Developmental shift in testosterone influence on prefrontal emotion control.

A paradox of testosterone effects is seen in adolescents versus adults in social emotional approach-avoidance behavior. During adolescence, high testosterone levels are associated with increased anterior prefrontal (aPFC) involvement in emotion control, whereas during adulthood this neuro-endocrine relation is reversed. Rodent work shows that, during puberty, testosterone transitions from a neuro-developmental to a social-sexual activating hormone. In this study, we explored whether this functional transition is also present in human adolescents and young adults. Using a prospective longitudinal design, we investigated the role of testosterone on neural control of social emotional behavior during the transitions from middle to late adolescence and into young adulthood. Seventy-one individuals (tested at ages 14, 17, and 20 years) performed an fMRI-adapted approach-avoidance (AA) task involving automatic and controlled actions in response to social emotional stimuli. In line with predictions from animal models, the effect of testosterone on aPFC engagement decreased between middle and late adolescence, and shifted into an activational role by young adulthood-impeding neural control of emotions. This change in testosterone function was accompanied by increased testosterone-modulated amygdala reactivity. These findings qualify the testosterone-dependent maturation of the prefrontal-amygdala circuit supporting emotion control during the transition from middle adolescence into young adulthood.

Trajectories of loneliness across adolescence: An empirical comparison of longitudinal clustering methods using R.

INTRODUCTION: In this study, we compare three different longitudinal clustering methods. As a case study, the comparison of the methods is conducted for the development of loneliness from middle childhood to young adulthood. The aim is to explore how two nonparametric longitudinal cluster methods compare with a model-based latent class mixture model approach. METHODS: The trajectories of loneliness of 130 young people between 9 and 21 years of age, were analyzed to find a set clusters within these trajectories. The data for this study were obtained from the Nijmegen Longitudinal Study on Infant and Child Development (The Netherlands). Loneliness was measured at four waves at the age of 9, 13, 16, and 21 years. The nonparametric methods are in the R-packages kml and traj, and the model-based in the lcmm package. RESULTS: All methods indicated that the optimal number of clusters to describe the heterogeneity across the trajectories was three. The kml and lcmm methods showed the most similarity in shape of all clusters and fitted the data relatively well, while the traj method yielded somewhat different shapes and didn't fit the data well. CONCLUSIONS: All three methods corroborate the literature in this field by finding that the largest portion of subjects experience stable and low levels of loneliness. However, the clustering methods also reveal that there is a portion of subjects that experience changes in loneliness during adolescence. By comparing the results of nonparametric clustering methods to the latent class mixture model, this study equips researchers with an example of how to implement these models and thereby contributes to the literature on longitudinal clustering in the social sciences. Altogether the analyses show that it might be useful to investigate different algorithms to identify the most robust solution.

Trajectories of Loneliness and Psychosocial Functioning.

The present study examined the relationship between developmental patterns of loneliness and psychosocial functioning among adolescents (9-21 years; N = 110, 52% male). Four-wave longitudinal data were obtained from the Nijmegen Longitudinal Study (NLS) on Infant and Child Development. Loneliness was measured at 9, 13, 16, and 21 years of age and anxiety, depression and self-esteem at 9 and 21 years of age. Using k-means cluster analysis, three trajectories of loneliness were identified as "stable low" (56% of the subjects), "high decreasing" (22% of the subjects), and "low increasing" (22% of the subjects). Importantly, trajectories of loneliness across adolescence significantly predicted psychosocial functioning in young adulthood. Both the "high-decreasing" and "low-increasing" loneliness clusters were associated with higher risk of depression and lower self-esteem compared to the "stable low" loneliness cluster. The "low-increasing" loneliness cluster was associated with higher risk of anxiety compared to the "stable low" loneliness cluster. These results indicate that loneliness in adolescence is a vulnerability that manifests itself in higher levels of anxiety and depression and lower self-esteem in young adulthood.

Parenting quality in infancy and emotional eating in adolescence: Mediation through emotion suppression and alexithymia.

This study assessed the association between parenting quality at age 15 and 28 months and emotional eating (EE) at age 12 and 16 years through serial mediation by suppression of emotions and alexithymia at 12 years. The sample included 129 children and their parents. Lower parental quality in infancy was related to more suppression of emotions, which in turn was related to more difficulty identifying emotions, and in turn to higher EE in adolescence. This serial mediation model was significant for EE at 12 years, and for EE at 16 years. If future studies reveal converging findings, this knowledge points to the need for programs preventing the development of EE in adolescence through increasing the quality of parenting in infancy.

Friends and foes: Neural correlates of prosocial decisions with peers in adolescence.

Adolescence is a critical period for social orientation to peers and for developing social skills in interactions with peers. In the current study we examined the neural correlates of prosocial decisions for friends and disliked peers, and their links with participants' friendship quality and empathy as indices of social competence. Participants' friends and disliked peers were identified using sociometric nominations. Mid-adolescents (Mage = 14.6; N = 50) distributed coins between themselves and another player in a set of allocation games where they could make prosocial or selfish decisions for their friends and disliked peers, as well as for neutral and unfamiliar peers. Participants made the most prosocial decisions for friends and the least prosocial decisions for disliked peers. Prosocial decisions for friends yielded activity in the putamen and posterior middle temporal gyrus (pMTG) when compared to prosocial decisions for disliked peers, and in the superior parietal lobule (SPL) and precentral gyrus when compared to prosocial decisions for unfamiliar peers. Selfish decisions for friends and decisions for disliked peers did not result in heightened neural activity. Exploratory analyses of the associations between these neural activation patterns and measures of social competence revealed that putamen activity related negatively to negative friendship quality and that empathic personal distress related positively to SPL and precentral gyrus activity. Together, the findings illustrated that the SPL, precentral gyrus, pMTG, and putamen may be involved in promoting the continuation of friendships, and that social competence may modulate these neural mechanisms.

Duration of breastfeeding is associated with emotional eating through its effect on alexithymia in boys, but not girls.

Emotional eating (EE), or eating in response to negative emotions, was earlier shown to be associated with difficulty in identifying emotions (alexithymia). To improve our understanding of possible causes of alexithymia and EE, we assessed possible associations with duration of breastfeeding in infancy. The aim of the present study was to examine in a prospective, longitudinal study whether duration of breastfeeding is associated with EE in adolescence, through its effect on alexithymia difficulty identifying emotions, and whether this mediation effect is contingent on gender. Our hypothesis was that longer duration of breastfeeding would be associated with lower EE in adolescence through its effect on lower alexithymia difficulty identifying feelings in boys but not in girls (Moderated mediation). The sample included 129 children and their families (67 boys and 62 girls). Duration of breastfeeding was reported by the mother when the infant was 15 months old. Alexithymia difficulty identifying feelings (Toronto Alexithymia Scale) and EE (Dutch Eating Behavior Questionnaire) were reported by the child at 12 years of age. EE was also reported by the child at 16 years of age. Moderated mediation was significant for EE at 12 years, and borderline significant for EE at 16 years. As hypothesized, for boys but not for girls, longer duration of breastfeeding was related to less difficulties in identifying feelings, resulting in lower degrees of EE in adolescence. It is concluded that breastfeeding in infancy may protect boys against EE through its positive association with better ability to identify feelings.

Early-life and pubertal stress differentially modulate grey matter development in human adolescents.

Animal and human studies have shown that both early-life traumatic events and ongoing stress episodes affect neurodevelopment, however, it remains unclear whether and how they modulate normative adolescent neuro-maturational trajectories. We characterized effects of early-life (age 0-5) and ongoing stressors (age 14-17) on longitudinal changes (age 14 to17) in grey matter volume (GMV) of healthy adolescents (n = 37). Timing and stressor type were related to differential GMV changes. More personal early-life stressful events were associated with larger developmental reductions in GMV over anterior prefrontal cortex, amygdala and other subcortical regions; whereas ongoing stress from the adolescents' social environment was related to smaller reductions over the orbitofrontal and anterior cingulate cortex. These findings suggest that early-life stress accelerates pubertal development, whereas an adverse adolescent social environment disturbs brain maturation with potential mental health implications: delayed anterior cingulate maturation was associated with more antisocial traits - a juvenile precursor of psychopathy.

Bullying the Brain? Longitudinal Links Between Childhood Peer Victimization, Cortisol, and Adolescent Brain Structure.

Background: Childhood peer victimization is a stressful life experience associated with long-lasting adverse psychological consequences. While there is some evidence that victimization is associated with alterations in brain function, little is known about effects on brain structure. This study explored the relationships between childhood peer victimization, cortisol, and adolescent ventrolateral prefrontal cortex (vlPFC) structure in a sample of healthy children. Methods: A total of 50 (M age = 9.29 years at baseline) children participated in this longitudinal study. We examined whether diurnal cortisol levels (assessed at baseline) moderated the link between children's self-reported peer victimization (assessed at baseline) and vlPFC surface area, gray matter volume, and thickness 5 years later. Results: For boys, cortisol levels moderated the association between victimization and brain structure. For boys with a low daily cortisol output (assessed as area under the curve; AUC), high victimization was associated with a smaller right vlPFC surface area, and for boys with a high AUC, high victimization was associated with a larger right vlPFC surface area. In addition, for boys with a steeper diurnal slope, high victimization was associated with a smaller right vlPFC surface area, and for boys with a low flatter diurnal slope, high victimization was associated with a larger right vlPFC surface area. Conclusion: These results indicate the differential influence of cortisol on the relationship between victimization and brain structure. Findings suggest that victimization may have differential effects on brain development in boys who are more versus less biologically sensitive to stress.

Developmental Pathways to Preference and Popularity in Middle Childhood.

This study examined the associations between children's early life experiences with parents, ego resiliency and ego undercontrol, and peer group social status in a longitudinal, multimethod study from infancy to middle childhood. Participants were 129 children (52% boys) who were followed from 15 months of age to 9 years and their primary caregivers from the Nijmegen Longitudinal Study on Infant and Child Development. The measurements included observations of parent-child interaction, teacher ratings of ego resiliency and ego undercontrol, and peer-reported social status. Quality of parental interactive behavior was associated with ego resiliency and ego undercontrol. Ego resiliency and ego undercontrol were uniquely related to preference and popularity. The findings provide insight into the developmental pathways leading to the two distinct types of social status.

Testosterone during Puberty Shifts Emotional Control from Pulvinar to Anterior Prefrontal Cortex.

UNLABELLED: Increased limbic and striatal activation in adolescence has been attributed to a relative delay in the maturation of prefrontal areas, resulting in the increase of impulsive reward-seeking behaviors that are often observed during puberty. However, it remains unclear whether and how this general developmental pattern applies to the control of social emotional actions, a fundamental adult skill refined during adolescence. This domain of control pertains to decisions involving emotional responses. When faced with a social emotional challenge (e.g., an angry face), we can follow automatic response tendencies and avoid the challenge or exert control over those tendencies by selecting an alternative action. Using an fMRI-adapted social approach-avoidance task, this study identifies how the neural regulation of emotional action control changes as a function of human pubertal development in 14-year-old adolescents (n = 47). Pubertal maturation, indexed by testosterone levels, shifted neural regulation of emotional actions from the pulvinar nucleus of the thalamus and the amygdala to the anterior prefrontal cortex (aPFC). Adolescents with more advanced pubertal maturation showed greater aPFC activity when controlling their emotional action tendencies, reproducing the same pattern consistently observed in adults. In contrast, adolescents of the same age, but with less advanced pubertal maturation, showed greater pulvinar and amygdala activity when exerting similarly effective emotional control. These findings qualify how, in the domain of social emotional actions, executive control shifts from subcortical to prefrontal structures during pubertal development. The pulvinar and the amygdala are suggested as the ontogenetic precursors of the mature control system centered on the anterior prefrontal cortex. SIGNIFICANCE STATEMENT: Adolescents can show distinct behavioral problems when emotionally aroused. This could be related to later development of frontal regions compared with deeper brain structures. This study found that when the control of emotional actions needs to be exerted, more mature adolescents, similar to adults, recruit the anterior prefrontal cortex (aPFC). Less mature adolescents recruit specific subcortical regions, namely the pulvinar and amygdala. These findings identify the subcortical pulvino-amygdalar pathway as a relevant precursor of a mature aPFC emotional control system, opening the way for a neurobiological understanding of how emotion control-related disorders emerge during puberty.

Infant attachment predicts bodily freezing in adolescence: evidence from a prospective longitudinal study.

Early life-stress, particularly maternal deprivation, is associated with long-lasting deviations in animals' freezing responses. Given the relevance of freezing for stress-coping, translational research is needed to examine the relation between insecure infant-parent attachment and bodily freezing-like behavior in humans. Therefore, we investigated threat-related reductions in body sway (indicative of freezing-like behavior) in 14-year-old adolescents (N = 79), for whom attachment security was earlier assessed in infancy. As expected, insecure (vs. secure) attachment was associated with less body sway for angry vs. neutral faces. This effect remained when controlling for intermediate life events. These results suggest that the long-lasting effects of early negative caregiving experiences on the human stress and threat systems extend to the primary defensive reaction of freezing. Additionally, we replicated earlier work in adults, by observing a significant correlation (in adolescents assessed as securely attached) between subjective state anxiety and reduced body sway in response to angry vs. neutral faces. Together, this research opens venues to start exploring the role of freezing in the development of human psychopathology.

Early school outcomes for children of postpartum depressed mothers: comparison with a community sample.

Previous studies of the long-term effects of maternal postpartum depression (PPD) on child development have mostly focused on a limited set of outcomes, and have often not controlled for risk factors associated with maternal depression. The present study compared children of postpartum depressed mothers (n = 29) with children from a community sample (n = 113) in terms of a broad range of developmental outcomes in the early school period. Controlling for risk factors associated with maternal depression, we found that children of postpartum depressed mothers had lower ego-resiliency, lower peer social competence, and lower school adjustment than the community sample children. In addition, girls of postpartum depressed mothers showed lower verbal intelligence, and, unexpectedly, showed fewer externalizing problems than their counterparts in the community sample. Results show that children's capacities to deal with stress and interact with peers in the early school period may be particularly affected by their mothers' PPD.

Five year olds with good conscience development.

Results from a longitudinal study on factors influencing conscience development contributed to our appreciation of the importance of moral internalization for a child's well-being. In this article we first present a summary of the research on moral development in children, including findings from infant research, with emphasis on the work of Robert N. Emde. Characteristics of classical psychoanalytic theory about superego development are compared with more recent insights. This is followed by a short description of two cheating games--as a measure of conscience development--played with 101 preschoolers. Some contrasts in our empirical data between the fair-play group and the children that cheated are presented and discussed in the light of the theoretical points of view. Finally some reflections on future research and the implications for parenting, prevention and clinical work are followed by suggestions for psychoanalytic theory.

Assessment of psychopathology in 2- to 5-year-olds: Applying the Infant-Toddler Social Emotional Assessment.

The information provided by parents is indispensable for the early identification of psychopathology; for this reason, developmentally appropriate, reliable, and valid questionnaires are needed to gather their information. This study was designed to examine the utility of the Infant Toddler Social Emotional Assessment (ITSEA), a parent-report questionnaire covering a wide range of behavior and emotional problems and competencies, in preschoolers referred for child psychiatric evaluation. The fathers and mothers of 85 children (23.2% girls; age 15-57 months) with autism spectrum, externalizing, or internalizing disorders completed the ITSEA, the Child Behavior Checklist (CBCL/2-3 and 4-18 versions), and the child domain of the Parenting Stress Index (PSI). The ITSEA showed good interrater reliability between parents, and validity was supported by significant correlations with corresponding CBCl and PSI domains. Evidence supporting the validity of the ITSEA for psychopathology was mixed across scales, with good diagnostic accuracy at the level of the broader psychiatric syndromes being achieved by the combination of subscales within the Externalizing, Internalizing, and Competence domains. The value of the ITSEA lies in the ability to systematically evaluate a wide range of problem behaviors and competencies. The ITSEA may be useful to create profiles of children's functioning in preschoolers referred for psychiatric assessment.

Five-year-olds' cortisol reactions to an attachment story completion task.

An earlier study showed that negative parent-child interactions elicit cortisol increases in 5-year-old children (Smeekens et al., 2007a). In the present study, we examined whether an "imaginary" parent-child interaction situation, in which the child used a parent and child doll to complete a set of more or less stressful story beginnings, also elicited cortisol increases in the children. In a sample of 89 five-year-old children (47 boys), an attachment story completion task (Verschueren and Marcoen, 1994) was administered during a school visit. Saliva samples to assess children's cortisol levels were collected right after arrival of the experimenter at the school (T0, baseline), immediately prior (T1, pretest) and 20min after (T2, posttest) the completion of the task. Hierarchical regression analysis indicated that children who displayed more insecure stories (i.e., stories depicting the parent as unavailable, unsupportive, or hostile) showed larger relative cortisol increases, but only if they had highly negative parent-child interactions 1 week earlier. Children who did not have negative interactions with the parent showed no cortisol increases when playing insecure stories. The results suggest that it is not the playing of insecure stories itself but perhaps the emotional memories of negative parent-child interactions triggered while playing insecure stories that elicit cortisol increases in children. This underscores the profound impact that negative interactions with parents may have on children's functioning and development, not only at the behavioural and emotional level, but also at the level of physiological arousal and regulation. Results also suggest that a secure attachment to one parent may act as a buffer against negative effects of low-quality interactions with the other parent, but more research is needed to more thoroughly test this assumption.

The predictive value of different infant attachment measures for socioemotional development at age 5 years.

The predictive value of different infant attachment measures was examined in a community-based sample of 111 healthy children (59 boys, 52 girls). Two procedures to assess infant attachment, the Attachment Q-Set (applied on a relatively short observation period) and a shortened version of the Strange Situation Procedure (SSSP), were applied to the children at age 15 months and related to a comprehensive set of indicators of the children's socioemotional development at age 5 years. Three attachment measures were used as predictors: AQS security, SSSP security, and SSSP attachment disorganization. AQS security and SSSP security jointly predicted the security of the children's attachment representation at age 5. Apart from that, SSSP attachment disorganization was a better predictor of the children's later socioemotional development than were the other two early attachment measures. First, attachment disorganization was the only attachment measure to predict the children's later ego-resiliency, school adjustment, and dissociation. Second, as for the socioemotional measures at age 5 that also were related to AQS or SSSP security (i.e., peer social competence and externalizing problems), the attachment security measures did not explain any extra variance beyond what was explained by attachment disorganization.

Cortisol reactions in five-year-olds to parent-child interaction: the moderating role of ego-resiliency.

BACKGROUND: This study with five-year-olds is the first to examine whether low-quality interactions with parents elicit physiological stress in children beyond toddlerhood, as evident from elevated cortisol levels in their saliva. It was hypothesised that particularly children with low levels of ego-resiliency -a personality construct reflecting the capacity to cope with stress - would show cortisol increases during low-quality parent-child interactions. METHOD: In a sample of 101 five-year-old children (62 boys), parent-child interaction was observed at home during parent-child discourse that involved the recollection and discussion of emotional events that happened to the child in the past. Saliva samples to assess cortisol levels were collected before and 20 minutes after the parent-child discourse task. The children's teacher rated child ego-resiliency using a Dutch translation of the California Child Q-set (CCQ; Block & Block, 1980). RESULTS: One of the two parent-child interaction factors that emerged from a principal component analysis, namely negative parent-child interactions, was significantly related to the children's cortisol reaction; more negative parent-child interactions elicited significantly stronger cortisol reactions. The other parent-child interaction factor that was found, i.e., effective guidance, was not significantly related to children's cortisol reaction. As predicted, children low on ego-resiliency showed increases in cortisol during negative interactions with their parents, whereas high ego-resilient children did not. CONCLUSIONS: The association between negative parent-child interactions and cortisol elevations in children may point to a likely mechanism through which negative parent-child interactions contribute to negative developmental outcomes as the repeated exposure to high levels of cortisol have earlier been found to negatively affect children's development and functioning in various areas.

Multiple determinants of externalizing behavior in 5-year-olds: a longitudinal model.

In a community sample of 116 children, assessments of parent-child interaction, parent-child attachment, and various parental, child, and contextual characteristics at 15 and 28 months and at age 5 were used to predict externalizing behavior at age 5, as rated by parents and teachers. Hierarchical multiple regression analysis and path analysis yielded a significant longitudinal model for the prediction of age 5 externalizing behavior, with independent contributions from the following predictors: child sex, partner support reported by the caregiver, disorganized infant-parent attachment at 15 months, child anger proneness at 28 months, and one of the two parent-child interaction factors observed at 28 months, namely negative parent-child interactions. The other, i.e., a lack of effective guidance, predicted externalizing problems only in highly anger-prone children. Furthermore, mediated pathways of influence were found for the parent-child interaction at 15 months (via disorganized attachment) and parental ego-resiliency (via negative parent-child interaction at 28 months).