Watching with Argus Eyes: Characterization of emotional and physiological responding in adults exposed to childhood maltreatment and/or recent adversity

Abstract

Background:Exposure to adverse experiences is a well-established major risk factor for affective psychopathology. The vulnerability of deleterious sequelae is assumed in maladaptive processes of the defensive system, particularly in emotional processing. More specifically, childhood maltreatment has been suggested to be associated with the recruitment of specific and distinct defensive response profiles. To date it remains unclear whether these are specific or generalisable to recent adversity in adulthood.Method:This preregistered study aimed to investigate the impact of exposure to childhood and recent adversity on emotional processing in 685 healthy adults with the “Affective Startle Modulation” Paradigm (ASM).Results:First, we replicated higher trait anxiety and depression levels in individuals exposed to both types of adversity. Second, we observed blunted general skin conductance reactivity in individuals exposed to recent adversity. Third, individuals exposed to childhood maltreatment showed reduced, while individuals exposed to recent adversity showed increased discrimination between pictures of negative and neutral valence, compared to non-exposed individuals in SCR. No association between exposure to adversity and fear potentiated startle was observed. Furthermore, explorative analyses revealed moderate dimensional and categorical agreement between two childhood maltreatment questionnaires and provide insight into potential adversity-type specific effects.Conclusion:Our results support experience-dependent plasticity in sympathetic nervous system reactivity and suggest distinct response profiles in affective modulation in individuals exposed to early versus recent adversity. We emphasise the need to further explore distinct adversity profiles to further our understanding on specific psychophysiological profiles and their potential implication for prevention and intervention.