Adverse childhood experiences and autonomic regulation in response to acute stress: the role of the sympathetic and parasympathetic nervous systems

Background and objectives: After a previous report demonstrated blunted heart rate (HR) reactivity in association with adverse childhood experiences (ACEs) [Voellmin, A., Winzeler, K., Hug, E., Wilhelm, F. H., Schaefer, V., Gaab, J.,?…?Bader, K. (2015). Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity. Psychoneuroendocrinology, 51, 58–67. doi:10.1016/j.psyneuen.2014.09.008], the present analysis aimed at clarifying the role of the sympathetic and parasympathetic branches of the autonomic nervous system in this relationship.

Design and Methods: One hundred eighteen healthy young women provided data on ACEs and underwent psychosocial stress testing. Systolic blood pressure (SBP) and respiratory sinus arrhythmia (RSA, quantified by high-frequency HR variability) were assessed as measures of sympathetic and parasympathetic cardiovascular activity, respectively. A mediation model was calculated to test the indirect effects of ACEs on HR via SBP and RSA.

Results: The effect of ACEs on HR reactivity was mediated by SBP reactivity but not by RSA reactivity. ACEs were associated with reduced SBP at rest.

Conclusions: ACEs were associated with down-regulation in a measure of sympathetic but no alteration in a measure of parasympathetic cardiovascular stress reactivity in adulthood. Future research will need to clarify whether this indicates risk or resilience.     

"Let's work together": what do infants understand about collaborative goals?

Collaboration is fundamental to our daily lives, yet little is known about how humans come to understand these activities. The present research was conducted to fill this void by using a novel visual habituation paradigm to investigate infants’ understanding of the collaborative-goal structure of collaborative action. The findings of the three experiments reported here suggest that 14-month-old infants understand that the actions of collaborative partners are complementary and critical to the attainment of a common collaborative goal. Importantly, 14-month-olds do not interpret the actions of two individuals in terms of a collaborative goal when their actions are not causally related. The implications of our findings for theories of collaboration and folk psychology are discussed.     

Is Evidence Able to Persuade Physicians to Discuss Spirituality with Patients?

Patients believe that spirituality informs health; frequently, they wish to share their beliefs with physicians. Although a large number of physicians believe it their responsibility to be aware of patient beliefs, many do not address spirituality because they do not believe it their role to do so. These physicians would perhaps feel differently if presented with evidence that associated spirituality with positive health outcomes. This national sample of family medicine residents were asked if, presented with evidence that spirituality was associated with improved outcomes, they would be more likely to initiate discussions of spirituality with patients. To varying degrees, most residents agreed that they would be more willing to initiate spirituality discussions if presented with good evidence. Geographic region of training, religious preference, and Spiritual Well-Being Scale quartile predicted both strength of agreement and whether a resident would be as responsive to spirituality oriented research as to investigations of traditional therapeutic modalities. Although residents indicated that they would be more responsive to publications on traditional medical therapies, familiarity with the spirituality literature as part of a residency educational curriculum may help break down barriers to addressing this issue with patients.     

The Logic of the Trinity

Roughly, the problem of the Trinity is the problem of how God can be one and yet be the Father, the Son, and the Holy Spirit, which are three, not one. That one thing is identical with three distinct things seems to violate traditional laws of identity. I propose a solution to this problem according to which it is just an ordinary claim of one-many identity. For example, one pair of shoes is identical with two shoes; and my one body is identical with its six limbs of arms, legs, head, and torso. The pair of shoes is not identical with each one of the two shoes, nor is my body identical with each one of its six limbs, but rather identical with all of them taken together, or collectively. I argue that the problem of the Trinity should be understood accordingly: God is identical with the Father, the Son, and the Holy Spirit collectively, but not with each one of them distributively. According to the way I develop this proposal, no traditional laws of identity are violated, but merely generalized in an intuitive way. I argue that this is compatible with Christian Orthodoxy as given by the Athanasian Creed. I end by responding to some anticipated objections.     

Community responses to a suicidal crisis: implications for suicide prevention

We conducted a cross‐sectional, random‐digit‐dial survey to evaluate public responses to a hypothetical question: “If someone you knew was suicidal, what would you do first?” Younger people were more likely to call a suicide hotline, and less likely to go to an emergency room (ER) or call 911; immigrants (in the U.S. <15 years) were more likely to call 911, and less likely to call a suicide hotline; African Americans were more likely to go to the ER and call 911; Hispanics were more likely to call 911 but less likely to call a suicide hotline. These results suggest that public messages about hotlines and emergency options for suicidal patients need to be tailored to relevant population characteristics including age, education, ethnicity, and language preferences.     

Capturing Context-Related Change in Emotional Dynamics via Fixed Moderated Time Series Analysis

Much of recent affect research relies on intensive longitudinal studies to assess daily emotional experiences. The resulting data are analyzed with dynamic models to capture regulatory processes involved in emotional functioning. Daily contexts, however, are commonly ignored. This may not only result in biased parameter estimates and wrong conclusions, but also ignores the opportunity to investigate contextual effects on emotional dynamics. With fixed moderated time series analysis, we present an approach that resolves this problem by estimating context-dependent change in dynamic parameters in single-subject time series models. The approach examines parameter changes of known shape and thus addresses the problem of observed intra-individual heterogeneity (e.g., changes in emotional dynamics due to observed changes in daily stress). In comparison to existing approaches to unobserved heterogeneity, model estimation is facilitated and different forms of change can readily be accommodated. We demonstrate the approach's viability given relatively short time series by means of a simulation study. In addition, we present an empirical application, targeting the joint dynamics of affect and stress and how these co-vary with daily events. We discuss potentials and limitations of the approach and close with an outlook on the broader implications for understanding emotional adaption and development.     

Bayesian analysis of longitudinal multitrait–multimethod data with ordinal response variables

A new multilevel latent state graded response model for longitudinal multitrait–multimethod (MTMM) measurement designs combining structurally different and interchangeable methods is proposed. The model allows researchers to examine construct validity over time and to study the change and stability of constructs and method effects based on ordinal response variables. We show how Bayesian estimation techniques can address a number of important issues that typically arise in longitudinal multilevel MTMM studies and facilitates the estimation of the model presented. Estimation accuracy and the impact of between‐ and within‐level sample sizes as well as different prior specifications on parameter recovery were investigated in a Monte Carlo simulation study. Findings indicate that the parameters of the model presented can be accurately estimated with Bayesian estimation methods in the case of low convergent validity with as few as 250 clusters and more than two observations within each cluster. The model was applied to well‐being data from a longitudinal MTMM study, assessing the change and stability of life satisfaction and subjective happiness in young adults after high‐school graduation. Guidelines for empirical applications are provided and advantages and limitations of a Bayesian approach to estimating longitudinal multilevel MTMM models are discussed.     

Neural circuitry of the bilingual mental lexicon: Effect of age of second language acquisition

Numerous studies have proposed that changes of the human language faculty caused by neural maturation can explain the substantial differences in ultimate attainment of grammatical competences between first language (L1) acquirers and second language (L2) learners. However, little evidence on the effect of neural maturation on the attainment of lexical knowledge in L2 is available. The present functional magnetic resonance study addresses this question via a cross-linguistic neural adaptation paradigm. Age of acquisition (AoA) of L2 was systematically manipulated. Concrete nouns were repeated across language (e.g., French–German, valise^suitcase–Koffer^suitcase). Whereas early bilinguals (AoA of L2 < 3 years) showed larger repetition enhancement (RE) effects in the left superior temporal gyrus, the bilateral superior frontal gyrus and the right posterior insula, late bilinguals (AoA of L2 > 10 years) showed larger RE effects in the middle portion of the left insula and in the right middle frontal gyrus (MFG). We suggest that, as for grammatical knowledge, the attainment of lexical knowledge in L2 is affected by neural maturation. The present findings lend support to neurocognitive models of bilingual word recognition postulating that, for both early and late bilinguals, the two languages are interconnected at the conceptual level.     

Angriffe auf Körper und Seele

Experiences of abuse and neglect in early childhood generate mostly manifold adverse consequences differing from disturbances due to traumatizations in later developmental phases. They justify the diagnosis of developmental trauma disturbance. They lead to traumatization in the attachment with characteristic relationship configurations repeating the “attachment trauma”. For therapeutic work it is important to recognize these reenactments, otherwise it may come to entanglements at the level of the equivalence mode or because of pseudomentalization, thus preventing therapeutic work. In these cases the space for communication, the ability of symbolization in language and play collapses.