Longitudinal Associations Among Child Maltreatment, Resting Frontal Electroencephalogram Asymmetry, and Adolescent Shyness

Neurodevelopmental Impact of Maternal Postnatal Depression: A Systematic Review of EEG Biomarkers in Infants

BACKGROUND/OBJECTIVES

Postpartum depression (PPD) significantly impacts maternal well-being and child neurodevelopment. While the etiology of PPD is well understood, the precise neurodevelopmental consequences, particularly differentiating prenatal and postnatal effects, remain unclear. This systematic review aims to synthesize the existing literature on the neurophysiological effects of maternal PPD on infant neurodevelopment, focusing on electroencephalography (EEG) biomarkers to identify consistent patterns and potential mediating factors.

METHODS

A comprehensive literature search across PubMed/MEDLINE, Web of Science, and Scopus identified studies investigating infants (0-12 months) exposed to maternal depressive symptoms (assessed via validated psychometric instruments) with quantitative EEG data. Study quality was assessed using the Newcastle-Ottawa Scale.

RESULTS

Twelve studies met the inclusion criteria. Eleven investigated EEG asymmetry, predominantly frontal alpha asymmetry (FAA). The findings consistently showed greater right FAA in the infants of mothers with PPD, suggesting increased negative affectivity and avoidance behaviors. This association was stronger with prolonged or combined prenatal/postnatal exposure. However, EEG power and connectivity findings were less consistent, with some studies reporting altered occipital power at 1 month and frontal power at 3 months in the infants of depressed mothers. No significant associations were found between maternal depression and functional connectivity.

CONCLUSIONS

This review demonstrates a robust association between maternal PPD and altered infant EEG patterns, particularly increased right FAA. However, methodological heterogeneity necessitates future research with standardized protocols and longitudinal designs to establish causality and investigate long-term effects. Further research should also explore the underlying neural mechanisms and evaluate the efficacy of targeted interventions. These findings underscore the need for early identification and intervention to mitigate the negative impact of PPD on infant neurodevelopment.

Associations between Shyness and Victimization with Substance Use Outcomes in the National Comorbidity and Collaborative Psychiatric Epidemiological Surveys

Background: There is a lack of consensus among researchers on the association between shyness and substance use. This may be due to unexamined modifiers of this association, such as childhood victimization. Objective: The purpose of this study was to examine if experiencing different types of victimization (emotional, physical, sexual, and poly-victimization) modifies the association between shyness and substance use outcomes in adults. In this study, we performed moderation analyses to investigate whether victimization moderates the association between shyness and substance use/abuse. Data came from the National Comorbidity Survey Baseline (NCS-1; 1990-1992) and the Collaborative Psychiatric Epidemiological Surveys (CPES; 2001-2003). Substance use outcomes included were binge drinking, tobacco use, other drug use, and DSM-III-R (NCS-1)/DSM-IV (CPES) classifications of alcohol and drug abuse. Results: Results from NCS-1 supported a moderating role of childhood victimization on the relationship between shyness and tobacco use only, specifically for emotional (p = .031) and physical (p < .001) victimization, and poly-victimization (p < .001). Results from CPES showed a moderating role of lifetime sexual abuse for binge drinking (p = .017), other drug use (p = .028), and alcohol abuse (p = .004). For both datasets, the associations between shyness and substance use outcomes were stronger when there were no victimization histories. Conclusion: These findings give insight on the complexity of the interaction between shyness and victimization. Future research could focus on mechanisms, such as cognitive processes, that may contribute to interactions between shyness and victimization history on substance outcomes.

Links between social avoidance and frontal alpha asymmetry during processing emotional facial stimuli: An exploratory study

Individuals who are socially avoidant actively remove themselves from opportunities for social interaction and have a strong desire for solitude. Although social avoidance is associated with a host of adjustment difficulties, its neural substrates remain under-explored. To address this gap, we conducted an exploratory study to compare electroencephalography (EEG) frontal alpha asymmetry (FAA) scores during processing emotional facial stimuli in socially avoidant and non-withdrawn comparison individuals. From an original sample of N = 384 undergraduate students, 25 avoidant and 27 comparison individuals were identified. For this subset of participants, EEG modulations and self-reported experience ratings during a picture processing task were assessed. Among the results, the socially avoidant group's ratings of positive stimuli were significantly lower than the non-withdrawn comparison group. The socially avoidant group also had significantly lower FAA scores in response to positive stimuli than the comparison group. Further, asymmetry scores of the comparison group in the positive conditions were higher than in the negative and neutral conditions. However, there were no significant differences between these three conditions in the socially avoidant group. Our results suggest that socially avoidant individuals may eschew interpersonal relationships because of a relatively greater right hemisphere cortical activity, which may contribute to a withdrawal motivation when confronted with negative emotional stimuli in social contexts.

Heart rate variability moderates the effects of COVID-19-related stress and family adversity on emotional problems in adolescents: Testing models of differential susceptibility and diathesis stress

The COVID-19 pandemic is a unique period of stress, uncertainty, and adversity that will have significant implications for adolescent mental health. Nevertheless, stress and adversity related to COVID-19 may be more consequential for some adolescents' mental health than for others. We examined whether heart rate variability (HRV) indicated differential susceptibility to mental health difficulties associated with COVID-19 stress and COVID-19 family adversity. Approximately 4 years prior to the pandemic, we assessed resting HRV and HRV reactivity to a well-validated stress paradigm in 87 adolescents. During the pandemic, these adolescents (ages 13-19) reported on their health-related stress and concerns about COVID-19, family adversity related to COVID-19, and their recent emotional problems. The association between COVID-19 stress and emotional problems was significantly stronger for adolescents who previously exhibited higher resting HRV or higher HRV reactivity. For adolescents who exhibited lower resting HRV or HRV augmentation, COVID-19 stress was not associated with emotional problems. Conversely, lower resting HRV indicated vulnerability to the effect of COVID-19 family adversity on emotional problems. Different patterns of parasympathetic functioning may reflect differential susceptibility to the effects of COVID-19 stress versus vulnerability to the effects of COVID-19 family adversity on mental health during the pandemic.

Frontal EEG asymmetry moderates the relation between borderline personality disorder features and feelings of social rejection in adolescents

Although associations among borderline personality disorder (BPD), social rejection, and frontal EEG alpha asymmetry scores (FAA, a neural correlate of emotion regulation and approach-withdrawal motivations) have been explored in different studies, relatively little work has examined these relations during adolescence in the same study. We examined whether FAA moderated the relation between BPD features and rejection sensitivity following a validated social exclusion paradigm, Cyberball. A mixed, clinical-community sample of 64 adolescents (females = 62.5%; Mage = 14.45 years; SD = 1.6; range = 11-17 years) completed psychodiagnostic interviews and a self-report measure of BPD (Time 1). Approximately two weeks later (Time 2), participants completed a resting EEG recording followed by Cyberball. FAA moderated the relation between BPD features and overall feelings of rejection following Cyberball: individuals with greater relative left FAA had the highest and lowest feelings of social rejection depending on whether they had high and low BPD feature scores, respectively. Results remained after controlling for age, sex, gender, depression, and BPD diagnosis. These results suggest that FAA may moderate the relation between BPD features and social rejection, and that left frontal brain activity at rest may be differentially associated with those feelings in BPD. Findings are discussed in terms of the link between left frontal brain activity in the regulation and dysregulation of social approach behaviors, characteristic of BPD.

The Relation of Motivation Factors for Online Games With Personality Disorders, Addiction, Shyness, and Loneliness in Kuwait

Drawing on the Self-Development Theory (SDT), this study examines the relation between the factors that motivate online gaming and the effects of addiction, shyness, and loneliness. We have modified the SDT theory by adding intrinsic and extrinsic factors to measure the degree of its effect on addiction in online gaming settings. Next, we develop a special instrument to measure gamers’ experience and their level of addiction. The sample is 671 online gamers who participated in an online survey. A confirmatory factor analysis and structured equation modeling tests are conducted to identify reliable factors and the goodness of fit of the research model. The findings show that the effect of addiction on shyness and loneliness is minor. Furthermore, loneliness is affected mostly by anxiety of others. In addition, the challenge of meeting the goals of gaming has the greatest effect on addiction. The study offers important implications for decision makers among family members such as parents and among society in general such as policy makers to avoid side effects of online gaming.

Neurophysiological patterns associated with blunted emotional face processing and withdrawal tendencies in young children exposed to intimate partner violence

Studies linking child maltreatment to abnormal neurophysiological responses to emotional stimuli and mental health impairment have not specifically explored these patterns in young children exposed to intimate partner violence (IPV). The present study examined two neurophysiological indicators, resting-state electroencephalography and an emotion event-related potential (ERP) in 21 IPV exposed and 30 nonexposed children ages 4-6 years recruited from the community and domestic violence shelters. Frontal alpha asymmetry (FAA) was assessed while at rest. FAA is often associated with avoidant/withdrawn behavior and increased risk of IPV-related mental health conditions (e.g., depression). Additionally, the late positive potential (LPP) ERP component, reflecting motivated attention, was acquired in the context of an age-appropriate affective oddball paradigm with low probability animal pictures as targets and human facial expressions (angry, happy, neutral) as distracters. Results demonstrated that IPV-exposed children, compared with nonexposed children, exhibited lower left FAA during resting state and reduced LPPs to oddball targets and affective faces relative to neutral faces in the oddball task. Together, these results suggest neural patterns associated with a blunted response to emotional stimuli and withdrawal tendencies, respectively, in young children exposed to IPV. Implications for emotional socialization in this vulnerable population are discussed.

Effects of personality disorders and attitudes towards social networking services: evidence from family business successors in the Arab world

Purpose

This paper examines the effect of personality disorders, namely loneliness and shyness, on the family business successors' attitude towards social networking services (SNS).

Design/methodology/approach

In this study the personality disorder and attitude towards using WhatsApp are analysed in a sample of 511 family business successors, aged 18 and up to more than 50 years. Participants completed questionnaires designed for the purposes of the study specifically using for loneliness factor the UCLA Loneliness Scale (Russell et al., 1978) and for shyness the Sociability Scale (Cheek and Buss, 1981). We use two statistical methods: the first statistical technique is an exploratory factor analysis to show that shyness can be measured down into two dimensions (1) lack of confidence and (2) hesitancy, while loneliness also can be measured into the two dimensions: (1) amiability and (2) abandonment. The second statistical method uses structural equation modelling (SEM) to fit the data to the proposed model.

Findings

The results indicate that neither a lack of confidence nor amiability has a significant effect on the attitude towards instant messaging, while hesitancy and abandonment both have significant effects on attitude. Moreover, abandonment has a stronger effect on attitude than hesitancy.

Research limitations/implications

In this study were not included other related social disorders that other scholars normally study in such projects. For example, narcissism, addiction and socially anxious are very important and have results that conflict with ours.

Originality/value

The causal relations between the two independent factors of shyness and loneliness and the dependent factor of attitude towards using an Internet and SNS in family businesses from the Arab world have not yet been clearly and fully explored. This study aims to fill this gap through studying the impact of personality disorder (loneliness and shyness) on attitude to use SNS by the successors of family businesses.

TRAJECTORIES OF DISSOCIATIVE EXPERIENCES IN ADOLESCENT FEMALES EXPOSED TO CHILD MALTREATMENT: INFLUENCE OF FRONTAL EEG ASYMMETRY

Introduction: Dissociative experiences resulting in disruptions in the integration of an organized sense of self are one consequence of childhood maltreatment, and is associated with psychopathology and maladjustment across development. Despite the consequences of dissociative experiences, we know relatively little about the physiological factors associated with the development of dissociative experiences in children exposed to maltreatment.

Methods: Using a 3-wave short-term prospective design, we examined the influence of resting frontal alpha asymmetry at rest on the trajectory of dissociative experiences in a sample of adolescents exposed to documented child maltreatment (N = 55; Mage = 15.93, SDage = 1.02).

Results: Adolescents with greater relative left frontal alpha asymmetry at rest exhibited increasing trajectories of dissociative experiences over one year.

Discussion: Our results are discussed in the context physiological indexes of emotion dysregulation associated with dissociative experiences in youth exposed to child maltreatment.

Frontal EEG asymmetry moderates the associations between negative temperament and behavioral problems during childhood

Fearful inhibition and impulsivity-anger significantly predict internalizing and externalizing problems, respectively. An important moderator that may affect these associations is frontal EEG asymmetry (FA). We examined how temperament and FA at 6 years interactively predicted behavioral problems at 9 years. A community sample of 186 children (93 boys, 93 girls) participated in the study. Results indicated that the effect of fearful inhibition on parent-reported internalizing problems increased as children exhibited greater right FA. The effect of impulsivity-anger on parent-reported externalizing problems increased as children showed greater left FA. Because FA was allowed to vary rather than children being dichotomized into membership in left FA and right FA groups, we observed that children's FA contributed to the resilience process only when FA reached specific asymmetry levels. These findings highlight the importance of considering the different functions of FA in combination with specific dimensions of temperament in predicting children's socioemotional outcomes. Clinical implications include providing suggestions for intervention services by demonstrating the role of FA in developing behavioral problems and inspiring research on whether it is possible to alter EEG activation and thus potentially improve developmental outcomes.

Psychophysiological influences on personality trajectories in adolescent females exposed to child maltreatment

Although child maltreatment is a major public health concern, which adversely affects psychological and physical development, we know relatively little concerning psychophysiological and personality factors that may modify risk in children exposed to maltreatment. Using a three-wave, short-term prospective design, we examined the influence of individual differences in two disparate psychophysiological measures of risk (i.e., resting frontal brain electrical activity and respiratory sinus arrhythmia) on the trajectories of extraversion and neuroticism in a sample of female adolescents (N = 55; M age = 14.02 years) exposed to child maltreatment. Adolescents exposed to child maltreatment with relatively higher left frontal absolute alpha power (i.e., lower brain activity) at rest exhibited increasing trajectories of extraversion, and adolescents exposed to child maltreatment with relatively lower respiratory sinus arrhythmia at rest displayed increasing trajectories of neuroticism over 1 year. Individual differences in psychophysiological measures indexing resting central and peripheral nervous system activity may therefore differentially influence personality characteristics in adolescent females exposed to child maltreatment.

Trajectories of Resting Heart Period and Shyness in Adolescent Females Exposed to Child Maltreatment

Relatively little is known about the psychophysiological processes underlying the development of socioemotional vulnerabilities that are common among adolescents exposed to child maltreatment. Using a prospective, longitudinal design, we investigated whether trajectories of resting heart period (HP; a physiological correlate of stress vulnerability) across three visits (separated by 6 months) was associated with shyness (a type of socioemotional vulnerability) in adolescent females exposed to child maltreatment (N = 55; M_age = 14.07 years). Adolescents' resting HP across visits was best characterized by two latent trajectories: a stable high class (25.5%) and a stable low class (74.5%). The stable low HP trajectory was associated with higher shyness at Time 1 (T1), and HP trajectory moderated the association between T1 and Time 3 (T3) shyness. Females in the stable low HP trajectory demonstrated stability of shyness from T1 to T3, whereas T1 and T3 shyness were unrelated for females in the stable high HP trajectory. We also found that shyness at T1 and T3 was associated with greater levels of anxiety at T3. These findings illustrate heterogeneity in the developmental patterns of resting autonomic activity in adolescent females exposed to child maltreatment; such differences may influence the continuity of some traits linked with socioemotional vulnerability such as shyness.

Trajectory of heart period to socioaffective threat in shy children

Although shyness is characterized by distinct psychophysiological correlates, we know very little about the development of these correlates. In this longitudinal study, we examined how children's shyness was associated with trajectories of heart period (HP) to socioaffective threat across four assessments spanning approximately 2 years. Children (M_age  = 6.39 years) viewed age-appropriate, socioaffective videos at each visit while having their HP measured concurrently. A growth curve analysis revealed that low shy children had a relatively lower HP at enrollment, but experienced increases in HP across visits, while high shy children exhibited relatively stable low HP across visits while viewing threat-related socioaffective video stimuli. These patterns did not exist for HP during resting baseline or HP to nonthreatening video stimuli. These findings suggest that longitudinal patterns of HP among shy children may reflect a stable, characteristic way of responding to socioaffective threat, and possibly a physiological mechanism underlying shyness in some children.

Opportunities for Neurodevelopmental Plasticity From Infancy Through Early Adulthood

Multiple and rapid changes in brain development occur in infancy and early childhood that undergird behavioral development in core domains. The period of adolescence also carries a second influx of growth and change in the brain to support the unique developmental tasks of adolescence. This special section documents two core conclusions from multiple studies. First, evidence for change in brain-based metrics that underlie cognitive and behavioral functions are not limited to narrow windows in development, but are evident from infancy into early adulthood. Second, the specific evident changes are unique to challenges and goals that are salient for a respective developmental period. These brain-based changes interface with environmental inputs, whether from the child's broader ecology or at an individual level.