Display options
Share it on

Psychol Med. 2020 Aug 17;1-9. doi: 10.1017/S0033291720002810. Epub 2020 Aug 17.

RSA reactivity to parent-child conflict as a predictor of dysregulated emotion and behavior in daily life.

Psychological medicine

Amy L Byrd, Vera Vine, Joseph E Beeney, Lori N Scott, J Richard Jennings, Stephanie D Stepp

Affiliations

  1. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
  2. Department of Psychiatry and Psychology, University of Pittsburgh, Pittsburgh, PA, USA.

PMID: 32799942 PMCID: PMC7908813 DOI: 10.1017/S0033291720002810

Abstract

BACKGROUND: Individual variability in tonic (resting) and phasic (reactivity) respiratory sinus arrhythmia (RSA) may underlie risk for dysregulated emotion and behavior, two transdiagnostic indicators that permeate most psychological disorders in youth. The interaction between tonic and phasic RSA may specify unique physiological profiles during the transition to adolescence. The current study utilized clinically referred youth (Mage = 12.03; s.d. = 0.92) to examine baseline RSA, RSA reactivity, and their interaction as predictors of dysregulated emotion and behavior in daily life.

METHOD: Participants were 162 youth (47% female; 60% minority) in psychiatric treatment for any mood or behavior problem. RSA was assessed during three, 2-minute baselines and an 8-minute parent-child conflict discussion task. Dysregulated emotion and behavior were assessed during a 4-day ecological momentary assessment protocol that included 10 time-based prompts over a long weekend.

RESULTS: Greater RSA withdrawal to the conflict was associated with dysregulated basic emotion (sadness, anger, nervousness, stress) in daily life. Two distinct interactions also emerged, such that baseline RSA was related to dysregulated complex emotion (shame, guilt, loneliness, emptiness) and dysregulated behavior as a function of RSA reactivity to conflict. Lower baseline RSA and greater RSA withdrawal were associated with dysregulated complex emotion, while higher baseline RSA and greater RSA withdrawal were associated with dysregulated behavior.

CONCLUSIONS: Findings point to physiological profiles that increase the risk of dysregulated emotion and behavior during the transition to adolescence. Excessive RSA withdrawal uniquely, and in combination with baseline RSA, increased risk for dysregulation in daily life, underscoring the role of autonomic stress responding as a risk factor for psychopathology.

Keywords: RSA; adolescence; aggression; emotion dysregulation; psychophysiology; transdiagnostic

References

  1. J Abnorm Psychol. 2008 Aug;117(3):647-61 - PubMed
  2. Hypertension. 2014 Dec;64(6):1334-43 - PubMed
  3. Biol Psychol. 2013 Oct;94(2):272-81 - PubMed
  4. Psychophysiology. 2019 May;56(5):e13329 - PubMed
  5. Dev Psychopathol. 2014 Nov;26(4 Pt 2):1337-52 - PubMed
  6. Biol Psychol. 2019 Mar;142:37-44 - PubMed
  7. Psychophysiology. 2017 Mar;54(3):399-408 - PubMed
  8. Neurosci Biobehav Rev. 2019 May;100:98-107 - PubMed
  9. J Am Acad Child Adolesc Psychiatry. 2004 Feb;43(2):154-62 - PubMed
  10. Biol Psychol. 2007 Feb;74(2):144-53 - PubMed
  11. Biol Psychol. 2007 Feb;74(2):116-43 - PubMed
  12. Psychol Bull. 2015 Jul;141(4):901-30 - PubMed
  13. Int J Psychophysiol. 2015 Nov;98(2 Pt 2):338-350 - PubMed
  14. Psychophysiology. 2019 Feb;56(2):e13287 - PubMed
  15. Emotion. 2015 Jun;15(3):360-72 - PubMed
  16. Behav Res Ther. 2011 Sep;49(9):544-54 - PubMed
  17. Psychol Rev. 1990 Jul;97(3):315-31 - PubMed
  18. Dev Psychobiol. 2013 Nov;55(7):698-706 - PubMed
  19. Curr Opin Psychol. 2015 Jun 1;3:43-47 - PubMed
  20. J Abnorm Child Psychol. 2009 Nov;37(8):1049-61 - PubMed
  21. Psychophysiology. 1997 Nov;34(6):623-48 - PubMed
  22. Psychophysiology. 1992 Nov;29(6):742-50 - PubMed
  23. Annu Rev Psychol. 2003;54:253-76 - PubMed
  24. Psychophysiology. 1994 Nov;31(6):572-85 - PubMed
  25. Dev Psychol. 2003 May;39(3):606-17 - PubMed
  26. Dev Psychopathol. 2001 Spring;13(2):183-214 - PubMed
  27. Biol Psychol. 2013 Sep;94(1):22-37 - PubMed
  28. Dev Psychobiol. 2020 May;62(4):423-435 - PubMed
  29. Psychophysiology. 2015 Oct;52(10):1343-50 - PubMed
  30. Dev Psychopathol. 2009 Winter;21(1):87-97 - PubMed
  31. Dev Psychol. 2003 Nov;39(6):1020-35 - PubMed
  32. Clin Psychol Sci. 2020 May;8(3):412-427 - PubMed
  33. Monogr Soc Res Child Dev. 1994;59(2-3):167-86 - PubMed

Publication Types

Grant support