RESUMEN
Background: MecROX is a mechanistic sub-study of the UK-ROX trial which was designed to evaluate the clinical and cost-effectiveness of a conservative approach to oxygen therapy for invasively ventilated adults in intensive care. This is based on the scientific rationale that excess oxygen is harmful. Epithelial cell damage with alveolar surfactant deficiency is characteristic of hyperoxic acute lung injury. Additionally, hyperoxaemia (excess blood oxygen levels) may exacerbate whole-body oxidative stress leading to cell death, autophagy, mitochondrial dysfunction, bioenergetic failure and multi-organ failure resulting in poor clinical outcomes. However, there is a lack of in-vivo human models evaluating the mechanisms that underpin oxygen-induced organ damage in mechanically ventilated patients. Aim: The aim of the MecROX mechanistic sub-study is to assess lung surfactant composition and global systemic redox status to provide a mechanistic and complementary scientific rationale to the UK-ROX trial findings. The objectives are to quantify in-vivo surfactant composition, synthesis, and metabolism with markers of oxidative stress and systemic redox disequilibrium (as evidenced by alterations in the 'reactive species interactome') to differentiate between groups of conservative and usual oxygen targets. Methods and design: After randomisation into the UK-ROX trial, 100 adult participants (50 in the conservative and 50 in usual care group) will be recruited at two trial sites. Blood and endotracheal samples will be taken at 0, 48 and 72 hours following an infusion of 3 mg/kg methyl-D 9-choline chloride. This is a non-radioactive, stable isotope of choline (vitamin), which has been extensively used to study surfactant phospholipid kinetics in humans. This study will mechanistically evaluate the in-vivo surfactant synthesis and breakdown (by hydrolysis and oxidation), oxidative stress and redox disequilibrium from sequential plasma and bronchial samples using an array of analytical platforms. We will compare conservative and usual oxygenation groups according to the amount of oxygen administered. Trial registration: ISRCTNISRCTN61929838, 27/03/2023 https://doi.org/10.1186/ISRCTN61929838.
RESUMEN
To test the transmission of mental health difficulties from mother to child, we examined mediation through emotion reminiscing conversations and child language. Maternal depression symptoms were measured at 9 months post-partum, and child mental health outcomes were measured at age 8 years. Emotion reminiscing conversations between 1,234 mother-child pairs (624 boys, 610 girls) were recorded as part of a large, diverse, longitudinal cohort Growing Up in New Zealand. The 1,234 reminiscing conversations were transcribed and coded for maternal elaboration and emotion resolution quality (mother and child). The coded reminiscing variables did not mediate the pathway from maternal depression to child mental health outcomes; however, each maternal reminiscing variable together with child language skill serially mediated the relationship from maternal depression symptoms to child-reported anxiety and depression symptoms, and parent-reported child externalizing symptoms. Language as a skill and it's use as a tool for making shared meaning from past events are highlighted as possible mechanisms for the intergenerational transmission of mental health difficulties. These findings point to potential opportunities for early interventions, including prevention of and support for postnatal depression, family intervention in reminiscing training, and supporting child language development.
RESUMEN
Although recent research suggests that, for community youth, greater specific (episodic) detail in self-relevant turning point memory narratives predicts depressive symptoms over time, no research has investigated whether the narratives' specificity similarly predicts depression. Therefore, we investigated whether recalling a specific (unique, 24-hour or less) turning point narrative predicted youth depressive symptoms concurrently and across 6 months (Study 1), and, for a subset of participants, three years (Study 2). We also examined whether the valence of the implication of the experience for self (the resolution) explained additional variance and interacted with memory specificity. For Study 1 (N = 320, M = 16.9 years, 81% female), a specific (rather than a non-specific) turning point predicted greater depressive symptoms concurrently but not longitudinally, whereas a negative resolution predicted both concurrent and longitudinal depressive symptoms. The moderation result showed that a specific turning point predicted escalating depressive symptoms across six months when the resolution was negative. Study 2 (N = 68) additionally showed that a specific turning point predicted increased depressive symptoms three years later. These findings contrast with research suggesting that specific memories are related to better mental health and highlight the complexity of the role of memory in emerging youth depression.
Asunto(s)
Depresión , Memoria Episódica , Humanos , Femenino , Adolescente , Masculino , Depresión/psicología , Narración , Recuerdo Mental , Estudios LongitudinalesRESUMEN
Delay discounting occurs when a reward loses value as a function of delay. Episodic future thinking (EFT) reliably decreases delay discounting. EFT may share cognitive features with recalling episodic memories such as constructive episodic simulation. We therefore explored whether recalling episodic memories also reduces delay discounting. In Experiment 1, participants wrote about episodic memories and recalled those memories before completing a delay discounting task. Episodic memories reduced delay discounting according to one commonly used delay discounting measure (area under the curve) but not another (using the hyperbolic model). Experiment 2 compared the effects of general and episodic memories. Neither general nor episodic memories significantly decreased delay discounting compared with a control "counting" condition, but episodic memories reduced delay discounting compared with general memories under some conditions. In Experiment 3, episodic memories did not decrease delay discounting compared with three other control conditions while EFT did. Experiment 3 therefore found that thinking must be both episodic and future orientated to reduce delay discounting. Together, these results suggest that episodic thinking is not sufficient to reliably decrease delay discounting, rather, features unique to episodic future thinking are required. Episodic memory might reduce delay discounting in some contexts, but this effect is small and fragile.
RESUMEN
Why do we have autobiographical memory and how is it useful? Researchers have proposed a directive function; our experiences guide our behavior, particularly when faced with an open-ended problem. Two experiments (one between-participant and one mixed design) were therefore conducted to test whether success autobiographical memories - any experience when the participant felt successful and competent - are helpful for generating solutions to problem scenarios. One research aim was to experimentally test the directive function as current experimental evidence is limited and results are mixed. Consequently, it is unclear if and how autobiographical memory is helpful for open-ended problem solving. Another aim was to test whether self-efficacy is an important factor that supports open-ended problem solving and thus the directive function. Although success memories enhanced self-ratings of self-efficacy across both experiments, in samples of undergraduate students there was no experimental effect of success autobiographical memories on problem solving. Instead, some participants across the memory and control conditions in both experiments, even when not instructed, recalled autobiographical memories related to the problem scenarios presented in the problem-solving task, and these participants did better at problem solving than those who did not. This may hint to a directive function and is perhaps one reason why there is no experimental effect. Sample and experimental design differences are discussed as potential factors that may contribute to non-significant effects in this study but significant effects in others. Our results highlight the complexity of the directive function, and the difficulty of experimentally testing how autobiographical memory directs behavior.
Asunto(s)
Memoria Episódica , Humanos , Solución de Problemas , Recuerdo Mental , EmocionesRESUMEN
Maternal depressive symptoms (MDS) in the postnatal period may impact children's later development through poorer quality parent-child interactions. The current study tested a specific pathway from MDS (child age 9 months) to child receptive vocabulary (4 ½ years) through both self-reported and observed parent-child verbal interactions (at both 2 and 4 ½ years). Participants (n = 4,432) were part of a large, diverse, contemporary pre-birth national cohort study: Growing Up in New Zealand. Results indicated a direct association between greater MDS at 9 months and poorer receptive vocabulary at age 4 ½ years. There was support for an indirect pathway through self-reported parent-child verbal interactions at 2 years and through observed parent-child verbal interactions at 4 ½ years. A moderated mediation effect was also found: the indirect effect of MDS on child vocabulary through observed verbal interaction was supported for families living in areas of greater socioeconomic deprivation. Overall, findings support the potential role of parent-child verbal interactions as a mechanism for the influence of MDS on later child language development. This pathway may be particularly important for families experiencing socioeconomic adversity, suggesting that effective and appropriate supportive parenting interventions be preferentially targeted to reduce inequities in child language outcomes.
RESUMEN
The way that mothers talk about the past (reminisce) with young children is linked to key memory, language, and socioemotional outcomes. The present research explored the role of a range of child, maternal, socioeconomic, and cultural factors that predict maternal reminiscing style, with a particular focus on maternal personality and child temperament. A total of 1,404 mother-child dyads from the prebirth longitudinal cohort study Growing Up in New Zealand (https://www.growingup.co.nz) participated in a reminiscing task about a negative event when children were 8 years old. This broader cohort is broadly representative of the New Zealand population in terms of maternal ethnicity and socioeconomic status. Conversations were scored using a revised version of the Elaborative Reminiscing Scale. Child temperament during infancy, but not childhood, uniquely predicted maternal reminiscing style. Maternal extraversion also predicted a more elaborative reminiscing style. Other maternal factors, including education, ethnicity, and age, were also identified as unique predictors of maternal reminiscing style. These findings fit well with an ecological systems view of maternal reminiscing as a function of child, maternal, and cultural factors. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Asunto(s)
Memoria Episódica , Relaciones Madre-Hijo , Niño , Femenino , Humanos , Preescolar , Relaciones Madre-Hijo/psicología , Temperamento , Estudios de Cohortes , Estudios Longitudinales , Nueva Zelanda , Madres/psicología , PersonalidadRESUMEN
INTRODUCTION: Oral language skills are associated with children's later self-regulation and academic skills; in turn, self-regulation in early childhood predicts successful functioning later in life. The primary objective of this study is to evaluate the separate and combined effectiveness of an oral language intervention (Enhancing Rich Conversations, ENRICH) and a self-regulation intervention (Enhancing Neurocognitive Growth with the Aid of Games and Exercise, ENGAGE) with early childhood teachers and parents for children's oral language, self-regulation and academic functioning. METHODS AND ANALYSIS: The Kia Timata Pai (Best Start) study is a cluster randomised controlled trial with teachers and children in approximately 140 early childhood centres in New Zealand. Centres are randomly assigned to receive either oral language intervention only (ENRICH), self-regulation intervention only (ENGAGE), both interventions (ENRICH+ENGAGE) or an active control condition. Teachers' and parents' practices and children's oral language and self-regulation development are assessed at baseline at age 1.5 years and approximately every 9 months to age 5, and academic performance at age 6. Teacher-child interactions will also be videotaped each year in a subset of the centres. Children's brain and behaviour development and parent-child interactions will be assessed every 6 months to age 6 years in a subgroup of volunteers. ETHICS AND DISSEMINATION: The Kia Timata Pai trial and the two substudies (Video Project; Brain and Behaviour Development) have been approved by the University of Otago Human Ethics Committee (Health; H20/116), and reviewed for cultural responsiveness by: the Ngai Tahu Research Committee (University of Otago), the Maori Advisory Group (University of Auckland, Liggins Institute) and an internal cultural advisory group. Results will be disseminated in international and national peer-reviewed academic journals and communicated to local, national and international organisations serving early childhood teachers, parents and young children. Data will be available via communication with the corresponding author. TRIAL REGISTRATION NUMBER: ACTRN12621000845831.
Asunto(s)
Pueblo Maorí , Autocontrol , Humanos , Preescolar , Lactante , Niño , Cognición , Lenguaje , Padres/educación , Ensayos Clínicos Controlados Aleatorios como AsuntoRESUMEN
Although research findings show that the personal memories of people who are depressed are characterized by sparse episodic detail, under some circumstances, the opposite pattern emerges. Specifically, a recent study (Salmon et al., 2021) has shown that for community youth, greater episodic detail in a highly self-relevant narrative (a life turning point) predicted increased depressive symptoms concurrently and one year later. In a new longitudinal study of young people (N = 320 at Time 1, M = 16.9 years; 81% female) followed up over six months, we aimed to replicate and extend this finding. In Study A, we compared the turning point with a narrative about a conflict event, to establish whether the detail in a turning point memory uniquely predicted depressive symptoms. Supporting the first hypothesis, at both time-points, greater episodic detail was concurrently positively associated with depressive symptoms for turning point narratives only. Contrary to our second hypothesis, greater detail did not predict increased depressive symptoms longitudinally. The reverse pattern was significant, however, in that greater initial depressive symptoms predicted greater detail uniquely in the turning point narrative six months later. In Study B, we determined that the concurrent association between episodic detail and depressive symptoms in turning points (but not conflict events) was exacerbated by linguistic markers of self-focus (greater I-talk and lower distancing language). These findings suggest that greater detail in a turning point narrative may uniquely signify risk of psychological distress when youth narrate the experience with heightened self-focus.
Asunto(s)
Depresión , Distrés Psicológico , Humanos , Femenino , Adolescente , Masculino , Estudios Longitudinales , NarraciónRESUMEN
Background: In the wake of the COVID-19 pandemic, the central importance of socioemotional skills in positive child development has become even more apparent. Prevalent models of emotion socialization emphasize the importance of parent-child talk as a critical socialization context. Purpose: Autobiographical reminiscing about the child's lived experience may be a particularly effective form of parent-child conversation that facilitates emotion understanding. Method: The authors provide a theoretical and empirical review of how maternal reminiscing style impacts specifically on emotion socialization in both typically and atypically developing children. Results: Individual differences in maternal reminiscing indicate that highly elaborative reminiscing is related to both better narrative skills and higher levels of emotion understanding and regulation both concurrently and longitudinally. Intervention studies indicate that mothers can be coached to be more elaborative during reminiscing and coaching leads to higher levels of emotion understating and regulation. Conclusions: Reminiscing about lived experience allows mothers and children to explore and examine emotions in personally meaningful situations that have real world implications for children's evolving emotion understanding.
RESUMEN
INTRODUCTION: Robust research links qualities of parent-child discussions about past emotion-laden events to socioemotional development and broader psychological outcomes during childhood. The role of parent-adolescent reminiscing in adolescent psychological adjustment, however, has received less attention, despite adolescence being a time of heightened vulnerability for the development of internalizing symptoms. In the current multimethod study, we investigated cross-sectional and longitudinal associations between the qualities of conversations between mothers and adolescents (ages 13-16) and adolescents' internalizing problems. METHODS: Participants were 67 mother-adolescent dyads (total N = 134, 58.8% of youth identified as female) located across regions of New Zealand/Aotearoa. Each dyad discussed a past shared conflict, coded for supportive and unsupportive reminiscing conversational qualities with an adapted dyadic coding scheme. Youth internalizing symptoms were assessed at two-time points, 12-month apart. RESULTS: Dyadic structural equation modeling analyzed cross-sectional and longitudinal relationships between conversational qualities and adolescents' internalizing problems. Findings indicated concurrent associations between unsupportive mother-adolescent reminiscing qualities and heightened youth anxiety symptoms: Specifically, mothers' avoidance and lower levels of emotion discussion and adolescents' emotional disengagement were linked to greater youth anxiety symptoms. Moreover, increases in youth anxiety symptoms 12 months later were weaker for youth who engaged in greater levels of the supportive reminiscing qualities of balanced emotion discussion and active problem-solving. CONCLUSIONS: These novel findings highlight the transactional nature and complex dynamics of reminiscing during adolescence and their relationship with youth mental health, which has implications for theory and clinical practice.
Asunto(s)
Madres , Padres , Humanos , Adolescente , Femenino , Estudios Transversales , Padres/psicología , Madres/psicología , Emociones , Ansiedad/psicologíaRESUMEN
Several decades of research have established reduced autobiographical memory specificity, or overgeneral memory, as an important cognitive factor associated with the risk for and maintenance of a range of psychiatric diagnoses. In measuring this construct, experimenters code autobiographical memories for the presence or absence of a single temporal detail that indicates that the remembered event took place on a single, specific, day (Last Thursday when I rode bikes with my son), or multiple days (When I rode bikes with my son). Studies indicate that the specificity of memories and the amount of other episodic detail that they include (e.g., who, what, and where) are related and may rely on the same neural processes to elicit their retrieval. However, specificity and detailedness are nonetheless separable constructs: imperfectly correlated and differentially associated with current and future depressive symptoms and other associated intrapersonal (e.g., rumination) and interpersonal (e.g., social support) outcomes. The ways in which the details of our memories align with narrative themes (i.e., agency, communion, identity) and the coherence with which these details are presented, are also emerging as important factors associated with psychopathology. The temporal specificity of autobiographical memories may be important, but other memory constructs warrant further attention in research and theory, especially given the associations, and dependencies, between each of these constructs. Researchers in this area must consider carefully whether their research questions necessitate a focus on autobiographical memory specificity or whether a more inclusive analysis of other autobiographical memory features is necessary and more fruitful. This article is categorized under: Psychology > Memory.
Asunto(s)
Memoria Episódica , Trastornos Mentales , Humanos , Trastornos Mentales/diagnóstico , Recuerdo Mental , Atención , NarraciónRESUMEN
Introduction: The ProximaTM point of care (POC) device enables arterial blood gas (ABG) samples to be analysed without the nurse leaving the patient. The benefits of this for work efficiency have not been evaluated. Methods: We compared the time taken to obtain an ABG result using ProximaTM versus a standard ABG sampling system. Twenty patients were randomized to ABG sampling using ProximaTM, or a standard ABG system. Nurses were observed performing all ABG sampling episodes for a minimum of 24 hours and no more than 72 hours. Results: The mean time taken to obtain a result using ProximaTM was 4:56 (SD = 1:40) minutes compared to 6:31 (SD = 1:53) minutes for the standard ABG technique (p < 0.001). Mean time away from the patient's bedside was 3.07 (SD = 1:17) minutes using the standard system and 0 minutes using ProximaTM (p < 0.001). Conclusions: Reduced time for blood gas sampling and avoidance of time away from patients may have significant patient safety and resource management implications, but the clinical and financial significance were not evaluated.
RESUMEN
We investigated whether selective discussion of autobiographical memory narratives would impact the quality of young people's recall of their nondiscussed memory narratives. Children (ages 8-9 years, n = 65) and adolescents (ages 13-15 years, n = 58) completed an adapted version of the retrieval-induced forgetting (RIF) paradigm for self-generated positively and negatively valenced autobiographical memories. Overall, 54.5% of the sample were female and 63.4% were of European ethnicity (11.4% Pacific Peoples, 8.1% Middle Eastern/Latin American/African, 7.3% Maori, 7.3% Asian, 2.4% Other). We defined narrative qualities as narrative coherence (Reese et al., 2011) and episodic and nonepisodic information (Addis et al., 2008). In light of developmental findings in other domains of autobiographical memory research (e.g., Reese et al., 2011; Willoughby et al., 2012), we hypothesized that selective discussion would result in RIF for children's, but not adolescents', narrative coherence and episodic detail, and that RIF would not occur for nonepisodic details for either children or adolescents. Findings for narrative coherence and nonepisodic detail indicated support for our hypotheses. Findings for episodic detail were in partial support of our hypothesis; RIF for episodic detail was found for both children and adolescents. Our findings not only demonstrate the importance of investigating the wider effects of RIF but also uncovered developmental differences previously overlooked in the field. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Asunto(s)
Memoria Episódica , Adaptación Fisiológica , Adolescente , Población Negra , Niño , Femenino , Humanos , Recuerdo Mental , NarraciónRESUMEN
The consequences of profound disruption to everyday life caused by the COVID-19 pandemic will only emerge over time. Guided by ecological systems (Pitchik et al., 2021) and developmental psychopathology (Masten & Cicchetti, 2010) frameworks, I review evidence that points to parents at home with children as particularly vulnerable to increased psychological difficulties, particularly in contexts of poverty. Resultant compromised parenting may reduce children's opportunities for the kinds of everyday interactions that promote cognitive and socioemotional development and expose them to increases in coercive, avoidant, and other problematic caregiving behaviours. I discuss three evidence-based strategies that parents could adopt to buffer their child's mental health: building positive discipline strategies, talking with the child about the pandemic and its consequences, and conversing about the past. I conclude, however, that approaches to supporting parents and their children at this time must also address multisystem factors that compromise caregivers' ability to provide nurturing care.
RESUMEN
Depressed people have reduced ability to recall specific autobiographical memories, yet the role of reduced memory specificity in the development of adolescent depression is unclear. Two reasons are the limited longitudinal studies with this age group and the dominant use of just one measure of memory specificity, the Autobiographical Memory Test (AMT; Williams & Broadbent, 1986). In the current one-year longitudinal study, community adolescents (N = 132, M = 16.13 years at Time 1) wrote about a life turning point, and their narratives were coded with respect to the amount of episodic and semantic detail. Participants also completed an adapted version of the Minimal Instructions AMT. Greater episodic detail in young people's turning point narrative was positively associated with depressive symptoms separately at Times 1 and 2, and uniquely predicted increases in depressive symptoms across the year. A non-positive valence of the turning point resolution also positively predicted Time 2 depressive symptoms. In contrast, specificity as assessed by the AMT did not predict such an increase. The results suggest that episodic detail in highly self-relevant narratives may be a sensitive predictor of increases in adolescent depressive symptoms across time. We consider excessive self focus and retrieval style as potential explanations of our findings.
Asunto(s)
Depresión , Memoria Episódica , Adolescente , Humanos , Estudios Longitudinales , Recuerdo Mental , NarraciónRESUMEN
Despite increasing support for the distinction between primary and secondary variants of callous-unemotional features in children with disruptive behavioural disorders, evidence about whether emotion recognition deficits are only characteristic of primary CU is inconclusive. We tested whether, in young children with Oppositional Defiant Disorder (ODD; N = 74), level of affective arousal moderated the association between CU and performance on behavioural measures of emotional abilities. The association between CU and emotion recognition abilities was dependent on the child's level of affective arousal with higher CU associated with poorer emotion recognition abilities for ODD children with lower affective arousal (r = - 0.49; p = .007) but not for those with higher levels (r = 0.03; p = .838). Our results replicate recent findings and give support to the notion that the primary CU variant is characterised emotionally by under arousal of affect, low affect dysregulation and impaired emotion recognition abilities.
Asunto(s)
Trastorno de la Conducta , Nivel de Alerta , Déficit de la Atención y Trastornos de Conducta Disruptiva , Niño , Preescolar , Emociones , HumanosRESUMEN
The tendency to adopt an observer perspective (OP) when recalling autobiographical memories has been shown to be related to both avoidance and depression in adults. Very little research has examined this relationship in adolescents, however, and none of this work has adopted a longitudinal paradigm. This is an important gap in light of the marked escalation in rates of depression across the adolescent period. The current study therefore examined the concurrent and longitudinal (one year) relationships between observer perspective in the Minimal Instruction Autobiographical Memory Test (Mi-AMT; Debeer, E., Hermans, D., & Raes, F. (2009). Associations between components of rumination and autobiographical memory specificity as measured by a minimal instructions autobiographical memory test. Memory, 17(8), 892-903. https://doi.org/10.1080/09658210903376243), avoidance, and depression in a large, longitudinal sample of adolescents (mean age = 15.03 at T1). Consistent with predictions we found a significant but small cross-sectional correlation between OP and higher levels of depressive symptoms, however the relationship with avoidance was not significant. Contrary to predictions, the longitudinal relationships of OP with avoidance and depression were not significant. These findings raise the possibility that OP may be negligibly related to avoidance or depression during adolescence.
Asunto(s)
Depresión , Memoria Episódica , Adolescente , Adulto , Estudios Transversales , Humanos , Recuerdo MentalRESUMEN
BACKGROUND: The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. METHODS: We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. RESULTS: The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. CONCLUSIONS: Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression.
Asunto(s)
Disfunción Cognitiva/fisiopatología , Depresión/fisiopatología , Trauma Psicológico/fisiopatología , Trastornos por Estrés Postraumático/fisiopatología , Adolescente , Niño , Disfunción Cognitiva/etiología , Conjuntos de Datos como Asunto , Depresión/etiología , Femenino , Humanos , Masculino , Trauma Psicológico/complicaciones , Trastornos por Estrés Postraumático/etiologíaRESUMEN
INTRODUCTION: Research with adults and older adolescents has found that people exhibiting higher narrative coherence in life stories also report higher psychological wellbeing; however, this link has not been investigated longitudinally. The current study investigated concurrent and longitudinal relationships in mid-adolescence between narrative coherence (causal and thematic coherence) of turning point narratives and psychopathology (depressive symptoms and rumination) and psychological wellbeing (life satisfaction). Hypothesis one was that in concurrent analyses, narrative coherence would be negatively associated with psychopathology and positively associated with wellbeing. Hypothesis two was that higher narrative coherence would predict lower psychopathology and greater wellbeing over time. METHOD: A sample of 132 adolescents (ages 14-18 years) wrote a narrative about a turning point event in their life and completed psychopathology and psychological wellbeing measures twice, approximately one year apart. RESULTS: Partial correlations on concurrent data showed that only causal coherence was associated with lower psychopathology and higher wellbeing. Longitudinal regressions showed that causal coherence predicted higher wellbeing one year later. CONCLUSIONS: These findings suggest that causal coherence in life stories may play a causal role in increased life satisfaction over time for adolescents. Experimental research is required to further investigate this possibility.