014

Daniel S. Pine ,
Patricia Cohen  and
Judith S. Brook
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Abstract

Various aspects of personality or dispositional style predict risk for psychiatric disorders among adults. In particular, signs of neuroticism, emotional reactivity, or sensitivity to stress are strong predictors of later mood or anxiety disorders. The current report extends this literature to adolescents. An epidemiologic sample of 776 young people living in upstate New York received psychiatric assessments based on the Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised, (DSM-III-R) and a self-report assessment of personality style in 1983 and 1985. Psychopathology was again assessed in 1992. The current study first examined demographic correlates of emotional reactivity. The study then considered the predictive relationship between emotionally reactive personality style at one study wave and psychopathology at later waves. In middle but not early adolescence, girls showed higher levels of emotional reactivity than boys. In turn, high levels of emotional reactivity predicted a range of psychiatric disorders at follow-up. The most consistent associations emerged for major depression and fearful spells, a term the authors use to describe a subclinical form of panic attacks. As in adults, midadolescent girls rate themselves as more emotionally reactive than midadolescent boys. Moreover, adolescents who rate themselves as emotionally reactive face a high risk for mood and anxiety disorders. High levels of emotional reactivity may represent a manifestation of underlying neurobiologic risk for mood and anxiety disorders.

Type
Feature Article
Information
CNS Spectrums , Volume 6 , Issue 1: Developments in Neuroscience and Developmental Psychopathology , January 2001 , pp. 27 - 35
Copyright
Copyright © Cambridge University Press 2001

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References

REFERENCES

1.Cohen, P, Cohen, J, Brook, J. An epidemiological study of disorders in late childhood and adolescence: persistence of disorders. J Child Psychol Psychiatry. 1993;42:869–877.CrossRefGoogle Scholar
2.Lewinshon, PM, Rohde, P, Klein, DN, et al.Natural course of adolescent major depressive disorder: I. Continuity into young adulthood. J Am Acad Child Adolesc Psychiatry. 1999;58:56–63.CrossRefGoogle Scholar
3.Pine, DS, Cohen, P, Gurley, D, et al.The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry. 1998;55:56–64.CrossRefGoogle ScholarPubMed
4.Pine, DS, Cohen, E, Cohen, P, et al.Adolescent depressive symptoms as predictors of adult depression: moodiness or mood disorder? Am J Psychiatry. 1999;156:133–135.CrossRefGoogle ScholarPubMed
5.Weissman, MM, Wolk, S, Goldstein, RB, et al.Depressed adolescents grown up. JAMA. 1999;281:1707–1713.CrossRefGoogle ScholarPubMed
6.Caspi, A, Moffitt, TE, Newman, DL, et al.Behavioral observations at age 3 years predict adult psychiatric disorders: longitudinal evidence from a birth cohort. Arch Gen Psychiatry. 1996;53:1033–1039.CrossRefGoogle ScholarPubMed
7.Kagan, J. Galen's Prophecy. New York, NY: Basic Books; 1995.Google Scholar
8.Roberts, SB, Kendler, KS. Neuroticism and self-esteem as indices of the vulnerability to major depression in women. Psychol Med. 1999;29:1101–1109.CrossRefGoogle ScholarPubMed
9.Boyce, P, Parker, G, Barnett, B, et al.Personality as a vulnerability factor to depression. Br J Psychiatry. 1991;159:106–114.CrossRefGoogle ScholarPubMed
10.Hirschfeld, RM, Klerman, GL, Lavori, P, et al.Premorbid personality assessments of first onset of major depression. Arch Gen Psychiatry. 1989;46:345–350.CrossRefGoogle ScholarPubMed
11.Kendler, KS, Neale, MC, Kessler, RC, et al.A longitudinal twin study of personality and major depression. Arch Gen Psychiatry. 1993;50:853–862.CrossRefGoogle ScholarPubMed
12.Roy, A. CSF 5-HIAA correlates with neuroticism in depressed patients. J Affect Disord. 1999;52:247–249.CrossRefGoogle ScholarPubMed
13.Manuck, SB, Flory, JD, McCaffery, JM, et al.Aggression, impulsivity, and central nervous system serotonergic responsivity in a nonpatient sample. Neuropsychopharmacology. 1998;19:287–299.CrossRefGoogle Scholar
14.Eysenck, HJ. The conditioning model of neurosis. Behav Brain Sci. 1997;2:155–199.CrossRefGoogle Scholar
15.Gray, JA, McNaughton, N. The neuropsychology of anxiety: reprise. In: DA, Hope, ed. Perspectives on Anxiety, Panic, and Fear. Nebraska Symposium on Motivation. Vol 43. Omaha, Neb: University of Nebraska Press; 1996:61–134.Google Scholar
16.Rustig, CL. Interactive effects of personality and mood on emotion-congruent memory and judgement. J Personal Soc Psychol. 1999;77:1073–1086.CrossRefGoogle Scholar
17.Cohen, P. Personality development in childhood: old and new findings. In: CR, Cloninger, ed. Personality and Psychopathology. Washington, DC: American Psychiatric Association Press; 2000:101–127.Google Scholar
18.Block, JH, Block, J. The role of ego-control and ego resilience in the organization of behavior. In: WA, Collins, ed. Development of Cognition, Affect, and Social Relations. Minnesota Symposium on Child Psychology. Vol. 13. Hillsdale, NJ: Erlbaum; 1980:39–101.Google Scholar
19.Biederman, J, Rosenbaum, JF, Chaloff, J, et al.Behavioral inhibition as a risk factor. In: JS, March, ed. Anxiety Disorders in Children and Adolescents. New York, NY: Guilford Press; 1995:61–81.Google Scholar
20.Kagan, J. Temperament and the reactions to unfamiliarity. Child Dev. 1997;68:139–143.CrossRefGoogle ScholarPubMed
21.Bagby, RM, Levitan, RD, Kennedy, SH, et al.Selective alteration of personality in response to noradrenergic and serotonergic antidepressant medication in depressed sample: evidence of non-specificity. Psychiatry Res. 1999;86:211–216.CrossRefGoogle ScholarPubMed
22.Cohen, P, Cohen, J, Kasen, S, et al.An epidemiological study of disorders in late childhood and adolescence: I. Age and gender-specific prevalence. J Child Psychol Psychiatry. 1993;42:849–865.Google Scholar
23.Gurley, D, Cohen, P, Pine, DS, et al.Discriminating anxiety and depression in youth: a role for diagnostic criteria. J Affect Disord. 1996;39:191–200.CrossRefGoogle ScholarPubMed
24.Cohen, P, O'Connor, P, Lewis, SA, et al.A comparison of the agreement between DISC and K-SADS-P interviews of an epidemiological sample of children. J Am Acad Child Adolesc Psychiatry. 1987;26:662–667.CrossRefGoogle Scholar
25.Cohen, P, Velez, CN, Kohn, M, et al.Child psychiatric diagnosis by computer algorithm: theoretical issues and empirical tests. J Am Acad Child Adolesc Psychiatry. 1987;26:631–638.CrossRefGoogle ScholarPubMed
26.Costello, E, Edelbroch, C, Costello, A. Validity of the NIMH Diagnostic Interview Schedule for Children: a comparison between psychiatric and pediatric referrals. J Abnorm Child Psychol. 1985;13:579–595.CrossRefGoogle ScholarPubMed
27.Achenbach, TM, McConaughy, SH, Howell, CT. Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull. 1987;101:213–232.CrossRefGoogle ScholarPubMed
28.Jensen, P, Roper, M, Fisher, P, et al.Test-retest reliability of the Diagnostic Interview Schedule for Children (DISC 2.1): parent, child, and combined algorithms. Arch Gen Psychiatry. 1995;52:61–71.CrossRefGoogle ScholarPubMed
29.Shaffer, DS, Fisher, P, Dulcan, M, et al.The NIMH Diagnostic Interview Schedule for Children (DISC 2.3): description, acceptability, prevalence, and performance in the MECA study. J Am Acad Child Adolesc Psychiatry. 1996;35:865–877.CrossRefGoogle ScholarPubMed
30.Cohen, P, Kasen, S, Brook, JS, et al.Diagnostic predictors of treatment patterns in a cohort of adolescents. J Am Acad Child Adolesc Psychiatry. 1991;30:989–993.CrossRefGoogle Scholar
31.Velez, CN, Johnson, J, Cohen, P. A longitudinal analysis of selected risk factors for childhood psychopathology. J Am Acad Child Adolesc Psychiatry. 1989;28:861–864.CrossRefGoogle ScholarPubMed
32.Eysenck, SBG, Eysenck, HF, Barrett, P. A revised version of the psychoticism scale. Person Indiv Diff. 1985;6:21–29.CrossRefGoogle Scholar
33.Fergusson, DM, Horwood, LJ, Lawton, JM. The relationship between neuroticism and depressive symptoms. Soc Psychiatry Psychiatr Epidemiol. 1989;24:275–281.CrossRefGoogle ScholarPubMed
34.Van Os, J, Jones, PB. Early risk factors and adult person-environment relationships in affective disorder. Psychol Med. 1999;29:1055–1067.CrossRefGoogle ScholarPubMed
35.Lesch, K-P, Bengel, D, Helis, A, et al.Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science. 1996;274:1527–1531.CrossRefGoogle ScholarPubMed
36.Ebstein, RP, Gritsenko, I, Menanov, L, et al.No association between the serotonin transporter gene regulatory region polymorphism and the Tridimensional Personality Questionnaire (TPQ) temperament of harm avoidance. Mol Psychiatry. 1997;2:224–226.CrossRefGoogle ScholarPubMed
37.Davis, M. Are different parts of the amygdala involved in fear versus anxiety? Biol Psychiatry. 1998;44:1239–1247.CrossRefGoogle ScholarPubMed
38.Merikangas, KR, Avenevoli, S, Dierker, L, et al.Vulnerability factors among children at risk for anxiety disorders. Biol Psychiatry. 1999;46:1523–1535.CrossRefGoogle ScholarPubMed
39.Grillon, C, Dierker, L, Merikangas, KR. Fear-potentiated startle in adolescent offspring of parents with anxiety disorders. Biol Psychiatry. 1998;44:990–997.CrossRefGoogle ScholarPubMed
40.Klein, DF. False suffocation alarms, spontaneous panics, and related conditions: an integrative hypothesis. Arch Gen Psychiatry. 1993;50:306–317.CrossRefGoogle ScholarPubMed
41.Coryell, W. Hypersensitivity to carbon dioxide as a disease-specific trait marker. Biol Psychiatry. 1997;41:259–263.CrossRefGoogle ScholarPubMed
42.Pine, DS, Klein, RG, Coplan, JD, et al.Differential CO2- sensitivity in childhood anxiety disorders and healthy comparisons. Arch Gen Psychiatry. 2000;57:960–967.CrossRefGoogle Scholar