Leveraging the developmental neuroscience of caregiving to promote resilience among youth exposed to adversity

Investigative Approaches to Resilient Emotion Regulation Neurodevelopment in a South African Birth Cohort

Understanding the neurobiology of resilient emotion regulation following adversities is critical for addressing mental health problems globally. However, the functional neurobiology of resilience has rarely been studied in low- and middle-income countries, which comprise 90% of the world's population and experience more consistent adversities. Here, we describe how we are investigating the neurodevelopment of resilient emotion regulation in adolescents (anticipated N = 525) from a South African birth cohort recruited from a low-income, high-adversity township. Across 2 longitudinal time points (13-14 and 15-16 years), magnetic resonance imaging, behavior, and self-report measures from adolescents and their caregivers are collected. These data are complemented by existing developmental histories (from the prenatal period to 8 years). The culturally adapted measures, protocols, and analytic plans for investigating resilient emotion regulation are presented. By characterizing neurodevelopmental correlates of adolescent resilience from an understudied low- and middle-income country, this research will provide deeper insights into mental health globally.

Multifinality in pathways from early ecological adversity to children's future self-regulation: Elucidating mechanisms, moderators, and their developmental timing

Detrimental impacts of early ecological adversity on children's development are known, but our understanding of their mechanisms and factors contributing to multifinality of developmental trajectories triggered by adversity is incomplete. We examined longitudinal pathways from ecological adversity parents experienced when children were infants, measured as a cumulative index of fine-grained scores on several ecological risks, to children's future self-regulation (SR) in 200 U.S. Midwestern community families (96 girls). Parents' observed power-assertive styles were modeled as mediators, and their negative internal working models (IWMs) of the child, coded from interviews - as moderators. Both were assessed twice, at 16 months and at 3 years, to inform our understanding of their developmental timing. Children's SR was reported by parents and observed at 4.5 years. Path analyses revealed moderated mediation in mother-child relationships: A path from higher early ecological adversity to elevated power assertion to children's poorer SR was significant only for mothers with highly negative IWMs of the child. Maternal negative IWMs assessed early, at 16 months, moderated the link between ecological adversity and power assertion. Once elevated, maternal power assertion was stable through age 3 and not moderated by IWM at age 3. There were no significant effects in father-child relationships.

Understanding alcohol use and alcohol use disorders from a developmental psychopathology perspective: Research advances, challenges, and future directions

As part of the special issue of Development and Psychopathology honoring the remarkable contributions of Dr Dante Cicchetti, the current paper attempts to describe the recent contributions that a developmental psychopathology perspective has made in understanding the development of alcohol use and alcohol-related problems over the lifespan. The paper also identifies some of the future challenges and research directions. Because the scope of this task far exceeds the confines of a journal length article this paper does not attempt a comprehensive review. Rather, it builds on an earlier review and commentary that was published in Development and Psychopathology in 2013, with a similar goal.)Building on that work and updating its conclusions and suggestions for future directions, the current paper emphasizes findings from the research areas that were identified for further study in 2013 and the findings that have been published since that time.

Characterizing the heterogeneity of disruptions in the resolution of trauma among women exposed to childhood maltreatment

The previously observed heterogeneity in developmental and intergenerational trajectories of childhood trauma may root from interindividual differences in the way trauma-exposed individuals have resolved these experiences. The current study explored whether distinctive patterns of impaired mentalization in relation to trauma could be identified in a sample of 825 pregnant women who experienced childhood maltreatment and whether these heterogeneous patterns were marked by significant differences in internalized and externalized problems during pregnancy, intimate partner violence, personality dysfunctions, and antenatal attachment. A latent profile analysis applied to the seven subscales of the Failure to Mentalize Trauma Questionnaire unraveled interindividual variability in mentalizing impairments among pregnant women exposed to childhood maltreatment by identifying five distinctive types of psychological responses to trauma, each being associated in cross-sectional analyses with a specific set of symptoms and dysfunctions. Overall, the study highlights the need for tailored interventions based on the individuals' specific impairments in mentalizing trauma and calls for future developmental research exploring the longitudinal correlates of the five documented profiles of trauma processing.