Child Maltreatment, Delayed Reward Discounting, and Alcohol and Other Drug Use Problems: The Moderating Role of Heart Rate Variability

Oshri, Assaf; Liu, Sihong; Duprey, Erinn B.; MacKillop, James

doi:10.1111/acer.13858

Cited by 32 publications

(29 citation statements)

References 102 publications

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“…8 Research shows that higher levels of self-regulation abilities protect youth from developing addictive behaviors. 9 In contrast, reduced self-regulation may be particularly harmful among youth who report elevated depressive symptoms because depressed youth are more susceptible to using alcohol as a coping strategy for their negative affect. 10…”

Section: Child Maltreatment Depressive Symptoms and Alcohol Use Promentioning

confidence: 99%

“…Adequate self-regulation, in particular during situations of acute social stress, is a protective factor for youth's risky behaviors, such as increased alcohol use. 9 However, the large majority of this research is based on survey data 8 and has multiple methodological caveats such as reporter bias and reduced ecological validity. Studies that use experimentally induced acute stress tasks and obtain physiological parameters of self-regulation might offer complementary information about self-regulation during socially stressful situations.…”

Section: Hrv As a Biomarker Addiction Riskmentioning

confidence: 99%

“…Self‐regulation is a critical socioemotional and neurobiological trait that modulates a range of emotional responses to psychosocial stressors and is associated with reduced risk behaviors among youth 8 . Research shows that higher levels of self‐regulation abilities protect youth from developing addictive behaviors 9 . In contrast, reduced self‐regulation may be particularly harmful among youth who report elevated depressive symptoms because depressed youth are more susceptible to using alcohol as a coping strategy for their negative affect 10 …”

Section: Introductionmentioning

confidence: 99%

“…Adequate self‐regulation, in particular during situations of acute social stress, is a protective factor for youth's risky behaviors, such as increased alcohol use 9 . However, the large majority of this research is based on survey data 8 and has multiple methodological caveats such as reporter bias and reduced ecological validity.…”

Section: Introductionmentioning

confidence: 99%

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Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems Via Depressive Symptoms

2020

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Background and Objectives Young adults with childhood maltreatment (CM) histories are particularly vulnerable to depressive symptoms and alcohol use problems. Research suggests that maltreated youth may misuse alcohol in part to alleviate depressive symptoms. However, many youths with depressive symptoms exercise self‐control and abstain from heavy alcohol use. The present study aimed to examine the influence of heart rate variability reactivity (HRV‐R), a psychophysiological biomarker of self‐regulation, in the indirect link between CM and alcohol‐use problems via depressive symptoms among low socioeconomic‐status rural young adults. Methods Two waves of data were collected from a community sample of 225 low socioeconomic‐status nonmetropolitan young adults (Mage = 21.56, 52.9% female). HRV data were obtained with an electrocardiogram during a social stress task. CM was assessed through the Childhood Trauma Questionnaire. Alcohol use problems were measured using the Alcohol Use Disorders Identification Test. Results The indirect effect of CM on alcohol use problems via elevated depressive symptoms was positive and significant (α × β = .159, P < .001). Self‐regulation, indicated by high HRV‐R (ie, vagal withdrawal), was found to significantly buffer the link between depressive symptoms and alcohol use problems (β = .193, P = .022). Discussion and Conclusions Adequate self‐regulation capacities can protect maltreated youths from self‐medicating alcohol use problems. Scientific Significance This study will advance researchers’ understanding of the development of alcohol use problems through unwrapping the risk and protective mechanisms underlying the association between young adults’ early life stress and alcohol use behaviors. (Am J Addict 2020;29:141–150)

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Section: Child Maltreatment Depressive Symptoms and Alcohol Use Promentioning

confidence: 99%

Section: Hrv As a Biomarker Addiction Riskmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems Via Depressive Symptoms

2020

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“…Early life stress associated with SH is correlated with neurobiological and cognitive vulnerabilities that are also associated with more impulsive decision-making ( Hair et al, 2015 ; Luby et al, 2013 ). Youths’ ability to make less impulsive decisions and be more future-oriented is an important asset for their successful transition into responsible adult roles ( Oshri et al, 2018a , b ; Romer et al, 2010 ). More recent research evidence shows a link between stress and delay-reward discounting (DRD; Malesza, 2019 ), a person’s orientation toward smaller immediate rewards rather than larger delayed rewards ( Shamosh et al, 2008 ; Wesley and Bickel, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic hardship and delayed reward discounting: Associations with working memory and emotional reactivity

Oshri

Hallowell

Liu

et al. 2019

Developmental Cognitive Neuroscience

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Prolonged exposure to socioeconomic hardship (SH) is associated with greater delayed reward discounting (DRD), a form of impulsive decision-making that reflects a reduced capacity to delay gratification and a significant correlate of diverse risk behaviors, but the neurobehavioral mechanisms linking SH and DRD are unknown. An emerging hypothesis suggests that cognitive and affective stress associated with poverty may tax neurocognitive functions, such as working memory (WM), and lead to impulsive DRD. Furthermore, research suggests that emotional reactivity (ER) is an important dispositional factor to consider in the link between executive functions and DRD. Thus, we longitudinally examined the indirect effect of SH on impulsive DRD via a network of brain regions associated with WM function in a sample of young adults, and whether that link was moderated by ER. Participants were 119 rural African Americans (aged 19-24 years) assessed behaviorally on four occasions, with fMRI at the last time point. Results showed that, among emerging adults with higher ER, SH severity was predictive of increased DRD via reduced response in brain regions activated during an n-back WM task. These findings reveal both the cognitive and affective mechanisms that underlie the relationship between SH and DRD.

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COVID‐19‐related stress exacerbates the effect of child maltreatment on negative affect via increased identity confusion during adolescence

Azarmehr,

Reck,

Zhang

et al. 2023

Journal of Adolescence

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IntroductionExposure to childhood maltreatment may undermine the crucial developmental task of identity formation in adolescence, placing them at risk for developing negative affect. The current study investigated whether COVID‐19‐related stress intensified the indirect link between child maltreatment and adolescents' negative affect through identity confusion.MethodUsing multidimensional assessments of child maltreatment (threat vs. deprivation), the study included a sample of 124 adolescents (Mage = 12.89, SD = 0.79; 52% female) assessed before (January 2018 to March 2020) and during the pandemic (May to October 2020) in Georgia, United States. The majority of the participants were European American (78.8%), followed by African American (11.5%), Hispanic (3.8%), Asian/Pacific Islander (1.0%), and other (4.8%). We used structural equation modeling to test (a) the mediating role of identity confusion in the link between childhood maltreatment and negative affect and (b) whether COVID‐19‐related stress moderated these indirect effects. Simple slopes and Johnson–Neyman plots were generated to probe regions of significant interaction effects.ResultsThreat and deprivation predicted an increase in adolescent identity confusion. Additionally, childhood threat and deprivation were indirectly linked to adolescents' negative affect through increased levels of identity confusion. COVID‐19‐related stress significantly exacerbated the link between identity confusion and negative affect.ConclusionIdentity confusion is a mechanism underlying the link between child maltreatment and the development of negative affect in adolescence. Our results inform prevention and intervention programs that aim to reduce negative affect among adolescents who experience threatening and depriving rearing environments.

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Child Maltreatment, Delayed Reward Discounting, and Alcohol and Other Drug Use Problems: The Moderating Role of Heart Rate Variability

Abstract: The results demonstrate that the connection between CM and alcohol use problems via impulsive decision making is modulated by acute stress response reactivity, as indexed by HRV.

Cited by 32 publications

References 102 publications

Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems Via Depressive Symptoms

Heart Rate Variability Reactivity Moderates the Indirect Link Between Child Maltreatment and Young Adult Alcohol Use Problems Via Depressive Symptoms

Socioeconomic hardship and delayed reward discounting: Associations with working memory and emotional reactivity

COVID‐19‐related stress exacerbates the effect of child maltreatment on negative affect via increased identity confusion during adolescence

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